Anatomy And Hemodynamic

Question 1

Which valve separates the areas of greatest pressure differences

Answer 1

Mitral valve

Question 2

LAD lies where?

Answer 2

In the anterior interventricular groove or sulcus

Question 3

Which aortic leaflet is the superior one in the parasternal long axis view?

Answer 3

RCC leaflet

Question 4

Which aortic leaflet is the posterior one in the parasternal long axis view?

Answer 4

Noncoronary cusp

Question 5

From the left parasternal window which of the following are the most likely to get accurate velocity measurements?

Answer 5

Pulmonary artery

Question 6

Name the tricuspid leaflets

Answer 6

1. posterior
2. Anterior
3. Septal (medial)

Question 7

Where is the LLA on TTE?

Answer 7

Sometimes in the parasternal SAX aortic valve level (better seen in the apical 2 chamber

Question 8

The coronary arteries come off the ?

Answer 8

Sinuses of valsalva

Question 9

During which phase do the coronaries fill?

Answer 9

Early diastole

Question 10

LVIDd measurement
Male
Female

Answer 10

Male: 4.2-5.8 cm
Female:3.8-5.2cm

Question 11

LVIDs measurements
Male
Female

Answer 11

Male:2.4-4.0cm
Female: 2.2-3.5cm

Question 12

SWT measurement

Answer 12

Male:.6-1cm
Female: .5-.9 cm

Question 13

PWT measurement

Answer 13

Make: .6-1cm
Female: .5-.9cm

Question 14

LA dimension measurement

Answer 14

Male: 3-4cm
Female: 2.7-3.8cm

Question 15

LA volume measurement

Answer 15

Male and female: 16-34mL

Question 16

When do you measure LVIDd

Answer 16

End diastole

-frame after mitral valve closure or frame in the cardiac cycle where the dimension is largest

Question 17

When to measure LVIDs

Answer 17

End systole

- frame proceeding mitral valve opening. Or the frame when the cardiac dimension is smallest

Question 18

When do you measure SWT and PWT

Answer 18

End diastole.

- frame proceeding mitral valve closure, or frame in cardiac cycle where the dimension is largest

Question 19

When do you measure LA dimension and LA volume

Answer 19

End systole

- frame proceeding mitral valve opening or the frame when the cardiac dimension is smallest

Question 20

When and how do you measure aortic valve annulus

Answer 20

Inner edge to inner edge in mid systole

Question 21

When and how do you measure AO sinuses, AO sinotubular junction, and ascending AO

Answer 21

Leading edge to leading edge at end diastole

Question 22

The best images of the ascending aorta are often obtain in which transducer window

Answer 22

Suprasternal

Question 23

Name the vessels coming off the arch and most proximal or distal

Answer 23

1. Innoninate
2. Left carotid artery
3. Left subclavian artery

Question 24

What cardiac pathology is associated with bicuspid AOV

Answer 24

Coarctation of the aorta

Question 25

Where do most aortic coarctations occur

Answer 25

After the take off if the left subclavian artery or within the aortic isthmus

Question 26

From the apical 4 chamber view how do you rotate the transducer to obtain the apical LAX

Answer 26

Counterclockwise 120

Question 27

Where is the coronary sinus located

Answer 27

Posterior AV groove

Question 28

To visualize the coronary sinus in the apical 4 chamber view you should tilt the transducer how

Answer 28

Posterior

Question 29

Which valve sits at the opening of the coronary sinus

Answer 29

Thebesian

Question 30

What portion of the pulmonary venous PW Doppler represents atrial systole

Answer 30

A wave