Adult Echo Registry Exam with Verified Solutions

Adult Echo Registry Exam with Verified Solutions Which valve separates the areas of greatest pressure differences? - answermitral valve which artery is the most anterior of all the great vessels? - answerPulmonary Artery What is paired with the LAD? - answergreat cardiac vein What leaflet of the AV are seen in Parasternal Long axis? - answerRight 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 - answerPulmonary artery What are the TV leaflets? - answeranterior, septal, posterior which view is the only one in which the posterior TV leaflet ahown? - answerParasternal Long RV Inflow Tract In a Parasternal Long of the RVIT, red flow from the bottom of the screen would be? - answerblood from the IVC Where is the LAA seen on TTE? - answerSometimes seen in Parasternal SAX at the AV level (center far right) but better seen in ap 2ch where do the coronary arteries originate? - answerSinuses of valsalva During which phase do the coronaries fill? - answerearly diastole What is the first structure seen when imaging from the suprasternal notch? - answerAortic arch what is the structure under the arch? - answerright pulmonary artery What pathology is associated with bicuspid aortic valves? - answercoartctation of the aorta (50%of the time) Where do most coarctations occur? - answerafter 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. - answertrue Which other view would give you the same informarion as the parasternal LAX? - answerApical LAX Which standard 2D TTE view typically allows viewing of the LAA? - answerApical 2 chamber Where is the coronary sinus located? - answerposterior AV groove To visualize the coronary sinus in the Apical 4 chamber view, how should you tilt your transducer - answerposterior angulation Where is the chiari network (system) located? - answerright atrium What portion of the pulmonary venous PW Doppler represents atrial systole? - answerA wave, below baseline (right after comes S wave is systolic and D wave is diastolic, all above baseline) What are conditions suited for TEE - answerprosthetic valves, Aortic dissection, Endocarditis, intracardiac Source of Embolus?, Difficult to image chest wall What safety problems are of concern with TEE? - answerPatient 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? - answerhigher than 5-7 MHz At what temperature is it unsafe to use a TEE probe? - answer40-45 C (always pick highest) what view would a mid esophageal 0 degree orientation give you? - answer4 chamber A TEE SAX at the aorta will have what degree orientation? - answer60 degrees At what TEE mid-esophageal orientation can a mitral comm view be obtained? - answer70 degrees what structure can be seen to the upper right in a TEE mid-esophageal 2 chamber view? - answerLeft upper pulmonary vein what structure can be seen right and center in a TEE mid-esophageal 2 chamber view? - answerLAA At what TEE mid-esophageal orientation can a 2 chamber view achieved? - answer90 degrees T or F. A TEE Mid Esophageal LAX view can be seen at a 120 degree orientation. - answertrue Which AV leaflet is most posterior in a TEE image? - answerright coronary cusp T or F. All Trans Gastric SAX views are done at a 90 degree orientation. - answerFalse. 0 degrees Which is the only trans gastric view that is seen at 90 degrees? - answerLV 2 chamber What it the normal electrical pathway of the heart? - answerSA node - AV node - Bundle of HIS - RT and LT Bundle branches - Purkinje fibers where does the electrical impulse pause to prevent simultaneous contraction of the atria and ventricles? - answerAV nod