SAMPLE CASES

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					                                CARDIOVASCULAR DISEASE CERTIFICATION EXAMINATION

                                                   ELECTROCARDIOGRAM SECTION
                                                     IMAGING STUDIES SECTION


                                                      SAMPLE CASES
This booklet contains examples of the electrocardiograms and imaging studies (echocardiograms, ventriculograms or aortograms, and angiograms)
presented in the Electrocardiogram and Imaging Studies sections of the Cardiovascular Disease Certification Examination. Scoring of the sample
cases is discussed on page 10. (Note: The sample cases contain still-frame imaging studies. Both still-frame and video imaging studies appear in
the exam.)

Electocardiograms: Pages 2 and 3 of this booklet show an example of the electrocardiograms, patient descriptions, and answer option lists found in
the Electrocardiogram section. All electrocardiograms are conventional 12-lead tracings recorded with three simultaneous leads. When two rhythm
strips are shown, they are recorded simultaneously.

Echocardiograms: Pages 4 and 5 of this booklet show an example of the echocardiograms, patient descriptions, and answer option lists found in
the Imaging Studies section. The following views may be included: parasternal long axis, parasternal short axis, apical four-chamber, apical
two-chamber, and apical long axis. M-mode, transesophageal, and Doppler studies also may be included. All views are labeled either in or below
the frames. Vertical markings on M-mode frames represent 1-cm increments; however, precise measurements are not required.

Ventriculograms or Aortograms: Pages 6 and 7 of this booklet show an example of the ventriculograms, patient descriptions, and answer option
lists found in the Imaging Studies section. (Some cases in this portion of the Imaging Studies section are based on aortograms, and the option list is
applicable to both types of cases.) Ventriculograms or aortograms will be shown in right anterior oblique (RAO), left anterior oblique (LAO),
anteroposterior (AP), or lateral projections. All views are labeled either in or below the frames. Contrast injection should be assumed adequate in all
cases.

Angiograms: Pages 8 and 9 of this booklet show an example of the angiograms, patient descriptions, and answer option lists found in the Imaging
Studies section. In most cases, both RAO and LAO projections are shown; in some cases, varying degrees of cranial and caudal angulation are
used. All views are labeled either in or below the frames. Contrast injection should be assumed adequate in all cases.


Copyrighted Materials
The Board’s examinations are confidential and copyrighted under the Federal Copyright Act. Candidates agree not to copy, reproduce, reconstruct
by dictation or other means, or disclose examination content in any manner. Board Self-Evaluation Modules are also copyrighted works. Candidates
agree not to copy, reproduce, or make any adaptations of the modules in any manner; or to assist someone else in the infringement of this or any
Board copyrighted work.

                                                                           1
ELECTROCARDIOGRAM SAMPLE CASE




              2
           ECHOCARDIOGRAM SAMPLE CASE




                        Diastole




Diastole     Diastole              Diastole   Systole

                           4
VENTRICULOGRAM / AORTOGRAM SAMPLE CASE




   RAO, diastole            RAO, systole




  Lateral, diastole        Lateral, systole




                      6
            ANGIOGRAM SAMPLE CASE




RAO                LAO                    Cranial LAO




      LAO                           RAO

                      8
                                             SCORING OF SAMPLE CASES
Electrocardiograms (option list on page 3): The correct answers for this case are atrial fibrillation (number 19) and right bundle
branch block, complete (number 43). Selecting atrial tachycardia (number 15), left axis deviation greater than minus 30° (number 37),
or left anterior fascicular block (number 45) would not affect your score. Selecting ventricular tachycardia with three or more
consecutive complexes (number 25) would invalidate your answer because this is an inapplicable finding that could lead to incorrect or
dangerous management of this patient. Selecting Wolff-Parkinson-White pattern (number 34) also would invalidate your answer
because this finding could not coexist with the correct findings in this patient.

Echocardiograms (option list on page 5): The correct answers for this case are dilated left atrium (number 29), dilated right atrium
(number 30), right atrial mass, suggests catheter or pacemaker (number 35), enlarged right ventricle (number 36), and global
hypokinesia of the left ventricle (number 43). Selecting numbers 44 - 48 (wall motion abnormality of all walls) would be equivalent to
selecting number 43 and would be considered correct. Selecting number 11 under aortic valve (suggests vegetation of endocarditis)
would not affect your score for this case.

Ventriculograms or Aortograms (option list on page 7): The correct answers for this case are anterior or lateral aneurysm (number
8), apical aneurysm (number 10), and mitral valve prolapse (number 26). Selecting number 6 (inferior or posterior wall motion
abnormality) would not affect your score for this case.

Angiograms (option list on page 9): The correct answers for this case are insignificant left main stenosis (number 2), severe left
anterior descending stenosis (number 13), severe left circumflex stenosis (number 14), complete occlusion of right coronary artery
(number 20), right filled by collaterals (number 24), and right thrombus present (number 32). Selecting number 19 (complete occlusion
of left circumflex) or number 23 (left circumflex filled by collaterals) would not affect your score for this case.




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