Thanks for the tips.
My exam had some serious congenital stuff (adult post repair + little guys), USD physics, epicardial, 3D, bioprosthetic/mechanical valves and artifacts. These were high yield on my exam. I don't know how that compares with other exams, but it's what other people have said are hot topics in the past.
Most echo's were of excellent quality, some were not very good.
I'm feeling pretty good about the test and actually enjoyed the exam as there were some pretty cool echos that were tricky... yet fun to figure out. Brain did feel like mush after 4.5 hours of chugging along in 6th gear.
I took 6 months to study. Did Perrino x2, Mathews x2, PTEmasters, 2000ish questions and Washington University "TEE of the month" series (great stuff for the test or just to test yourself). I'd drop Perrino if I could do it over again- it's too basic for the exam. The Mathew's book is easy and fun to read + has tons of questions + a CD that has 2 tests with lots of vids.
Good luck for those who take it in the future and thanks for the tips on references to use for those who have taken them in the past.