Questions and Answers Exam. Verified
Update. (100% Complete Accurate Test).
Which valve separates the areas of greatest pressure differences? -CORRECT ANS>>mitral valve
Which artery is the most anterior of all the great vessels? -CORRECT ANS>> Pulmonary
Artery What is paired with the LAD? -CORRECT ANS>> great cardiac vein
What leaflet of the AV are seen in Parasternal Long axis? -CORRECT ANS>> 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 -CORRECT ANS>> Pulmonary artery
What are the TV leaflets? -CORRECT ANS>> anterior, septal, posterior
which view is the only one in which the posterior TV leaflet shown? -CORRECT ANS>> Parasternal Long
RV Inflow Tract
In a Parasternal Long of the RVIT, red flow from the bottom of the screen would be? -CORRECT ANS>> -
blood from the IVC
Where is the LAA seen on TTE? -CORRECT ANS>> Sometimes seen in Parasternal SAX at the AV level
(center far right) but better seen in ap 2ch
Where do the coronary arteries originate? -CORRECT ANS>> Sinuses of Valsalva
During which phase do the coronaries fill? -CORRECT ANS>> Early diastole
What is the first structure seen when imaging from the suprasternal notch? -CORRECT ANS>> Aortic
arch
What is the structure under the arch? -CORRECT ANS>> right pulmonary artery
What pathology is associated with bicuspid aortic valves? -CORRECT ANS>> cortication of the aorta
(50%of the time)
Where do most coarctations occur? -CORRECT ANS>> 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. -CORRECT ANS>> true
Which other view would give you the same information as the parasternal LAX? -CORRECT ANS>>
Apical LAX
Which standard 2D TTE view typically allows viewing of the LAA? -CORRECT ANS>> Apical 2 chamber
,Where is the coronary sinus located? -CORRECT ANS>> posterior AV groove
To visualize the coronary sinus in the Apical 4 chamber view, how should you tilt your transducer -
CORRECT ANS>> posterior angulation
, Where is the Chiari network (system) located? -CORRECT ANS>> right atrium
What portion of the pulmonary venous PW Doppler represents atrial systole? -CORRECT ANS>> 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 -CORRECT ANS>> prosthetic valves, Aortic dissection,
Endocarditis, intracardiac
Source of Embolus? Difficult to image chest wall
What safety problems are of concern with TEE? -CORRECT ANS>> 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? -CORRECT ANS>> higher than 5-7 MHz
At what temperature is it unsafe to use a TEE probe? -CORRECT ANS>> 40-45 C (always pick highest)
What view would a mid-esophageal 0-degree orientation give you? -CORRECT ANS>> 4 chamber
A TEE SAX at the aorta will have what degree orientation? -CORRECT ANS>> 60 degrees
At what TEE mid-esophageal orientation can a mitral comm view be obtained? -CORRECT ANS>> 70
degrees
What structure can be seen to the upper right in a TEE mid-esophageal 2 chamber view? -CORRECT
ANS>> Left upper pulmonary vein
What structure can be seen right and center in a TEE mid-esophageal 2 chamber view? -CORRECT
ANS>> LAA
At what TEE mid-esophageal orientation can a 2-chamber view have achieved? -CORRECT ANS>> 90
degrees
T or F. A TEE Mid Esophageal LAX view can be seen at a 120-degree orientation. -CORRECT ANS>> true
Which AV leaflet is most posterior in a TEE image? -CORRECT ANS>> right coronary cusp
T or F. All Trans Gastric SAX views are done at a 90-degree orientation. -CORRECT ANS>> False. 0
degrees
Which is the only trans gastric view that is seen at 90 degrees? -CORRECT ANS>> LV 2 chamber
What it the normal electrical pathway of the heart? -CORRECT ANS>> SA 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? -CORRECT ANS>> AV node
Where are special neuromyocardial cells (pacemaker cells) found? - SA node