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Diagnostic Planes of the Fetal Heart

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The 9 Diagnostic Planes of The Fetal Heart

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This comprehensive overview provides a structured, repeatable roadmap for acquiring all nine diagnostic planes. Students will gain a clear mental checklist for each view and learn professional techniques for overcoming common clinical challenges like maternal habitus and active fetal movement.

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Complete this lesson and pass the quiz to earn 10 Karma Points and move one step closer to your Diagnostic Planes of the Fetal Heart Certification.

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1. The 4-Chamber View is obtained at which level of the fetal thorax?
Level of the aortic arch Level of the diaphragm Level of the lower third of the thorax Level of the carina
2. In the optimal 4-Chamber View checklist, the cardiac apex should point to which direction?
Right at 0° Posterior at 180° Left at approximately 45° Midline at 90°
3. Which congenital anomaly is most reliably detected on the 4-Chamber View?
Transposition of the great arteries Hypoplastic left heart syndrome Tetralogy of Fallot Double outlet right ventricle
4. The 5-Chamber View adds which structure not seen in the standard 4-Chamber View?
Pulmonary veins Inferior vena cava Aortic root and left ventricular outflow tract Ductal arch
5. A VSD with overriding aorta in the 5-Chamber View is the hallmark of which anomaly?
Ebstein's anomaly Coarctation of the aorta Tetralogy of Fallot Pulmonary atresia
6. In the optimal LVOT View checklist, the aortic walls should be continuous with which structures?
Anterior wall with the IVS; posterior wall with the anterior mitral leaflet Both walls with the tricuspid valve Both walls with the pulmonary artery Posterior wall with the IVS
7. In the Three-Vessel and Tracheal (3VT) View, which vessel lies most rightward, adjacent to the trachea?
Pulmonary artery Aorta Superior vena cava Ductus arteriosus
8. An absent or hypoplastic ductus arteriosus in the 3VT View, with a "V-sign" confluence, suggests which diagnosis?
Coarctation of the aorta Truncus arteriosus Pulmonary atresia with intact ventricular septum Total anomalous pulmonary venous return
9. The Aortic Arch view characteristically shows which shape and branching pattern?
A "hockey stick" shape with no visible branches A "candy cane" shape with head and neck vessels A "V" shape merging with the ductus A straight vessel parallel to the spine
10. The Bicaval View is best used to evaluate which structural abnormality?
Ventricular septal defect LVOT obstruction Atrial septal defect and anomalous pulmonary venous return Aortic coarctation