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Exam (elaborations)

IBHRE CEPS REVISED ACTUAL Exam Questions and CORRECT Answers

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IBHRE CEPS REVISED ACTUAL Exam Questions and CORRECT Answers Type of pause seen after PVC - CORRECT ANSWER - Compensatory pause Type of pause seen after PAC - CORRECT ANSWER - Non-compensatory pause What would lead I look like in BiV pacing - CORRECT ANSWER - small or isoelectric because activating both V at the same time

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IBHRE CEPS REVISED ACTUAL Exam
Questions and CORRECT Answers
Type of pause seen after PVC - CORRECT ANSWER - Compensatory pause



Type of pause seen after PAC - CORRECT ANSWER - Non-compensatory pause



What would lead I look like in BiV pacing - CORRECT ANSWER - small or isoelectric
because activating both V at the same time


Inferior STEMI best seen in which leads - CORRECT ANSWER - inferiors



Large (+) p wave in II - CORRECT ANSWER - Right Atrial enlargement (RAE)



Notched P in II; biphasic late (-) p in V1 - CORRECT ANSWER - Left Atrial Enlargement
(LAE)


Elevated R in V1 - CORRECT ANSWER - Right Ventricle hypertrophy



electrolyte imbalance associate with SQTS - CORRECT ANSWER - hypercalcemia



electrolyte imbalance associate with LQTS - CORRECT ANSWER - hypocalcemia


Which 2 leads are usually similar in configuration because they measure along the same
horizontal axis - CORRECT ANSWER - I & v6



PVC location: (-) II, III, avF - CORRECT ANSWER - low, apex

,PVC location: (+) II, III, avF - CORRECT ANSWER - high, outflow tract



PVC location: transition before v3 - CORRECT ANSWER - Left sided



PVC location: transition after v3 - CORRECT ANSWER - Right sided



Delta waves: (-) v1 - CORRECT ANSWER - Right sided



Delta waves: (+) v1 - CORRECT ANSWER - Left sided



Delta waves: (-) II, III, avF - CORRECT ANSWER - posterior



Delta waves: (+) II, III, avF - CORRECT ANSWER - anterior



Delta waves: (+) v2-6 - CORRECT ANSWER - posterior septal



Delta waves: transition v1-2 - CORRECT ANSWER - septal



Indication for ablation of AP in pt w/ no SVT - CORRECT ANSWER - shortest pre-
excited R-R <220 in AF
increased risk of AP through pathway leading to VF


Conduction through the AV node with delay or block, resulting in a broader QRS - CORRECT
ANSWER - Aberrancy


Electrical impulses trigger cardiac muscle contraction by controlling the flux of which ion across
membrane - CORRECT ANSWER - Calcium

,Ventricle activation time measurement - CORRECT ANSWER - Beginning of Q to peak
of R


cSNRT= - CORRECT ANSWER - cSNRT=SNRT-SCL



AVNRT response to adenosine - CORRECT ANSWER - SVT terminates with an A



AVRT response to adenosine - CORRECT ANSWER - Ruled out, if SVT continues with
AV block


VA<AV - CORRECT ANSWER - AVRT



Ashman's phenomenon - CORRECT ANSWER - aberration occurring when a short cycle
follows a long one in AF


RBBB morphology in v6 - CORRECT ANSWER - wide S wave



LBBB morphology in v6 - CORRECT ANSWER - opposite of v1



Heart block type: A, H, no V - CORRECT ANSWER - 2nd type 2 - infranodal block



Heart block that resolves during exercise is located in - CORRECT ANSWER - AVN



Most rare hemiblock - CORRECT ANSWER - Left posterior Hemiblock



Does antidromic AVRT have a delta wave? - CORRECT ANSWER - Yes

, Does orthodromic AVRT have a delta wave? - CORRECT ANSWER - No (AP conducts
retrograde)


When would you use precordial thump - CORRECT ANSWER - in pulseless VT when
defib is not nearby


Typical BBRVT - CORRECT ANSWER - LBBB morphology: down RB; up HIS


VA conduction times different between RVA & RVT pacing in pt w/ AP - CORRECT
ANSWER - slanted pathway



alpha-adrenergic - CORRECT ANSWER - vasoconstriction



Beta 1 adrenergic - CORRECT ANSWER - Cardiac stimulation



Cholinergic - CORRECT ANSWER - Cardiac depression



Contraindications for Isuprel - CORRECT ANSWER - pts w/ MI - increases MVO2
demand


Beta adrenergic agonist - CORRECT ANSWER - Isoproterenol



Average t 1/2 of Amiodarone - CORRECT ANSWER - ~58 days



Heparin blocks what during a clot formation - CORRECT ANSWER - prothrombin to
thrombin


Normal INR - CORRECT ANSWER - 1.0

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