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51 Cards in this Set
- Front
- Back
The cardiac output in this patient is reduced because of:
a) Tamponade physiology b) Restrictive physiology c) CA disease d) LBB block |
b) Restrictive physiology
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Looking at the parasternal long axis view, this patient most likely has which of the following etiologies?
a) HTN b) sarcoidosis c) amyloidosis d) MS |
c) amyloidosis
10:1 Amyloid is more common than sarcoidosis |
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In an A4C view why would the IAS appear fat, but not dumbbell shaped?
a) hyperlipomatous b) transducer beam width c) amyloid deposits d) poor far-field resolution |
c) amyloid deposits
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The color flow Doppler demonstrates: a) normal TR b) moderate TR c) mild TR d) pulmonary HTN |
b) moderate TR
(Sev would take up > 1/2 chamber) |
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This is an asymptomatic 36 y/o male. Which is common associated defect? a) atrial septal defect b) ventricular septal defect c) pulmonic stenosis d) L-transposition |
a) atrial septal defect
Ebstein's assoc w/ ASD & TV septal leaf is tacked down |
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A classic M-mode finding for this patient is: a) delayed tricuspid closure b) early tricuspid closure c) TV not seen d) TV seen with MV |
d) TV seen with MV
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The TR: a) is mild b) shows pulm HTN c) makes the diagnosis of Ebstein's d) is underestimated in this view |
c) makes the diagnosis of Ebstein's
Best choice, TR starts 1/2 way down IVS |
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View, Cycle, Anatomy
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View & Anatomy |
RVIT tilt * ONLY view of PTVL aka dorsal, marginal ATVL aka ventral, lateral, infundibular |
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View & anatomy |
RVOT tilt RPVL aka Posterior *always borders the Ao |
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View & anatomy |
PSAX toward apex at pap m level |
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View & anatomy |
PSAX at MV (mid) |
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View & anatomy |
PSAX at Base **Rt/post PVL always borders Ao |
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View & anatomy |
A4C |
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View & anatomy |
A5C |
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View & anatomy |
A2C |
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View & anatomy |
A3C aka Apical Long |
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View & anatomy |
Suprasternal Notch *Must be done if pt has BAoV |
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Which valve separates the areas of greatest pressure differences? |
Mitral Valve |
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Anterior Tricuspid Valve akas |
anterior, ventral, infundibular |
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Medial Tricuspid Valve aka |
septal |
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Posterior Tricuspid valve akas |
posterior, dorsal, marginal |
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A= SVC B= Ao ** CAs come off C= PA ** most anterior |
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Which aortic leaflet is the superior one in the parasternal long axis view? |
RCC |
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From the left parasternal window, which of the following are you most likely to get accurate velocity measurements? a) LVOT b) AS c) Pulmonary Artery d) MR |
c) Pulmonary Artery
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What structure seen on MRI? |
Descending Ao |
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The Coronary As come off the: a) descending Ao b) coronary sinus c) pulmonary A d) sinuses of valsalva |
d) sinuses of valsalva
(2nd best is B) |
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During which phase do coronaries fill? a) early systole b) late systole c) early diastole d) late diastole |
c) early diastole |
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What is the 1st structure seen when imaging from the suprasternal notch? |
Aortic arch |
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What structure is seen under the aortic arch ? |
Right pulm A |
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What cardiac pathology is assoc with bicuspid aortic valves? |
Coarctation of Ao |
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Where do most aortic coarctations occur? |
after the take off of the left subclav A, the aortic isthmus |
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Which standard 2D TTE view typically allows viewing of the LAA? a) parasternal long axis b) apical 4 chamber c) subcostal 4 chamber d) apical 2 chamber |
d) apical 2 chamber
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Where is the coronary sinus located? |
Posterior AV groove |
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To visualize the coronary sinus in the A4C view, you should tilt the transducer: a) medial b) anterior c) lateral d) posterior |
d) posterior
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Where is the chiari network system located? a) LA b) LV c) RA d) RV |
c) RA
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View & structures |
Subcostal |
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What portion of the pulmonary venous PW Doppler represents atrial systole?
A) a wave C) d wave B) s wave D) e wave |
A) a wave
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What is the frequency for TEE probes versus TTE?
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TEE probes are usually higher 3 - 7 MHz while TTE probes are 2 - 7 MHz.
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AT what temprature is it unsafe to use a TEE probe?
A) 20 - 25C C) 30 - 40C B) 25 - 30C D) 40 - 45C |
D) 40 - 45C
Pick highest temp range |
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What level? What degree? What structures? |
ME 4Ch ~0* |
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What level?
What degree? What structures? |
ME AV SAX ~45-60* |
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What level?
What degree? |
ME Mitral commissary view ~67* |
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What level?
What degree? What structures? |
ME 2ch 90* LAA!! |
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What level?
What degree? What structures? |
ME LAX ~120* |
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What level?
What degree? What structures? |
ME bicaval ~90* facing post |
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What level?
What degree? |
TG apical SAX 0* |
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What level?
What degree? What structures? |
TG mid-pap SAX 0* |
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What level?
What degree? What structures? |
TG LV 2Ch 90* |
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What level? What degree? What structures?
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TG Basal SAX 0* |
