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Pass Guaranteed Quiz 2026 Latest AE-Adult-Echocardiography: AE Adult Echocardiog
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ARDMS AE-Adult-Echocardiography Exam Syllabus Topics:| Topic | Details | | Topic 1 | - 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 2 | - 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 3 | - 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 4 | - 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 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 (Q83-Q88):NEW QUESTION # 83
The 'P' wave of an electrocardiogram relates to which echocardiography event?
- A. Ventricular contraction
- B. Atrial contraction
- C. Atrial relaxation
- D. Ventricular diastole
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The P wave on the ECG corresponds to atrial depolarization, which precedes atrial contraction (atrial systole).
On echocardiography, atrial contraction can be observed as the atrial "kick," contributing to ventricular filling during late diastole.
Ventricular contraction (QRS complex) and ventricular relaxation (T wave) correspond to other phases of the cardiac cycle. Atrial relaxation occurs during ventricular systole but is not represented by the P wave.
This timing relationship is critical for correlating echocardiographic Doppler inflow patterns, such as the late diastolic A wave, with the ECG. These concepts are outlined in the foundational echocardiography references, including ASE guidelines and the "Textbook of Clinical Echocardiography"#16:Textbook of Clinical Echocardiography, 6ep.150-155##12:ASE Echocardiography Guidelinesp.50-55#.
NEW QUESTION # 84
Which finding is associated with coarctation of the aorta?
- A. Ventricular septal defect
- B. Atrial septal defect
- C. Right ventricular hypertrophy
- D. Left ventricular hypertrophy
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Coarctation of the aorta (CoA) causes obstruction of blood flow in the descending aorta leading to increased afterload on the left ventricle. This pressure overload results in left ventricular hypertrophy (LVH) as the heart compensates for the increased resistance.
Atrial septal defect and ventricular septal defect are separate congenital defects not necessarily associated with CoA. Right ventricular hypertrophy occurs mainly with pulmonary hypertension or right heart pressure overload.
LVH is a well-recognized echocardiographic finding in CoA and is used to assess severity and chronic effects of the lesion in adult echocardiography references and ASE congenital heart disease guidelines#16:Textbook of Clinical Echocardiography, 6ep.550-555##12:ASE Congenital Guidelinesp.410-420#.
NEW QUESTION # 85
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 # 86
Which acute disease state is indicated with McConnell's sign?
- A. Myocardial infarction
- B. Libman-Sacks endocarditis
- C. Aortic dissection
- D. Pulmonary embolism
Answer: D
Explanation:
McConnell's sign is an echocardiographic finding characterized by regional right ventricular (RV) dysfunction with akinesia of the mid-free wall but preserved contractility of the apex. This pattern is highly specific for acute pulmonary embolism (PE).
In acute PE, sudden obstruction of the pulmonary artery leads to acute right ventricular pressure overload, causing regional wall motion abnormalities. The sparing of the apex differentiates it from other causes of RV dysfunction such as myocardial infarction.
This sign is considered a useful bedside clue in the echocardiographic diagnosis of PE, especially when combined with clinical findings and Doppler evidence of elevated pulmonary pressures.
The sign is described in the "Textbook of Clinical Echocardiography, 6e", Chapter on Acute Right Heart Dysfunction, with reference to McConnell's original description and its clinical significance in acute pulmonary embolism diagnosis#20:340-345Textbook of Clinical Echocardiography#.
NEW QUESTION # 87
When should a patient's systemic blood pressure be documented on an echocardiogram?
- A. When significant aortic stenosis is present
- B. With every echocardiogram
- C. When evidence of pulmonary hypertension is detected
- D. When significant mitral regurgitation is present
Answer: B
Explanation:
Systemic blood pressure should be documented during every echocardiogram because blood pressure influences cardiac loading conditions, hemodynamics, and interpretation of valvular lesions and ventricular function.
Blood pressure affects Doppler velocities, gradients across valves, and myocardial performance; therefore, it is essential to record it routinely to interpret echocardiographic findings accurately.
This guideline is stated in the "Textbook of Clinical Echocardiography, 6e", Chapter on Echocardiographic Examination Standards and Reporting#20:15-20Textbook of Clinical Echocardiography#.
NEW QUESTION # 88
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