CCI RCS Exam Updated Question and Answer | 100% Correct Solutions | Grade A+

CCI RCS Exam Updated Question and
Answer | 100% Correct Solutions |
Grade A+
• Cavitation is -✓✓ 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 -✓✓ 1.) SPTP 4.) SATP
2.)SPPA 5.) SAPA
3.)SPTA 6.) SATA

• What tricuspid valve leaflets are noted in PLAX? -✓✓ Anterior and medial/septal
posterior.

• Formula for calculating EF? -✓✓ EF% = (sv/edv) x 100%

• Stroke Volume (SV) formula -✓✓ EDV - ESV

• What is stroke volume (SV)? -✓✓ Amount of blood pumped out of each ventricle
during a single heart beat.

• What is the chiari network? -✓✓ Network of fibers originating from eustachian valve.

• Where can the chiari network be found -✓✓ Right atria

• What is the most anterior chamber of the heart? -✓✓ Right ventricle

• Which pair of intensities has the lowest value? -✓✓ SATA (spatial average and
temporal average)

• Where is the Eustachian valve located ? -✓✓ In between the IVC and the right atrium.

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

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

• The three cusps of the tricuspid valve are? -✓✓ Anterior
Medial
Posterior

,• What's the two main layers of the pericardium? -✓✓ 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 ? -✓✓ 25/5 mmHg

• What is the normal pressure for the pulmonary artery? -✓✓ 25/10 mmHg

• What is the normal pressure for the left atrium? -✓✓ 10mmHg

• What is the normal pressure for the aorta ? -✓✓ 120/80 mmHg

• What are the two cusps of the mitral valve ? -✓✓ Anterior (long) and the posterior
(short)

• When is the left ventricular pressure the lowest? -✓✓ Early diastole

• What is Becks Triad and what does it cause? -✓✓ AKA cardiac tamponade. Causes
an elevated pressure in heart, hypotension and a quiet heart

• What are the effects of pulmonary HTN ? -✓✓ Dilated pulmonary artery
Severe TR
RV dilation

• What happens to the size of an aneurysm during systole? -✓✓ It increases

• In patients with A-Fib which heart sound would be missing ? -✓✓ Fourth

• What is the normal O2 saturation of the left heart ? -✓✓ 98%

• What is cardiac output? -✓✓ 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 -✓✓ Blood backs up to lungs and patient has shortness
of breath

• What part of the heart is affected when there is pulmonary edema ? -✓✓ Left side of
heart

• What is the primary cause of Congestive Heart Failure? -✓✓ Systolic dysfunction.

, • What part of the heart is affected when there is peripheral edema? -✓✓ Right side of
the heart

• When the foremen ovale closes after birth due to increased left atrial pressure the spot
it was located is now called? -✓✓ Fossa ovalis

• Mitral regurge hemodynamic evaluation is done in ? -✓✓ Systole

• Aortic stenosis evaluation is done in? -✓✓ Systole

• Tricuspid stenosis evaluation is done in ? -✓✓ Diastole

• What is Dresslers syndrome ? -✓✓ Pericardial effusion after myocardial infarction

• Is left atrial thrombus common in patients with mitral stenosis? -✓✓ Yes, especially in
appendage

• What are 3 factors affecting stroke volume? -✓✓ Preload, after-load, contractility

• What is fractional shortening? -✓✓ It is the fraction of any diastolic dimension that is
lost in systole.
*normal range = 25-45%

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

• What is QP and QS? -✓✓ QP= pulmonary circulatory flow
QS= systemic circulatory flow

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

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

• What chamber of the heart would be greater affected in patients with ventricular septal
defects and left to right shunting? -✓✓ Right atrium

• A patient with a higher blood pressure in the right arm than the left arm may have? -
✓✓ Coarctation of aorta