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CCI Physics of Ultrasound URR 2025/2026 | 100+ High-Yield Questions with Answers | Doppler, Resolution, Artifacts, Temporal & Axial Techniques

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This high-impact resource provides over 100 accurately solved multiple-choice questions tailored for the CCI Physics of Ultrasound URR 2025/2026 exam, with in-depth answer explanations. It covers the core principles and technical intricacies needed for ultrasound certification, particularly focused on cardiovascular sonography and echocardiography. Topics include Doppler techniques, acoustic artifacts, temporal and axial resolution strategies, system controls, image optimization, and ultrasound beam characteristics. It is ideal for students and professionals preparing for the CCI Registry Exams, such as the RCS (Registered Cardiac Sonographer) and RVS (Registered Vascular Specialist), as well as anyone pursuing credentialing in cardiac ultrasound or physics-based sonographic applications. The question set reflects the latest standards in ultrasound physics and is aligned with exam updates for 2025/2026. Best suited for: Diagnostic Medical Sonography students Cardiovascular Technology programs CCI certification candidates (RCS, RVS, RCCS, etc.) Professionals preparing for physics or instrumentation board exams This document is a focused, exam-optimized review tool that teaches both concepts and test strategies—especially helpful for time management, system adjustments, and resolving clinical scenarios. Keywords: ultrasound physics, Doppler imaging, axial resolution, temporal resolution, artifacts in ultrasound, beam intensity, PRF, frame rate, CCI exam prep, URR review, image optimization, harmonic imaging, M-mode, sample volume, aliasing, acoustic impedance, cardiac ultrasound, sonography exam questions

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CCI: Physics of Ultrasound-URR
2025/2026 Exam Questions with 100%
Correct Answers | Latest Update



Which of the following adjustments will change the image data that will be stored

in the memory of the ultrasound system?

A) Both pre-processing and post-processing

B) Post-processing

C) Changing monitor contrast settings at the beginning of the exam.


D) Pre-Processing - 🧠ANSWER ✔✔Pre-processing-is performed as the image is

"live" or in real time, before it has been stored to memory.

Which measurement of beam intensity is used to describe levels of intensity

associated with US bioeffects?

A) Spatial peak temporal peak

B) Spatial average temporal peak

C) Spatial average temporal average

,D) Spatial peak temporal average - 🧠ANSWER ✔✔Spatial peak temporal average


Which of the following technical factors can negatively affect the 2D planimetry

evaluation of the mitral valve?

A) Valve masking from mechanical MVR and lateral resolution

B) Transducer with a short spatial pulse length and long wavelength

C) Lateral resolution and gain settings

D) Transducer with a short spatial pulse length and high frequency - 🧠ANSWER

✔✔Lateral resolution and gain settings


________________ occurs posterior to highly attenuating structures.

A) Misregistration

B) Refraction

C) Shadowing


D) Enhancement - 🧠ANSWER ✔✔Shadowing


If you increase the power output on the machine:

A) Beam intensity and beam penetration increases

B) Beam intensity and the magnitude of the doppler shift increases



COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED

,C) Beam intensity, resolution and beam penetration increase

D) Beam penetration and the magnitude of the doppler shift increase - 🧠ANSWER

✔✔Beam intensity and beam penetration increase


Which of the following will aid in visualization of the endocardium?

A) Increased transducer frequency

B) Larger sector size

C) Increased wall filter


D) Agitated saline contrast - 🧠ANSWER ✔✔Increased transducer frequency-this

will improve spatial and contrast resolution

All of the following are techniques used to better visualize the LV apex in the

apical view, except?

A) Change to a lower frequency transducer

B) Contrast administration

C) Apply color doppler to the LV chamber


D) Adjust focal zone depth - 🧠ANSWER ✔✔Change to a lower frequency

transducer-a lower frequency probe will improve penetration but decrease

resolution


COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED

, Which of the following ultrasound techniques has the highest temporal resolution?

A) 3D imaging

B) 2D imaging

C) Color doppler


D) M-Mode - 🧠ANSWER ✔✔M-Mode


Lateral resolution is defined as:

A) The ability to differentiate two reflectors that are perpendicular to the US beam

B) The ability to differentiate two reflectors that are moving in a direction parallel

to the US beam

C) The ability to differentiate two reflectors that are parallel to the US beam

D) The ability to differentiate two reflectors that are moving in a direction that is

perpendicular to the US beam - 🧠ANSWER ✔✔The ability to differentiate two

reflectors that are parallel to the US beam

Frequencies used in transthoracic imaging are usually in the range of

____________. Frequencies used in transesophageal imaging are usually in the

range of ______________.

A) 3-6 MHz;6-8 MHz


COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED

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