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Testbank: CCI RCS Exam 2026 – 500+ Practice Questions with Verified Answers for Cardiac Sonographer Certification

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Prepare for the CCI Registered Cardiac Sonographer (RCS) certification exam with this comprehensive practice test bank. Featuring 500+ exam-style questions and verified answers, it is designed to help you master the content for the 170-question, three-hour adult echocardiography exam

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CCI RCS FINAL EXAM AND PRACTICE
QUESTIONS | COMPLETE ACTUAL
EXAM TEST BANK WITH 500+ VERIFIED
ANSWERS FOR CARDIAC
SONOGRAPHER CERTIFICATION PDF

What valvular lesion is associated with early closure of the mitral valve? - answer- Aortic
Insufficiency

*What parameters are used to assess the severity of pulmonic valve stenosis? -
answer- Peak Velocity and Peak Gradient

MILD. peak velocity <3 m/s. peak gradient <36 mmHg. right ventricular systolic pressure
25-49 mmHg. ...
MODERATE peak velocity 3-4 m/s. peak gradient 36-64 mmHg. ...
SEVERE. peak velocity >4 m/s. peak gradient >64 mmHg.

52 to 72 - answer- *What is the normal range for ejection fraction in males?

*What is the largest and mostly apically positioned valve in the heart? - answer-
tricuspid

A 63 year old male has a left ventricular EF of 35%, mitral valve E/A ratio 2.3 and E/e
ratio of 12 and tricuspid peak regurgitant velocity of 2.6 m/s what is the grade of
diastolic dysfunction in this patient? - answer- Grade III
(if E/A is > 2 then always grade III)

Where is the anterior leaflet of the mitral valve located in the image - answer-

Pulse Repetition frequency of the system - answer- The Nyquist limit of pulsed doppler
is dependent upon which of the following?

which anatomic defects are associated with Tetralogy of Fallot - answer- 1. ventricular
septal defect (VSD)
2. overriding aorta
3. pulmonary stenosis /anomalous pulmonary veins
4. right ventricular hypertrophy (RV hypertrophy)

, *A follow-up echo is ordered on a patient diagnosed with Takotsubo cardiomyopathy.
What findings would be MOST RELEVANT from the previous study? choose 2 ; -
answer- 1. abnormal movements in the walls of the left ventricle.
2. ballooning of the lower part of the left ventricle (apex).

*What is one significant benefit of utilizing 3d transthoracic imaging? - answer- more
accurate ejection fraction and volumes

given a mitral valve pressure half -time of 260 ms the mitral valve area is - answer- 0.85
cm2 ()

A patients tricuspid regurgitation velocity measures 3.5 m/s and the IVC measures 2.3
cm with greater than 50% inspiratory collapse. What is the patient's right ventricular
systolic pressure? - answer- 4 (3.5 x 3.5 ) + 8mmhg = 57 mmHg
(IVC>2.1 ; Inspiratory collapse>50%)

What control would be used to increase the gain in the far field of an image without
impacting the new field? - answer- TGC (time-gain composition)

What echocardiographic window will MOST LIKELY give you the best information
regarding left ventricular function on a barrel-chested individual with emphysema? -
answer- subcostal

Grade the level of diastolic dysfunction observed in each patient. Drage the token into
the box to gradeeach patient - answer-

What is the mitral regurgitation severity (PGR 2.6) - answer-

which views can be used to assess longitudinal strain? choose 2 - answer- Apical 4
chamber
Apical 2 chamber OR
apical 3 chamber

what is the measurement of longitudinal systolic performance of the righ ventricle known
as? - answer- tricuspid annular plane systolic excursion (TAPSE),

Prior to starting the echocardiogram, the sonographer should verify the indication for the
study by - answer- reviewing the physicians order

what pat of the cardiac cycle is identified - answer-

What are causes of work related musculoskeletal disorders in sonography? choose 4
causes - answer- 1. posture
2. probe grip
3. Repetitive movements
4. Monitor and keyboard height

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