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AE-Adult-Echocardiography Exam Bible Reliable ARDMS Certifications | Exam AE-Adult-Echocardiography Pattern

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Exam AE-Adult-Echocardiography Pattern, Associate AE-Adult-Echocardiography Level Exam

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ARDMS AE Adult Echocardiography Examination Sample Questions (Q97-Q102):

NEW QUESTION # 97
A continuous flow murmur is most likely due to which abnormality?

A. Ebstein anomaly with atrial septal defect
B. Patent ductus arteriosus
C. Concomitant aortic stenosis and mitral regurgitation
D. Ventricular septal defect

Answer: B

Explanation:
A continuous murmur, heard throughout systole and diastole, is most characteristically caused by a patent ductus arteriosus (PDA). PDA represents persistent communication between the aorta and pulmonary artery, allowing continuous blood flow during both phases of the cardiac cycle.
Ventricular septal defect usually produces a holosystolic murmur. Concomitant aortic stenosis and mitral regurgitation cause separate murmurs but not continuous. Ebstein anomaly with atrial septal defect typically produces murmurs related to tricuspid regurgitation or ASD but not a continuous murmur.
This clinical correlation is detailed in the "Textbook of Clinical Echocardiography, 6e", Chapter on Congenital Heart Disease and Murmur Etiologies#20:420-425Textbook of Clinical Echocardiography#.

NEW QUESTION # 98
Which condition is most likely demonstrated by this M-mode image?

A. Mitral stenosis
B. Dilated cardiomyopathy
C. Hypertrophic cardiomyopathy
D. Mitral valve prolapse

Answer: A

Explanation:
The M-mode image shows characteristic diastolic doming or "hockey stick" appearance of the anterior mitral leaflet with restricted leaflet motion. This is a classic sign of mitral stenosis, where leaflet thickening and fusion cause limited opening during diastole.
Dilated cardiomyopathy shows increased chamber sizes and decreased systolic function but not mitral leaflet doming. Hypertrophic cardiomyopathy is characterized by septal thickening and SAM of the mitral valve.
Mitral valve prolapse shows leaflet billowing into the left atrium during systole.
This pattern is well described in ASE valvular heart disease guidelines and echocardiography texts#12:ASE Valve Imaging Guidelinesp.180-185##16:Textbook of Clinical Echocardiography, 6ep.200-205#.

NEW QUESTION # 99
How are pseudoaneurysms best distinguished from true aneurysms?

A. Pseudoaneurysms have a wide neck.
B. True aneurysms contain thrombus.
C. Pseudoaneurysms occupy the left ventricular apex.
D. True aneurysms are lined with myocardium.

Answer: D

Explanation:
True ventricular aneurysms are lined by scarred myocardium and have a broad neck. Pseudoaneurysms occur after myocardial rupture contained by pericardium or scar tissue and lack myocardium in the wall.
Pseudoaneurysms typically have a narrow neck and are more prone to rupture.
Pseudoaneurysms can occur at various locations, not exclusively the apex. Both true aneurysms and pseudoaneurysms may contain thrombus, so this is not a distinguishing feature.
This differentiation is important clinically and is detailed in adult echocardiography and surgical cardiology texts and ASE guidelines#16:Textbook of Clinical Echocardiography, 6ep.400-405##12:ASE Cardiac Masses and Aneurysms Guidelinesp.150-160#.

NEW QUESTION # 100
Which finding is demonstrated in this video?

A. Annuloplasty ring repair
B. Mechanical valve replacement
C. Native valve with extensive calcification
D. Bioprosthetic valve replacement

Answer: A

Explanation:
The echocardiographic video shows a prosthetic ring-like structure attached to the mitral annulus with preserved native leaflet motion, consistent with an annuloplasty ring repair. Annuloplasty rings are used to reduce the mitral annulus size and improve leaflet coaptation in mitral regurgitation without replacing the valve.
Bioprosthetic or mechanical valve replacements would show distinctly different echogenic valve structures with leaflet or disc motion replacing the native valve. Extensive calcification of a native valve appears as echogenic, thickened leaflets without a discrete ring.
This is described in the "Textbook of Clinical Echocardiography, 6e", Chapter on Mitral Valve Repair Techniques#20:400-405Textbook of Clinical Echocardiography#.

NEW QUESTION # 101
Which critical finding is most likely to require immediate surgical intervention?

A. True aneurysm
B. Severe mitral stenosis
C. Pseudoaneurysm
D. Severe aortic stenosis

Answer: C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
A pseudoaneurysm (false aneurysm) of the heart or great vessels is a contained rupture of the vessel or myocardial wall with a narrow neck and high risk of rupture, making it a surgical emergency. Unlike true aneurysms, pseudoaneurysms lack all vessel wall layers and have a fragile wall prone to catastrophic rupture.
True aneurysms involve all wall layers and generally have a lower immediate risk. Severe aortic or mitral stenosis are serious conditions often requiring intervention but not immediate emergency surgery unless complicated.
Therefore, pseudoaneurysm is the critical finding that mandates urgent surgical repair.
This distinction and management urgency are detailed in the "Textbook of Clinical Echocardiography, 6e", Chapter on Aneurysms and Cardiac Emergencies#20:385-390Textbook of Clinical Echocardiography#.

NEW QUESTION # 102
......

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