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IBHRE PREP Questions and Correct
Answers the Latest Update
PVARP....after a _____ event, refractory for the ______
✓ ventricle, atrium
what is most likely the cause of the under detection of atrial flutter?
✓ p waves falling into PVAB
Which two studies showed that RV pacing in patients could lead to more
hospitalizations?
✓ DAVID and MOST
when are the wedensky effects the greatest
✓ at narrow pulse widths
First degree AV block with symptoms of ppm syndrome is what class of
indication for pacing
✓ Class IIa
Calculation of the wenkbach interval
✓ MTR-TARP
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What did the ADEPT study show
✓ rate modulation was ineffective in improving the QoL for patients with a brady
indication
Lead perf percentages in ICD placements
✓ 0.6-5%
Class IA drugs that increase pacing thresholds (3)
✓ quinidine, dysopyramid, procainamid
class IC drugs that increase pacing thresholds
✓ flecanide, propaferone
class 3 drugs that increase pacing thresholds (3)
✓ propaferone, amio, sotalol
Osborn or J waves indicate what three things
✓ hypothermia, hypercalcemia, brugada syndrome
Sign of WPW syndrome within the QRS
✓ delta wave in the PR interval
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lead type with the highest rate of perforation
✓ atrial active fix leads
MADIT study
✓ icd vs drug therapy. icd reduced mortality by 54%
MADITII study
✓ icd VS. no ICD. no need for prior arrythmias. No EP study needed. ICD decreased
mortality by 31%
SCDHEFT study
✓ ICD decreased mortality in both ICM (21%) and NICM (27), amio had little to no
effect on mortality
PMOP algorithm
✓ helps reduce reoccurring atrial tach episodes from reoccurring shortly after previous
episode has ended
rheobase is measured in _____ while chronaxie is measured in _____
✓ voltage, ms
charge is measured in _______. the formula is ______
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✓ microcoloumbs, I(current) x T (pulse duration)
constant current = ____ load and ____ impedance
✓ small, low
constant voltage= ____ load and ____ impedence
✓ large, high
Which is better polyurethane 80A or 55D?
✓ 55D
what programming change can you make to help combat PPM syndrome
✓ lower the rate to decrease the RV pacing
Clinical manifestations of brugada (2)
✓ ST elevation in V1-V3, RbBB
Drugs that increase DFT (4)
✓ lidocaine, quinidine, flecanide, dyapherihydation
underlying reasons for Torsades (4)
✓ hypomagnesia, hypokalemia, hypoxia, acidosis
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