Adult Echo Registry Questions and Answers 100% Correct

Which valve separates the areas of greatest pressure differences? - ANSWER-mitral valve which artery is the most anterior of all the great vessels? - ANSWER-Pulmonary Artery What is paired with the LAD? - ANSWER-great cardiac vein What leaflet of the AV are seen in Parasternal Long axis? - ANSWER-Right coronary cusp (ant) and non-coronary cusp (post) From the Left parasternal window, which of the following are you most likely to get accurate velocity measurements? LVOT, Aortic Stenosis, Pulmonary Artery, Mitral Regurgitation - ANSWER-Pulmonary artery What are the TV leaflets? - ANSWER-anterior, septal, posterior which view is the only one in which the posterior TV leaflet ahown? - ANSWER-Parasternal Long RV Inflow Tract In a Parasternal Long of the RVIT, red flow from the bottom of the screen would be? - ANSWER-blood from the IVC Where is the LAA seen on TTE? - ANSWER-Sometimes seen in Parasternal SAX at the AV level (center far right) but better seen in ap 2ch where do the coronary arteries originate? - ANSWER-Sinuses of valsalva During which phase do the coronaries fill? - ANSWER-early diastole What is the first structure seen when imaging from the suprasternal notch? - ANSWER-Aortic arch what is the structure under the arch? - ANSWER-right pulmonary artery What pathology is associated with bicuspid aortic valves? - ANSWER-coartctation of the aorta (50%of the time) Where do most coarctations occur? - ANSWER-after the origin of the subclavian artery (also known as Aortic Isthmus T or F. The superior LT and RT pulmonary veins are seen in apical 4 chamber. - ANSWER-true Which other view would give you the same informarion as the parasternal LAX? - ANSWER-Apical LAX Which standard 2D TTE view typically allows viewing of the LAA? - ANSWER-Apical 2 chamber Where is the coronary sinus located? - ANSWER-posterior AV groove To visualize the coronary sinus in the Apical 4 chamber view, how should you tilt your transducer - ANSWER-posterior angulation Where is the chiari network (system) located? - ANSWER-right atrium What portion of the pulmonary venous PW Doppler represents atrial systole? - ANSWER-A wave, below baseline (right after comes S wave is systolic and D wave is diastolic, all above baseline) What are conditions suited for TEE - ANSWER-prosthetic valves, Aortic dissection, Endocarditis, intracardiac Source of Embolus?, Difficult to image chest wall What safety problems are of concern with TEE? - ANSWER-Patient discomfort, airway compromise, vagal response or other hemodynamic compromise, Electrical or temperature hazard, Esophageal or tracheal trauma, transmission of infection what is the normal range of frequencies for a TEE? - ANSWER-higher than 5-7 MHz At what temperature is it unsafe to use a TEE probe? - ANSWER-40-45 C (always pick highest) what view would a mid esophageal 0 degree orientation give you? - ANSWER-4 chamber A TEE SAX at the aorta will have what degree orientation? - ANSWER-60 degrees At what TEE mid-esophageal orientation can a mitral comm view be obtained? - ANSWER-70 degrees what structure can be seen to the upper right in a TEE mid-esophageal 2 chamber view? - ANSWER-Left upper pulmonary vein what structure can be seen right and center in a TEE mid-esophageal 2 chamber view? - ANSWER-LAA