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Vascular Registry CCI Review 2025/2026 – 250+ Solved Questions on Doppler Principles, Cerebrovascular & Peripheral Imaging, Hemodynamics, Pathologies & Testing Protocols

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This in-depth vascular ultrasound review guide contains over 250 expertly explained and solved questions to help candidates succeed in the CCI (Cardiovascular Credentialing International) Vascular Registry Exam (RVS credential) for the 2025/2026 testing cycle. Structured around the exam's core content areas, this document ensures mastery of both theoretical and clinical aspects of vascular sonography. Topics covered include Doppler physics and instrumentation, carotid and vertebral imaging, peripheral arterial testing (resting and post-exercise ABI), venous reflux studies, deep vein thrombosis, cerebrovascular assessment, transcranial Doppler (TCD), venous hemodynamics, renal artery duplex scanning, portal vein analysis, graft surveillance, and waveform pattern recognition. Important vascular pathologies such as stenosis, occlusions, aneurysms, subclavian steal syndrome, and thrombus formation are presented with clear rationales and testing logic. Also included are review sections on velocity criteria, plaque characterization, waveform morphology, imaging techniques, normal vs abnormal flow states, and vascular exam protocol standards. This review is structured to build confidence through repetition and clinical context while reinforcing vascular diagnostic best practices. Best suited for: – Students in vascular sonography or cardiovascular technology programs – Candidates preparing for the RVS (CCI) certification exam – Imaging professionals in vascular labs, ultrasound departments, or cardiology clinics – Sonographers seeking recertification or foundational review in vascular imaging Keywords: vascular registry review, CCI RVS exam prep, Doppler physics, ABI testing, carotid ultrasound, venous duplex exam, TCD criteria, hemodynamic interpretation, aneurysm vs pseudoaneurysm, stenosis grading, DVT protocol, plaque characterization, flow patterns, subclavian steal test, velocity criteria vascular, duplex ultrasound review, renal artery stenosis, waveform morphology, vascular lab standards

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Vascular Registry CCI
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Vascular Registry CCI

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Vascular Registry CCI Review 2025/2026
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Abdominal Aorta waveform(s) - 🧠ANSWER ✔✔Low resistance proximal, Higher

resistance beyond renals


Celiac Artery supplies - 🧠ANSWER ✔✔Liver, spleen, stomach, & proximal small

bowel


Branches of the Abdominal AO - 🧠ANSWER ✔✔1st major-Celiac artery

(trunk/axis)

2nd major-SMA

Renals

3rd major-IMA (after renals)

,Celiac Axis - 🧠ANSWER ✔✔Branches into Common Hepatic (to right), Splenic,

& Left Gastric (off left)


Common Hepatic Arteries - 🧠ANSWER ✔✔Gives rise to the Gastroduodenal

artery in PANC head & divides into Rt & Lt Hepatics


Splenic Artery - 🧠ANSWER ✔✔Branches left and posteriosuperior to PANC

body/tail


SMA/IMA waveforms - 🧠ANSWER ✔✔High resistance preprandial/Low

resistance postprandial


SMA supplies - 🧠ANSWER ✔✔Bowel from duodenum to prox small bowel


IMA supplies - 🧠ANSWER ✔✔Bowel descending & rectosigmoid colon


Right Renal Artery - 🧠ANSWER ✔✔Branches anterolateral, posterior to IVC


Left Renal Artery - 🧠ANSWER ✔✔Branches posterolateral


Renal Artery waveform - 🧠ANSWER ✔✔Low resistance


Portal vein is usually formed by the confluence of - 🧠ANSWER ✔✔SMV &

Splenic veins

,*It also receives blood from the inferior mesenteric, gastric, and cystic veins


Portals walls/waveforma - 🧠ANSWER ✔✔echogenic walls & phasic waveforms


Renal veins are formed by - 🧠ANSWER ✔✔renal tributaries


Left Renal Vein - 🧠ANSWER ✔✔Longer than Rt.; Receives suprarenal/Gonadal

vein


Left Renal pathway - 🧠ANSWER ✔✔Anterior to AO; Posterior to SMA


Right Renal Vein - 🧠ANSWER ✔✔No tributaries; shorter


Hepatic Veins - 🧠ANSWER ✔✔Hepatofugal flow; from liver to IVC


Patient status for Abdominal Vascular Imaging - 🧠ANSWER ✔✔NPO 8-12 hours


Ectasia - 🧠ANSWER ✔✔Local diameter increase with small bulge


(20% increase for Ao <3cm)


AAA growth rate - 🧠ANSWER ✔✔1-2mm/year until 3-4cm; 5 mm/yr >4cm


Aneurysm classification - 🧠ANSWER ✔✔2-3cm; 3-4cm for AAA


AAA Intervention - 🧠ANSWER ✔✔5.5cm (high risk for rupture-catastrophic)


Fusiform - 🧠ANSWER ✔✔Concentric enlargement; All 3 layers intact


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

, Saccular - 🧠ANSWER ✔✔Eccentric enlargement; All 3 layers compromised; Less

common (<1%); Usually in Thoracic Ao


Types of Saccular AAA - 🧠ANSWER ✔✔1-Cannula Placement


2-Mycotic aneurysm (bacterial infection Ao wall)

3-Vasculitis (Inflammatory process)

4-Penetrating ulcer rupture into media


Vasculitis/Aortitis - 🧠ANSWER ✔✔Inflammatory process in wall of Ao beginning

with outer (adventitia) layer and moving inward; ie: Takayasu's


Dissection - 🧠ANSWER ✔✔Intimal wall compromised resulting in 2 lumens


false>true; flow reversal


Type 1 (a/b) endoleak - 🧠ANSWER ✔✔Leak in anastamosis of graft at (a) prox or

(b) distal end


Type 2 endoleak - 🧠ANSWER ✔✔Aorta branch vessel; exhibits retrograde flow;

more dangerous b/c internally bleeding


Type 3/4 endoleak - 🧠ANSWER ✔✔(3) Junction of modular components; (4)

Trans graft flow-graft defect

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