TEE - Image Anatomy & Procedure

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1. The Coronary Sinus is located next to which MV leaflet? 

Explanation

The Coronary Sinus is located next to the posterior mitral valve (MV) leaflet. This means that it is positioned towards the back of the MV leaflet.

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TEE - Image Anatomy & Procedure - Quiz

These are just a few questions I asked myself when studying to make sure I know some of the highlighted points in this chapter. I figured, I might as well make it official and legit so I can go back to this when studying for the comprehenive exam also. .... see more. So I hope this helps you guys as well! see less

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2. What solution is used to clean/disinfect the probe once the exam is finished? 

Explanation

Cidex is the correct answer because it is a solution commonly used to clean and disinfect medical instruments, including probes, after use. It is an effective disinfectant that kills a wide range of microorganisms, including bacteria, viruses, and fungi. Cidex is often used in healthcare settings to ensure proper hygiene and prevent the spread of infections.

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3. It a patient is ROP (Routine OUt Patient), they should be able to drive home themselves without any difficulties...After all, if they had Versed, they shouldn't have issues since they can't remember anything anyway. 

Explanation

ROP patients MUST have a ride home. This is not a laughing matter. :)

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4. A patient must be ________ for ______ hours prior to the TEE exam, to reduce vomiting. (choose 2) 

Explanation

To reduce the risk of vomiting during a TEE (Transesophageal Echocardiogram) exam, the patient must refrain from eating or drinking for a certain number of hours before the procedure. This is known as NPO (Nil Per Os) or fasting. Additionally, the patient must fast for a period of 4 hours prior to the exam. By abstaining from food and drink, the stomach is empty, reducing the likelihood of regurgitation or aspiration during the procedure.

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5. The left coronary artery feeds which Aortic Valve cusp? 

Explanation

The left coronary artery feeds the left cusp of the aortic valve.

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6. The probe must not be in the cleaning solution for longer than 20 minutes because it is an acid. 

Explanation

The probe must not be in the cleaning solution for longer than 20 minutes because it is an acid. This suggests that the cleaning solution is acidic in nature and prolonged exposure to the probe can cause damage or corrosion. Therefore, it is important to limit the time the probe spends in the cleaning solution to prevent any potential harm.

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7. What are the 3 areas of common thrombus/emboli detection? 

Explanation

The three areas of common thrombus/emboli detection are the apex, appendages, and intra-atrial septum. Thrombus or emboli can often be found in these areas during medical examinations or imaging tests.

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8. The _________________ of the AV is always on the side of the Intra-atrial septum.

Explanation

The non coronary cusp of the AV (aortic valve) is always on the side of the Intra-atrial septum.

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9. The _________ of the MV is always on the side of the non- coronary cusp of the AV. 

Explanation

The correct answer is anterior leaflet. The statement implies that the anterior leaflet of the mitral valve is always located on the side of the non-coronary cusp of the aortic valve. This information helps in understanding the anatomical positioning and relationship between these two valves in the heart.

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10. Which of these is NOT an Absolute Contraindication for performing a TEE?

Explanation

Radiation therapy is not an absolute contraindication for performing a transesophageal echocardiogram (TEE). TEE is a procedure that involves inserting a probe into the esophagus to obtain detailed images of the heart. While conditions such as inability to swallow, esophageal varices, tumors, and stenosis, and gastrointestinal bleeding may hinder the safe performance of TEE, radiation therapy does not directly interfere with the procedure. However, it is important to consider the potential risks and benefits of TEE in patients who have undergone radiation therapy, as there may be increased sensitivity or damage to the esophagus due to the treatment.

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11. The Eustacian Valve is seen in the ME Bicaval view with the _____________ being on the left side of it. 

Explanation

The Eustachian valve is seen in the ME Bicaval view with the IVC being on the left side of it. This means that when the ME Bicaval view is obtained, the inferior vena cava (IVC) is visualized to the left of the Eustachian valve. The Eustachian valve is a fold of tissue within the right atrium of the heart, and its position in relation to the IVC can be identified using this specific view.

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12. In the ME AV SAX view, what is the order of AV cusps? 

Explanation

The correct order of AV cusps in the ME AV SAX view is non, left, right.

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13. Which views are LA appendages  seen in? (check 2) 

Explanation

The LA appendages are seen in the ME 2 Chamber and TG 2 Chamber views.

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14. Which view is the RA appendage seen in? 

Explanation

The RA appendage is seen in the ME Bicaval view. This view is obtained by placing the ultrasound probe at the subxiphoid position and angling it towards the patient's right shoulder. In this view, both the superior and inferior vena cava can be visualized, along with the right atrium and the RA appendage.

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15. The LAA is on the same side of the __________MV leaflet and ___________ wall of myocardium. 

Explanation

The LAA (Left Atrial Appendage) is located on the same side as the anterior MV (Mitral Valve) leaflet and the anterior wall of the myocardium.

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16. The Coronary Sinus shows up on which myocardial walls in the ME 2 Chamber & ME 4 Chamber? (choose 2)

Explanation

The Coronary Sinus shows up on the lateral and inferior myocardial walls in both the ME 2 Chamber and ME 4 Chamber views.

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17. The TG Mid SAX show the ___________muscle to be on the top. 

Explanation

The TG Mid SAX view is a cardiac imaging technique that allows visualization of the posterior medial papillary muscle. This muscle is located at the top portion of the heart, which is why it is shown to be on the top in the TG Mid SAX view.

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18. Match the following medications to its proper function. 
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The Coronary Sinus is located next to which MV leaflet? 
What solution is used to clean/disinfect the probe once the exam is...
It a patient is ROP (Routine OUt Patient), they should be able to...
A patient must be ________ for ______ hours prior to the TEE exam, to...
The left coronary artery feeds which Aortic Valve cusp? 
The probe must not be in the cleaning solution for longer than 20...
What are the 3 areas of common thrombus/emboli detection? 
The _________________ of the AV is always on the side of the...
The _________ of the MV is always on the side of the non- coronary...
Which of these is NOT an Absolute Contraindication for performing a...
The Eustacian Valve is seen in the ME Bicaval view with the...
In the ME AV SAX view, what is the order of AV cusps? 
Which views are LA appendages  seen in? (check 2) 
Which view is the RA appendage seen in? 
The LAA is on the same side of the __________MV leaflet and...
The Coronary Sinus shows up on which myocardial walls in the ME 2...
The TG Mid SAX show the ___________muscle to be on the top. 
Match the following medications to its proper function. 
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