CCI RCS Study Guide (revised) Latest Update
2025-2026 Exam 275 Questions with 100%
Verified Correct Answers Guaranteed A+
"Electrical alternans" is seen on a patients EKG. The echo will most likely show? -
CORRECT ANSWER: Large pericardial effusion
A __________ pulse will improve axial resolution. - CORRECT ANSWER: Shorter
A "b-notch" on the mitral valve in m mode is associated with ? - CORRECT ANSWER:
Increased left ventricular end diastolic pressure
A 22 year old patient with Down syndrome is referred to an echo lab. The most common
lesion associated with these patients is ? - CORRECT ANSWER: Atrioventricular septal
defect
A 2D echo shows increased wall thickness of ventricular walls but normal left ventricular
size. The myocardium has a speckled appearance, what type of myopathy might be
present? - CORRECT ANSWER: Infiltrative/restrictive
A common cause cause for right ventricle volume overload is? - CORRECT ANSWER:
Tricuspid regurgitation
A left ventricular thrombus is usually in an area of? - CORRECT ANSWER: Abnormal
wall motion/akinesia
A mitral heterograft valve in m-mode resembles which valve? - CORRECT ANSWER:
Aortic
A P-R interval longer than 0.2 seconds on ECG is called: - CORRECT ANSWER: First
degree AV block
,A patent ductus arteriosus has what type of murmur? - CORRECT ANSWER:
Continuous
A patient has grade IV/VI systolic crescendo-decrescendo murmur. What would the
pathology most likely be? - CORRECT ANSWER: Aortic stenosis
A patient has had a mitral commissurotomy , what could be seen in echo ? - CORRECT
ANSWER: Valve will appear rheumatic w/thickened tips
A patient has infective endocarditis what will their echo likely show: - CORRECT
ANSWER: -vegetation as small as 2-3mm can be seen
-pre existing valve disease may obscure the presence of vegetation
-vegetation usually appear on the flow side of the valve leaflets
A patient has Marfans syndrome, what are you most likely to find ? - CORRECT
ANSWER: Dilated aortic root
A patient has positional and respiratory variation and chest pain, what disease could
they have? - CORRECT ANSWER: Pericarditis
A patient is diagnosed with Kawasaki's disease, what do you look for in echo? -
CORRECT ANSWER: Regional wall motion abnormalities
A patient is sent to echo lab with a diagnosis of constrictive pericarditis, you perform a
contrast study to look for ? - CORRECT ANSWER: Presystolic appearance of contrast
in the inferior vena cava
A patient with a higher blood pressure in the right arm than the left arm may have? -
CORRECT ANSWER: Coarctation of aorta above the left subclavian artery branch
, A patient with a recent myocardial infarction is diagnosed with Dressler's syndrome. A
2D study should be performed to rule out what ? - CORRECT ANSWER: Pericardial
effusion
A patient with a systolic murmur and a fixed split S2 may have? - CORRECT ANSWER:
Atrial septal defect
A patient with crescendo/decrescendo systolic murmur and a decreased A2 would
probably be sent to echo lab to evaluate what? - CORRECT ANSWER: Aortic stenosis
A patient with hypertrophic cardiomyopathy might have on their echo..... - CORRECT
ANSWER: -asymmetric septal hypertrophy
-mid systolic closure of aortic valve
-systolic anterior motion of mitral valve (SAM)
-mitral insufficiency
A patient with left atrial myxoma may have symptoms similar to patients with? -
CORRECT ANSWER: Mitral stenosis
A patient with left heart failure will have : - CORRECT ANSWER: -elevation of left
ventricular end diastolic pressure
-elevation of pulmonary venous pressures
-fall in cardiac output
- pulmonary edema
A prominent eustachian valve is seen in the right atrium. What is the eustachian valve? -
CORRECT ANSWER: a normal valve of the inferior vena cava left over from
embryology, commonly seen in subcostal view
A ventricular premature beat originates in? - CORRECT ANSWER: An ectopic focus in
