TEE Quiz

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Transoesophageal Echocardiography Quiz For all those who find TEE exciting and interesting. .


Questions and Answers
  • 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

  • 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

  • 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

  • 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

  • 14. 
    What is being measured here ? 
  • 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

  • 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

  • 17. 
    Which Chamber..
    • A. 

      Right Ventricle

    • B. 

      Left Ventricle

    • C. 

      Right Atrium

    • D. 

      Left Atrium

    • E. 

      Pulmonary artery

  • 18. 
    Name the structure pointed by the arrow..
    • A. 

      Tricuspid Valve

    • B. 

      Aorta

    • C. 

      Pulmonary Valve

    • D. 

      Right Ventricle

    • E. 

      Aortic Valve

  • 19. 
    Which segment of LV is to the left of the screen?       
    • A. 

      Anterior

    • B. 

      Posterior

    • C. 

      Lateral

    • D. 

      Septal

    • E. 

      Inferior

  • 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

  • 21. 
    The marker is at..
    • A. 

      Aorta

    • B. 

      Right pulmonary artery

    • C. 

      Left pulmonary artery

    • D. 

      Main pulmonary artery

    • E. 

      Right pulmonary vein

  • 22. 
    The marker is at..
    • A. 

      Mitral Valve

    • B. 

      Tricuspid Valve

    • C. 

      Aortic Valve

    • D. 

      Pulmonary Valve

  • 23. 
    Which segment of leaflet is being pointed by the arrow..
    • A. 

      A3

    • B. 

      A2

    • C. 

      P1

    • D. 

      P2

    • E. 

      P3

  • 24. 
    What Carpentier class of leaflet motion..
    • A. 

      Class I

    • B. 

      Class II

    • C. 

      Class III A

    • D. 

      Class IIIB

  • 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

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