CCI ARDMS practice test with correct
answers 2025-2026
On an apical 4 chamber view, if you move the color Doppler sample box from the mitral level to the pu
lmonary veins, .
A. the PRF increases
B. temporal resolution will increase
C. the frame rate decreases
D. the sample size should be increased for better pulmonary venous flow evaluation -
CORRECT ANSWER -c. the frame rate decreases
Which of the following procedures can be performed during a left heart catheterization?
A. ventriculogram
B. pulmonary angiography
C. pulmonary capillary wedge pressure assessment
D. right ventricle systolic pressure assessment - CORRECT ANSWER -A. ventriculogram
Which of the following is associated with a diastolic murmur?
A. VSD
B. persistent left SVC
C. tricuspid stenosis
D. tricuspid regurgitation - CORRECT ANSWER -c. tricuspid stenosis
The pulmonary valve is best evaluated with Doppler in which echocardiography view?
A. Subcostal
B. Parasternal long axis
C. Parasternal short axis
D. Apical 3 - CORRECT ANSWER -c parasternal short axis
,If a patient suffers from a syncopal episode due to a vasovagal reaction after the contrast injection, ho
w should you position the patient to help them recover?
A. Place them in the lithotomy position
B. Place them in Trendelenburg position
C. Place them in Fowler position
D. Roll them onto their left side with arms extended above their head - CORRECT ANSWER -
b. place them in trendelenburg position
Which transducer position provides the best view of the descending thoracic aorta for assessment of d
iameter?
A. apical
B. parasternal
C. subcostal
D. suprasternal - CORRECT ANSWER -a. apical
Which of the following tasks is not normally performed prior to the start of the echo exam?
A. obtain surgical history
B. review prior studies and reports
C. offer treatment options
D. obtain medical history - CORRECT ANSWER -C. offer treatment options
Motion of the right ventricular free wall is best evaluated in the view.
A. apical 4 chamber
B. parasternal short axis
C. right ventricular inflow
D. subcostal 4 chamber - CORRECT ANSWER -a. apical 4 chamber
Adjustment of which of the following imaging controls would be best to assist in improving visualizatio
n of the descending aorta posterior to the left atrium on an obese patient?
A. increase output power
,B. increase probe frequency
C. move focal zone to the level of the aorta
D. use saline contrast injection - CORRECT ANSWER -c. move focal zone to the level or the aorta
Which sonographic view best demonstrates the LV inflow across a bioprosthetic mitral valve?
A. Parasternal long axis
B. Apical
C. Subcostal
D. Parasternal short axis - CORRECT ANSWER -b. apical
Which of the following lab tests should be performed regularly for a patient with a StarrEdwards valve
?
A. white blood cell count
B. eosinophil count
C. prothrombin time
D. staphylococcus aureus levels - CORRECT ANSWER -c. prothrombin time
A 1cm round, solid hypoechoic tumor is attached to the chordae of the mitral valve in a 45yr old patie
nt. The tumor is most likely:
A. rhabdomyoma
B. papillary fibroelastoma
C. myxoma
D. sarcoma - CORRECT ANSWER -b. papillary fibroelastoma
Which of the following adjustments would improve the appearance of contrast on the echo image?
A. Use multiple focal zones
B. Turn off harmonic imaging
C. Decrease output power
D. Increase the thermal index - CORRECT ANSWER -c. decrease output power
, Which of the following statements regarding the conduction system of the heart is false?
A. The Purkinje fibers are responsible for delivering the signal to the muscle of the ventricles.
B. The AV node sends a signal across the right atrium through the Purkinje fibers.
C. The SA node sends a signal to the left atrium through the Bachmann internodal pathways.
D. The AV node delays the signal to the ventricles for 0.1sec to allow the atria time to contract -
CORRECT ANSWER -B. The AV node sends a signal across the right atrium through the Purkinje fibers.
The mitral valve can be evaluated with Doppler in the Apical 4 and 2 chamber views. How is the probe
manipulated to obtain a 2 chamber view from a 4 chamber view?
A. rotate clockwise 60 degrees
B. rotate counterclockwise 30 degrees
C. rotate counterclockwise 60 degrees
D. rotate clockwise 30 degrees - CORRECT ANSWER -c. rotate counterclockwise 60 degrees
Which of the following would cause increased preload?
A. ASD
B. systemic HTN
C. pulmonary HTN
D. aortic stenosis - CORRECT ANSWER -a. ASD
Which of the following items would be administered to a patient who is suffering from anaphylactic re
sponse caused by a contrast injection?
A. heparin
B. hydrocortisone
C. atropine
D. dobutamine - CORRECT ANSWER -b. hydrocortisone
The Bernoulli equation is used to calculate:
A. the peak instantaneous velocity
answers 2025-2026
On an apical 4 chamber view, if you move the color Doppler sample box from the mitral level to the pu
lmonary veins, .
