IBHRE STUDY REVIEW 100%
ACCURATE 2025
Alerts allow for earlier detection of problems, therefore allowing more effective
treatment. - ANSWERHow does remote monitoring improve survival?
Increased efficiency, reduced cost, expedited clinical decisions and improved survival. -
ANSWERName the benefits of remote monitoring:
Class I. - ANSWERRemote monitoring is a ________ indication for all patients.
Treated VF episode. - ANSWERWhich of the following would be a red alert?
R-R irregularity. - ANSWERHow does an Implantable Loop Recorder detect A fib?
Holter monitor. - ANSWERWhich of the following is used for the shortest amount of
time?
Threshold test. - ANSWERWhen interrogating an IRL, which test can't you run?
Event recorder. - ANSWERWhich of the following only records events or when a patient
presses a button?
Implantable loop recorder - ANSWERWhich of the following continuously loops over
data, saving specific episodes for up to 5 years?
Implantable cardiac monitor.
Insertable cardiac monitor.
Injectable cardiac monitor. - ANSWERImplantable loop recorders can also be known
as?
> 3 secs. - ANSWERHow long must a recorded pause on an IRL last for an
asymptomatic patient to warrant a pacemaker?
False; Complete heart block is an indication for a pacemaker since that patient has no
AV conduction. - ANSWERTrue or False: Complete heart block is an indication for an
ILR.
Irregularity of ventricular rhythm.
A fib creates an irregularly irregular ventricular pattern, which can be distinguished from
most other SVTs. ILRs can only sense ventricular beats, so this is the method they use
to detect AF. - ANSWERHow does an IRL detect atrial fibrillation?
, Patient rates are likely to be much slower at night when they are sleeping and do not
necessitate a pacemaker. - ANSWERWhy does time of day matter when analyzing IRL
brady reports?
Rate response is turned on. - ANSWERIn a single chamber device, if the pacing rate is
faster than the programmed base rate, that means:
To help the device to sense flutter waves that are falling into PVAB on every other beat.
- ANSWERWhat is the purpose of the blanked flutter search and atrial flutter response
algorithms?
Pace conditioning - ANSWERWhich of the following adjusts the atrial pacing rate above
the intrinsic rhythm to keep the atria refractory and suppress AF triggers?
Rate smoothing - ANSWERWhich of the following limits the change in pacing interval
from beat to beat to prevent rapid acceleration or deceleration?
PAC response - ANSWERWhich of the following paces rapidly to eliminate the pause
after a PAC and prevent arrhythmias?
1) New onset AF.
2) AF Burden and duration of episodes.
3) Ventricular rate during episodes.
4) Impact of medication and other treatment. - ANSWERIf at follow up you find episodes
of AF, what should you report to the physician?
Extend the AV Delay. - ANSWERTo see the underlying rhythm in the ventricular
channel while in DDD mode, you should:
Raise the base rate. - ANSWERTo see pacing in the atrial channel while in DDD mode,
you should:
Lower the base rate. - ANSWERTo see the underlying rhythm in the atrial channel while
in DDD mode, you should:
Shorten the AV Delay. - ANSWERTo see pacing in the ventricular channel while in DDD
mode, you should:
Torsades. - ANSWERRate smoothing is useful in preventing:
Program PVARP 50 ms longer than RVAC. - ANSWERIf you discover that a patient has
retrograde conduction during follow up, to prevent PMT you should:
Minimum output of electrical stimulation needed to consistently produce cardiac
depolarization. - ANSWERStimulation threshold is defined as:
ACCURATE 2025
Alerts allow for earlier detection of problems, therefore allowing more effective
treatment. - ANSWERHow does remote monitoring improve survival?
Increased efficiency, reduced cost, expedited clinical decisions and improved survival. -
ANSWERName the benefits of remote monitoring:
Class I. - ANSWERRemote monitoring is a ________ indication for all patients.
Treated VF episode. - ANSWERWhich of the following would be a red alert?
R-R irregularity. - ANSWERHow does an Implantable Loop Recorder detect A fib?
Holter monitor. - ANSWERWhich of the following is used for the shortest amount of
time?
Threshold test. - ANSWERWhen interrogating an IRL, which test can't you run?
Event recorder. - ANSWERWhich of the following only records events or when a patient
presses a button?
Implantable loop recorder - ANSWERWhich of the following continuously loops over
data, saving specific episodes for up to 5 years?
Implantable cardiac monitor.
Insertable cardiac monitor.
Injectable cardiac monitor. - ANSWERImplantable loop recorders can also be known
as?
> 3 secs. - ANSWERHow long must a recorded pause on an IRL last for an
asymptomatic patient to warrant a pacemaker?
False; Complete heart block is an indication for a pacemaker since that patient has no
AV conduction. - ANSWERTrue or False: Complete heart block is an indication for an
ILR.
Irregularity of ventricular rhythm.
A fib creates an irregularly irregular ventricular pattern, which can be distinguished from
most other SVTs. ILRs can only sense ventricular beats, so this is the method they use
to detect AF. - ANSWERHow does an IRL detect atrial fibrillation?
, Patient rates are likely to be much slower at night when they are sleeping and do not
necessitate a pacemaker. - ANSWERWhy does time of day matter when analyzing IRL
brady reports?
Rate response is turned on. - ANSWERIn a single chamber device, if the pacing rate is
faster than the programmed base rate, that means:
To help the device to sense flutter waves that are falling into PVAB on every other beat.
- ANSWERWhat is the purpose of the blanked flutter search and atrial flutter response
algorithms?
Pace conditioning - ANSWERWhich of the following adjusts the atrial pacing rate above
the intrinsic rhythm to keep the atria refractory and suppress AF triggers?
Rate smoothing - ANSWERWhich of the following limits the change in pacing interval
from beat to beat to prevent rapid acceleration or deceleration?
PAC response - ANSWERWhich of the following paces rapidly to eliminate the pause
after a PAC and prevent arrhythmias?
1) New onset AF.
2) AF Burden and duration of episodes.
3) Ventricular rate during episodes.
4) Impact of medication and other treatment. - ANSWERIf at follow up you find episodes
of AF, what should you report to the physician?
Extend the AV Delay. - ANSWERTo see the underlying rhythm in the ventricular
channel while in DDD mode, you should:
Raise the base rate. - ANSWERTo see pacing in the atrial channel while in DDD mode,
you should:
Lower the base rate. - ANSWERTo see the underlying rhythm in the atrial channel while
in DDD mode, you should:
Shorten the AV Delay. - ANSWERTo see pacing in the ventricular channel while in DDD
mode, you should:
Torsades. - ANSWERRate smoothing is useful in preventing:
Program PVARP 50 ms longer than RVAC. - ANSWERIf you discover that a patient has
retrograde conduction during follow up, to prevent PMT you should:
Minimum output of electrical stimulation needed to consistently produce cardiac
depolarization. - ANSWERStimulation threshold is defined as:
