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The recommended maneuver to use when performing a transesophageal contrast examination in a patient with a possible patent foramen ovale is:

A. Inhalation of amyl nitrate
B. Squatting
C. Supine to standing
D. Valsalva maneuver

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Final answer:

The recommended maneuver to use when performing a transesophageal contrast examination in a patient with a possible patent foramen ovale is the Valsalva maneuver.

Step-by-step explanation:

The recommended maneuver to use when performing a transesophageal contrast examination in a patient with a possible patent foramen ovale is the Valsalva maneuver. The Valsalva maneuver involves forcefully exhaling against a closed airway, which increases intra-abdominal pressure and can help detect a patent foramen ovale by causing blood flow changes in the heart.

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