Correct Answers 2023
What valve separates the areas of greatest pressure differences? - Correct Answer-
Mitral valve
What valve separates the areas of the lowest pressure differences? - Correct Answer-
Tricuspid valve
Where does the LAD lie on the heart? - Correct Answer-Anterior interventricular groove
(sulcus)
What aortic cusp is superior in PLAX view? - Correct Answer-RCC
What aortic cusp is posterior in PLAX view? - Correct Answer-NCC
From the left parasternal window which of the following are you most likely to get
accurate velocity measurments? - Correct Answer-Pulmonary artery
What view gives the most accurate velocities of the PV/pulmonary artery? - Correct
Answer-PSAX; short axis
What is the red flow traveling to the RA that you can sometimes see from the inflow
view? - Correct Answer-IVC
What are the tricuspid leaflets seen in the inflow view? - Correct Answer-anterior and
posterior
Where is the LAA located on TTE? - Correct Answer-Sometimes can be seen in AV
level short axis, but is better visualized in an apical 2 chamber view
The coronary arteries come off the: - Correct Answer-Sinuses of Valsalva
What is the most anomalous artery? - Correct Answer-Right coronary
During which phase do the coronaries fill? - Correct Answer-early diastole
True/False --- The coronary arteries can fill during systole - Correct Answer-False
When is TAPSE measured? - Correct Answer-Between end diastole and peak systole
This is the transition between the sinuses of Valsalva and the tubular portion of the
ascending aorta - Correct Answer-STJ (sinotubular junction)
,What can sometimes be seen below the RPA in a SSN view? - Correct Answer-Left
atrium
The best images of the ascending aorta are often obtained from which transducer
window? - Correct Answer-suprasternal
Name the vessels coming off the arch and most proximal or distal. - Correct Answer-
Innominate (proximal), left carotid and left subclavian (distal)
What cardiac pathology is associated with bicuspid aortic valves? - Correct Answer-
Coarctation of the aorta
Which window do you use to look for the secondary finding in bicuspid valves? - Correct
Answer-Suprasternal arch; suprasternal notch
Where do most aortic coarctations occur? - Correct Answer-aortic isthmus
How can we specifically identify the location of an aortic isthmus? - Correct Answer-
After the take-off of the left subclavian artery
Where are the pulmonary veins located? Where are they best visualized? - Correct
Answer-Feed into the LA and are best visualized in 4 chamber
What pulmonary veins are viewed in apical 4 chamber? - Correct Answer-Lower
pulmonary veins
What pulmonary veins are viewed in apical 5 chamber? - Correct Answer-Upper
pulmonary veins
From the apical 4 chamber view how do you rotate the transducer to obtain the apical
LAX? - Correct Answer-clockwise 120 degrees
Where is the coronary sinus located? - Correct Answer-posterior AV groove
Which view do you use to evaluate the coronary sinus? - Correct Answer-PLAX
To visualize the coronary sinus in the apical 4 chamber view you should tilt the
transducer: - Correct Answer-posterior
Which valve sits at the opening of the coronary sinus? - Correct Answer-Thebesian
What valve sits at the opening of the IVC? - Correct Answer-Eustachian
Where is the Chiari network located? - Correct Answer-Right atrium
, What portion of the pulmonary venous PW Doppler represents atrial systole? - Correct
Answer-A wave
At what temperature is it unsafe to use a TEE probe? - Correct Answer-40-45 degrees
celcius (Above 41 degrees celcius)
Which electrical pathway has the fastest intrinsic rate? - Correct Answer-SA node
What is the absolute refractory state? - Correct Answer-period when a muscle cell is not
excitable; occurs from phase 1 into phase 3
What is a normal duration for the QRS complex? - Correct Answer-0.10 sec or 100
msec
This is known as the rubber band theory - Correct Answer-Frank Starling Law
What occurs during preload? - Correct Answer-Filling
What is occuring during afterload? - Correct Answer-Resistance to eject blood out
Echo findings for preload: - Correct Answer-dilatation
Echo findings for afterload: - Correct Answer-hypertrophy
Which study does not allow for the calculation of ejection fraction? - Correct Answer-
Chest x-ray
How do you eliminate aliasing on PW spectral doppler? - Correct Answer-Switch to
continuous wave doppler
NOTE: Increasing PRF will and switching to a lower frequency transducer will reduce,
but not fully eliminate
What does VTI x CSA equal? - Correct Answer-Doppler stroke volume
What are the phases of the valsalva maneuver? - Correct Answer-Strain and release
What occurs during the strain phase of valsalva maneuver? - Correct Answer-
Decreases venous return, SV and CO
What occurs during the release phase of valsalva maneuver? - Correct Answer-
Increases venous return, CO and BP
Taking in a breath ___________________ thoracic pressure - Correct Answer-
decreases