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ARDMS AE-Adult-Echocardiography Exam - Topic 5 Question 2 Discussion

Actual exam question for ARDMS's AE-Adult-Echocardiography exam
Question #: 2
Topic #: 5
[All AE-Adult-Echocardiography Questions]

A patient with a ventricular septal defect, an atrial septal defect, and a cleft mitral valve is likely to have which abnormality?

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Suggested Answer: A

Comprehensive and Detailed Explanation From Exact Extract:

Atrioventricular canal defect (AV canal defect) is a congenital cardiac malformation characterized by defects in the atrial and ventricular septa, along with abnormalities of the atrioventricular valves including cleft mitral valve. These features collectively cause shunting and valve regurgitation.

Ebstein anomaly primarily involves the tricuspid valve and right atrium, Marfan syndrome is a connective tissue disorder with different manifestations, and Shone syndrome involves left-sided obstructive lesions.

This is clearly outlined in the 'Textbook of Clinical Echocardiography, 6e', Chapter on Congenital Heart Defects - Atrioventricular Septal Defects20:120-125Textbook of Clinical Echocardiography.


by Martina at Nov 24, 2025, 12:50 AM

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Brigette
9 hours ago
Wait, isn't Marfan syndrome a possibility too?
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Stephaine
6 days ago
D) Shone syndrome, for sure. Though I'm still trying to figure out how a cleft mitral valve and an ASD can coexist. Cardiac anatomy is wild, man.
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Clarence
11 days ago
D) Shone syndrome, easy peasy. I hope the rest of the exam is this straightforward!
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Gaston
16 days ago
D) Shone syndrome, no doubt. This is like cardiac anomalies 101.
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Sylvia
21 days ago
I'm going with D) Shone syndrome. It's the only option that matches the given combination of defects.
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Mike
26 days ago
Definitely D) Shone syndrome. This question is a no-brainer for anyone who's studied their cardiac anomalies.
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Sheron
1 month ago
I have a hunch that the answer is A, atrioventricular canal defect, since it involves both atrial and ventricular septal defects together.
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Bettye
1 month ago
Shone syndrome sounds familiar, but I can't quite connect it to the defects listed. I feel like it might be more about left heart obstruction.
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Cherry
1 month ago
I think I came across a practice question that mentioned Ebstein anomaly in relation to valve issues, but I don't recall the specifics.
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Glory
2 months ago
Alright, I think I've got it. The combination of those three defects points to an atrioventricular canal defect. I'm feeling good about that answer.
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Leigha
2 months ago
I'm going to start by eliminating the options that don't seem to fit. Marfan syndrome doesn't typically involve septal defects, so that's out. Now I just need to decide between the remaining choices.
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Lindsey
2 months ago
Wait, I'm a bit confused. Isn't Ebstein anomaly also related to septal defects? I'll have to review the details of each condition to make sure I have the right one.
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Gerald
2 months ago
I agree, that makes the most sense!
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Ruthann
2 months ago
D) Shone syndrome is the correct answer, as the combination of a ventricular septal defect, atrial septal defect, and cleft mitral valve is characteristic of Shone syndrome.
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Lilli
2 months ago
I remember studying that patients with multiple septal defects often have some form of atrioventricular canal defect, but I'm not entirely sure if that's the only possibility here.
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Peggie
3 months ago
Definitely A) Atrioventricular canal defect.
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Brinda
3 months ago
I agree, A) makes sense. Multiple defects often indicate a canal defect.
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Artie
3 months ago
Okay, let me see. Ventricular septal defect, atrial septal defect, and cleft mitral valve - that sounds like Shone syndrome to me. I'm pretty confident in that answer.
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Antione
3 months ago
Hmm, this seems like a tricky one. I'll need to think through the different congenital heart defects and how they're associated.
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