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[General] AE-Adult-Echocardiography Latest Practice Questions & AE-Adult-Echocardiogra

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【General】 AE-Adult-Echocardiography Latest Practice Questions & AE-Adult-Echocardiogra

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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
  • 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.
Topic 3
  • 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 4
  • 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 5
  • 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.

ARDMS AE Adult Echocardiography Examination Sample Questions (Q65-Q70):NEW QUESTION # 65
Which parameter is expected to increase in the presence of cardiac tamponade?
  • A. Systolic blood pressure
  • B. Heart rate
  • C. Diastolic blood pressure
  • D. Oxygen saturation
Answer: B
Explanation:
In cardiac tamponade, pericardial fluid accumulation restricts cardiac filling leading to decreased stroke volume and cardiac output. As a compensatory mechanism, the heart rate increases (tachycardia) to maintain cardiac output.
Oxygen saturation typically does not increase; it may be normal or decreased if tamponade leads to hypoperfusion. Systolic and diastolic blood pressures often decrease due to reduced cardiac output.
This physiological response is well described in clinical cardiology texts and ASE pericardial disease guidelines#12:ASE Pericardial Disease Guidelinesp.300-305##16:Textbook of Clinical Echocardiography,
6ep.280-285#

NEW QUESTION # 66
Left atrial dilation, concentric left ventricular hypertrophy, and aortic root dilation are echocardiography findings commonly associated with which condition?
  • A. Restrictive cardiomyopathy
  • B. Pulmonary hypertension
  • C. Hypertrophic cardiomyopathy
  • D. Systemic hypertension
Answer: D
Explanation:
Systemic hypertension leads to increased afterload, resulting in concentric left ventricular hypertrophy as an adaptive response. Chronic hypertension also causes aortic root dilation and elevated filling pressures leading to left atrial enlargement.
Restrictive cardiomyopathy primarily shows normal wall thickness with impaired filling. Hypertrophic cardiomyopathy involves asymmetric septal hypertrophy. Pulmonary hypertension mainly affects the right heart.
This association is outlined in the "Textbook of Clinical Echocardiography, 6e", Chapter on Hypertensive Heart Disease#20:345-350Textbook of Clinical Echocardiography#.

NEW QUESTION # 67
Which unit of measurement is used to quantify tricuspid annular plane systolic excursion?
  • A. Centimeters
  • B. Millimeters of mercury
  • C. MiHiliters/minute
  • D. Centimeters/second
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 # 68
Which diagnosis is most likely confirmed by echocardiography in a 65-year-old female presenting with new onset chest pain associated with ST segment elevation on the electrocardiogram and angiographically normal coronary artenes?
  • A. Restrictive cardiomyopathy
  • B. Takotsubo cardiomyopathy
  • C. Alcohol-associated cardiomyopathy
  • D. Apical hypertrophic cardiomyopathy
Answer: B
Explanation:
Takotsubo cardiomyopathy, also known as stress-induced cardiomyopathy or "broken heart syndrome," predominantly affects postmenopausal women (usually older than 50 years) and often presents with acute chest pain and ST-segment elevation on the ECG mimicking acute myocardial infarction. However, coronary angiography reveals normal or non-obstructive coronary arteries.
Echocardiographically, Takotsubo cardiomyopathy is characterized by transient left ventricular systolic dysfunction with a typical pattern of apical ballooning and basal hyperkinesis. The wall motion abnormality extends beyond a single coronary artery territory, differentiating it from ischemic cardiomyopathy.
The diagnosis is supported by the clinical presentation, typical echocardiographic findings, and exclusion of obstructive coronary artery disease. The condition is usually reversible over days to weeks.
This is extensively described in the "Textbook of Clinical Echocardiography, 6e" (Chapter 8: Coronary Artery Disease and Takotsubo Syndrome), which highlights the typical patient demographics, presentation, echocardiographic features, and prognosis .

NEW QUESTION # 69
Which method is useful for obtaining a good quality pulmonary vein spectral Doppler waveform for evaluation of diastolic function?
  • A. Use of continuous wave Doppler
  • B. Use of non-imaging transducer
  • C. Doppler wall filter settings changed to filter out low frequency signals
  • D. Doppler wall filter settings changed to allow for low frequency signals
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Pulmonary vein Doppler signals have low velocity and low frequency components that can be filtered out by standard Doppler wall filters. To obtain a good quality spectral Doppler waveform for diastolic function evaluation, the wall filter settings should be lowered or adjusted to allow low frequency signals to be detected and displayed clearly.
Non-imaging transducers and continuous wave Doppler are not appropriate for pulmonary vein Doppler because spatial resolution and site localization are required. Filtering out low frequency signals would degrade the quality of the pulmonary vein waveform.
This is detailed in ASE Doppler imaging and diastolic function assessment protocols#12:ASE Diastolic Function Guidelinesp.85-90##16:Textbook of Clinical Echocardiography, 6ep.125-130#.

NEW QUESTION # 70
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