TEE Quiz
Transoesophageal Echocardiography Quiz For all those who find TEE exciting and interesting. .
- 1.
Name the view and the structure..
- 2.
Patient underwent Rastelli operation for d-TGA. We noticed this mass above mitral leaflet which was not there before going on CPB. We suggested the surgeon to do a manipulation after which the mass dissappeared. What was the mass?
- 3.
What is the most obvious abnormality here..
- 4.
Most obvious abnormality and two causes for the same..
- 5.
Give a diagnosis
- 6.
What is happening here..
- 7.
Give a diagnosis..
- 8.
Give a diagnosis.. The PWD has been placed at the location of flow towards the transducer in the video..
- 9.
Give the most probable diagnosis..
- 10.
All are true about TAPSE except,
- A.
Tricuspid Annular Plane Systolic Excursion
- B.
It is a reliable measure of RV systolic function
- C.
Normal TAPSE is 20 – 25 mm
- D.
TAPSE is measured at the septal aspect of tricuspid annulus
- E.
Can be measured using either the M- mode or 2D echo
Correct Answer
D. TAPSE is measured at the septal aspect of tricuspid annulusExplanation
TAPSE is not measured at the septal aspect of the tricuspid annulus.Rate this question:
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- 11.
The following statements about the normal mitral valve are all true, except
- A.
Posterior annulus is more prone to dilatation in pathologic conditions
- B.
Annulus stays saddle shaped throughout the cardiac cycle
- C.
The posterior leaflet has larger annular attachment than anterior leaflet
- D.
ME Bicommissural and ME LAX views are aligned to major and minor axes of mitral annulus respectively
Correct Answer
B. Annulus stays saddle shaped throughout the cardiac cycleExplanation
Annulus becomes circular during systole.Rate this question:
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- 12.
Which of the following statements concerning determination of stroke volume using Doppler is incorrect..
- A.
VTI and Area should be determined at the same location
- B.
LVOT, AV, Ascending aorta and Main Pulmonary artery are all equally suitable for measuring stroke volume
- C.
The spatial flow velocity profile should be flat
- D.
VTI should be determined with ultrasound beam parallel to blood flow
- E.
VTI and area should be determined during mid systole
Correct Answer
B. LVOT, AV, Ascending aorta and Main Pulmonary artery are all equally suitable for measuring stroke volumeExplanation
The incorrect statement is that LVOT, AV, Ascending aorta and Main Pulmonary artery are all equally suitable for measuring stroke volume. In reality, the LVOT (Left Ventricular Outflow Tract) is the most commonly used location for measuring stroke volume using Doppler. This is because it provides a reliable and accurate measurement of blood flow velocity. The other locations mentioned may not provide the same level of accuracy or consistency in measuring stroke volume.Rate this question:
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- 13.
This kind of Doppler velocity profile is seen in
- A.
Left ventricular Hypertrophy
- B.
Mitral stenosis
- C.
Tricuspid regurgitation
- D.
Mitral regurgitation, in early stages
- E.
Hypovolemia
Correct Answer
A. Left ventricular HypertrophyExplanation
This transmitral Pulse Wave Doppler is showing Stage 1 diastolic dysfunction where E < A ( due to delayed relaxation).
LVH is one of the commonest causes for this.Rate this question:
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- 14.
What is being measured here ?
Correct Answer
C- Sept, Coaptation - Septum distance, csept, c sept, c-septExplanation
If the distance is more than 2.6 cms, then the possibility of patient having systolic anterior motion after mitral valve repair is less.Rate this question:
- 15.
What other measurements are usually done along with this..
- A.
Mitral annulus diameter
- B.
Leaflet heights and their ratio
- C.
Coaptation height
- D.
Septal thickness
- E.
Left ventricular dimensions
Correct Answer
B. Leaflet heights and their ratioExplanation
Leaflet heights are done along with C-sept measurement.
If C-sept is < 2.6cms, AMVL/PMVL is < 1.4cm, PMVL height is > 1.5cms, then possibility of patient having systolic anterior motion and LVOT obstruction after MV repair is very high.Rate this question:
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- 16.
