CCI EXAM LATEST QUESTIONS WITH CORRECT ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
DETAILED ANSWERS 2026-2027 WITH RATIONALES ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ALREADY GRADED A+ ||\\//|| ||\\//|| ||\\//||
Which valves separate the areas of greatest pressure differences (and lowest) - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Mitral valve (TV) ||\\//|| ||\\//||
The LAD lies in the _______ interventricular sulcus? - correct answer✔✔Anterior
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
From the left parasternal window which of the following are you most likely to get accurate
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
velocity measurements? - correct answer✔✔pulmonary artery
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
During which phase do the Coto Aries fill? - correct answer✔✔Easily diastole
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
From the apical 4ch view how do you rotate the transducer to obtain the apical LAX? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔Counterclockwise 120 ||\\//|| ||\\//||
Which valve sits at the opening of the coronary sinus? - correct answer✔✔Thebesian
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which has the fastest intrinsic rate? - correct answer✔✔SA node
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
With a velocity of .5 m/sec what is the gradient? - correct answer✔✔1 mm Hg
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
How do you eliminate aliasing on PW spectral Doppler? - correct answer✔✔Switch to CW
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Doppler
,What does VTI x CSA equal? - correct answer✔✔Doppler stroke volume
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Inhalation of amyl nitrite causes: - correct answer✔✔Decreased afterload ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Know isovolumetric timing with the ECH - correct answer✔✔After R wave= isovolumic
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
contraction
After T wave= isovolumic relaxation
||\\//|| ||\\//|| ||\\//|| ||\\//||
On the wingers diagram when is the mitral valve open? - correct answer✔✔4-1
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
When is the LV and LA volumes highest? - correct answer✔✔LV- end diastole
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
LA- end systole||\\//|| ||\\//||
What are the normal pressure in the pulmonary artery - correct answer✔✔25/10
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Where is the O2 saturation the lowest? - correct answer✔✔coronary sinus
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
O2 saturation in the pulmonary veins - correct answer✔✔95%
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
O2 saturation in pulmonary arteries - correct answer✔✔75%
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Best cath technique for LV function? - correct answer✔✔LV angiogram
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Left atrial pressure matches the pressure of what other area? - correct answer✔✔PCW
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What is PCW? - correct answer✔✔Left atrial pressure
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, To determine AS where are the catheters placed? - correct answer✔✔1. one in the LV and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
one in the Ao ||\\//|| ||\\//|| ||\\//||
2. or one in the LV and "pulled back" across the AoV or one catheter with two seperate
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
sensors
Apical swirling of the echo contrast for LVO is caused by: - correct answer✔✔High MI
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Sonographers should do peer to peer reviews how often for quality/ technical review? - ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔2 times per month ||\\//|| ||\\//|| ||\\//|| ||\\//||
Whose responsibility is it to obtain the informed consent prior to a TEE? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Physician
A secondary finding in aortic stenosis is? - correct answer✔✔Left ventricular hypertrophy
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
In aortic stenosis is pulse pressure wide or narrow - correct answer✔✔Narrow
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Systemic hypertension is a common symptom of - correct answer✔✔Aortic coarctation ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Best view to diagnosis a bicuspid aortic valve is the parasternal - correct answer✔✔Short-
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
axis systole (football shaped)||\\//|| ||\\//|| ||\\//||
What is Takayasu arteritis? - correct answer✔✔Aortic arch syndrome
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Fibrosis of the arch and descending Ao of unknown etiology ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The normal aortic valve area is - correct answer✔✔3-4 cm2
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
DETAILED ANSWERS 2026-2027 WITH RATIONALES ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ALREADY GRADED A+ ||\\//|| ||\\//|| ||\\//||
Which valves separate the areas of greatest pressure differences (and lowest) - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Mitral valve (TV) ||\\//|| ||\\//||
The LAD lies in the _______ interventricular sulcus? - correct answer✔✔Anterior
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
From the left parasternal window which of the following are you most likely to get accurate
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
velocity measurements? - correct answer✔✔pulmonary artery
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
During which phase do the Coto Aries fill? - correct answer✔✔Easily diastole
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
From the apical 4ch view how do you rotate the transducer to obtain the apical LAX? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔Counterclockwise 120 ||\\//|| ||\\//||
Which valve sits at the opening of the coronary sinus? - correct answer✔✔Thebesian
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which has the fastest intrinsic rate? - correct answer✔✔SA node
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
With a velocity of .5 m/sec what is the gradient? - correct answer✔✔1 mm Hg
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
How do you eliminate aliasing on PW spectral Doppler? - correct answer✔✔Switch to CW
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Doppler
,What does VTI x CSA equal? - correct answer✔✔Doppler stroke volume
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Inhalation of amyl nitrite causes: - correct answer✔✔Decreased afterload ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Know isovolumetric timing with the ECH - correct answer✔✔After R wave= isovolumic
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
contraction
After T wave= isovolumic relaxation
||\\//|| ||\\//|| ||\\//|| ||\\//||
On the wingers diagram when is the mitral valve open? - correct answer✔✔4-1
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
When is the LV and LA volumes highest? - correct answer✔✔LV- end diastole
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
LA- end systole||\\//|| ||\\//||
What are the normal pressure in the pulmonary artery - correct answer✔✔25/10
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Where is the O2 saturation the lowest? - correct answer✔✔coronary sinus
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
O2 saturation in the pulmonary veins - correct answer✔✔95%
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
O2 saturation in pulmonary arteries - correct answer✔✔75%
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Best cath technique for LV function? - correct answer✔✔LV angiogram
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Left atrial pressure matches the pressure of what other area? - correct answer✔✔PCW
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What is PCW? - correct answer✔✔Left atrial pressure
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, To determine AS where are the catheters placed? - correct answer✔✔1. one in the LV and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
one in the Ao ||\\//|| ||\\//|| ||\\//||
2. or one in the LV and "pulled back" across the AoV or one catheter with two seperate
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
sensors
Apical swirling of the echo contrast for LVO is caused by: - correct answer✔✔High MI
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Sonographers should do peer to peer reviews how often for quality/ technical review? - ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔2 times per month ||\\//|| ||\\//|| ||\\//|| ||\\//||
Whose responsibility is it to obtain the informed consent prior to a TEE? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Physician
A secondary finding in aortic stenosis is? - correct answer✔✔Left ventricular hypertrophy
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
In aortic stenosis is pulse pressure wide or narrow - correct answer✔✔Narrow
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Systemic hypertension is a common symptom of - correct answer✔✔Aortic coarctation ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Best view to diagnosis a bicuspid aortic valve is the parasternal - correct answer✔✔Short-
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
axis systole (football shaped)||\\//|| ||\\//|| ||\\//||
What is Takayasu arteritis? - correct answer✔✔Aortic arch syndrome
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Fibrosis of the arch and descending Ao of unknown etiology ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The normal aortic valve area is - correct answer✔✔3-4 cm2
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
