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CPD Webinar Questions - 2025 ASE Right Heart and Pulmonary Hypertension Guideline
Name:
First Name:
Last Name:
Contact Email:
Submission date:
I confirm that I either attended the live webinar on 19 August 2026 or viewed the on-demand webinar prior to completing these CPD questions and claiming CPD points.:
Yes
1. Which statement best reflects the 2025 ASE guidelines approach to prognostication in pulmonary hypertension?:
A. RVSP alone provides adequate prognostic information
B. TAPSE alone should determine PH prognosis
C. No single echocardiographic measurement fully predicts outcome
D. RA area should replace all RV functional measurements
E. RV strain should only be used when TAPSE is normal
2. Which statement about RV fractional area change (FAC) is TRUE?:
A. FAC reflects only longitudinal RV contraction
B. FAC includes the RVOT contribution to systolic function
C. FAC is measured from the parasternal long-axis view
D. FAC incorporates longitudinal shortening and radial thickening
E. FAC does not include the interventricular septum
3. Which RVOT Doppler finding is most characteristic of increasing pulmonary vascular impedance?:
A. Progressive prolongation of RVOT acceleration time
B. Development of a midsystolic notch ("W sign")
C. Increasingly parabolic flow profile with a mid-systolic peak
D. Increased RVOT VTI with no change in contour
E. Delayed peak pulmonary flow velocity
4. According to the 2025 ASE guideline, which mean pulmonary artery pressure (mPAP) is considered abnormal and meets the updated hemodynamic definition of pulmonary hypertension?:
A. ≥ 15 mm Hg
B. ≥ 18 mm Hg
C. > 20 mm Hg
D. ≥ 25 mm Hg
E. > 30 mm Hg
5. Which statement best describes the principal advantage of RV free-wall strain (RVFWS) compared with six-segment RV global longitudinal strain (RVGLS)?:
A. RVFWS is derived exclusively from the RV free wall
B. RVFWS includes more LV myocardium
C. RVFWS is more dependent on Doppler angle
D. RVFWS includes the interventricular septum
E. RVFWS measures only radial contraction
6. A patient has a TAPSE of 1.2 cm. How is RV systolic dysfunction graded according to the 2025 ASE guideline?:
A. Normal
B. Mild
C. Moderate
D. Severe
E. Indeterminate
7. Which echocardiographic finding is most supportive of pulmonary hypertension (PH) when the resting peak TR velocity is 2.8 m/s?:
A. Normal RV size and normal RA pressure
B. Isolated mild left atrial enlargement
C. At least two additional echocardiographic signs suggestive of PH
D. TAPSE >1.7 cm alone
E. MPA diameter <2.5 cm
8. RV end-diastolic area is 32 square centimetres and RV end-systolic area is 24 square centimetres. What is the RV fractional area change?:
A. 20%
B. 25%
C. 30%
D. 35%
E. 40%
9. A patient with systemic sclerosis has a visually dense TR jet. From one apical window the peak TR velocity is 2.7 m/s, from an alternative optimized window it is 3.1 m/s. RAP is estimated at 8 mm Hg. Which value should be used to calculate RVSP?:
A. 2.7 m/s because it was obtained from the standard apical view
B. The average of 2.7 and 3.1 m/s
C. 2.7 m/s because the lower velocity minimizes overestimation
D. 3.1 m/s because the highest velocity from optimized windows should be used
E. Neither value because TR velocity cannot be used in systemic sclerosis
10. Which approach is recommended for measuring right atrial volume in routine clinical practice?:
A. Biplane method of discs from apical 4- and 2-chamber views
B. Area-length method, as it yields the smallest volumes
C. 3DE multi-beat full-volume acquisition in all patients
D. Linear major dimension alone, indexed to BSA
E. Single-plane method of discs from an RA-focused apical 4-chamber view
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