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CCI RVS Vascular Ultrasound Study Guide 2025/2026 – 120+ Verified Questions with Correct Answers | Doppler Physics, Lower Extremity Arterial Disease, AV Fistulas, Portal Hypertension & Renal Artery Evaluation

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This expertly curated study guide offers over 120 verified exam questions and correct answers tailored for the CCI RVS (Registered Vascular Specialist) certification, aligned with the 2025/2026 credentialing standards. Covering a broad scope of vascular ultrasound principles and diagnostic applications, this resource is ideal for students and professionals preparing for the RVS board exam or refreshing clinical vascular knowledge. Key content areas include: Doppler Physics & Hemodynamics: Waveform interpretation, flow patterns, volume recordings, and spectral analysis Peripheral Arterial Disease (PAD): Claudication, ABI calculation, exercise testing responses, arterial waveforms, and volume plethysmography Arteriovenous (AV) Fistulas & Grafts: Brescia-Cimino fistula, flow rate thresholds, trauma-related shunts, and dialysis access monitoring Renal and Mesenteric Arteries: RAR values, postprandial SMA behavior, renovascular hypertension, and ischemia assessment Portal & Hepatic Circulation: Portal hypertension indicators, TIPS shunts, hepatic venous waveforms, and splenorenal shunting Imaging Techniques & Pathologies: Fibromuscular dysplasia, coarctation of the aorta, Budd-Chiari syndrome, digital subtraction angiography Clinical Scenarios: Proper patient handling, identifying emergent events during scanning, and interpretation of CW Doppler over lesions This guide also highlights key vascular pathologies, imaging artifacts, waveform abnormalities, and real-world patient case questions. It reflects the practical demands of vascular sonography with NCVT/CCI board exam accuracy. Relevant for: Courses: Vascular Ultrasound, Non-Invasive Vascular Testing, Diagnostic Medical Sonography Programs: CCI RVS Certification Prep, ARDMS RVT Study, Cardiovascular Technology Students and Professionals: Vascular ultrasound techs, RVS candidates, vascular lab interns, and diagnostic sonographers Keywords: CCI RVS 2025, vascular ultrasound, arterial Doppler, ABI calculation, AV fistula, graft evaluation, portal hypertension, renal artery stenosis, SMA waveform, claudication testing, spectral Doppler, waveforms, venous insufficiency, subclavian artery, angiographic techniques, TIPS procedure, flow reversal, peripheral resistance, CW Doppler, dialysis access, hepatic veins, vascular pathology

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CCI RVS 2025/2026 Exam Questions and
Corresponding Answers with Surety of
100% Pass Mark



What is the major difference between protocols for cardiac treadmill and

claudication treadmill testing? - 🧠ANSWER ✔✔Speed is varied during a cardiac

treadmill test to increase heartrate to a specific target level.

During a treadmill test, patient complains of pain in the left arm and jaw, but

denies any other pain. What is the most likely consideration? - 🧠ANSWER

✔✔Angina.


What is the normal diameter for the abdominal aorta? - 🧠ANSWER ✔✔2-3 cm.


After walking 5 minutes on treadmill, patient experiences decrease in ankle

pressure of 40% on right and 15% on left. These findings suggest? - 🧠ANSWER

✔✔Claudication.

, What is the correct setting for arterial volume recording? - 🧠ANSWER ✔✔AC-

coupled output.

What Doppler waveform abnormality in the lower extremity arterial circulation

distal to a hemodynamically significant stenosis show? - 🧠ANSWER ✔✔An

absent flow recersal component, blunting of the peak velocity and prolonged

upslope and downslope.

A normal arterial volume waveform may have all EXCEPT: Swift upstroke, sharp

peak, rapid downslope bowed toward baseline, dicrotic notch or reverse flow

component? - 🧠ANSWER ✔✔Reverse flow component because it is part of a

Doppler waveform not volume waveform.

T or F- Most analog Doppler analysis is qualitative, assessing for presence or

absence of characteristics. - 🧠ANSWER ✔✔True.


What is the normal response of ankle pressure to exercise testing? - 🧠ANSWER

✔✔There should be no change if normal.


With severe lower extremity arterial occlusive disease, how will distal Doppler

waveforms appear? - 🧠ANSWER ✔✔Markedly dampened, possibly making

interpretation difficult for distal segments.

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