CCI RCS EXAM 2023-2024 ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+

CCI RCS EXAM 2023-2024 ACTUAL EXAM 200 QUESTIONS

AND CORRECT DETAILED ANSWERS (100% VERIFIED

ANSWERS) |ALREADY GRADED A+

What segment of the RV free wall is seen in subcostal 4ch? - ANSWER- Inferior

What segment of the RV free wall is seen in PSAX? - ANSWER- Lateral, anterior,

and inferior

What segment of the RV free wall is seen in RVIT? - ANSWER- Anterior &

inferior

The IVCT begins after what wave on the EKG? - ANSWER- R wave

Blood flow volume changes in the body are mainly controlled by what two factors?

- ANSWER- Cardiac function & peripheral resistance

Normal AVA is: - ANSWER- 3-4 cm2

The incisura portion of aortic pressure wave occurs? - ANSWER- Immediately

after the AV closes

How do you differentiate between waveforms obtained from the MV & TV? -

ANSWER- The aortic flow pattern can be seen on the MV tracing, but the PA flow

is not evident on the TV tracing

The pulmonary capillary wedge pressure is normal if it is less than: - ANSWER10 mmHg

The majority of pulmonary venous flow into the LA occurs during: - ANSWERearly systole

Which TV leaflets are evaluated in PLAX? - ANSWER- Anterior & posterior (the

only view where the posterior TV leaflet can be seen)

The normal R-R interval is: - ANSWER- .6-1 sec (equates to 60-100 BPM)

What is the difference between the aortic & pulmonic valve Doppler tracings? -

ANSWER- The max velocity of the PV occurs later in the ejection cycle than the

AV

Where is the oblique sinus? - ANSWER- Posterior to the LA

As a patient ages, what normally happens to the pulmonary venous flow? -

ANSWER- The systolic component increases while the diastolic component

decreases

Tricuspid valve flow normally increases or decreases with inspiration? -

ANSWER- Increases slightly

Cardiac output is directly or indirectly related to stroke volume & heart rate? -

ANSWER- Directly

What wave represents atrial systole on the Doppler tracing of the pulmonary vein?

- ANSWER- A wave

What grade of diastolic dysfunction is indicated by a low EF and an E/A ratio of

over 2? - ANSWER- Grade III

Where are the basal segments located in the LV? - ANSWER- Between the AV

groove & the tip of the papillary muscle

Where are the mid segments located in the LV? - ANSWER- Segment that

includes the papillary muscle

Where are the apical segments located in the LV? - ANSWER- Between the base

of the papillary muscles to the apex

How does Doppler evaluation demonstrate that the pulmonary vascular resistance

is normally lower than resistance in the systemic vascular system? - ANSWERThe flow through the aortic valve reaches a peak velocity faster than the flow

through the pulmonary valve

What is another term for hypereosinophilia? - ANSWER- Loeffler endocarditis;

causes endocardial thickening of the inflow tracts and fibrous obliteration of the

left & right ventricular apices

What is the vertical structure to the right of the aortic arch in SSN that normally

demonstrates flow moving away from the transducer in systole? - ANSWER- SVC

How many pairs of aortic arches form during embryologic development? -

ANSWER- 6

An optimal LVOT tracing will demonstrate: - ANSWER- A clear spectral window

and the closing click of the AV

Which valve is more resistant to regurgitation, the AV or MV? - ANSWER- AV

What facilitates the contraction of the atrial appendages? - ANSWER- Pectinate

muscles in the walls of the appendages

Which pair of aortic arches forms the aortic arch during embryologic

development? - ANSWER- 4th left

When does the TV open & close? - ANSWER- Opens before the MV opens &

closes after the MV closes

When is the blood volume the lowest in the RA? - ANSWER- Early systole

The largest antegrade flow component seen on a Doppler tracing of a normal

hepatic vein is identified during which part of the cardiac cycle? - ANSWEREarly systole

What is stroke volume influenced by? - ANSWER- Preload, afterload, and

myocardial contractility

How does bradycardia affect diastasis? - ANSWER- It increases the length of it

When does the AV open on the EKG? - ANSWER- Approx. 30-35 ms after the

completion of the QRS

When does the IVRT occur on the EKG? - ANSWER- After the R wave

What does a normal LVOT tracing demonstrate? - ANSWER- A steep acceleration

slope, a sharply peaked early systolic max velocity, and a less steep deceleration

slope

What is the most anterior valve? - ANSWER- Pulmonic

When does the MV close on an EKG? - ANSWER- About midway through the

QRS after 60 ms has passed

The left circumflex supplies the: - ANSWER- Basal and mid anterolateral walls

What describes a normal response to exercise testing performed to assess diastolic

function of the LV? - ANSWER- Both the E and E' velocities should increase

What coronary artery courses through the anterior interventricular groove? -

ANSWER- LAD

What is the purpose of the eustachian valve in fetal circulation? - ANSWER- To

guide flow through the foramen ovale

What secretes the pericardial fluid? - ANSWER- Visceral pericardium

What is the first parameter to consider when assessing a patient for diastolic

dysfunction? - ANSWER- The LV EF

What does medial cystic necrosis cause? - ANSWER- Dilated aortic root &

ascending aorta (breakdown or damage of connective tissue in the large arteries)

Most common complication of a septal myectomy? - ANSWER- VSD

What happens to the aortic valve in HOCM? - ANSWER- There will be midsystolic notching

What best describes the Doppler tracing from within a patient with a PDA? -

ANSWER- Continuous flow toward the transducer in systole & diastole

Pressure 1/2 time formula: - ANSWER- .29 x decel time

How does an LV pseudoaneurysm compare to a true LV aneurysm? - ANSWERPseudoaneurysm has a higher risk of rupture

T/F: MS has no effect on the LVEDP - ANSWER- True (only has in increase in

the LAP)