European CMR Exam and Exam Certification

Sample Question #1

Choose the best possible answer:

To increase the T2 weighting in a spin echo STIR sequence:

  • a) TE is decreased and the flip angle is increased.
  • b) TE is decreased and TR is increased.
  • c) TE is unchanged and central k-space is acquired first.
  • d) TE is increased and TR is unchanged.
  • e) TE is increased and TR is decreased.

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Sample Question #2

Regarding multi-modality imaging of the pericardium, which is the most
appropriate statement?:

  • a) Chest X-ray is the best technique to detect pericardial calcification
  • b) Echocardiogram is considered the first line option
  • c) CT reliably discriminates the pericardial effusion from increased pericardial thickness
  • d) CMR provides the most comprehensive information on intra-cardiac flows
  • e) SPECT and PET may be useful in the evaluation of pericardial effusion

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Sample Question #3

Which of the following statements is most true regarding myocardial oedema
imaging with CMR?

  • a) Myocardial oedema is commonly assessed with steady-state free-precession cines
  • b) Areas of regional myocardial oedema have a low signal on T2-weighted sequences
  • c) Oedematous myocardial regions are usually confined to the subendocardium
  • d) White and black-blood T2-weighted CMR sequences can be used for oedema imaging
  • e) The area of oedema is usually smaller than the area of infarction.

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Sample Question #4

Retrograde flow in the left vertebral artery by phase-contrast imaging usually
indicates significant stenosis in the:

  • a) Brachiocephalic artery
  • b) Left common carotid artery
  • c) Distal left vertebral artery
  • d) Proximal left subclavian artery
  • e) Basilar artery

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Sample Question #5

53 year-old female is referred for CMR after echocardiography has suspected
hypertrophic cardiomyopathy. Which is the single best answer? In hypertrophic

  • a) the obstructive form often results in mitral stenosis
  • b) the systolic anterior motion of the mitral valve (SAM) can only reliably be detected by echocardiography
  • c) late gadolinium enhancement is often present in the right ventricular wall
  • d) outflow tract obstruction results in a bright jet on steady state free precession cine images
  • e) left ventricular apical aneurysms can be present

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Sample Question #6

The following image shows flow curves from the main pulmonary artery and
aorta in a 2 year-old female with signs of cardiac failure and a dilated left ventricle.
The lesion is

Flow curves from main pulmonary artery (PA) and aorta

  • a) Patent ductus arteriosus
  • b) Ventricular septal defect
  • c) Atrial septal defect
  • d) Anomalous pulmonary venous drainage
  • e) Aortic valve disease

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Cardiac MRI&CT Clinical Update 2014 | Cannes, France Annual Course on Cardiovascular Magnetic Resonance | Munich, Germany