MULTIPLE CHOICE
In the ACC and AHA guidelines for the four stages of heart failure, which of
the stages is defined as: patient at high risk for development of heart failure
but has no apparent structural abnormality of the heart.
Select one:
a. Stage A
b. Stage B
c. Stage C
d. Stage D
The correct answer is: Stage A
A 67 year old male with class III heart failure, an EF of 32% and a QRS of
140ms is implanted with a CRT-D device. Remote follow-up detects some
bouts of paroxysmal atrial fibrillation (AF) at the nine month period. The
patient is then seen in the device clinic and diagnostics indicate the AF burden
to be 8%. The patient states that he is asymptomatic.
Which of the following would be most appropriate for this patient?
Select one:
a. Continue to monitor the patient before intervention
b. Start the patient on aspirin
c. Start the patient on sotalol (Betapace or Betapace AF)
d. Start the patient on dabigatran or rivaroxaban and consider turning on an
atrial overdrive pacing algorithm
The correct answer is: Start the patient on dabigatran or rivaroxaban and consider
turning on an atrial overdrive pacing algorithm
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1
, IBHRE CCDS EXAM LATEST
MULTIPLE CHOICE
Approximately what percentage of CRT patients are, so called, non-
responders?
Select one:
a. 5-10%
b. 10-18%
c. 20-33%
d. 40-50%
The correct answer is: 20-33%
Which of the following studies using an endpoint of total mortality looked at
rate control versus rhythm control and concluded rate control with
anticoagulation was at least as effective?
Select one:
a. AFFIRM
b. MIRACLE
c. COMPANION
d. MUSTIC
The correct answer is: AFFIRM
Which of the following programming changes would cause the most
significant drain on battery longevity?
Select one:
a. ATP before charge
b. ATP during charge
c. Pre-trigger EGM storage
d. High output pacing following shock
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2
, IBHRE CCDS EXAM LATEST
MULTIPLE CHOICE
The correct answer is: ATP during charge
Which of the following would account for the most common cause of
inappropriate mode switching?
Select one:
a. Ventricular lead sensing atrial signals
b. Lead insulation break
c. Oversensing EMI
d. Atrial lead sensing ventricular signals
The correct answer is: Atrial lead sensing ventricular signals
he basic unit of capacitance is:
Select one:
a. Joule
b. Farad
c. Henry
d. Coulomb
The correct answer is: Farad
Match the unit: watt-second
Select one:
a. Energy
b. Power
c. Capacitance
d. Current drain
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3
, IBHRE CCDS EXAM LATEST
MULTIPLE CHOICE
The correct answer is: Energy
Which of the following drugs will increase DFT within 2 days?
Select one:
a. Amiodarone
b. Sotalol
c. Isoproterenol
d. Flecainide
The correct answer is: Flecainide
Which of the following tests is performed over 10-20 beats following a PVC
and whose absence is a predictor of cardiac mortality following an MI?
Select one:
a. Heart rate turbulence
b. Heart rate variability
c. Tissue synchronization imaging
d. Microvolt T-Wave alternans
The correct answer is: Heart rate turbulence
An IS-1 bipolar lead is compatible with which of the following connector
blocks:
Select one:
a. VS-1A long cavity with no sealing rings
b. IS-1 unipolar connector block
c. VS-1B long cavity with sealing rings
d. All of the above
The correct answer is: All of the above
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