This free RCIS practice test is a 60-question case run spread across the five domains of the current exam outline, with a note on every option saying why it is right or wrong. Answer a case, read the notes, move on; the closing summary scores you per domain and points you to the guide to open next.
Leave All on for the full mix or tap a domain letter to drill it. The pacing strip runs at 60 seconds a case, the exam's rate: keep it off on your first pass.
A patient with an eGFR of 28 mL/min/1.73 m² is scheduled for diagnostic catheterization. Which preventive strategy for contrast-associated AKI is supported by current evidence?
Pick an answer. The verdict, the explanation and a note on every option appear here.
The case mix follows the domain percentages CCI publishes for the content outline used for exams from July 1, 2024. Diagnostic and interventional work (B and C) is 74% of the scored exam, so 43 of the 60 cases sit there. The exam itself has 170 questions: 150 scored questions plus 20 unscored pretest questions, unmarked and mixed in at random.
| Domain | Exam weight | Of 150 scored | Cases here | Run share |
|---|---|---|---|---|
| A · Pre-Procedural Activities | 8% | ≈ 12 | 5 | 8% |
| B · Diagnostic Procedures | 40% | ≈ 60 | 23 | 38% |
| C · Interventional Procedures | 34% | ≈ 51 | 20 | 33% |
| D · Emergency Procedures and Protocols | 13% | ≈ 19–20 | 8 | 13% |
| E · Post-Procedural Activities | 5% | ≈ 7–8 | 4 | 7% |
The 'of 150 scored' column applies each weight to 150 items. CCI publishes percentages only, so a real form can land a case or two either way.
Share of scored items by domain, content outline for exams from July 1, 2024 (CCI, checked September 2026).
Two differences. Every case here is single best answer of four; the exam uses mostly single-best-answer items with four options, plus multiple-response, hot-spot and drag-and-place items. And this run reports percent correct, while CCI sets the pass at a scaled score of 650, which is not a percentage, so a run score does not convert into a predicted result.
The exam is 3 hours in the chair: 2 hours 50 minutes of question time plus 10 minutes for the tutorial and the post-exam survey. Divide the question time by the item count and you get the rate the pacing strip uses.
Seconds per case on the RCISWorking
About one minute a case, so this 60-case run takes about 60 minutes at exam pace.
| Checkpoint | This run | Real exam |
|---|---|---|
| Half | case 30 by 30:00 | item 85 by 1 h 25 min |
| Finish | case 60 by 60:00 | item 170 by 2 h 50 min |
The 20 unscored pretest items on the exam are unmarked, so work every item as if it counts.
Rank misses by weight
B carries eight times as many scored items as E (40% against 5%), so the same percent gap costs eight times as many exam items. Rank the summary lines by percent missed times domain weight.
B or C weak: open the depth guide
Diagnostic misses go to the diagnostic procedures guide (hemodynamics, waveforms, imaging, radiation safety, 12 more cases); interventional misses to the interventional procedures guide (stents, support devices, structural work, 12 more cases).
A, D or E weak: work the solutions
These domains have no guide of their own yet. The worked RCIS exam questions carry 12 emergency cases and four each from pre- and post-procedural work, reasoned out line by line.
Re-run timed after a week
Same cases, pacing strip on. A case you get right because you remember the letter does not count: say why each wrong option is wrong.
Starting from scratch? The RCIS study guide turns these steps into a week-by-week plan.
Keep drilling between runs
The app holds the larger RCIS question bank with the same per-option notes, filtered by the five exam domains, so you can drill your weakest letter anywhere.
Every case in this run was checked against current references, and several common keys were corrected on the way. The one to check first: an FFR of 0.80 keyed as an 80% diameter stenosis. FFR is a pressure ratio across the lesion at maximal hyperemia, not a percent narrowing. The other common ones, from the femoral landmark to shellfish allergy, are corrected in the table on the worked questions page.
| Tool | Good for | Weak at |
|---|---|---|
| Flashcard sets (Quizlet and similar) | normal pressures, drug doses, catheter names | scenario items that ask what you do next |
| CCI self-assessment | a percent-correct readout by content area | learning from misses: no item review |
| This case run | domain-weighted scenarios with a note on every option | hot-spot and drag-and-place items are not simulated |
The self-assessment is CCI's online self-assessment exam ($55), which reports percent correct by area but does not let you review items (CCI, checked September 2026) (CCI self-assessment page). This site is independent of CCI. Format, scoring and fees are on the RCIS exam overview; the credential itself is on the Pullback Log home page.
Key takeaways
Yes: the 60-case run on this page is free, needs no sign-up and explains every option. Another 48 explained cases sit on the exam questions page and the two depth guides.
There is no set number. A workable target: this run twice (cold, then timed), the 24 worked solutions, the 12 cases on each depth guide, then your weakest domain in a larger bank until you can explain every miss. The exam has 170 questions, so build up to one long timed sitting.
It is CCI's online self-assessment exam ($55), which reports percent correct by area but does not let you review items (CCI, checked September 2026). Use it once, near the end, as a check by content area; it is weak as a study tool because you cannot go back over your misses.
Some are. User-made sets are not reviewed, and older ones follow the outline replaced in July 2024. Use them for recall of numbers and names, and check any surprising key against a reference text before you memorize it.
No practice percentage converts to a scaled score of 650, because the scale is not percent correct. Better signals: you finish a timed run inside the clock, B and C are your strongest summary lines, and every case you still miss is a slip you can name.
Work the free case run here, then carry the full RCIS bank with you: the app sorts questions by the same five domains and keeps the explanation for every option.