Adult Echocardiography Practice Exam

Adult Echocardiography Practice Exam #1 Questions and Answers Inferior vena cava, superior vena cava, & hepatic veins demonstrate systolic flow reversal. What type of valve abnormality would you expect to see?

• mild mitral regurgitation
• severe mitral regurgitation
• mild tricuspid regurgitation
• severe tricuspid regurgitation - Answer- D

When estimating pulmonary artery pressure, the most reliable non-invasive method is:

• tricuspid valve regurgitant jet velocity
• pulmonic valve systolic velocity
• pulmonary artery catheter
• thermodilution - Answer- D

Which statement is correct about frequency?

• higher frequency tranducers decrease the depth of penetration, but reduce image

resolution

• low frequency tranducers decrease the depth penetration, but increase image

resolution

• higher frequency transducers increase the depth of penetration & improve image

resolution

• low frequency transducers improve depth penetration, but reduce image resolution -

Answer- D

Mitral valve prolapse may be augmented by:

• having the patient lie very flat
• having the patient perform a valsalva maneuver
• having the patient inhale
• injecting contrast into the venous system - Answer- B

Which chamber is the more posterior?

• right ventricle
• left atrium
• left ventricle
• right atrium - Answer- B 1 / 3

This image is of a patient with a history of pulmonary hypertension. The finding noted on

this exam is:

• dilated left ventricle
• dilated pulmonic valve
• left ventricular hypertrophy
• right ventricular hypertrophy - Answer- D

When valves are stenotic, the best way to evaluate them is by using:

• 2D imaging with hermonics
• color flow Doppler
• pulsed wave Doppler
• continuous wave Doppler - Answer- D

Torus aorticus is found in the:

• left atrial appendage
• left ventricle
• right atrium
• right ventricle - Answer- C

Ventricular septal defects may be difficult to detect if they are less than:

• 3 mm
• 1 cm
• 5 mm
• 10 mm - Answer- A

What type of prosthetic mitral valve replacement is this?

• porcine - tissue valve
• tilting disc - mechanical
• bileaflet tilting disc - mechanical
• ball & cage - mechanical - Answer- A

What is the most common benign primary cardiac?

• sarcoma
• myxoma
• papilloma
• rhabdomyoma - Answer- B

In patients with higher than normal heart rates may cause the Doppler signal of the left

ventricular inflow to: 2 / 3

• have a high A velocity
• have a low E velocity
• has no effect on the E/A velocity
• have a single E/A velocity - Answer- D

2D echo of pulmonary hypertension may demonstrate all of the following except:

• paradoxical septal motion
• enlarged right atrium
• enlarged pulmonary artery
• enlarged right ventricle
• enlarged left ventricle - Answer- E

Which congenital abnormality is the most common cyanotic lesion in adults?

• patent ductus arteriosus
• tetralogy of fallot
• ebstein's anomaly
• valvular pulmonic stenosis - Answer- B

This image demonstrates a pronounced thickened structure. What is this structure?

• chordae tendineae
• trabeculae carnae
• papillary muscle
• mitral valve leaflets - Answer- C

The arrow in this apical four chamber image identifies:

• lateral wall of left ventricle at mid region
• lateral wall of left ventricle at proximal region
• lateral wall of left ventricle at basal region
• lateral wall of left ventricle at apical region - Answer- A

If a bioprosthetic porcine valve is placed in the aortic position, what type of bioprosthetic graft is this called?

• autograft
• homograft
• heterograft - Answer- C

The most common metastic tumors originates from the:

• lung
• ovary
• breast
• / 3