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CCI RCS Study Guide 2025/2026 | 200+ Questions and Answers for Echocardiography, Doppler Physics, Cardiac Pathology & Ultrasound Imaging Review

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This comprehensive study guide is designed to help students and professionals prepare for the CCI RCS (Registered Cardiac Sonographer) 2025/2026 exam. It contains over 200 practice questions and answers that thoroughly cover critical areas such as Doppler physics, ultrasound instrumentation, cardiac anatomy and physiology, valvular diseases, congenital heart defects, and clinical echocardiography. Also included are formulas, normal values, and M-mode/2D/Doppler concepts needed to interpret diagnostic imaging. Detailed topics include: cavitation and bioeffects, valve function (tricuspid, mitral, aortic), pericardial diseases, congenital anomalies like Tetralogy of Fallot and Ebstein’s anomaly, cardiomyopathies, cardiac pressures, Doppler hemodynamics, and common echocardiographic artifacts. Real-world applications such as interpreting cardiac sounds, correlating ECG changes, understanding hemodynamic parameters, and performing quality assurance evaluations are also covered. This guide is especially useful for students in cardiovascular technology, diagnostic medical sonography, and echocardiography programs. It also serves professionals preparing for their credentialing exams through the CCI (Cardiovascular Credentialing International). Relevant for: Diagnostic Medical Sonography students Cardiovascular Technology students Echocardiography students CCI RCS exam candidates Cardiac imaging technologists Cardiology-focused medical students and interns Keywords: RCS exam 2025 cardiac sonography echocardiography review Doppler physics ultrasound bioeffects valvular heart disease congenital heart defects myxoma pericardial effusion cardiac pressures stroke volume cardiac output artifact recognition cardiomyopathy tricuspid regurgitation aortic stenosis mitral regurgitation diagnostic imaging ultrasound resolution vascular sonography myocardial infarction Dressler’s syndrome rheumatic heart disease left atrial pressure spectral Doppler M-mode echo

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Cci Rvs
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CCI RCS Study Guide 2025/2026 Exam
Questions and Answers | A+ Score
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Cavitation is - 🧠ANSWER ✔✔The creation or vibration of small gas filled bodies

by the ultrasound beam. (Tends to occur only with higher-intensity exposures.


The 6 intensities from highest to lowest are - 🧠ANSWER ✔✔1.) SPTP 4.) SATP


2.)SPPA 5.) SAPA

3.)SPTA 6.) SATA


What tricuspid valve leaflets are noted in PLAX? - 🧠ANSWER ✔✔Anterior and

medial/septal posterior.


Formula for calculating EF? - 🧠ANSWER ✔✔EF% = (sv/edv) x 100%


Stroke Volume (SV) formula - 🧠ANSWER ✔✔EDV - ESV

,What is stroke volume (SV)? - 🧠ANSWER ✔✔Amount of blood pumped out of

each ventricle during a single heart beat.


What is the chiari network? - 🧠ANSWER ✔✔Network of fibers originating from

eustachian valve.


Where can the chiari network be found - 🧠ANSWER ✔✔Right atria


What is the most anterior chamber of the heart? - 🧠ANSWER ✔✔Right ventricle


Which pair of intensities has the lowest value? - 🧠ANSWER ✔✔SATA (spatial

average and temporal average)


Where is the Eustachian valve located ? - 🧠ANSWER ✔✔In between the IVC and

the right atrium.

What's another name for the Right Ventricular Outflow Tract (RVOT) ? -

🧠ANSWER ✔✔Infundibulum


Where is the coronary sinus located in relation to the descending aorta? -

🧠ANSWER ✔✔Anterior


The three cusps of the tricuspid valve are? - 🧠ANSWER ✔✔Anterior


Medial

,Posterior


What's the two main layers of the pericardium? - 🧠ANSWER ✔✔1.) Visceral =

lies directly upon external surface of the heart and is commonly referred to as the

epicardium.

2,) Parietal = or fibrous pericardium is the thick outer sac.

*The pericardial cavity lies between these two layers.


What is the normal pressure for the right ventricle ? - 🧠ANSWER ✔✔25/5 mmHg


What is the normal pressure for the pulmonary artery? - 🧠ANSWER ✔✔25/10

mmHg


What is the normal pressure for the left atrium? - 🧠ANSWER ✔✔10mmHg


What is the normal pressure for the aorta ? - 🧠ANSWER ✔✔120/80 mmHg


What are the two cusps of the mitral valve ? - 🧠ANSWER ✔✔Anterior (long) and

the posterior (short)


When is the left ventricular pressure the lowest? - 🧠ANSWER ✔✔Early diastole


What is Becks Triad and what does it cause? - 🧠ANSWER ✔✔AKA cardiac

tamponade. Causes an elevated pressure in heart, hypotension and a quiet heart



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, What are the effects of pulmonary HTN ? - 🧠ANSWER ✔✔Dilated pulmonary

artery

Severe TR

RV dilation


What happens to the size of an aneurysm during systole? - 🧠ANSWER ✔✔It

increases

In patients with A-Fib which heart sound would be missing ? - 🧠ANSWER

✔✔Fourth


What is the normal O2 saturation of the left heart ? - 🧠ANSWER ✔✔98%


What is cardiac output? - 🧠ANSWER ✔✔It is the total amount of blood ejected per

minute.

*cardiac output = stroke volume x HR

*normal cardiac output = 4-8 liters/minute


Effects of left side heart failure - 🧠ANSWER ✔✔Blood backs up to lungs and

patient has shortness of breath

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