IBHRE CCDS Exam Question with 100% Verified Answers

IBHRE CCDS Exam Question with 100%
Verified Answers
Question 1
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
Correct Answer
The correct answer is: AFFIRM



Question 2
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?

Select one:
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
Correct Answer
The correct answer is: The informed consent of the patient




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,Question 3
An infection is diagnosed 1 month after pacemaker implantation. The most likely
culprit is which of the following?

Select one:
a. Staphylococcus aureus
b. Staphylococcus epidermidis
c. Pseudomonas pseudomallei
d. Echerichia coli
Correct Answer
The correct answer is: Staphylococcus aureus



Question 4
Which of the following is a Class III indication for ICD implantation?

Select one:
a. VT not due to a reversible cause
b. Severe symptoms attributable to VT while patient awaits heart transplant
c. Incessant VT
d. Non-sustained VT, previous MI, positive EP study
Correct Answer
The correct answer is: Incessant VT



Question 5
Which of the following drugs will increase DFT within 2 days?

Select one:
a. Amiodarone
b. Sotalol
c. Isoproterenol
d. Flecainide
Correct Answer
The correct answer is: Flecainide




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,Question 6
If one doubles the distance from the radiation source, the exposure level is which of
the following, compared to the original distance?


Select one:
a. 1/2
b. 1/3
c. 1/4
d. 1/8
Correct Answer
The correct answer is: 1/4



Question 7
Each of the following limited sensitivity diagnostic tools has been shown to be a
positive predictor for increased risk of sudden cardiac death EXCEPT?

Select one:
a. Signal averaged ECG
b. T-wave alternans
c. Lack of heart rate variability or baroreflex sensitivity
d. P-wave dispersion
Correct Answer
The correct answer is: P-wave dispersion




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, Question 8
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
Correct Answer
The correct answer is: Start the patient on dabigatran or rivaroxaban and consider
turning on an atrial overdrive pacing algorithm



Question 9
Which of the following would be most helpful for standard evaluation of a pacing
system?

Select one:
a. AP & LAO over-penetrated
b. PA & lateral over-penetrated
c. AP & lateral under-penetrated
d. PA & LAO under-penetrated
Correct Answer
The correct answer is: PA & lateral over-penetrated




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