CCI RCS Mock Exam - Open Ended
Questions with Correct Answers 2025-
2026
What segment of the RV free wall is seen in subcostal 4 chamber? - CORRECT ANSWER -Inferior
What segment of the RV free wall is seen in parasternal short axis? - CORRECT ANSWER -
Lateral, anterior, and inferior.
What segment of the RV free wall is seen in Right ventricular inflow tract? - CORRECT ANSWER -
Anterior and inferior.
The iso volumetric contraction time begins after what wave on the EKG? - CORRECT ANSWER -R wave.
Blood flow volume changes in the body are mainly controlled by what two factors? -
CORRECT ANSWER -Cardiac function and peripheral resistance
Normal size for aortic valve area is? - CORRECT ANSWER -Three to four centimeters squared
The incisura portion Of aortic pressure wave occurs when? - CORRECT ANSWER -
Immediately after the A V closes
How do you differentiate between waveforms obtained from the mitral valve and the tricuspid valve? -
CORRECT ANSWER -
The aortic flow pattern can be seen on the mitral valve tracing, but the pulmonary aortic flow is not ev
ident on the tricuspid valve tracing
The pulmonary capillary wedge pressure is normal if it is less than: - CORRECT ANSWER -10 MMHG.
The majority of pulmonary venous flow into the left atria occurs during? - CORRECT ANSWER -
Early Systole
,Which tricuspid valve leaflets is evaluated in parasternal long axis? - CORRECT ANSWER -
anterior and posterior
This is the only view where the posterior Leaflets of the tricuspid valve is seen.
Normal R-R interval is? - CORRECT ANSWER -.6-1 sec (equates to 60-100 BPM)
What is the difference between the aortic and pulmonic valve? Doppler tracings - CORRECT ANSWER -
The Max Velocity of the pulmonary valve occurs later in the ejection cycle than the A V
Where is the oblique sinus? - CORRECT ANSWER -Posterior to the left atrium
As a patient ages, what normally happens to pulmonary venous flow? - CORRECT ANSWER -
the systolic component increases, while the diastolic component decreases
Tricuspid valve flow normally increases or decreases with inspiration? - CORRECT ANSWER -
Increases slightly
Cardiac output is directly or indirectly related to stroke volume and heart rate? - CORRECT ANSWER -
Directly
What wave represents atrial systole on the doppler tracing of the pulmonary vein? -
CORRECT ANSWER -A wave
What grade of diastolic dysfunction is indicated by a low EF and an E/A ratio of over 2? -
CORRECT ANSWER -Grade III
Where are the basal segments located in the LV? - CORRECT ANSWER -
Between the AV groove & the tip of the papillary muscle
Where are the mid segments located in the LV? - CORRECT ANSWER -
Segment that includes the papillary muscle
,Where are the apical segments located in LV? - CORRECT ANSWER -
Between the base of the papillary muscles to the apex
How does doppler evaluation demonstrate that the pulmonary vascular resistance is normally lower th
an resistance in the systemic vascular system? - CORRECT ANSWER -
The flow through the aortic valve reaches a peak velocity faster than the flow through the pulmonary
valve.
What is another term for hypereosinophilia? - CORRECT ANSWER -
Loeffler endocarditis; causes endocardial thickening of the inflow tracts and fibrous obliteration of the l
eft & right ventricular apices
What is the vertical structure to the right of the aortic arch in Suprasternal notch view that normally d
emonstrates flow moving way from the transducer in systole? - CORRECT ANSWER -SVC
How many pairs of aortic arches form during embryologic development? - CORRECT ANSWER -6
An optimal LVOT tracing will demonstrate? - CORRECT ANSWER -
A clear spectral window and the closing click of the AV
Which valve is more resistant to regurgitation - aortic valve or the mitral valve? - CORRECT ANSWER -
Aortic valve
What facilitates the contraction of the atrial appendages? - CORRECT ANSWER -
Pectinate muscles in the walls of the appendages
Which pair of aortic arches form the aortic arch during embryologic development -
CORRECT ANSWER -4th left.
When does the tricuspid valve open and close when compared to mitral valve? - CORRECT ANSWER -
Opens before the mitral valve opens and closes after the mitral valve closes.
, When is the blood volume the lowest in the right atria? - CORRECT ANSWER -Release Systole
The largest antegrade flow component seen on a Doppler tracing of a normal hepatic vein , is identifie
d during which part of the cardiac cycle? - CORRECT ANSWER -Early systole
What is stroke volume influenced by? - CORRECT ANSWER -
Preload, afterload and myocardial contractility
How does bradycardia affect diastasis? - CORRECT ANSWER -it leads to a longer period of diastasis
When does the A V Open on the E K G - CORRECT ANSWER -About 30-
35ms after the completion of the QDR S
When does isovolumic relaxation time occur on the E K G? - CORRECT ANSWER -After the R Wave
What does normal left ventricular outflow track tracing demonstrate? - CORRECT ANSWER -
A steep acceleration slope, a sharply peaked early systolic max volume and a less steep deceleration sl
ope.
What is the most interior valve? - CORRECT ANSWER -Pulmonary valve.
When does the mitral valve close on the EKG? - CORRECT ANSWER -
About midway through the Q R S after 60ms has passed
The left circumflex artery supplies the? - CORRECT ANSWER -Basal and mid anterolateral walls.
