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[General] AE-Adult-Echocardiography Actual Test Pdf - New AE-Adult-Echocardiography Cram M

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【General】 AE-Adult-Echocardiography Actual Test Pdf - New AE-Adult-Echocardiography Cram M

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ARDMS AE Adult Echocardiography Examination Sample Questions (Q97-Q102):NEW QUESTION # 97
How is the aorta in a structurally normal heart oriented?
  • A. Posterior and to the right of the pulmonary artery
  • B. Parallel to the pulmonary artery
  • C. Anterior and to the left of the pulmonary artery
  • D. Anterior to both the pulmonary artery and the coronary sinus
Answer: A
Explanation:
Compreh ensive and Detailed Explanation From Exact Extract:
In a normal heart, the ascending aorta arises from the left ventricle and courses superiorly and posteriorly to the right of the pulmonary artery, which arises anteriorly from the right ventricle. The aorta is positioned posterior and to the right of the main pulmonary artery, reflecting the normal spatial relationship.
The pulmonary artery is anterior and to the left of the aorta, and the coronary sinus lies posteriorly in the atrioventricular groove.
This anatomical relationship is detailed in the "Textbook of Clinical Echocardiography, 6e", Chapter on Cardiac Anatomy and Echocardiographic Landmarks#20:50-55Textbook of Clinical Echocardiography#.

NEW QUESTION # 98
What is a normal response to dobutamine stress testing?
  • A. A decrease in left ventricular cavity size and an increase in systolic blood pressure
  • B. An increase in left ventricular cavity size and an increase in systolic blood pressure
  • C. An increase in left ventricular cavity size and a decrease in systolic blood pressure
  • D. A decrease in left ventricular cavity size and a decrease in systolic blood pressure
Answer: A
Explanation:
During dobutamine stress testing, a normal physiological response includes increased myocardial contractility leading to a decrease in left ventricular (LV) cavity size during systole due to more effective ejection.
Concurrently, systolic blood pressure increases due to the inotropic and chronotropic effects of dobutamine.
An increase in LV cavity size during stress would suggest impaired contractility or ischemia, which is abnormal.
This normal response is detailed in the "Textbook of Clinical Echocardiography, 6e", Chapter on Stress Echocardiography and Hemodynamic Responses#20:400-405Textbook of Clinical Echocardiography#.

NEW QUESTION # 99
Which two-dimensional method is recommended for assessing left ventricular ejection fraction when regional wall motion abnormalities are present?
  • A. Visual
  • B. Tetcholz
  • C. Simpson biplane
  • D. Quinones
Answer: C
Explanation:
The Simpson biplane method (method of disks) is the recommended two-dimensional echocardiographic technique to quantify left ventricular ejection fraction (LVEF), especially when regional wall motion abnormalities are present. It involves tracing endocardial borders in apical two- and four-chamber views to calculate LV volumes and EF, accounting for segmental dysfunction.
Visual estimation is subjective and less accurate. The Quinones method (single plane area-length) and Teichholz method rely on geometric assumptions and are less accurate in abnormal ventricles.
ASE chamber quantification guidelines strongly endorse Simpson biplane for LVEF assessment in regional wall motion abnormalities#12:ASE Chamber Quantification Guidelinesp.70-75##16:Textbook of Clinical Echocardiography, 6ep.60-65#.

NEW QUESTION # 100
Which Doppler signal is used to calculate the pulmonary artery end-diastolic pressure gradient?
  • A. Pulmonary inflow velocity
  • B. Tricuspid insufficiency
  • 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 # 101
Which finding occurs initially as the seventy of aortic stenosis progresses?
  • A. Global systolic dysfunction
  • B. Concentric hypertrophy
  • C. Eccentric hypertrophy
  • D. Concentric remodeling
Answer: D
Explanation:
In the early stages of aortic stenosis, the left ventricle adapts to increased afterload by concentric remodeling, which is characterized by increased wall thickness without a proportional increase in chamber size. This adaptation helps normalize wall stress.
As the disease progresses, concentric hypertrophy develops with thickened walls and decreased compliance.
Eccentric hypertrophy and global systolic dysfunction occur later with decompensation and ventricular dilation.
This progression is explained in the "Textbook of Clinical Echocardiography, 6e", Chapter on Left Ventricular Adaptations to Pressure Overload#20:365-370Textbook of Clinical Echocardiography#.

NEW QUESTION # 102
......
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