INTERNATIONAL BOARD OF HEART RHYTHM
EXAMINERS (IBHRE) TEST EXAM 2026/2027
COMPLETE STUDY QUESTIONS WITH
VERIFIED SOLUTIONS 100% ASSURED PASS
RATED A+
,INTERNATIONAL BOARD OF HEART RHYTHM EXAMINERS
(IBHRE) TEST EXAM 2026/2027 COMPLETE STUDY
QUESTIONS WITH VERIFIED SOLUTIONS 100% ASSURED
PASS RATED A+
A 95 year old patient has a pulse generator change-out. The next day it is realized that the
ventricular lead should have been replaced as well so the physician wants to bring the patient
back for a new lead. The patient states that he does not want to have the procedure. Which of the
following factors is preeminent in deciding whether the procedure is performed?
a) whether the patient can currently handle another surgery
b) the informed consent of the patient
c) if the doctor feels the procedure is necessary it should be done
d) how much the patient needs ventricular pacing - Answer>>> B. The Informed Consent of the
Patient
A patient with a DDDR pacemaker, LRL 60, UTR 130 ppm, is having a follow-up performed.
After 7 minutes of conversation, the pacemaker is pacing at 110 ppm. Which of the following
parameters should be changed?
a) mode switching
b) sensor threshold
c) sensor slope
d) ADL rate - Answer>>> B. Sensor Threshold
Which of the following RV leads would be least prone to anodal stimulation in an extended
bipolar configuration with a unipolar LV lead, when BiV pacing?
,a) a brady lead with an anode 5 mm2 and cathode 1.2 mm2
b) a brady lead with an anode 4.2 mm2 and cathode of 5 mm2
c) an integrated ICD lead with an anode 450 mm2 and cathode 2 mm2
d) a dedicated bipolar ICD lead with an anode 6 mm2 and cathode 2.5
mm2 - Answer>>> C. An Integrated ICD Lead w/ an Anode 450 mm2 & Cathode 2 mm2
An 8 yr/old boy collapses during a football game and is pulseless and not breathing. The coach
initiates CPR and EMTs are called. An AED arrives but only has adult pads. What is the best
course of action?
a) do not attach the AED since there are no pediatric pads
b) attach the AED to monitor the rhythm only
c) attach the AED and shock for VT/VF
d) continue CPR with bystander until EMS arrives - Answer>>> C. Attach the AED & Shock for
VT/VF
An idiopathic dilated cardiomyopathy patient was implanted with an ICD due to aborted sudden
death. The patient was placed on amiodarone to decrease the frequency of VT episodes. As a
result of the amiodarone therapy the patient experienced thyrotoxicosis which manifested itself
by:
a. long QT syndrome
b. polymorphic VT
c. complete heart block
d. neurocardiogenic syncope - Answer>>> B. Polymorphic VT
, The most commonly used battery chemistry in ICDs is:
a) lithium thionyl chloride
b) lithium manganese dioxide
c) lithium silver vanadium oxide
d) lithium manganese dioxide - Answer>>> C. Lithium Silver Vanadium Oxide
The most common and effective therapy for a patient demonstrating vasodepressor syncope with
a positive tilt table test is;
A. drugs that stimulate cardiac C fibers
B. patient education and appropriate hydration
C. permanent pacemaker with rate drop response
D. beta blockers in combination with disopyramide and theophylline - Answer>>> B. Patient
Education & Appropriate Hydration
Which of the following non-pharmacologic treatments is currently being utilized for the
treatment of malignant neurocardiogenic syncope?
A. increased salt intake
B. tilt training
C. support hose
D. all the above - Answer>>> D. All the above
The purpose of a capacitor in an electrical circuit is to:
EXAMINERS (IBHRE) TEST EXAM 2026/2027
COMPLETE STUDY QUESTIONS WITH
VERIFIED SOLUTIONS 100% ASSURED PASS
RATED A+
,INTERNATIONAL BOARD OF HEART RHYTHM EXAMINERS
(IBHRE) TEST EXAM 2026/2027 COMPLETE STUDY
QUESTIONS WITH VERIFIED SOLUTIONS 100% ASSURED
PASS RATED A+
A 95 year old patient has a pulse generator change-out. The next day it is realized that the
ventricular lead should have been replaced as well so the physician wants to bring the patient
back for a new lead. The patient states that he does not want to have the procedure. Which of the
following factors is preeminent in deciding whether the procedure is performed?
a) whether the patient can currently handle another surgery
b) the informed consent of the patient
c) if the doctor feels the procedure is necessary it should be done
d) how much the patient needs ventricular pacing - Answer>>> B. The Informed Consent of the
Patient
A patient with a DDDR pacemaker, LRL 60, UTR 130 ppm, is having a follow-up performed.
After 7 minutes of conversation, the pacemaker is pacing at 110 ppm. Which of the following
parameters should be changed?
a) mode switching
b) sensor threshold
c) sensor slope
d) ADL rate - Answer>>> B. Sensor Threshold
Which of the following RV leads would be least prone to anodal stimulation in an extended
bipolar configuration with a unipolar LV lead, when BiV pacing?
,a) a brady lead with an anode 5 mm2 and cathode 1.2 mm2
b) a brady lead with an anode 4.2 mm2 and cathode of 5 mm2
c) an integrated ICD lead with an anode 450 mm2 and cathode 2 mm2
d) a dedicated bipolar ICD lead with an anode 6 mm2 and cathode 2.5
mm2 - Answer>>> C. An Integrated ICD Lead w/ an Anode 450 mm2 & Cathode 2 mm2
An 8 yr/old boy collapses during a football game and is pulseless and not breathing. The coach
initiates CPR and EMTs are called. An AED arrives but only has adult pads. What is the best
course of action?
a) do not attach the AED since there are no pediatric pads
b) attach the AED to monitor the rhythm only
c) attach the AED and shock for VT/VF
d) continue CPR with bystander until EMS arrives - Answer>>> C. Attach the AED & Shock for
VT/VF
An idiopathic dilated cardiomyopathy patient was implanted with an ICD due to aborted sudden
death. The patient was placed on amiodarone to decrease the frequency of VT episodes. As a
result of the amiodarone therapy the patient experienced thyrotoxicosis which manifested itself
by:
a. long QT syndrome
b. polymorphic VT
c. complete heart block
d. neurocardiogenic syncope - Answer>>> B. Polymorphic VT
, The most commonly used battery chemistry in ICDs is:
a) lithium thionyl chloride
b) lithium manganese dioxide
c) lithium silver vanadium oxide
d) lithium manganese dioxide - Answer>>> C. Lithium Silver Vanadium Oxide
The most common and effective therapy for a patient demonstrating vasodepressor syncope with
a positive tilt table test is;
A. drugs that stimulate cardiac C fibers
B. patient education and appropriate hydration
C. permanent pacemaker with rate drop response
D. beta blockers in combination with disopyramide and theophylline - Answer>>> B. Patient
Education & Appropriate Hydration
Which of the following non-pharmacologic treatments is currently being utilized for the
treatment of malignant neurocardiogenic syncope?
A. increased salt intake
B. tilt training
C. support hose
D. all the above - Answer>>> D. All the above
The purpose of a capacitor in an electrical circuit is to:
