FE Study Guide 2026
Everything you need to pass the FE exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
📚 FE Topics to Study (22)
✍️ Sample FE Questions & Answers
1. A z-score of −2.0 for the aortic valve annulus diameter means the measurement is:
A z-score of −2.0 means the aortic annulus is 2 standard deviations below the expected mean for that gestational age or fetal weight, indicating significant hypoplasia.
2. Which imaging plane provides the best view of the four chambers of the fetal heart?
The four-chamber view is the standard plane used to evaluate the size and symmetry of the atria and ventricles.
3. Which statement about fetal cardiac screening at 18–22 weeks gestation is correct?
Current guidelines recommend that standard obstetric ultrasound at 18–22 weeks include both four-chamber and outflow tract views to improve CHD detection rates.
4. Which is the most common fetal cardiac arrhythmia encountered in clinical practice?
Premature atrial contractions (PACs) are the most common fetal arrhythmia, usually benign and resolving spontaneously.
5. What does pulsatility in the umbilical vein waveform indicate?
Umbilical vein pulsatility indicates transmission of right atrial pressure waves through the ductus venosus, suggesting cardiac insufficiency or elevated venous pressure.
6. Which finding on fetal echocardiography suggests cardiac dysfunction in a hydropic fetus?
A cardiothoracic ratio greater than 0.50 indicates cardiomegaly, which is commonly seen with cardiac dysfunction and heart failure in hydropic fetuses.