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[Hardware] Pass Guaranteed Quiz ARDMS - High-quality AE-Adult-Echocardiography Test Registr

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【Hardware】 Pass Guaranteed Quiz ARDMS - High-quality AE-Adult-Echocardiography Test Registr

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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
  • 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 5
  • 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.

ARDMS AE Adult Echocardiography Examination Sample Questions (Q35-Q40):NEW QUESTION # 35
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 # 36
Which parameter is necessary to calculate a 2D left atrial volume index?
  • A. Age
  • B. Cardiac output
  • C. Blood pressure
  • D. Height
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The left atrial volume index (LAVI) is the left atrial volume normalized to the patient's body surface area (BSA), which accounts for patient size. To calculate BSA, height and weight are required, most commonly using formulas such as the Mosteller formula.
Therefore, height is a necessary parameter to calculate the left atrial volume index. Age, blood pressure, and cardiac output are not used in the calculation of LAVI but may be clinically relevant for interpretation.
This approach standardizes LA size across patients of different body habitus, making LAVI a more accurate and reproducible measure of LA remodeling and a predictor of cardiovascular outcomes.
The echocardiography guidelines and textbooks emphasize the importance of indexing LA volume to BSA and highlight height as a required measurement for this purpose .

NEW QUESTION # 37

  • A. Coronary sinus atrial septal defect
  • B. Primum atrial septal defect
  • C. Sinus venosus atrial septal defect
  • D. Secundum atrial septal defect
Answer: D
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 # 38
A patient presents in the emergency room with a history of chronic high Wood pressure and new onset severe back pain. A physical exam reveals a new diastolic murmur. Which would be the most likely finding?
  • A. Aortic dissection
  • B. Aortic aneurysm
  • C. Ruptured papillary muscle
  • D. Left ventricular rupture
Answer: A
Explanation:
The combination of chronic elevated Wood units (indicative of pulmonary hypertension), severe back pain, and a new diastolic murmur strongly suggests an acute aortic dissection involving the ascending aorta or aortic valve.
Aortic dissection can cause tearing of the intima and compromise the aortic valve, leading to acute aortic regurgitation manifesting as a new diastolic murmur. Back pain is a classic symptom due to the dissection extending along the aorta.
Aortic aneurysm may cause symptoms but usually not acute severe pain and murmur. Left ventricular rupture and ruptured papillary muscle are typically complications of myocardial infarction and present differently.
This clinical presentation and echocardiographic assessment are described in the "Textbook of Clinical Echocardiography, 6e", Chapter on Aortic Pathology and Emergencies#20:380-385Textbook of Clinical Echocardiography#.

NEW QUESTION # 39
Which adjustment should be made to optimize this video?

  • A. Increase compression
  • B. Decrease overall gain
  • C. Decrease time gain compensation in the far field
  • 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 # 40
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