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[General] Latest Real ARDMS AE-Adult-Echocardiography Exam - AE-Adult-Echocardiography PDF

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【General】 Latest Real ARDMS AE-Adult-Echocardiography Exam - AE-Adult-Echocardiography PDF

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ARDMS AE-Adult-Echocardiography Exam Syllabus Topics:
TopicDetails
Topic 1
  • Measurement Techniques, Maneuvers, and Sonographic Views: This section of the exam measures skills of adult echocardiography technicians in performing accurate cardiac measurements, conducting provocative maneuvers, and obtaining optimized sonographic imaging views. It involves applying 2D, 3D, M-mode, and Doppler techniques to measure heart valves, chambers, and vessels, including the aortic valve, mitral valve, left and right ventricles, atria, pulmonary artery, and shunt ratios. Candidates must instruct patients in maneuvers such as Valsalva, cough, sniff, and squat. They should also be proficient in acquiring standard echocardiographic views including apical, parasternal, subcostal, and suprasternal notch views.
Topic 2
  • Instrumentation, Optimization, and Contrast: This section of the exam measures skills of adult echocardiography technicians related to use and optimization of ultrasound instrumentation and the application of contrast agents. Candidates should recognize imaging artifacts, utilize non-imaging transducers, and adjust ultrasound console settings for optimal imaging and Doppler recordings. Knowledge of harmonic imaging, principles of contrast agents, and the safe and effective use of saline and echo-enhancing contrast agents is essential. Candidates must also be able to optimize images when using contrast agents to ensure diagnostic quality.
Topic 3
  • Clinical Care and Safety: This section of the exam measures skills of adult echocardiography technicians in applying clinical care principles and safety protocols. It includes evaluating patient history and external data, preparing patients including fasting state and intravenous line management, proper patient positioning, EKG lead placement, blood pressure measurement, and ergonomic techniques. Candidates are expected to identify critical echocardiographic findings, know contraindications for procedures, and be able to respond and manage medical emergencies that may arise during echocardiographic exams.
Topic 4
  • Anatomy and Physiology: This section of the exam measures skills of adult echocardiography technicians and covers knowledge and abilities related to normal cardiac anatomy and physiology. It includes assessing great vessels like the aorta and pulmonary arteries, recognizing anatomic variants of the heart, and evaluating cardiac chambers, pericardium, valve structures, and vessels of arterial and venous return. Candidates must document normal systolic and diastolic function, normal valve function and measurements, the phases of the cardiac cycle, normal Doppler changes with respiration, and appearance of arterial and venous waveforms. This also involves assessing the normal hemodynamic response to stress testing and maneuvers such as Valsalva, respiratory, handgrip, and postural changes.
Topic 5
  • Pathology: This section of the exam measures skills of adult echocardiography technicians and focuses on identifying and evaluating abnormal physiology and perfusion and postoperative conditions. It includes assessment of ventricular aneurysms, aortic and valve abnormalities, arrhythmias, cardiac masses, diastolic dysfunction, endocarditis, ischemic diseases, cardiomyopathies, congenital anomalies, and postoperative valve repair or replacement and intracardiac devices. Candidates must demonstrate ability to recognize abnormal Doppler signals, EKG changes, wall motion abnormalities, and a wide range of cardiac pathologies including pulmonary hypertension and septal defects.

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ARDMS AE Adult Echocardiography Examination Sample Questions (Q31-Q36):NEW QUESTION # 31
Which of the following is the gold standard for assessment of coronary artery disease?
  • A. Myocardial perfusion imaging
  • B. Cardiac catheterization
  • C. Cardiac magnetic resonance imaging
  • D. Stress echocardiography
Answer: B
Explanation:
Cardiac catheterization with coronary angiography is considered the gold standard for the assessment and diagnosis of coronary artery disease (CAD). It provides direct visualization of coronary artery luminal stenosis and allows for therapeutic intervention if needed.
While cardiac magnetic resonance imaging (MRI), stress echocardiography, and myocardial perfusion imaging are valuable non-invasive modalities for ischemia detection and functional assessment, none replace the anatomical and interventional capabilities of invasive angiography.
This is well established in the "Textbook of Clinical Echocardiography, 6e", Chapter on Ischemic Heart Disease and Diagnostic Modalities#20:400-405Textbook of Clinical Echocardiography#.

NEW QUESTION # 32
Which unit of measurement is used to quantify tricuspid annular plane systolic excursion?
  • A. Centimeters
  • B. Centimeters/second
  • C. Millimeters of mercury
  • D. MiHiliters/minute
Answer: A
Explanation:
Tricuspid annular plane systolic excursion (TAPSE) is measured as the linear displacement of the tricuspid annulus during systole and is expressed in centimeters (cm). It quantifies right ventricular longitudinal systolic function.
Centimeters per second is a velocity measurement used in tissue Doppler imaging. Milliliters per minute refers to volume flow, and millimeters of mercury measures pressure.
This is standardized in the "Textbook of Clinical Echocardiography, 6e", Chapter on Right Ventricular Functional Assessment#20:320-325Textbook of Clinical Echocardiography#.

NEW QUESTION # 33

  • A. Sinus venosus atrial septal defect
  • B. Coronary sinus atrial septal defect
  • C. Secundum atrial septal defect
  • D. Primum atrial septal defect
Answer: C
Explanation:
The echocardiographic image shows a typical atrial septal defect located in the central portion of the atrial septum, best classified as a secundum atrial septal defect (ASD). Secundum ASDs are the most common type, occurring in the fossa ovalis region.
Sinus venosus ASDs are located near the superior vena cava or inferior vena cava junctions, coronary sinus ASDs involve unroofing of the coronary sinus, and primum ASDs occur low in the atrial septum near the atrioventricular valves.
These anatomic distinctions are critical for diagnosis and surgical planning and are detailed in adult congenital heart disease and echocardiography references#16:Textbook of Clinical Echocardiography, 6ep.
565-570##12:ASE Adult Congenital Guidelinesp.400-410#.

NEW QUESTION # 34
Which adjustment should be made to optimize this video?

  • A. Decrease overall gain
  • B. Decrease time gain compensation in the far field
  • C. Increase time gain compensation in the near field
  • D. Increase compression
Answer: C
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 # 35
An intravenous drug user presents with a fever of unknown origin, flu-like symptoms, dyspnea, and chest pain. Which ultrasound finding is mostly likely associated with this presentation?
  • A. Hypertrophic cardiomyopathy
  • B. Mitral valve prolapse
  • C. Aortic dissection
  • D. Endocarditis
Answer: D
Explanation:
Intravenous drug use is a major risk factor for infective endocarditis, particularly involving the tricuspid valve and sometimes left-sided valves. Symptoms like fever, flu-like illness, dyspnea, and chest pain suggest possible septic emboli or valve destruction.
Echocardiographic findings associated with endocarditis include mobile echogenic masses attached to valve leaflets (vegetations), valve thickening, or destruction. These findings are diagnostic and guide treatment.
Aortic dissection, hypertrophic cardiomyopathy, and mitral valve prolapse can present with different clinical features and echocardiographic findings not consistent with infectious vegetations.
These clinical and echocardiographic correlations are detailed in the ASE guidelines on infective endocarditis and the "Textbook of Clinical Echocardiography"#16:Textbook of Clinical Echocardiography, 6ep.470-475#
#12:ASE Infective Endocarditis Guidelinesp.380-390#.

NEW QUESTION # 36
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