ARDMS AE-Adult-Echocardiography Exam - Topic 1 Question 12 Discussion

Actual exam question for ARDMS's AE-Adult-Echocardiography exam

Question #: 12
Topic #: 1

[All AE-Adult-Echocardiography Questions]

Identify the right pulmonary artery.

Using your mouse, place the cursor on the appropriate region of the image and then left click the mouse button to indicate your selection.

Which mitral regurgitation jet direction is most consistent with hypertrophic obstructive cardiomyopathy?

AAnterior

BPosterior

CCentral

DMedial

Show Suggested Answer

Suggested Answer: B

Comprehensive and Detailed Explanation From Exact Extract:

In hypertrophic obstructive cardiomyopathy (HOCM), systolic anterior motion (SAM) of the anterior mitral leaflet causes posteriorly directed mitral regurgitation (MR) jets. The abnormal anterior leaflet motion leads to incomplete leaflet coaptation and regurgitant flow directed toward the posterior left atrium.

Anterior jets are seen with posterior leaflet abnormalities. Central jets are seen in functional MR. Medial jets are less common and depend on leaflet pathology.

This jet direction is an important echocardiographic feature distinguishing HOCM-related MR and is outlined in ASE valvular heart disease and cardiomyopathy guidelines12:ASE Valvular Regurgitation Guidelinesp.220-22516:Textbook of Clinical Echocardiography, 6ep.350-355.

by Clay at May 03, 2026, 06:18 AM

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Andrew

17 days ago

For the right pulmonary artery, I feel like it’s the one that branches off the main pulmonary trunk, but I can't recall the exact position in this image.

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Maryanne

22 days ago

I remember practicing mitral regurgitation jets, and I think the direction related to hypertrophic obstructive cardiomyopathy is usually anterior, but I could be mixing it up.

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Devora

27 days ago

I think the right pulmonary artery is on the left side of the image, but I'm not entirely sure.

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