IBHRE INTERNATIONAL BOARD OF HEART RHYTHM EXAMINERS CERTIFICATION EXAM QUESTIONS &… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
IBHRE International Board of Heart
Rhythm Examiners Certification
Exam Questions & Answers 2026-
2027 | Latest Verified Edition
Verified Answers Exam Ready With Rationales
420 QUESTIONS
DOCUMENT OVERVIEW
This document contains 420 verified questions with correct answers provided, specifically designed for the
IBHRE International Board of Heart Rhythm Examiners certification exam. It comprehensively covers the
subject area of heart rhythm management, ensuring a thorough understanding of essential concepts. This
resource is ideal for students preparing for certification, allowing for effective study and review of critical
knowledge in the field.
CONTENTS
• Pacemaker Basics • Pacemaker Programming
• Electrode Materials • Pacing Thresholds
• Arrhythmias and Pacing • Device Interference
• Clinical Indications • ICD Functionality
• Complications and Infections • Pharmacology and Therapies
• Diagnostic Tools • Patient Management
• Defibrillation and Shock Management • Lead Management
• Sensing and Capture • Biventricular Pacing
• Radiation and Imaging • Advanced Pacing Techniques
Page 1
, • Clinical Trials and Guidelines • Patient Safety and Monitoring
• Device Programming and Settings • Threshold Management
• Optimization Techniques • Electrode and Lead Technologies
• Current Trends in Pacing • Electrophysiology Concepts
• Clinical Assessments
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 420
IBHRE (International Board of Heart Rhythm Examiners) Exam
CORRECT ANSWER
Exam Coverage
Exam coverage for the IBHRE (International Board of Heart Rhythm Examiners) Exam includes the advanced knowledge, clinical
competencies, and technical skills required for professionals involved in cardiac rhythm management, cardiac device therapy, and
electrophysiology. Depending on the certification track (CCDS, CEPS, or CDRMS), the exam focuses on cardiac electrophysiology,
arrhythmia recognition and management, cardiovascular implantable electronic devices (CIEDs), device programming, patient assessment,
and device follow-up management.
Q2 QUESTION 2 OF 420
AV sequentially paced patients with frequent ventricular ectopy should have the following pacemaker parameters programmed to
decrease the chance of competition:
a) short blanking period
b) slower base rate
c) increased ventricular refractory period
d) none of the above
CORRECT ANSWER
A. Short Blanking Period
Q3 QUESTION 3 OF 420
Low threshold electrode materials include each of the following EXCEPT:
a) iridium oxide
b) elgiloy
c) platinized platinum
d) titanium nitride
CORRECT ANSWER
B. Elgiloy
Page 2
, Q4 QUESTION 4 OF 420
The strength duration curve resulting in a parabolic shape is described by which of the following formulas?
a) I x t
b) I x V x t
c) I x R
d) all of the above
CORRECT ANSWER
B. I x V x t
Q5 QUESTION 5 OF 420
The ventriculoatrial conduction time of a pacemaker patient with a typical endless-loop-tachycardia may be calculated by which
equation?
a) (upper rate limit interval) - ( AV delay + PVARP)
b) (upper rate limit interval) - ( AV delay + PVARP + Wenckebach interval
c) (lower rate limit interval) - ( upper rate limit interval)
d) none of the above
CORRECT ANSWER
D. None of the above
Q6 QUESTION 6 OF 420
Which of the following programmings would not prevent crosstalk?
a) a prolonged blanking period
b) "safety pacing"
c) low atrial output
d) less sensitive ventricular sensitivity
CORRECT ANSWER
B. "Safety Pacing"
Q7 QUESTION 7 OF 420
A function of pacemaker circuitry that allows the pacemaker output pulse to be dissipated quickly maximizing both the output and
sensing capabilities.
a) circuit resistors
b) charge dump
Page 3
, c) pulse neutralizer
d) current consumption
CORRECT ANSWER
B. Charge Dump
Q8 QUESTION 8 OF 420
The most commonly used battery chemistry in ICDs is:
a) lithium thionyl chloride
b) lithium manganese dioxide
c) lithium silver vanadium oxide
d) lithium manganese dioxide
CORRECT ANSWER
C. Lithium Silver Vanadium Oxide
Q9 QUESTION 9 OF 420
The purpose of a capacitor in an electrical circuit is to:
a) convert AC to DC current
b) store electrical charge
c) rapidly switch battery voltage on or off
d) limit current flow to a single direction
CORRECT ANSWER
B. Store Electrical Charge
Q10 QUESTION 10 OF 420
A programming mode that would NOT be utilized to manage intermittent atrial fibrillation in a patient with a DDD pacemaker is:.
a) DDI
b) DVI
c) VDD
d) VVI
CORRECT ANSWER
C. VDD
Q11 QUESTION 11 OF 420
Variations in stimulus morphology on the surface ECG of an analog recorder may be caused by:
a) a dislodged electrode
b) an electrical short
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
IBHRE International Board of Heart
Rhythm Examiners Certification
Exam Questions & Answers 2026-
2027 | Latest Verified Edition
Verified Answers Exam Ready With Rationales
420 QUESTIONS
DOCUMENT OVERVIEW
This document contains 420 verified questions with correct answers provided, specifically designed for the
IBHRE International Board of Heart Rhythm Examiners certification exam. It comprehensively covers the
subject area of heart rhythm management, ensuring a thorough understanding of essential concepts. This
resource is ideal for students preparing for certification, allowing for effective study and review of critical
knowledge in the field.