What describes a normal response to exercise testing performed to assess the diastolic function of the
left ventricle? - CORRECT ANSWER -Both E and E' velocity should increase
What coronary artery courses through the anterior interventricular groove? - CORRECT ANSWER -LAD
Questions with Correct Answers 2025-
2026
What segment of the RV free wall is seen in subcostal 4 chamber? - CORRECT ANSWER -Inferior
What segment of the RV free wall is seen in parasternal short axis? - CORRECT ANSWER -
Lateral, anterior, and inferior.
What segment of the RV free wall is seen in Right ventricular inflow tract? - CORRECT ANSWER -
Anterior and inferior.
The iso volumetric contraction time begins after what wave on the EKG? - CORRECT ANSWER -R wave.
Blood flow volume changes in the body are mainly controlled by what two factors? -
CORRECT ANSWER -Cardiac function and peripheral resistance
Normal size for aortic valve area is? - CORRECT ANSWER -Three to four centimeters squared
The incisura portion Of aortic pressure wave occurs when? - CORRECT ANSWER -
Immediately after the A V closes
How do you differentiate between waveforms obtained from the mitral valve and the tricuspid valve? -
CORRECT ANSWER -
The aortic flow pattern can be seen on the mitral valve tracing, but the pulmonary aortic flow is not ev
ident on the tricuspid valve tracing
The pulmonary capillary wedge pressure is normal if it is less than: - CORRECT ANSWER -10 MMHG.
The majority of pulmonary venous flow into the left atria occurs during? - CORRECT ANSWER -
Early Systole
,Which tricuspid valve leaflets is evaluated in parasternal long axis? - CORRECT ANSWER -
anterior and posterior
This is the only view where the posterior Leaflets of the tricuspid valve is seen.
Normal R-R interval is? - CORRECT ANSWER -.6-1 sec (equates to 60-100 BPM)
What is the difference between the aortic and pulmonic valve? Doppler tracings - CORRECT ANSWER -
The Max Velocity of the pulmonary valve occurs later in the ejection cycle than the A V
Where is the oblique sinus? - CORRECT ANSWER -Posterior to the left atrium
As a patient ages, what normally happens to pulmonary venous flow? - CORRECT ANSWER -
the systolic component increases, while the diastolic component decreases
Tricuspid valve flow normally increases or decreases with inspiration? - CORRECT ANSWER -
Increases slightly
Cardiac output is directly or indirectly related to stroke volume and heart rate? - CORRECT ANSWER -
Directly
What wave represents atrial systole on the doppler tracing of the pulmonary vein? -
CORRECT ANSWER -A wave
What grade of diastolic dysfunction is indicated by a low EF and an E/A ratio of over 2? -
CORRECT ANSWER -Grade III
Where are the basal segments located in the LV? - CORRECT ANSWER -
Between the AV groove & the tip of the papillary muscle
Where are the mid segments located in the LV? - CORRECT ANSWER -
Segment that includes the papillary muscle
,Where are the apical segments located in LV? - CORRECT ANSWER -
Between the base of the papillary muscles to the apex
How does doppler evaluation demonstrate that the pulmonary vascular resistance is normally lower th
an resistance in the systemic vascular system? - CORRECT ANSWER -
The flow through the aortic valve reaches a peak velocity faster than the flow through the pulmonary
valve.
What is another term for hypereosinophilia? - CORRECT ANSWER -
Loeffler endocarditis; causes endocardial thickening of the inflow tracts and fibrous obliteration of the l
eft & right ventricular apices
What is the vertical structure to the right of the aortic arch in Suprasternal notch view that normally d
emonstrates flow moving way from the transducer in systole? - CORRECT ANSWER -SVC
How many pairs of aortic arches form during embryologic development? - CORRECT ANSWER -6
An optimal LVOT tracing will demonstrate? - CORRECT ANSWER -
A clear spectral window and the closing click of the AV
Which valve is more resistant to regurgitation - aortic valve or the mitral valve? - CORRECT ANSWER -
Aortic valve
What facilitates the contraction of the atrial appendages? - CORRECT ANSWER -
Pectinate muscles in the walls of the appendages
Which pair of aortic arches form the aortic arch during embryologic development -
CORRECT ANSWER -4th left.
When does the tricuspid valve open and close when compared to mitral valve? - CORRECT ANSWER -
Opens before the mitral valve opens and closes after the mitral valve closes.
, When is the blood volume the lowest in the right atria? - CORRECT ANSWER -Release Systole
The largest antegrade flow component seen on a Doppler tracing of a normal hepatic vein , is identifie
d during which part of the cardiac cycle? - CORRECT ANSWER -Early systole
What is stroke volume influenced by? - CORRECT ANSWER -
Preload, afterload and myocardial contractility
How does bradycardia affect diastasis? - CORRECT ANSWER -it leads to a longer period of diastasis
When does the A V Open on the E K G - CORRECT ANSWER -About 30-
35ms after the completion of the QDR S
When does isovolumic relaxation time occur on the E K G? - CORRECT ANSWER -After the R Wave
What does normal left ventricular outflow track tracing demonstrate? - CORRECT ANSWER -
A steep acceleration slope, a sharply peaked early systolic max volume and a less steep deceleration sl
ope.
What is the most interior valve? - CORRECT ANSWER -Pulmonary valve.
When does the mitral valve close on the EKG? - CORRECT ANSWER -
About midway through the Q R S after 60ms has passed
The left circumflex artery supplies the? - CORRECT ANSWER -Basal and mid anterolateral walls.
What describes a normal response to exercise testing performed to assess the diastolic function of the
left ventricle? - CORRECT ANSWER -Both E and E' velocity should increase
What coronary artery courses through the anterior interventricular groove? - CORRECT ANSWER -LAD