What is being measured here?
- A.
Systolic index of contractility
- B.
Mitral inflow velocity
- C.
Diastolic index of contractility
- D.
Severity of mitral regurgitation
- E.
Severity of mitral stenosis
Correct Answer
A. Systolic index of contractilityExplanation
The correct answer is Systolic index of contractility. This is because the question is asking what is being measured, and the systolic index of contractility refers to the strength and efficiency of the heart's contraction during the systolic phase of the cardiac cycle.Rate this question:
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- 17.
Which Chamber..
- A.
Right Ventricle
- B.
Left Ventricle
- C.
Right Atrium
- D.
Left Atrium
- E.
Pulmonary artery
Correct Answer
A. Right VentricleExplanation
This is Transgastric RV inflow view. The valve seen is Tricuspid ValveRate this question:
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- 18.
Name the structure pointed by the arrow..
- A.
Tricuspid Valve
- B.
Aorta
- C.
Pulmonary Valve
- D.
Right Ventricle
- E.
Aortic Valve
Correct Answer
C. Pulmonary ValveExplanation
This is Mid-oesophageal RV inflow outflow veiw. Shows RV free wall at the bottom of the screen. Very useful view to assess TR, RV function, Doppler measurements across TV, Gradient across RVOT using CFM etcRate this question:
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- 19.
Which segment of LV is to the left of the screen?
- A.
Anterior
- B.
Posterior
- C.
Lateral
- D.
Septal
- E.
Inferior
Correct Answer
E. InferiorExplanation
The segment of LV that is to the left of the screen is the Inferior segment.Rate this question:
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- 20.
The most probable order of leaflet segments from left to right in this view..
- A.
P1, P2, P3
- B.
A1, P2, A3
- C.
P3, A2, P1
- D.
P!, A2, P3
- E.
A3, P2, A1
Correct Answer
C. P3, A2, P1Explanation
This is ME bicommissural view it shows P3, A2, P1 segments. If P2 is prolapsing then it will be seen above A2 during systole.Rate this question:
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- 21.
The marker is at..
- A.
Aorta
- B.
Right pulmonary artery
- C.
Left pulmonary artery
- D.
Main pulmonary artery
- E.
Right pulmonary vein
Correct Answer
B. Right pulmonary arteryExplanation
Mid esophageal aortic short axis view showing MPA to its left and RPA above.Rate this question:
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- 22.
The marker is at..
- A.
Mitral Valve
- B.
Tricuspid Valve
- C.
Aortic Valve
- D.
Pulmonary Valve
Correct Answer
B. Tricuspid ValveExplanation
Transgastric short axis view of tricuspid valve.Rate this question:
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- 23.
Which segment of leaflet is being pointed by the arrow..
- A.
A3
- B.
A2
- C.
P1
- D.
P2
- E.
P3
Correct Answer
E. P3Explanation
The segment of the leaflet being pointed by the arrow is P3.Rate this question:
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- 24.
What Carpentier class of leaflet motion..
- A.
Class I
- B.
Class II
- C.
Class III A
- D.
Class IIIB
Correct Answer
C. Class III AExplanation
Class I - Normal leaflet motion
Class II - Increased leaflet motion
Class III A - Decreased leaflet motion in throughout cardiac cycle
Class III B - Decreased leaflet motion only in systole
This is a case of severe MS with restriction of both leaflets during both systole and diastole.Rate this question:
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- 25.
Doppler spectrum is due to ..
- A.
Flow across pulmonary Valve
- B.
Flow across Tricuspid Valve
- C.
Flow across Mitral Valve
- D.
Flow across Aortic Valve
Correct Answer
D. Flow across Aortic ValveExplanation
The Doppler beam is across Aortic Valve in this Deep Transgastric view of LVOT and AVRate this question:
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Current Version
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Mar 21, 2023Quiz Edited by
ProProfs Editorial Team -
Oct 11, 2009Quiz Created by
Aniyahr
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