100+ Free Sonography Canada Cardiac Practice Questions

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Key Facts: Sonography Canada Cardiac Exam

180 questions

The Cardiac Sonographer Examination contains 180 multiple-choice questions

Sonography Canada - Cardiac Examination Blueprint

180 minutes

Candidates have 180 minutes (3 hours) to complete the Cardiac examination

Sonography Canada - Cardiac Examination Blueprint

CRCS

Passing leads to the Canadian Registered Cardiac Sonographer credential

Sonography Canada - Credentials

Modified Angoff

Passing score is set by the Modified Angoff method and equated across forms

Sonography Canada - Certification FAQs

English

The Cardiac examination is currently offered in English only

Sonography Canada - Candidate Guide

January 2027

Under NCP 7.0 the Core exam is integrated into the Cardiac specialty exam

Sonography Canada - Entry-to-Practice Exams

4 attempts

Candidates get up to four attempts within their eligibility period

Sonography Canada - Candidate Guide

100

Free original adult-echocardiography practice questions here

OpenExamPrep

The Sonography Canada Cardiac Sonographer Examination is the knowledge-based, multiple-choice exam for the Canadian Registered Cardiac Sonographer (CRCS) credential in adult echocardiography. It contains 180 multiple-choice questions answered in 180 minutes (3 hours), is offered in English, and is delivered by remote proctoring or at proctored test centres; many items include cardiac images or video clips. There is no fixed pass percentage: the cut score is set with the Modified Angoff method and equated across forms. Under NCP 7.0 (effective January 2027) the previously separate Core exam is integrated into the Cardiac specialty exam. This 100-question bank provides original adult-echocardiography practice across cardiac anatomy and physiology, ultrasound physics, valvular and myocardial disease, congenital and pericardial disease, hemodynamics, Doppler, measurements and scanning protocols.

Sample Sonography Canada Cardiac Practice Questions

Try these sample questions to test your Sonography Canada Cardiac exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which chamber of the heart receives oxygenated blood returning from the lungs?

A.Right atrium

B.Left atrium

C.Right ventricle

D.Left ventricle

Explanation: Oxygenated blood returns from the lungs via the four pulmonary veins into the left atrium. From there it passes through the mitral valve into the left ventricle to be pumped to the body.

2On the parasternal long-axis view, which two valves are typically seen in the same image plane?

A.Mitral and tricuspid valves

B.Aortic and mitral valves

C.Aortic and pulmonic valves

D.Tricuspid and pulmonic valves

Explanation: The parasternal long-axis view shows the left ventricular outflow tract, so the aortic valve and the anterior and posterior mitral leaflets are both visualized in the same plane, allowing assessment of both valves.

3The coronary sinus drains deoxygenated blood from the heart muscle into which chamber?

A.Left atrium

B.Right atrium

C.Right ventricle

D.Left ventricle

Explanation: The coronary sinus is the main vein of the heart and empties cardiac venous blood into the right atrium, near the orifice of the inferior vena cava and the tricuspid valve.

4Which structure separates the left atrium from the left ventricle?

A.Aortic valve

B.Mitral valve

C.Tricuspid valve

D.Pulmonic valve

Explanation: The mitral (bicuspid) valve lies between the left atrium and left ventricle and opens in diastole to allow left ventricular filling, then closes in systole to prevent backflow into the left atrium.

5During which phase of the cardiac cycle is the mitral valve open?

A.Ventricular systole

B.Ventricular diastole

C.Isovolumic contraction

D.Isovolumic relaxation

Explanation: The mitral valve opens during ventricular diastole to allow blood to flow from the left atrium into the left ventricle. It closes at the onset of systole when ventricular pressure exceeds atrial pressure.

6Which coronary artery most commonly supplies the anterior wall and anterior interventricular septum of the left ventricle?

A.Right coronary artery

B.Left circumflex artery

C.Left anterior descending artery

D.Posterior descending artery

Explanation: The left anterior descending (LAD) artery runs in the anterior interventricular groove and supplies the anterior wall, anterior septum and apex. Occlusion produces anterior wall-motion abnormalities on echocardiography.

