IBHRE CCDS TEST FINAL EXAM 2024-2025
ACTUAL EXAM 2 VERSIONS (VERSION A
AND B) COMPLETE ACCURATE EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /
ALREADY GRADED A+
Which of the following features may explain why a
pacemaker-mediated tachycardia may only be
initiated when atrial rates are faster than 100 ppm?
Select one:
a. Adaptive PVARP
b. Rate modulation on
c. A-V delay "offset" programmed on
d. PMT algorithm programmed off
The correct answer is: Adaptive PVARP
A patient experiences syncope and has a Holter
done. The Holter reveals mildly symptomatic
episodes of non-sustained SVT's.
Which of the following should be done next?
Select one:
,a. Repeat the Holter
b. Install an implantable loop recorder
c. Start on antiarrhythmic meds
d. Perform an EP study
The correct answer is: Perform an EP study
A 48-year-old pacemaker dependent woman golfer
is scheduled for a shoulder repair where
electrocautery will be utilized. The battery measures:
2.56V and ERI is 2.5V.
Which of the following is the best course of action?
Select one:
a. Program the device to asynchronous mode
b. Place the grounding plate as far away as possible
c. Limit electrocautery to short bursts
d. Replace the device before surgery
The correct answer is: Replace the device before
surgery
At the in office follow-up check the
histograms/event counters indicate an increase in
both the % atrial pacing (25% to 95%) as well as the
AF burden (8% to 25%) since the last programming.
The patient's CHADS2VA2SC score is 0.
Which of the following should be done next?
Select one:
a. Start the patient on Coumadin
,b. Schedule the patient for pulmonary vein isolation
c. Turn off the atrial overdrive pacing algorithm
d. Start the patient on amiodarone
The correct answer is: Turn off the atrial overdrive
pacing algorithm
Approximately, what percentage of sinus node
disease patients develop AV block?
Select one:
a. 1-1.5% per year
b. 3-5% per year
c. 5-10% per year
d. 10-15% per year
The correct answer is: 1-1.5% per year
In which of the following patients would DFT testing
be of least value?
Select one:
a. Right sided implant
b. Hypertrophic cardiomyopathy
c. Arrhythmogenic RV dysplasia/cardiomyopat
d. Post MI with an EF of 28%
The correct answer is: Post MI with an EF of 28%
Three primary prevention trials in post infarction
patients showing reduced mortality with ICD
mortality of 54%, 55%, and 31%, respectively:
, Select one:
a. AVID, MOST, CABG-PATCH
b. AVID, CASH, SIDS
c. MADIT, MUSTT, MADIT II
d. MADE, MOST, CASH
The correct answer is: MADIT, MUSTT, MADIT II
Which of the following ICD patients would tend to
have the lowest DFT?
Select one:
a. A right sided implant
b. A very distal RV coil positioning
c. A patient on mexiletine or carvedilol
d. A hypertrophic cardiomyopathy patient
The correct answer is: A very distal RV coil
positioning
Which of the following is true concerning a dedicated
bipolar ICD lead?
Select one:
a. The pullback distance is shorter
b. DFTs tend to be lower than integrated bipolar
c.Since the coil is more proximal on the lead, it is
more prone to pick up atrial signals in small RVs
d. It is more susceptible to T-wave oversensing in
Brugada syndrome patients
ACTUAL EXAM 2 VERSIONS (VERSION A
AND B) COMPLETE ACCURATE EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /
ALREADY GRADED A+
Which of the following features may explain why a
pacemaker-mediated tachycardia may only be
initiated when atrial rates are faster than 100 ppm?
Select one:
a. Adaptive PVARP
b. Rate modulation on
c. A-V delay "offset" programmed on
d. PMT algorithm programmed off
The correct answer is: Adaptive PVARP
A patient experiences syncope and has a Holter
done. The Holter reveals mildly symptomatic
episodes of non-sustained SVT's.
Which of the following should be done next?
Select one:
,a. Repeat the Holter
b. Install an implantable loop recorder
c. Start on antiarrhythmic meds
d. Perform an EP study
The correct answer is: Perform an EP study
A 48-year-old pacemaker dependent woman golfer
is scheduled for a shoulder repair where
electrocautery will be utilized. The battery measures:
2.56V and ERI is 2.5V.
Which of the following is the best course of action?
Select one:
a. Program the device to asynchronous mode
b. Place the grounding plate as far away as possible
c. Limit electrocautery to short bursts
d. Replace the device before surgery
The correct answer is: Replace the device before
surgery
At the in office follow-up check the
histograms/event counters indicate an increase in
both the % atrial pacing (25% to 95%) as well as the
AF burden (8% to 25%) since the last programming.
The patient's CHADS2VA2SC score is 0.
Which of the following should be done next?
Select one:
a. Start the patient on Coumadin
,b. Schedule the patient for pulmonary vein isolation
c. Turn off the atrial overdrive pacing algorithm
d. Start the patient on amiodarone
The correct answer is: Turn off the atrial overdrive
pacing algorithm
Approximately, what percentage of sinus node
disease patients develop AV block?
Select one:
a. 1-1.5% per year
b. 3-5% per year
c. 5-10% per year
d. 10-15% per year
The correct answer is: 1-1.5% per year
In which of the following patients would DFT testing
be of least value?
Select one:
a. Right sided implant
b. Hypertrophic cardiomyopathy
c. Arrhythmogenic RV dysplasia/cardiomyopat
d. Post MI with an EF of 28%
The correct answer is: Post MI with an EF of 28%
Three primary prevention trials in post infarction
patients showing reduced mortality with ICD
mortality of 54%, 55%, and 31%, respectively:
, Select one:
a. AVID, MOST, CABG-PATCH
b. AVID, CASH, SIDS
c. MADIT, MUSTT, MADIT II
d. MADE, MOST, CASH
The correct answer is: MADIT, MUSTT, MADIT II
Which of the following ICD patients would tend to
have the lowest DFT?
Select one:
a. A right sided implant
b. A very distal RV coil positioning
c. A patient on mexiletine or carvedilol
d. A hypertrophic cardiomyopathy patient
The correct answer is: A very distal RV coil
positioning
Which of the following is true concerning a dedicated
bipolar ICD lead?
Select one:
a. The pullback distance is shorter
b. DFTs tend to be lower than integrated bipolar
c.Since the coil is more proximal on the lead, it is
more prone to pick up atrial signals in small RVs
d. It is more susceptible to T-wave oversensing in
Brugada syndrome patients
