CCI ECHO CORE EXAM 2026 SET QUESTIONS AND
ANSWERS SURE A+
✔✔What system control can reduce the appearance of flash artifact on a color Doppler
image?
A. Decreasing color priority
B. Decreasing PRF
C. Increasing persistence
D. Increasing color threshold - ✔✔A
✔✔A patient with a history of rheumatic fever presents with a mid systolic click heard
with a grade 2 late systolic murmur. These findings are most suggestive of?
A. Isolated mitral Regurgitation
B. Isolated mitral stenosis
C. Isolated mitral valve prolapse
D. MVP and mitral regurgitation - ✔✔D
✔✔Which of the following is an expected finding on an echo on a patient with infiltrative
cardiomyopathy? Choose all answers that apply.
A. Pleural effusion
B. Aortic dilatation
C. Left ventricular hypertrophy
D. Thinned myocardium - ✔✔A,C
✔✔Which of the following describes mechanical focusing?
A. Using the read magnification function to adjust the size of the image
B. Using timed pulser voltages to dynamically focus the beam
C. Processing the reflected signals at varied times to focus the beam
D. Internal lens shapes beam before it exits the transducer - ✔✔D
✔✔The S2 heart sound corresponds with:
A. Atrioventricular valve opening snap
B. Atrioventricular valve closure
C. Semilunar valve closure
D. Isovolumic contraction - ✔✔C
✔✔The S1 heart sound corresponds with:
A. Atrioventricular valve opening snap
B. Atrioventricular valve closure
C. Semilunar valve closure
D. Isovolumic contraction - ✔✔B
✔✔The Bruce protocol is used to evaluate:
A. Adult congenital heart disease
,B. Transcatheter valve replacement position
C. Coronary artery disease
D. Left ventricular assist devices - ✔✔C
✔✔Which of the following transthoracic echo views can be used to evaluate the left
atrial appendage?
A. Apical 5
B. Parasternal short axis
C. Subcostal 4
D. Apical 2 - ✔✔D
✔✔Which of the following statements regarding Ventricular septal defects is true?
A. In small to medium defects, flow normally occurs from the right ventricle to the left
ventricle during systole.
B. The muscular type of VSD is the most common
C. The membranous type of VSD is located at the junction of the left ventricular outflow
tract and the muscular portion of the septum
D. Multiple inlet defects can cause the muscular septum to have a Swiss cheese
appearance - ✔✔C
✔✔A patient currently undergoing chemotherapy for breast cancer is referred for an
echo. A small mass is noted within the right ventricular wall and mild pericardial
effusion. There is debris and fibrous strands throughout the effusion. The mass in the
right ventricle is most likely
A. Rhabdomyoma
B. Myxoma
C. Primary cardiac malignancy
D. Secondary cardiac malignancy - ✔✔D
✔✔How many veins empty deoxygenated blood into the right atrium?
A. 4
B. 2
C. 6
D. 3 - ✔✔D
✔✔Greater than 2 cm of pericardial fluid surrounding the heart indicates
A. Mild pericardial effusion
B. Cardiac tamponade
C. Moderate pericardial effusion
D. Severe pericardial effusion - ✔✔D
✔✔Which of the following is a contraindication for a mitral valve balloon valvuloplasty?
A. Left atrial thrombus
B. Rheumatic heart disease
C. Persistent left SVC
, D. Prior coronary bypass surgery - ✔✔A
✔✔Clutter, cross talk, and beam width artifact can be reduced or eliminated by
A. Increasing the velocity scale
B. Decreasing wall filter settings
C. Reducing the velocity scale
D. Increasing wall filter settings - ✔✔D
✔✔What is the most common bi-leaflet mechanical disk valve?
A. Bjork Shiley
B. St. Jude
C. Starr Edwards
D. Beall-Stugitool - ✔✔B
✔✔Which of the following correctly describes the best way to record hepatic vein flow
on Doppler evaluation?
A. Placed the cursor in the proximal hepatic vein and have the patient breathe normally
B. Place the cursor in the proximal hepatic vein and have the patient take a deep breath
and hold it
C. Place the cursor in the distal hepatic vein and have the patient take a deep breath
and hold it
D. Place the cursor in the proximal hepatic vein and have the patient take a deep
breath, blow it out and hold it - ✔✔A
✔✔Which of the following is true regarding stenosis of the tricuspid valve? Choose all
answers that apply .
A. Tricuspid stenosis is more common than pulmonary stenosis
B. Tricuspid stenosis leads to right Ventricular hypertrophy
C. Atherosclerosis is the most common cause of Tricuspid stenosis
D. Tricuspid stenosis is rarely an isolated abnormality and is usually identified along
with mitral stenosis - ✔✔B,D
✔✔Which valve is normally positioned most anterior within the heart/chest?
A. Pulmonary valve
B. Mitral valve
C. Aortic valve
D. Tricuspid valve - ✔✔A
✔✔Which cardiac structure is most commonly affected by anterior chest trauma?