the ventricles
2025-2026 Exam 275 Questions with 100%
Verified Correct Answers Guaranteed A+
"Electrical alternans" is seen on a patients EKG. The echo will most likely show? -
CORRECT ANSWER: Large pericardial effusion
A __________ pulse will improve axial resolution. - CORRECT ANSWER: Shorter
A "b-notch" on the mitral valve in m mode is associated with ? - CORRECT ANSWER:
Increased left ventricular end diastolic pressure
A 22 year old patient with Down syndrome is referred to an echo lab. The most common
lesion associated with these patients is ? - CORRECT ANSWER: Atrioventricular septal
defect
A 2D echo shows increased wall thickness of ventricular walls but normal left ventricular
size. The myocardium has a speckled appearance, what type of myopathy might be
present? - CORRECT ANSWER: Infiltrative/restrictive
A common cause cause for right ventricle volume overload is? - CORRECT ANSWER:
Tricuspid regurgitation
A left ventricular thrombus is usually in an area of? - CORRECT ANSWER: Abnormal
wall motion/akinesia
A mitral heterograft valve in m-mode resembles which valve? - CORRECT ANSWER:
Aortic
A P-R interval longer than 0.2 seconds on ECG is called: - CORRECT ANSWER: First
degree AV block
,A patent ductus arteriosus has what type of murmur? - CORRECT ANSWER:
Continuous
A patient has grade IV/VI systolic crescendo-decrescendo murmur. What would the
pathology most likely be? - CORRECT ANSWER: Aortic stenosis
A patient has had a mitral commissurotomy , what could be seen in echo ? - CORRECT
ANSWER: Valve will appear rheumatic w/thickened tips
A patient has infective endocarditis what will their echo likely show: - CORRECT
ANSWER: -vegetation as small as 2-3mm can be seen
-pre existing valve disease may obscure the presence of vegetation
-vegetation usually appear on the flow side of the valve leaflets
A patient has Marfans syndrome, what are you most likely to find ? - CORRECT
ANSWER: Dilated aortic root
A patient has positional and respiratory variation and chest pain, what disease could
they have? - CORRECT ANSWER: Pericarditis
A patient is diagnosed with Kawasaki's disease, what do you look for in echo? -
CORRECT ANSWER: Regional wall motion abnormalities
A patient is sent to echo lab with a diagnosis of constrictive pericarditis, you perform a
contrast study to look for ? - CORRECT ANSWER: Presystolic appearance of contrast
in the inferior vena cava
A patient with a higher blood pressure in the right arm than the left arm may have? -
CORRECT ANSWER: Coarctation of aorta above the left subclavian artery branch
, A patient with a recent myocardial infarction is diagnosed with Dressler's syndrome. A
2D study should be performed to rule out what ? - CORRECT ANSWER: Pericardial
effusion
A patient with a systolic murmur and a fixed split S2 may have? - CORRECT ANSWER:
Atrial septal defect
A patient with crescendo/decrescendo systolic murmur and a decreased A2 would
probably be sent to echo lab to evaluate what? - CORRECT ANSWER: Aortic stenosis
A patient with hypertrophic cardiomyopathy might have on their echo..... - CORRECT
ANSWER: -asymmetric septal hypertrophy
-mid systolic closure of aortic valve
-systolic anterior motion of mitral valve (SAM)
-mitral insufficiency
A patient with left atrial myxoma may have symptoms similar to patients with? -
CORRECT ANSWER: Mitral stenosis
A patient with left heart failure will have : - CORRECT ANSWER: -elevation of left
ventricular end diastolic pressure
-elevation of pulmonary venous pressures
-fall in cardiac output
- pulmonary edema
A prominent eustachian valve is seen in the right atrium. What is the eustachian valve? -
CORRECT ANSWER: a normal valve of the inferior vena cava left over from
embryology, commonly seen in subcostal view
A ventricular premature beat originates in? - CORRECT ANSWER: An ectopic focus in
the ventricles
