ARDMS Echo Cardiac Measurements and Calculations 1 β Questions and Answers
Question 1: What is the normal range for left ventricular end-diastolic diameter (LVEDD) in adults?
- 3.0β4.0 cm
- 4.2β5.9 cm (Correct answer)
- 6.0β7.0 cm
- 2.0β3.5 cm
Correct answer: 4.2β5.9 cm
The normal LVEDD in adults is approximately 4.2β5.9 cm as measured by 2D-guided M-mode echocardiography.
Question 2: Which formula is used to calculate left ventricular ejection fraction (LVEF) using the biplane method of disks?
- Teichholz formula
- Simpson's biplane method (Correct answer)
- Quinones formula
- Cube formula
Correct answer: Simpson's biplane method
Simpson's biplane method of disks (modified Simpson's rule) is the recommended 2D method for LVEF calculation.
Question 3: What does the E/e' ratio estimate in echocardiography?
- Left ventricular systolic function
- Left ventricular filling pressures (Correct answer)
- Right ventricular size
- Aortic valve area
Correct answer: Left ventricular filling pressures
The E/e' ratio (mitral inflow E velocity divided by tissue Doppler e' velocity) is used to estimate left ventricular filling pressures.
Question 4: Using the continuity equation, aortic valve area (AVA) is calculated as:
- LVOT area Γ LVOT VTI / AV VTI (Correct answer)
- AV VTI / LVOT VTI Γ heart rate
- LVOT diameterΒ² Γ 0.785
- Peak AV velocity / LVOT velocity
Correct answer: LVOT area Γ LVOT VTI / AV VTI
The continuity equation states AVA = (LVOT cross-sectional area Γ LVOT VTI) / AV VTI.
Question 5: What is the normal interventricular septal (IVS) thickness at end-diastole?
- 0.2β0.5 cm
- 0.6β1.0 cm (Correct answer)
- 1.1β1.3 cm
- 1.4β1.7 cm
Correct answer: 0.6β1.0 cm
Normal IVS thickness at end-diastole ranges from 0.6 to 1.0 cm; values β₯1.1 cm suggest hypertrophy.
Question 6: The fractional shortening (FS) of the left ventricle is calculated as:
- (LVEDD β LVESD) / LVEDD Γ 100% (Correct answer)
- (LVESD β LVEDD) / LVESD Γ 100%
- (LVEDD + LVESD) / 2 Γ 100%
- LVESD / LVEDD Γ 100%
Correct answer: (LVEDD β LVESD) / LVEDD Γ 100%
Fractional shortening = (LVEDD β LVESD) / LVEDD Γ 100%, with a normal range of approximately 25β45%.
What is the normal range for left ventricular end-diastolic diameter (LVEDD) in adults?