A. Coronary artery origins
B. Interventricular septum
C. Left ventricle
D. Right ventricle - ✔✔D
ANSWERS SURE A+
✔✔What system control can reduce the appearance of flash artifact on a color Doppler
image?
A. Decreasing color priority
B. Decreasing PRF
C. Increasing persistence
D. Increasing color threshold - ✔✔A
✔✔A patient with a history of rheumatic fever presents with a mid systolic click heard
with a grade 2 late systolic murmur. These findings are most suggestive of?
A. Isolated mitral Regurgitation
B. Isolated mitral stenosis
C. Isolated mitral valve prolapse
D. MVP and mitral regurgitation - ✔✔D
✔✔Which of the following is an expected finding on an echo on a patient with infiltrative
cardiomyopathy? Choose all answers that apply.
A. Pleural effusion
B. Aortic dilatation
C. Left ventricular hypertrophy
D. Thinned myocardium - ✔✔A,C
✔✔Which of the following describes mechanical focusing?
A. Using the read magnification function to adjust the size of the image
B. Using timed pulser voltages to dynamically focus the beam
C. Processing the reflected signals at varied times to focus the beam
D. Internal lens shapes beam before it exits the transducer - ✔✔D
✔✔The S2 heart sound corresponds with:
A. Atrioventricular valve opening snap
B. Atrioventricular valve closure
C. Semilunar valve closure
D. Isovolumic contraction - ✔✔C
✔✔The S1 heart sound corresponds with:
A. Atrioventricular valve opening snap
B. Atrioventricular valve closure
C. Semilunar valve closure
D. Isovolumic contraction - ✔✔B
✔✔The Bruce protocol is used to evaluate:
A. Adult congenital heart disease
,B. Transcatheter valve replacement position
C. Coronary artery disease
D. Left ventricular assist devices - ✔✔C
✔✔Which of the following transthoracic echo views can be used to evaluate the left
atrial appendage?
A. Apical 5
B. Parasternal short axis
C. Subcostal 4
D. Apical 2 - ✔✔D
✔✔Which of the following statements regarding Ventricular septal defects is true?
A. In small to medium defects, flow normally occurs from the right ventricle to the left
ventricle during systole.
B. The muscular type of VSD is the most common
C. The membranous type of VSD is located at the junction of the left ventricular outflow
tract and the muscular portion of the septum
D. Multiple inlet defects can cause the muscular septum to have a Swiss cheese
appearance - ✔✔C
✔✔A patient currently undergoing chemotherapy for breast cancer is referred for an
echo. A small mass is noted within the right ventricular wall and mild pericardial
effusion. There is debris and fibrous strands throughout the effusion. The mass in the
right ventricle is most likely
A. Rhabdomyoma
B. Myxoma
C. Primary cardiac malignancy
D. Secondary cardiac malignancy - ✔✔D
✔✔How many veins empty deoxygenated blood into the right atrium?
A. 4
B. 2
C. 6
D. 3 - ✔✔D
✔✔Greater than 2 cm of pericardial fluid surrounding the heart indicates
A. Mild pericardial effusion
B. Cardiac tamponade
C. Moderate pericardial effusion
D. Severe pericardial effusion - ✔✔D
✔✔Which of the following is a contraindication for a mitral valve balloon valvuloplasty?
A. Left atrial thrombus
B. Rheumatic heart disease
C. Persistent left SVC
, D. Prior coronary bypass surgery - ✔✔A
✔✔Clutter, cross talk, and beam width artifact can be reduced or eliminated by
A. Increasing the velocity scale
B. Decreasing wall filter settings
C. Reducing the velocity scale
D. Increasing wall filter settings - ✔✔D
✔✔What is the most common bi-leaflet mechanical disk valve?
A. Bjork Shiley
B. St. Jude
C. Starr Edwards
D. Beall-Stugitool - ✔✔B
✔✔Which of the following correctly describes the best way to record hepatic vein flow
on Doppler evaluation?
A. Placed the cursor in the proximal hepatic vein and have the patient breathe normally
B. Place the cursor in the proximal hepatic vein and have the patient take a deep breath
and hold it
C. Place the cursor in the distal hepatic vein and have the patient take a deep breath
and hold it
D. Place the cursor in the proximal hepatic vein and have the patient take a deep
breath, blow it out and hold it - ✔✔A
✔✔Which of the following is true regarding stenosis of the tricuspid valve? Choose all
answers that apply .
A. Tricuspid stenosis is more common than pulmonary stenosis
B. Tricuspid stenosis leads to right Ventricular hypertrophy
C. Atherosclerosis is the most common cause of Tricuspid stenosis
D. Tricuspid stenosis is rarely an isolated abnormality and is usually identified along
with mitral stenosis - ✔✔B,D
✔✔Which valve is normally positioned most anterior within the heart/chest?
A. Pulmonary valve
B. Mitral valve
C. Aortic valve
D. Tricuspid valve - ✔✔A
✔✔Which cardiac structure is most commonly affected by anterior chest trauma?
A. Coronary artery origins
B. Interventricular septum
C. Left ventricle
D. Right ventricle - ✔✔D
