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[Hardware] AE-Adult-Echocardiography Exam Questions And Answers - AE-Adult-Echocardiography

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【Hardware】 AE-Adult-Echocardiography Exam Questions And Answers - AE-Adult-Echocardiography

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ARDMS AE Adult Echocardiography Examination Sample Questions (Q72-Q77):NEW QUESTION # 72
Which finding is shown in this image?

  • A. Left atrial thrombus
  • B. Artifact
  • C. Cor triatriatum
  • D. Chiari network
Answer: D
Explanation:
The echocardiographic image shows a mobile, highly echogenic, mesh-like structure within the right atrium consistent with the Chiari network. The Chiari network is an embryologic remnant of the right valve of the sinus venosus, appearing as a fenestrated, reticulated membrane that is usually thin and mobile, found near the orifice of the inferior vena cava or the coronary sinus.
This structure is benign and often an incidental finding but can be confused with thrombus or atrial tumors.
Unlike left atrial thrombus, which appears as a more solid, immobile mass often located in the left atrial appendage, the Chiari network is mobile and located in the right atrium. Cor triatriatum is a rare congenital membrane dividing the left atrium into two chambers and appears differently on echocardiography. Artifact refers to non-anatomic echoes which do not persist or move consistently.
Recognition of Chiari network is important to avoid misdiagnosis, and its characteristics are well described in echocardiography literature such as the "Textbook of Clinical Echocardiography" and ASE imaging guidelines
#16:Textbook of Clinical Echocardiography, 6ep.400-402##12:ASE Guidelines on Cardiac Massesp.150-
155#.

NEW QUESTION # 73
Which adjustment should be made to optimize this video?

  • A. Decrease time gain compensation in the far field
  • B. Increase compression
  • C. Decrease overall gain
  • D. Increase time gain compensation in the near field
Answer: D
Explanation:
The echocardiographic image/video shows decreased brightness and penetration in the near field, making the anterior cardiac structures poorly visualized while deeper structures appear brighter. This indicates under-gain in the near field.
Increasing the time gain compensation (TGC) in the near field enhances the signal strength of superficial structures without affecting deeper tissues. This adjustment improves image quality by balancing the brightness across the field.
Increasing compression or decreasing overall gain would reduce the signal globally and are not specific for near field optimization. Decreasing TGC in the far field would reduce brightness deeper but does not address near-field issues.
This principle is outlined in the "Textbook of Clinical Echocardiography, 6e", Chapter on Image Optimization and Technical Settings#20:70-75Textbook of Clinical Echocardiography#.

NEW QUESTION # 74
Which is most likely the culprit coronary artery in a patient who presents with anteroseptal hypokinesis?
  • A. Left coronary artery
  • B. Posterior descending artery
  • C. Circumflex artery
  • D. Right coronary artery
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Anteroseptal hypokinesis is most often due to ischemia or infarction in the left anterior descending (LAD) artery territory, a major branch of the left coronary artery. The LAD supplies the anterior wall and the interventricular septum.
The right coronary artery generally supplies the inferior wall and right ventricle. The circumflex artery supplies the lateral wall. The posterior descending artery supplies the inferior wall.
This coronary artery distribution and wall motion correlation is fundamental in stress echocardiography and ischemic heart disease assessment as detailed in ASE guidelines and clinical echocardiography references#12:
ASE Stress Echocardiography Guidelinesp.300-310##16:Textbook of Clinical Echocardiography, 6ep.380-
385#.

NEW QUESTION # 75
Which structure is indicated by the arrow on this image of a normal valve?

  • A. Non-coronary cusp
  • B. Posterior leaflet
  • C. Septal leaflet
  • D. Left coronary cusp
Answer: D
Explanation:
The arrow points to the left coronary cusp of the aortic valve, identifiable in the short axis view as one of the three cusps. The left coronary cusp is adjacent to the left coronary artery origin and lies anteriorly.
The posterior leaflet is part of the mitral valve, septal leaflet refers to the tricuspid valve, and non-coronary cusp is another aortic cusp located posteriorly.
This identification is found in the "Textbook of Clinical Echocardiography, 6e", Chapter on Aortic Valve Anatomy#20:50-55Textbook of Clinical Echocardiography#.

NEW QUESTION # 76
Which diagnosis is most consistent with the findings in these images?


  • A. Hypertrophic obstructive cardiomyopathy
  • B. Apical hypertrophic cardiomyopathy
  • C. Restrictive cardiomyopathy from amyloidosis
  • D. Takotsubo cardiomyopathy
Answer: D
Explanation:
The first image shows a bullseye plot of global longitudinal strain (GLS) with marked reduction in strain values (less negative numbers) most prominently in the apical segments (central red zone), with an overall GLS of -8.2% (normal is about -20%) and a reduced ejection fraction of 41%. This pattern is characteristic of Takotsubo cardiomyopathy, which typically demonstrates regional wall motion abnormalities that predominantly involve the apex and mid segments of the left ventricle with basal sparing.
The 2D echocardiographic images show apical ballooning, a hallmark of Takotsubo cardiomyopathy, where the apex is akinetic or dyskinetic and the basal segments contract normally or hypercontract. Doppler images show findings consistent with impaired ventricular function.
In contrast:
Apical hypertrophic cardiomyopathy (HCM) would show increased wall thickness localized to the apex but not apical ballooning or reduced strain in that typical pattern.
Hypertrophic obstructive cardiomyopathy (HOCM) involves basal septal hypertrophy with outflow obstruction, not apical akinesis or ballooning.
Restrictive cardiomyopathy from amyloidosis involves diffuse infiltration and generally a different strain pattern with more uniform reduction and "apical sparing" rather than apical involvement.
This interpretation aligns with the diagnostic criteria and echocardiographic features described in the adult echocardiography literature, including the "Textbook of Clinical Echocardiography" (Chapter on Cardiomyopathies) and ASE guidelines, which highlight apical ballooning and regional strain abnormalities as diagnostic features of Takotsubo cardiomyopathy#16:Cardiomyopathy ChapterTextbook of Clinical Echocardiography, 6e##12:ASE Guidelines on Strain Imagingp.130-135#.

NEW QUESTION # 77
......
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