CCI RCS Exam Question and Answer
(2026/2027) | Newly Updated with
Detailed Rationales | A+ Verified
• *What parameters are used to assess the severity of pulmonic valve stenosis? -✓✓
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 -✓✓ *What is the normal range for ejection fraction in males?
• *What is the largest and mostly apically positioned valve in the heart? -✓✓ 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? -✓✓ Grade III
(if E/A is > 2 then always grade III)
• Where is the anterior leaflet of the mitral valve located in the image -✓✓
• Pulse Repetition frequency of the system -✓✓ The Nyquist limit of pulsed doppler is
dependent upon which of the following?
• which anatomic defects are associated with Tetralogy of Fallot -✓✓ 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 ; -✓✓ 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? -✓✓ more
accurate ejection fraction and volumes
• given a mitral valve pressure half -time of 260 ms the mitral valve area is -✓✓ 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? -✓✓ 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? -✓✓ 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? -✓✓
subcostal
• Grade the level of diastolic dysfunction observed in each patient. Drage the token into
the box to gradeeach patient -✓✓
• What is the mitral regurgitation severity (PGR 2.6) -✓✓
• which views can be used to assess longitudinal strain? choose 2 -✓✓ Apical 4
chamber
Apical 2 chamber OR
apical 3 chamber
• what is the measurement of longitudinal systolic performance of the righ ventricle
known as? -✓✓ tricuspid annular plane systolic excursion (TAPSE),
• Prior to starting the echocardiogram, the sonographer should verify the indication for
the study by -✓✓ reviewing the physicians order
• what pat of the cardiac cycle is identified -✓✓
• What are causes of work related musculoskeletal disorders in sonography? choose 4
causes -✓✓ 1. posture
2. probe grip
3. Repetitive movements
4. Monitor and keyboard height
• What view is the left coronary cusp of the aortic valve Best seen? -✓✓ parasternal
short axis
• what should be done to reduce spectral broadening on a pulsed wave doppler tracing?
-✓✓ decrease sample volume size
• what artifact is demonstrated in this apical -✓✓
(2026/2027) | Newly Updated with
Detailed Rationales | A+ Verified
• *What parameters are used to assess the severity of pulmonic valve stenosis? -✓✓
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 -✓✓ *What is the normal range for ejection fraction in males?
• *What is the largest and mostly apically positioned valve in the heart? -✓✓ 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? -✓✓ Grade III
(if E/A is > 2 then always grade III)
• Where is the anterior leaflet of the mitral valve located in the image -✓✓
• Pulse Repetition frequency of the system -✓✓ The Nyquist limit of pulsed doppler is
dependent upon which of the following?
• which anatomic defects are associated with Tetralogy of Fallot -✓✓ 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 ; -✓✓ 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? -✓✓ more
accurate ejection fraction and volumes
• given a mitral valve pressure half -time of 260 ms the mitral valve area is -✓✓ 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? -✓✓ 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? -✓✓ 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? -✓✓
subcostal
• Grade the level of diastolic dysfunction observed in each patient. Drage the token into
the box to gradeeach patient -✓✓
• What is the mitral regurgitation severity (PGR 2.6) -✓✓
• which views can be used to assess longitudinal strain? choose 2 -✓✓ Apical 4
chamber
Apical 2 chamber OR
apical 3 chamber
• what is the measurement of longitudinal systolic performance of the righ ventricle
known as? -✓✓ tricuspid annular plane systolic excursion (TAPSE),
• Prior to starting the echocardiogram, the sonographer should verify the indication for
the study by -✓✓ reviewing the physicians order
• what pat of the cardiac cycle is identified -✓✓
• What are causes of work related musculoskeletal disorders in sonography? choose 4
causes -✓✓ 1. posture
2. probe grip
3. Repetitive movements
4. Monitor and keyboard height
• What view is the left coronary cusp of the aortic valve Best seen? -✓✓ parasternal
short axis
• what should be done to reduce spectral broadening on a pulsed wave doppler tracing?
-✓✓ decrease sample volume size
• what artifact is demonstrated in this apical -✓✓
