CSC Certification Exam Prep
Questions & Answers Updated 2026
WhatMdoesMtheMRCAMperfuse?M-
MAnswerMInferiorMwall,MRA,MSAMNode,MAVMnode,MRV,MPosteriorMportionMofMtheMseptu
m,MPosteriorMwall,MBundleMofMHis
WhatMdoesMtheMLMAMperfuse?M-
MAnswerMBifurcatesMintoMthe:MLADM(LeftMAnteriorMDescending),MLeftMCircumflexMArtery
WhatMdoesMtheMLADMperfuse?M-
MAnswerMSeptalM&MAnteriorMWall,MFrontM&MapexMofMLV,MInterventricularMseptum,Mant
eriorMpapMmuscle,MmostMofMtheMRM&MLMbundleMbranches,MBundleMofMHis
WhatMisMtheMmostMcommonlyMoccludedMartery?M-MAnswerMLMA
WhatMdoesMtheMLeftMCircumflexMperfuse?M-
MAnswerMLateralMWall,MLA,MBackMofMLV,MPosteriorMwallMinM10%MofMpop
RamusMarteryM-
MAnswerM20%MofMtheMpopulationMhasMit.MTertiaryMleftMmain;MrunsMalongMtheMLV,Mbe
tweenMtheMLADM&Mcircumflex
SVRM-MAnswerMSystemicMVascularMResistance-
MtheMresistanceMtheMLVMhasMtoMovercomeMtoMeject.M(Afterload)
PVRM-
MAnswerMPeripheralMvascularMresistance:MtheMresistanceMtheMRVMhasMtoMovercomeMto
Meject
S1M-MAnswerMClosureMofMtheMMVMandMTV;MSystole;M1/3MofMtheMcardiacMcycleM"Lub"
S2M-
MAnswerMClosureMofMtheMpulmonicMandMaorticMvalve;MDiastole;M2/3MofMtheMcardiacMc
ycle;MDUB
, S3M-MAnswerMAuscultatedMinMfluidMoverload;MwhenMpreloadMisMelevated;MKENTUCKY
S3MisMnormalMinMwhichMpopuation(s)?M-
MAnswerMNormalMinMkids,MhighMCOMlikeMpregnancyM(3rdMtrimester)
S4M-MAnswerMAtrialMgallopM(pre-
systolic);MsoundMcausedMbyMvibrationMofMatriaMejectingMintoMnonMcompliantMventricle;M
Tennessee
CausesMofMS4M-
MAnswerMIschemia,MHTN,MpulmonaryMstenosis,MCAD,MAS,MLVMHypertrophy
WhenMareMSplitMHeartMsoundsMheardMbest?M-MAnswerMInspiration
SplitMS1M-MAnswerMMVMclosesMb/fMtricuspid
CausesMofMSplitMS1M-MAnswerMRBBB,MPVCs,MVentricularMPacedMrhythms
SplitMS2M-MAnswerMAorticMclosesMb/fMpulmonicMvalve
CausesMofMSplitMS2M-MAnswerMOverfilledMRV,MASD
IndicationsMforMACEMInhibitorsM-
MAnswerMCHF/SystolicMFailure,MAMIM(EFM<40%),MAnteriorMwallMMI,MHTN,MDiabeticMRena
lMNephropathy
-prilsMAngiotensinMConvertingMEnzyme
EffectsMofMACEMInhibitorsM-
MAnswerMVasodilation,MdecreaseMpreloadM&Mafterload,MpreventionMofMmyocardialMremod
eling,MreduceMprogressMofMdiabeticMnephropathy
WhatMdoMyouMwantMtoMmonitorMforMinMACEMinhibitorMadministration?M-
MAnswerMHypotension,Mhyperk,Mcough/angioedema,MrenalMfunction
Questions & Answers Updated 2026
WhatMdoesMtheMRCAMperfuse?M-
MAnswerMInferiorMwall,MRA,MSAMNode,MAVMnode,MRV,MPosteriorMportionMofMtheMseptu
m,MPosteriorMwall,MBundleMofMHis
WhatMdoesMtheMLMAMperfuse?M-
MAnswerMBifurcatesMintoMthe:MLADM(LeftMAnteriorMDescending),MLeftMCircumflexMArtery
WhatMdoesMtheMLADMperfuse?M-
MAnswerMSeptalM&MAnteriorMWall,MFrontM&MapexMofMLV,MInterventricularMseptum,Mant
eriorMpapMmuscle,MmostMofMtheMRM&MLMbundleMbranches,MBundleMofMHis
WhatMisMtheMmostMcommonlyMoccludedMartery?M-MAnswerMLMA
WhatMdoesMtheMLeftMCircumflexMperfuse?M-
MAnswerMLateralMWall,MLA,MBackMofMLV,MPosteriorMwallMinM10%MofMpop
RamusMarteryM-
MAnswerM20%MofMtheMpopulationMhasMit.MTertiaryMleftMmain;MrunsMalongMtheMLV,Mbe
tweenMtheMLADM&Mcircumflex
SVRM-MAnswerMSystemicMVascularMResistance-
MtheMresistanceMtheMLVMhasMtoMovercomeMtoMeject.M(Afterload)
PVRM-
MAnswerMPeripheralMvascularMresistance:MtheMresistanceMtheMRVMhasMtoMovercomeMto
Meject
S1M-MAnswerMClosureMofMtheMMVMandMTV;MSystole;M1/3MofMtheMcardiacMcycleM"Lub"
S2M-
MAnswerMClosureMofMtheMpulmonicMandMaorticMvalve;MDiastole;M2/3MofMtheMcardiacMc
ycle;MDUB
, S3M-MAnswerMAuscultatedMinMfluidMoverload;MwhenMpreloadMisMelevated;MKENTUCKY
S3MisMnormalMinMwhichMpopuation(s)?M-
MAnswerMNormalMinMkids,MhighMCOMlikeMpregnancyM(3rdMtrimester)
S4M-MAnswerMAtrialMgallopM(pre-
systolic);MsoundMcausedMbyMvibrationMofMatriaMejectingMintoMnonMcompliantMventricle;M
Tennessee
CausesMofMS4M-
MAnswerMIschemia,MHTN,MpulmonaryMstenosis,MCAD,MAS,MLVMHypertrophy
WhenMareMSplitMHeartMsoundsMheardMbest?M-MAnswerMInspiration
SplitMS1M-MAnswerMMVMclosesMb/fMtricuspid
CausesMofMSplitMS1M-MAnswerMRBBB,MPVCs,MVentricularMPacedMrhythms
SplitMS2M-MAnswerMAorticMclosesMb/fMpulmonicMvalve
CausesMofMSplitMS2M-MAnswerMOverfilledMRV,MASD
IndicationsMforMACEMInhibitorsM-
MAnswerMCHF/SystolicMFailure,MAMIM(EFM<40%),MAnteriorMwallMMI,MHTN,MDiabeticMRena
lMNephropathy
-prilsMAngiotensinMConvertingMEnzyme
EffectsMofMACEMInhibitorsM-
MAnswerMVasodilation,MdecreaseMpreloadM&Mafterload,MpreventionMofMmyocardialMremod
eling,MreduceMprogressMofMdiabeticMnephropathy
WhatMdoMyouMwantMtoMmonitorMforMinMACEMinhibitorMadministration?M-
MAnswerMHypotension,Mhyperk,Mcough/angioedema,MrenalMfunction