7The interatrial septum normally contains a thin embryologic remnant called the:

A.Crista terminalis

B.Fossa ovalis

C.Moderator band

D.Eustachian valve

Explanation: The fossa ovalis is the thin depression in the interatrial septum that marks the closed fetal foramen ovale. It is the site where a secundum atrial septal defect or a patent foramen ovale most commonly occurs.

8Stroke volume is best defined as the:

A.Volume of blood pumped by the heart per minute

B.Volume of blood ejected from a ventricle in one beat

C.Volume of blood in the ventricle at end-diastole

D.Percentage of end-diastolic volume ejected

Explanation: Stroke volume is the amount of blood ejected from a ventricle with each heartbeat, equal to end-diastolic volume minus end-systolic volume. Cardiac output equals stroke volume multiplied by heart rate.

9Which papillary muscles anchor the chordae tendineae of the mitral valve?

A.Anterolateral and posteromedial

B.Anterior and septal

C.Conal and septal

D.Posterior and lateral

Explanation: The mitral valve is supported by the anterolateral and posteromedial papillary muscles. The posteromedial muscle usually has a single coronary blood supply, making it more prone to rupture in inferior myocardial infarction.

10Normal sinus rhythm originates from which structure?

A.Atrioventricular node

B.Sinoatrial node

C.Bundle of His

D.Purkinje fibers

Explanation: The sinoatrial (SA) node, located in the right atrium near the superior vena cava, is the heart's natural pacemaker and initiates normal sinus rhythm. The impulse then spreads to the AV node and ventricular conduction system.

About the Sonography Canada Cardiac Exam

The Sonography Canada Cardiac Sonographer Examination is the national entry-to-practice, knowledge-based exam for the Canadian Registered Cardiac Sonographer (CRCS) credential, which denotes a sonographer who specializes in imaging the anatomy and function of the heart and congenital heart conditions in adults. It is a computer-based, multiple-choice exam of 180 questions answered within 180 minutes, offered in English and delivered by live remote proctoring or at proctored test centres. Question content is mapped to the Sonography Canada National Competency Profile (NCP) blueprint and many items include echocardiographic still images or video clips. Under NCP 6.1 (through 2026), candidates also write a separate Core Sonographic Skills Examination; under NCP 7.0, effective January 2027, the Core content is integrated directly into the specialty Cardiac examination and the standalone Core exam is retired for first-time writers. Earning the CRCS credential additionally requires successful completion of the Canadian Clinical Skills Assessment (CCSA).

Assessment

180 multiple-choice questions based on the Sonography Canada Cardiac Sonographer Examination blueprint. Many items include cardiac still images or video clips. Content spans examination planning, equipment operation, performing the cardiac examination, related assessment techniques, technical analysis, professionalism and safety.

Time Limit

180 minutes (3 hours). Candidates may answer, skip, flag and revise items at their own pace within the overall time limit.

Passing Score

No fixed percentage. The cut score is set with the Modified Angoff method and adjusted by equating across exam forms, so easier forms carry higher passing scores and harder forms carry lower ones.

Exam Fee

Examination fees are set by Sonography Canada per registration cycle and vary by membership status; confirm the current Cardiac Sonographer Examination fee on the Sonography Canada website before applying. (Sonography Canada (delivered via Meazure Learning / Yardstick Assessment Strategies))

Sonography Canada Cardiac Exam Content Outline

38%

Examination

Performing the cardiac study: acquiring and recognizing standard echocardiographic windows and views (parasternal long- and short-axis, apical 4/2/3/5-chamber, subcostal, suprasternal), 2D and M-mode imaging, and identifying normal versus abnormal structures across valvular, myocardial, pericardial and congenital disease.

18%

Examination Planning

Interpreting clinical history, signs and symptoms; integrating cardiac anatomy, physiology and disease processes; and formulating an appropriate scanning strategy and protocol for the requested echocardiographic examination.

