LATEST CCI RCS/CCI ECHO EXAM
QUESTIONS WITH ANSWERS 2024-2025
Which of the following left-to-right shunts is the last to close in
the normal postpartum period? When does it close?
a) patent ductus arteriosus, closes in the 7th day
b) patent foramen ovale, closes in the 2nd day
c) patent ductus arteriosus, closes in the 14th day
d) patent foramen ovale, close at the end of the first week -
answer-patent foramen ovale, close at the end of the first
week
At what time during fetal growth is the heart first
fully developed? a) 20 days
b) 30 days
c) 40 days
d) 50 days - answer-40 days
On the 30th day, the truncus normally divides. What anomaly
occurs if the truncus does not divide?
a) A-V canal
b) muscular VSD
c) transposition of the great vessels
, Page 2 of 160
d) truncus arteriosus - answer-truncus arteriosus
The sinus venous forms all of the
following EXCEPT: a) coronary sinus
b) pulmonary arteries
c) right atrium
d) inferior vena cava - answer-pulmonary arteries
The trunks arterioles forms all of the following EXCEPT:
a) pulmonary veins
b) carotid artery
c) pulmonary arteries
d) ductus arteriosus - answer-pulmonary veins
What are the two right-to-left shunts in the normal fetal
circulation?
a) ductus arterioles and primum ASD
b) VSD and ASD
c) foramen ovale and ductus arteriosus
d) foramen ovale and VSD - answer-foramen ovale and ductus
arteriosus
, Page 3 of 160
In the normal fetal circulation, which of the following has the
least amount of the flood flow?
a) patent foramen ovale
b) ductus arteriosus
c) aorta
d) pulmonary veins - answer-pulmonary veins
All of the following hemodynamic events occur post-
delivery EXCEPT: a) pulmonary artery blood flow
increases
b) left atrial pressure decreases
c) pulmonary resistance decreases
d) foramen ovale flow decreases - answer-left atrial pressure
decreases
The fetal ductus arteriosus closes soon after birth? What
structure does it become? a) coronary sinus
b) chiari network
c) eustachian valve
d) ligamentum arteriosum - answer-ligamentum arteriosum
, Page 4 of 160
The ductus arteriosus connects the pulmonary artery and
aorta in the fetus. At what site does the ductus attach to the
aorta? a) aortic isthmus
b) aortic root
c) sinus of Valsalva
d) A-V node - answer-aortic isthmus
The following five structures are activated during a single
cardiac cycle. Rank them in the normal order of activation: a)
Bundle of His
b) Purkinje fibers
c) AV node
d) SA node
e) Left bundle branch - answer-1) SA node
2)AV node
3) Bundle of His
4) Left bundle branch
5) Purkinje fibers
Which of the following structures is the primary
pacemaker of the heart? a) Bundle of His
b) Purkinje fibers
c) AV node
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