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CCI RCS REGISTRY EXAM NEWEST 2026 ACTUAL EXAM| COMPLETE 400 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+| CCI RCS STUDY GUIDE 2026 (BRAND NEW!!)

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Prepare for the Cardiovascular Credentialing International (CCI) Registered Cardiac Sonographer (RCS) exam with the most up-to-date 2026 study guide available. This complete resource contains 400 actual exam questions and verified correct answers, covering every major topic you will face on the adult echocardiography board, from aortic coarctation and valvular heart disease to cardiomyopathy, pericardial disease, congenital defects, and ultrasound physics. Each answer is detailed and graded A+, helping you master critical concepts like Doppler hemodynamics, m-mode measurements, pathology recognition, and clinical correlations. Whether you need to understand the Frank-Starling law, identify the best views for specific defects, or calculate gradients and pressures, this guide provides the high-yield practice you need to pass the CCI RCS exam with confidence.

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CCI RCS REGISTRY
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CCI RCS REGISTRY EXAM NEWEST 2026 ACTUAL
EXAM| COMPLETE 400 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| CCI RCS STUDY
GUIDE 2026 (BRAND NEW!!)

Where do most aortic coarctations occur? - CORRECT ANSWER ✔✔- aortic
isthmus


How can we specifically identify the location of an aortic isthmus? - CORRECT
ANSWER ✔✔- After the take-off of the left subclavian artery


Where are the pulmonary veins located? Where are they best visualized? -
CORRECT ANSWER ✔✔- Feed into the LA and are best visualized in 4 chamber


What pulmonary veins are viewed in apical 4 chamber? - CORRECT ANSWER ✔✔-
Lower pulmonary veins


What pulmonary veins are viewed in apical 5 chamber? - CORRECT ANSWER ✔✔-
Upper pulmonary veins


From the apical 4 chamber view how do you rotate the transducer to obtain the
apical LAX? - CORRECT ANSWER ✔✔- clockwise 120 degrees


Where is the coronary sinus located? - CORRECT ANSWER ✔✔- posterior AV
groove

1

,Which view do you use to evaluate the coronary sinus? - CORRECT ANSWER ✔✔-
PLAX


To visualize the coronary sinus in the apical 4 chamber view you should tilt the
transducer: - CORRECT ANSWER ✔✔- posterior


Which valve sits at the opening of the coronary sinus? - CORRECT ANSWER ✔✔-
Thebesian


What valve sits at the opening of the IVC? - CORRECT ANSWER ✔✔- Eustachian


Where is the Chiari network located? - CORRECT ANSWER ✔✔- Right atrium


What portion of the pulmonary venous PW Doppler represents atrial systole? -
CORRECT ANSWER ✔✔- A wave


At what temperature is it unsafe to use a TEE probe? - CORRECT ANSWER ✔✔-
40-45 degrees celcius (Above 41 degrees celcius)


Which electrical pathway has the fastest intrinsic rate? - CORRECT ANSWER ✔✔-
SA node


What is the absolute refractory state? - CORRECT ANSWER ✔✔- period when a
muscle cell is not excitable; occurs from phase 1 into phase 3



2

,What is a normal duration for the QRS complex? - CORRECT ANSWER ✔✔- 0.10
sec or 100 msec


This is known as the rubber band theory - CORRECT ANSWER ✔✔- Frank Starling
Law


What occurs during preload? - CORRECT ANSWER ✔✔- Filling


What is occuring during afterload? - CORRECT ANSWER ✔✔- Resistance to eject
blood out


Echo findings for preload: - CORRECT ANSWER ✔✔- dilatation


Echo findings for afterload: - CORRECT ANSWER ✔✔- hypertrophy


Which study does not allow for the calculation of ejection fraction? - CORRECT
ANSWER ✔✔- Chest x-ray


How do you eliminate aliasing on PW spectral doppler? - CORRECT ANSWER ✔✔-
Switch to continuous wave doppler


NOTE: Increasing PRF will and switching to a lower frequency transducer will
reduce, but not fully eliminate


What does VTI x CSA equal? - CORRECT ANSWER ✔✔- Doppler stroke volume


3

, What valve separates the areas of greatest pressure differences? - CORRECT
ANSWER ✔✔- Mitral valve


What valve separates the areas of the lowest pressure differences? - CORRECT
ANSWER ✔✔- Tricuspid valve


Where does the LAD lie on the heart? - CORRECT ANSWER ✔✔- Anterior
interventricular groove (sulcus)


What aortic cusp is superior in PLAX view? - CORRECT ANSWER ✔✔- RCC


What aortic cusp is posterior in PLAX view? - CORRECT ANSWER ✔✔- NCC


From the left parasternal window which of the following are you most likely to get
accurate velocity measurments? - CORRECT ANSWER ✔✔- Pulmonary artery


What view gives the most accurate velocities of the PV/pulmonary artery? -
CORRECT ANSWER ✔✔- PSAX; short axis


What is the red flow traveling to the RA that you can sometimes see from the
inflow view? - CORRECT ANSWER ✔✔- IVC


What are the tricuspid leaflets seen in the inflow view? - CORRECT ANSWER ✔✔-
anterior and posterior




4

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