14%

Operation of Equipment

Ultrasound physics and instrumentation: wave properties, resolution, transducers, the Doppler principle and equation, aliasing and the Nyquist limit, color and spectral Doppler optimization, harmonic and contrast imaging, and applying the ALARA principle.

13%

Technical Analysis

Measurements and quantitative calculations (chamber dimensions, ejection fraction, the continuity equation, pressure gradients via the simplified Bernoulli equation, pulmonary pressures), hemodynamic interpretation, and recognition of imaging artifacts and study adequacy.

17%

Professionalism, Safety and Related Techniques

Professional responsibilities and scope of practice, patient and workplace safety, communication of urgent findings, and correlating echocardiographic results with ECG and other diagnostic data.

How to Pass the Sonography Canada Cardiac Exam

What You Need to Know

Passing score: No fixed percentage. The cut score is set with the Modified Angoff method and adjusted by equating across exam forms, so easier forms carry higher passing scores and harder forms carry lower ones.
Assessment: 180 multiple-choice questions based on the Sonography Canada Cardiac Sonographer Examination blueprint. Many items include cardiac still images or video clips. Content spans examination planning, equipment operation, performing the cardiac examination, related assessment techniques, technical analysis, professionalism and safety.
Time limit: 180 minutes (3 hours). Candidates may answer, skip, flag and revise items at their own pace within the overall time limit.
Exam fee: Examination fees are set by Sonography Canada per registration cycle and vary by membership status; confirm the current Cardiac Sonographer Examination fee on the Sonography Canada website before applying.

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

Sonography Canada Cardiac Study Tips from Top Performers

1Study the Sonography Canada Cardiac blueprint and map your review to its weightings; the Examination competency alone is roughly 38% of items, so prioritize acquiring and interpreting standard echocardiographic views.

2Drill the standard windows and views (parasternal long/short axis, apical 4/2/3/5-chamber, subcostal, suprasternal) until you can name the structures and expected Doppler signals in each.

3Memorize the core quantitative tools: the simplified Bernoulli equation (4V squared), the continuity equation for aortic valve area, and how to estimate pulmonary artery systolic pressure from the tricuspid regurgitant jet plus right atrial pressure.

4Practice with image- and clip-based questions, since many exam items show cardiac images; learn to recognize pathology such as left ventricular hypertrophy, regional wall-motion abnormalities, pericardial effusion and tamponade physiology.

5Review ultrasound physics deliberately: the Doppler equation, aliasing and the Nyquist limit, the difference between continuous-wave and pulsed-wave Doppler, and common artifacts like reverberation, mirror image and side lobes.

6Build a strong base in valvular disease grading (stenosis and regurgitation of all four valves) and cardiomyopathy patterns, as valves and myocardial disease make up a large share of clinical echo questions.

Frequently Asked Questions

How many questions are on the Sonography Canada Cardiac Sonographer Examination?

The Cardiac Sonographer Examination consists of 180 multiple-choice questions, answered within a 180-minute (3-hour) time limit. Many questions include cardiac still images or video clips.

What credential does this exam lead to?

Passing the Cardiac Sonographer Examination is part of earning the Canadian Registered Cardiac Sonographer (CRCS) credential, which also requires completing the Canadian Clinical Skills Assessment (CCSA).

Is there a fixed passing score?

No. Sonography Canada sets the passing score using the Modified Angoff method and adjusts it by equating across exam forms, so easier forms have higher cut scores and more difficult forms have lower cut scores.

What language is the Cardiac examination offered in?

The Sonography Canada Cardiac and Vascular examinations are currently offered in English only; the Core and Generalist examinations are offered in English and French.

Is the Core exam still separate?

Under NCP 6.1 (through 2026) candidates write a separate Core Sonographic Skills Examination plus the Cardiac exam. Under NCP 7.0, effective January 2027, the Core content is integrated into the Cardiac specialty exam and the standalone Core exam is retired for first-time writers.

Are these official Sonography Canada questions?

No. These are original OpenExamPrep practice questions modelled on the published Cardiac blueprint competency areas. Sonography Canada provides official blueprints and suggested reference material separately.