TEE

Question 1

How long must a patient be NPO prior to TEE

Answer 1

at least 6 hrs

Question 2

whats the standard positioning for TEE

Answer 2

Left Lat Decub and elevated 30 deg

Question 3

what is the standard frequency of TEE probe

Answer 3

5-7 MHz

Question 4

What TEE view does the deep transgastric position achieve

Answer 4

LV long axis view

Question 5

What TEE view does the transgastric position achieve

Answer 5

AV and MV short axis, LV long axis view, RVIT, 2 chamber view

Question 6

What TEE view does the high esophageal position achieve

Answer 6

Long and short axis views of Ao arch

Question 7

what is the most commonly used probe position for TEE imaging

Answer 7

Mid esophageal

Question 8

why is the probe temp monitored during TEE

Answer 8

probe heating over 40 deg C can cause tissue damage

Question 9

what type of imaging is best for identifying apical thrombus

Answer 9

transthoracic echo

Question 10

Name the 5 contraindications for TEE

Answer 10

1. Tumors of the mouth, esophagus and stomach
2. Esophageal pathology
3. Gastric bleeding
4. Severe dysphagia
   5.Cervical spine disorders preventing cervical flexion

Question 11

In TEE basal short axis, which aortic cusp is which? order of 10 o’clock, 1, and 5

Answer 11

NCC, LCC, RCC

Question 12

In TEE Mitral short axis Transgastric, which MV leaflet is which? L to R

Answer 12

Anterior, Posterior

Question 13

What structures are visualized in the TEE mid-eso bicaval view

Answer 13

LA, foramen ovale, IVC, RA, SVC