CONTENTS
• Pacemaker Basics • Pacemaker Programming
• Electrode Materials • Pacing Thresholds
• Arrhythmias and Pacing • Device Interference
• Clinical Indications • ICD Functionality
• Complications and Infections • Pharmacology and Therapies
• Diagnostic Tools • Patient Management
• Defibrillation and Shock Management • Lead Management
• Sensing and Capture • Biventricular Pacing
• Radiation and Imaging • Advanced Pacing Techniques
Page 1
, • Clinical Trials and Guidelines • Patient Safety and Monitoring
• Device Programming and Settings • Threshold Management
• Optimization Techniques • Electrode and Lead Technologies
• Current Trends in Pacing • Electrophysiology Concepts
• Clinical Assessments
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 420
IBHRE (International Board of Heart Rhythm Examiners) Exam
CORRECT ANSWER
Exam Coverage
Exam coverage for the IBHRE (International Board of Heart Rhythm Examiners) Exam includes the advanced knowledge, clinical
competencies, and technical skills required for professionals involved in cardiac rhythm management, cardiac device therapy, and
electrophysiology. Depending on the certification track (CCDS, CEPS, or CDRMS), the exam focuses on cardiac electrophysiology,
arrhythmia recognition and management, cardiovascular implantable electronic devices (CIEDs), device programming, patient assessment,
and device follow-up management.
Q2 QUESTION 2 OF 420
AV sequentially paced patients with frequent ventricular ectopy should have the following pacemaker parameters programmed to
decrease the chance of competition:
a) short blanking period
b) slower base rate
c) increased ventricular refractory period
d) none of the above
CORRECT ANSWER
A. Short Blanking Period
Q3 QUESTION 3 OF 420
Low threshold electrode materials include each of the following EXCEPT:
a) iridium oxide
b) elgiloy
c) platinized platinum
d) titanium nitride
CORRECT ANSWER
B. Elgiloy
Page 2
, Q4 QUESTION 4 OF 420
The strength duration curve resulting in a parabolic shape is described by which of the following formulas?
a) I x t
b) I x V x t
c) I x R
d) all of the above
CORRECT ANSWER
B. I x V x t
Q5 QUESTION 5 OF 420
The ventriculoatrial conduction time of a pacemaker patient with a typical endless-loop-tachycardia may be calculated by which
equation?
a) (upper rate limit interval) - ( AV delay + PVARP)
b) (upper rate limit interval) - ( AV delay + PVARP + Wenckebach interval
c) (lower rate limit interval) - ( upper rate limit interval)
d) none of the above
CORRECT ANSWER
D. None of the above
Q6 QUESTION 6 OF 420
Which of the following programmings would not prevent crosstalk?
a) a prolonged blanking period
b) "safety pacing"
c) low atrial output
d) less sensitive ventricular sensitivity
CORRECT ANSWER
B. "Safety Pacing"
Q7 QUESTION 7 OF 420
A function of pacemaker circuitry that allows the pacemaker output pulse to be dissipated quickly maximizing both the output and
sensing capabilities.
a) circuit resistors
b) charge dump
Page 3
, c) pulse neutralizer
d) current consumption
CORRECT ANSWER
B. Charge Dump
Q8 QUESTION 8 OF 420
The most commonly used battery chemistry in ICDs is:
a) lithium thionyl chloride
b) lithium manganese dioxide
c) lithium silver vanadium oxide
d) lithium manganese dioxide
CORRECT ANSWER
C. Lithium Silver Vanadium Oxide
Q9 QUESTION 9 OF 420
The purpose of a capacitor in an electrical circuit is to:
a) convert AC to DC current
b) store electrical charge
c) rapidly switch battery voltage on or off
d) limit current flow to a single direction
CORRECT ANSWER
B. Store Electrical Charge
Q10 QUESTION 10 OF 420
A programming mode that would NOT be utilized to manage intermittent atrial fibrillation in a patient with a DDD pacemaker is:.
a) DDI
b) DVI
c) VDD
d) VVI
CORRECT ANSWER
C. VDD
Q11 QUESTION 11 OF 420
Variations in stimulus morphology on the surface ECG of an analog recorder may be caused by:
a) a dislodged electrode
b) an electrical short
Page 4
