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[General] Dumps AE-Adult-Echocardiography Free | AE-Adult-Echocardiography Materials

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【General】 Dumps AE-Adult-Echocardiography Free | AE-Adult-Echocardiography Materials

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ARDMS AE Adult Echocardiography Examination Sample Questions (Q139-Q144):NEW QUESTION # 139
Which wall is indicated by the arrows on this image?

  • A. Anterolateral
  • B. Inferior
  • C. Inferoseptum
  • D. Anteroseptum
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The echocardiographic image shows an apical four-chamber view of the left ventricle. The arrows point to the lateral wall of the left ventricle, which in this view corresponds to the anterolateral wall. The anterolateral wall is located opposite the septum and posterior to the left atrium.
Anteroseptum and inferoseptum refer to different segments of the interventricular septum. The inferior wall is visualized better in other views.
This segmental wall nomenclature and identification are described in ASE chamber quantification and stress echocardiography guidelines#12:ASE Chamber Quantification Guidelinesp.90-95##16:Textbook of Clinical Echocardiography, 6ep.140-145#.

NEW QUESTION # 140
Which is most likely the culprit coronary artery in a patient who presents with anteroseptal hypokinesis?
  • A. Posterior descending artery
  • B. Left coronary artery
  • C. Right coronary artery
  • D. Circumflex artery
Answer: B
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 # 141
A patient with a ventricular septal defect, an atrial septal defect, and a cleft mitral valve is likely to have which abnormality?
  • A. Marfan syndrome
  • B. Shone syndrome
  • C. Atrioventricular canal defect
  • D. Ebstein anomaly
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Atrioventricular canal defect (AV canal defect) is a congenital cardiac malformation characterized by defects in the atrial and ventricular septa, along with abnormalities of the atrioventricular valves including cleft mitral valve. These features collectively cause shunting and valve regurgitation.
Ebstein anomaly primarily involves the tricuspid valve and right atrium, Marfan syndrome is a connective tissue disorder with different manifestations, and Shone syndrome involves left-sided obstructive lesions.
This is clearly outlined in the "Textbook of Clinical Echocardiography, 6e", Chapter on Congenital Heart Defects - Atrioventricular Septal Defects#20:120-125Textbook of Clinical Echocardiography#.

NEW QUESTION # 142
Which Doppler signal is used to calculate the pulmonary artery end-diastolic pressure gradient?
  • A. Tricuspid insufficiency
  • B. Pulmonary inflow velocity
  • C. Tricuspid inflow velocity
  • D. Pulmonary insufficiency
Answer: D
Explanation:
Pulmonary artery end-diastolic pressure (PAEDP) can be estimated noninvasively by measuring the end- diastolic velocity of pulmonary regurgitation (pulmonary insufficiency) using continuous-wave Doppler. The pressure gradient between the pulmonary artery and right ventricle at end-diastole is calculated using the modified Bernoulli equation from this velocity.
Tricuspid insufficiency is used to estimate right ventricular systolic pressure. Tricuspid inflow and pulmonary inflow velocities provide information on diastolic function but not direct pressure gradients.
This method is well validated and included in ASE guidelines for pulmonary hypertension assessment and Doppler hemodynamics#16:Textbook of Clinical Echocardiography, 6ep.300-305##12:ASE Doppler Guidelinesp.110-115#.

NEW QUESTION # 143
What is the direction of the mitral regurgitant jet in this video clip?

  • A. Medial
  • B. Posterior
  • C. Lateral
  • D. Anterior
Answer: B
Explanation:
The color Doppler jet in the apical four-chamber view is directed posteriorly toward the posterior left atrial wall, indicating a posteriorly directed mitral regurgitant jet.
Jet direction can provide insight into the mechanism of mitral regurgitation; for example, anterior leaflet prolapse often causes a posteriorly directed jet.
This analysis is outlined in the "Textbook of Clinical Echocardiography, 6e", Chapter on Mitral Regurgitation
- Jet Direction and Mechanism#20:390-395Textbook of Clinical Echocardiography#.

NEW QUESTION # 144
......
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