A. the PRF increases
B. temporal resolution will increase
C. the frame rate decreases
D. the sample size should be increased for better pulmonary venous flow evaluation -
CORRECT ANSWER -c. the frame rate decreases
Which of the following procedures can be performed during a left heart catheterization?
A. ventriculogram
B. pulmonary angiography
C. pulmonary capillary wedge pressure assessment
D. right ventricle systolic pressure assessment - CORRECT ANSWER -A. ventriculogram
Which of the following is associated with a diastolic murmur?
A. VSD
B. persistent left SVC
C. tricuspid stenosis
D. tricuspid regurgitation - CORRECT ANSWER -c. tricuspid stenosis
The pulmonary valve is best evaluated with Doppler in which echocardiography view?
A. Subcostal
B. Parasternal long axis
C. Parasternal short axis
D. Apical 3 - CORRECT ANSWER -c parasternal short axis
,If a patient suffers from a syncopal episode due to a vasovagal reaction after the contrast injection, ho
w should you position the patient to help them recover?
A. Place them in the lithotomy position
B. Place them in Trendelenburg position
C. Place them in Fowler position
D. Roll them onto their left side with arms extended above their head - CORRECT ANSWER -
b. place them in trendelenburg position
Which transducer position provides the best view of the descending thoracic aorta for assessment of d
iameter?
A. apical
B. parasternal
C. subcostal
D. suprasternal - CORRECT ANSWER -a. apical
Which of the following tasks is not normally performed prior to the start of the echo exam?
A. obtain surgical history
B. review prior studies and reports
C. offer treatment options
D. obtain medical history - CORRECT ANSWER -C. offer treatment options
Motion of the right ventricular free wall is best evaluated in the view.
A. apical 4 chamber
B. parasternal short axis
C. right ventricular inflow
D. subcostal 4 chamber - CORRECT ANSWER -a. apical 4 chamber
Adjustment of which of the following imaging controls would be best to assist in improving visualizatio
n of the descending aorta posterior to the left atrium on an obese patient?
A. increase output power
,B. increase probe frequency
C. move focal zone to the level of the aorta
D. use saline contrast injection - CORRECT ANSWER -c. move focal zone to the level or the aorta
Which sonographic view best demonstrates the LV inflow across a bioprosthetic mitral valve?
A. Parasternal long axis
B. Apical
C. Subcostal
D. Parasternal short axis - CORRECT ANSWER -b. apical
Which of the following lab tests should be performed regularly for a patient with a StarrEdwards valve
?
A. white blood cell count
B. eosinophil count
C. prothrombin time
D. staphylococcus aureus levels - CORRECT ANSWER -c. prothrombin time
A 1cm round, solid hypoechoic tumor is attached to the chordae of the mitral valve in a 45yr old patie
nt. The tumor is most likely:
A. rhabdomyoma
B. papillary fibroelastoma
C. myxoma
D. sarcoma - CORRECT ANSWER -b. papillary fibroelastoma
Which of the following adjustments would improve the appearance of contrast on the echo image?
A. Use multiple focal zones
B. Turn off harmonic imaging
C. Decrease output power
D. Increase the thermal index - CORRECT ANSWER -c. decrease output power
, Which of the following statements regarding the conduction system of the heart is false?
A. The Purkinje fibers are responsible for delivering the signal to the muscle of the ventricles.
B. The AV node sends a signal across the right atrium through the Purkinje fibers.
C. The SA node sends a signal to the left atrium through the Bachmann internodal pathways.
D. The AV node delays the signal to the ventricles for 0.1sec to allow the atria time to contract -
CORRECT ANSWER -B. The AV node sends a signal across the right atrium through the Purkinje fibers.
The mitral valve can be evaluated with Doppler in the Apical 4 and 2 chamber views. How is the probe
manipulated to obtain a 2 chamber view from a 4 chamber view?
A. rotate clockwise 60 degrees
B. rotate counterclockwise 30 degrees
C. rotate counterclockwise 60 degrees
D. rotate clockwise 30 degrees - CORRECT ANSWER -c. rotate counterclockwise 60 degrees
Which of the following would cause increased preload?
A. ASD
B. systemic HTN
C. pulmonary HTN
D. aortic stenosis - CORRECT ANSWER -a. ASD
Which of the following items would be administered to a patient who is suffering from anaphylactic re
sponse caused by a contrast injection?
A. heparin
B. hydrocortisone
C. atropine
D. dobutamine - CORRECT ANSWER -b. hydrocortisone
The Bernoulli equation is used to calculate:
A. the peak instantaneous velocity
