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BUILDER CCI RCS REGISTRY EXAM BANK
2025/2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {120 Q & A}
ALREADY GRADED A+ / BUILDER CCI RCS
REGISTRY PREP | BRAND NEW!
When evaluating the ________________ with m-mode, the
measurement should be taken at end diastole to obtain the
greatest diameter.
E-point septal separation
left atrium
aortic root
aortic cusp separation - ✔✔✔ Correct Answer > aortic root
When evaluating the aortic root with m-mode, the measurement
should be taken at end diastole to obtain the greatest diameter.
Which of the following describes findings associated with
asymmetrical septal hypertrophy seen with hypertrophic
obstructive cardiomyopathy?
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septal to posterior wall thickness ratio of 2:1 or greater
septal to posterior wall thickness ratio of 3:1 or greater
posterior to septal wall thickness ratio of 1.3:1 or greater
septal to posterior wall thickness ratio of 1.3:1 or greater - ✔✔✔
Correct Answer > septal to posterior wall thickness ratio of 1.3:1 or
greater
Asymmetrical septal hypertrophy is diagnosed when the
thickness of the septal wall is greater than the posterior wall
with a septal to posterior wall ratio of 1.3:1 or greater.
You identify mitral valve prolapse on an echo. Which of the
following describes what you should do to evaluate this patient
for a commonly associated structural defect?
Evaluate the atrial septum for a secundum defect.
Evaluate the ventricular septum for an apical muscular defect.
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Evaluate the aortic valve for prolapse of the right coronary cusp.
Evaluate the pulmonary veins for stenosis. - ✔✔✔ Correct Answer >
Evaluate the atrial septum for a secundum defect
MVP can be associated with a secundum ASD and
supraventricular tachycardia.
If a patient complains of several weeks of shortness of breath
about 60 minutes after going to bed. He has no other symptoms
or changes to his medical history. The symptom most likely
indicates?
pericarditis
acute myocardial infarction
congestive heart failure
pulmonary HTN - ✔✔✔ Correct Answer > congestive heart failure
CHF refers to congestive heart failure which leads to decreased
cardiac output. When the patient is supine for a while, the blood
pressure and venous return to the heart decreases as the blood
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pools in the lungs. This causes less oxygen exchange and
redistribution of blood to the heart/body. Symptoms of SOB will
usually occur after 30-60 minutes of being supine.
Which of the following describes a technique used to differentiate
constrictive pericarditis from restrictive cardiomyopathy?
Use tissue Doppler to assess the mitral annulus
Ask the patient to perform the Valsalva maneuver while using
Doppler to evaluate aortic outflow.
Evaluate the respiratory collapse of the IVC
Measure the deceleration time of the mitral valve - ✔✔✔ Correct
Answer > Use tissue Doppler to assess the mitral annulus
Both abnormalities will demonstrate a decreased deceleration
time and a dilated IVC with lack of respiratory collapse. Tissue
Doppler is effective in differentiating the two abnormalities.
Constrictive pericarditis will demonstrate a normal E' that is
greater than 8cm/s. Restrictive cardiomyopathy will demonstrate
BUILDER CCI RCS REGISTRY EXAM BANK
2025/2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {120 Q & A}
ALREADY GRADED A+ / BUILDER CCI RCS
REGISTRY PREP | BRAND NEW!
When evaluating the ________________ with m-mode, the
measurement should be taken at end diastole to obtain the
greatest diameter.
E-point septal separation
left atrium
aortic root
aortic cusp separation - ✔✔✔ Correct Answer > aortic root
When evaluating the aortic root with m-mode, the measurement
should be taken at end diastole to obtain the greatest diameter.
Which of the following describes findings associated with
asymmetrical septal hypertrophy seen with hypertrophic
obstructive cardiomyopathy?
,2|Page
septal to posterior wall thickness ratio of 2:1 or greater
septal to posterior wall thickness ratio of 3:1 or greater
posterior to septal wall thickness ratio of 1.3:1 or greater
septal to posterior wall thickness ratio of 1.3:1 or greater - ✔✔✔
Correct Answer > septal to posterior wall thickness ratio of 1.3:1 or
greater
Asymmetrical septal hypertrophy is diagnosed when the
thickness of the septal wall is greater than the posterior wall
with a septal to posterior wall ratio of 1.3:1 or greater.
You identify mitral valve prolapse on an echo. Which of the
following describes what you should do to evaluate this patient
for a commonly associated structural defect?
Evaluate the atrial septum for a secundum defect.
Evaluate the ventricular septum for an apical muscular defect.
,3|Page
Evaluate the aortic valve for prolapse of the right coronary cusp.
Evaluate the pulmonary veins for stenosis. - ✔✔✔ Correct Answer >
Evaluate the atrial septum for a secundum defect
MVP can be associated with a secundum ASD and
supraventricular tachycardia.
If a patient complains of several weeks of shortness of breath
about 60 minutes after going to bed. He has no other symptoms
or changes to his medical history. The symptom most likely
indicates?
pericarditis
acute myocardial infarction
congestive heart failure
pulmonary HTN - ✔✔✔ Correct Answer > congestive heart failure
CHF refers to congestive heart failure which leads to decreased
cardiac output. When the patient is supine for a while, the blood
pressure and venous return to the heart decreases as the blood
, 4|Page
pools in the lungs. This causes less oxygen exchange and
redistribution of blood to the heart/body. Symptoms of SOB will
usually occur after 30-60 minutes of being supine.
Which of the following describes a technique used to differentiate
constrictive pericarditis from restrictive cardiomyopathy?
Use tissue Doppler to assess the mitral annulus
Ask the patient to perform the Valsalva maneuver while using
Doppler to evaluate aortic outflow.
Evaluate the respiratory collapse of the IVC
Measure the deceleration time of the mitral valve - ✔✔✔ Correct
Answer > Use tissue Doppler to assess the mitral annulus
Both abnormalities will demonstrate a decreased deceleration
time and a dilated IVC with lack of respiratory collapse. Tissue
Doppler is effective in differentiating the two abnormalities.
Constrictive pericarditis will demonstrate a normal E' that is
greater than 8cm/s. Restrictive cardiomyopathy will demonstrate
