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CCI RCS Study Guide 2025 Updated.
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Cavitation is - Answer The creation or vibration of small gas filled bodies by the ultrasound
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beam. (Tends to occur only with higher-intensity exposures.
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The 6 intensities from highest to lowest are - Answer 1.) SPTP 4.) SATP
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2.)SPPA 5.) SAPA ty ty ty




3.)SPTA 6.) SATA ty ty




What tricuspid valve leaflets are noted in PLAX? - Answer Anterior and medial/septal
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posterior.
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Formula for calculating EF? - Answer EF% = (sv/edv) x 100%
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Stroke Volume (SV) formula - Answer EDV - ESV
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What is stroke volume (SV)? - Answer Amount of blood pumped out of each ventricle
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during a single heart beat.
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What is the chiari network? - Answer Network of fibers originating from eustachian valve.
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Where can the chiari network be found - Answer Right atria
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What is the most anterior chamber of the heart? - Answer Right ventricle
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Which pair of intensities has the lowest value? - Answer SATA (spatial average and
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temporal average)
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Where is the Eustachian valve located ? - Answer In between the IVC and the right atrium.
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What's another name for the Right Ventricular Outflow Tract (RVOT) ? - Answer
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Infundibulum
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Where is the coronary sinus located in relation to the descending aorta? - Answer Anterior
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The three cusps of the tricuspid valve are? - Answer Anterior
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Medial ty




Posterior

What's the two main layers of the pericardium? - Answer 1.) Visceral = lies directly upon
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external surface of the heart and is commonly referred to as the epicardium.
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2,) Parietal = or fibrous pericardium is the thick outer sac.
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,*The pericardial cavity lies between these two layers.
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What is the normal pressure for the right ventricle ? - Answer 25/5 mmHg
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What is the normal pressure for the pulmonary artery? - Answer 25/10 mmHg
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What is the normal pressure for the left atrium? - Answer 10mmHg
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What is the normal pressure for the aorta ? - Answer 120/80 mmHg
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What are the two cusps of the mitral valve ? - Answer Anterior (long) and the posterior
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(short)
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When is the left ventricular pressure the lowest? - Answer Early diastole
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What is Becks Triad and what does it cause? - Answer AKA cardiac tamponade. Causes
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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
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Severe TR ty ty




RV dilation ty




What happens to the size of an aneurysm during systole? - Answer It increases
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In patients with A-Fib which heart sound would be missing ? - Answer Fourth
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What is the normal O2 saturation of the left heart ? - Answer 98%
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What is cardiac output? - Answer It is the total amount of blood ejected per minute.
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*cardiac output = stroke volume x HR ty ty ty ty ty ty ty




*normal cardiac output = 4-8 liters/minute ty ty ty ty ty




Effects of left side heart failure - Answer Blood backs up to lungs and patient has shortness
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of breath
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What part of the heart is affected when there is pulmonary edema ? - Answer Left side of
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heart
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What is the primary cause of Congestive Heart Failure? - Answer Systolic dysfunction.
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What part of the heart is affected when there is peripheral edema? - Answer Right side of
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the heart
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When the foremen ovale closes after birth due to increased left atrial pressure the spot it
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was located is now called? - Answer Fossa ovalis
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, Mitral regurge hemodynamic evaluation is done in ? - Answer Systole
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Aortic stenosis evaluation is done in? - Answer Systole
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Tricuspid stenosis evaluation is done in ? - Answer Diastole ty ty ty ty ty ty ty ty ty




What is Dresslers syndrome ? - Answer Pericardial effusion after myocardial infarction
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Is left atrial thrombus common in patients with mitral stenosis? - Answer Yes, especially in
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appendage
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What are 3 factors affecting stroke volume? - Answer Preload, after-load, contractility
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What is fractional shortening? - Answer It is the fraction of any diastolic dimension that is
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lost in systole.
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*normal range = 25-45% ty ty ty




If a patient has a stroke volume of 70ml and a heart rate of 90bpm what would be their
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cardiac output? - Answer Cardiac Output= Stroke volume x heart rate
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70ml x 90bpm = 630ml/minute ty ty ty ty




What is QP and QS? - Answer QP= pulmonary circulatory flow
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QS= systemic circulatory flow ty ty ty




Atrial septal defect surgery is mainly considered when the QP/QS ratio exceed? - Answer
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1:5
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*normal = 1:1 ty ty




What are the 2 most common encountered congenital heart lesions diagnosed in adults ? -
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Answer Atrial septal defect
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Bicuspid aortic valve ty ty




What chamber of the heart would be greater affected in patients with ventricular septal
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defects and left to right shunting? - Answer Right atrium
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A patient with a higher blood pressure in the right arm than the left arm may have? - Answer
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Coarctation of aorta
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How is a 2-d image of a phased array transducer created? - Answer Sequentially activating
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a series of adjacent crystals to angular the ultrasound beam
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What is a heterograph/ xenograph? - Answer Other names of bioprosthetic valves
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transferred from animals to humans.
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What are three types of bioprosthetic valves? - Answer Mechanical
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Bovine
R207,34
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