IBHRE CEPS Exam Questions and Answers 100% Solved
midazolam - Answers what is the common name for Versed
.04 mg/kg - Answers standard adult dose of atropine
half dose - Answers how much NPH insulin should a patient be administered prior to an EP study? (they
are fasting think about blood sugar)
4-8 weeks - Answers What is the elimination half life of amiodarone?
4 half lives - Answers how long should an anti arrhythmic drug be discontinued prior to EP study?
sodium channel - Answers what do class I drugs primarily affect?
slope of phase 0 (depolarization speed) - Answers what do class 1 drugs effect on sodium channels
primarily do?
Class 1A drugs - Answers slow conduction velocity and increase refractoriness
Class 1B drugs - Answers drugs that shorten refractory periods
Class 1C drugs - Answers pronounced depressants on conduction velocity
class II drugs - Answers What class antiarrhythmic are beta blockers
Class II Drugs (Beta Blockers) - Answers Prevent catecholamine-mediated action on the heart, blocks
sympathetic nervous system cardiac effects (no effect on AP, decreases sympathetic tone)
`class III drugs - Answers increase AP duration by increasing refractoriness but do not affect conduction
velocity
class IV drugs - Answers calcium channel blockers (primarily affecting SA and AV nodes)
Class V drugs - Answers digitalis agents that are used to increase parasympathetic activity
Class IA drug examples - Answers procainamide, disopyrimidine, quinidine
Class IB drug examples - Answers Lidocaine Mexiletine
Class IC drug examples - Answers Flecainide, Propafenone, Encainide
Class II antiarrhythmic drug examples (beta blockers) - Answers propanolol, metoprolol, atenolol,
esmolol
class III drug examples - Answers amiodarone, ibutilide, sotolol, dofetilide
Class IV drug examples - Answers Verapamil, Diltiazem
, 1:1 (10 mg/1000 units) - Answers what is the ratio that heparin and protamine counteract eachother?
2.0-3.0 - Answers INR needed for heparinizing a left sided case
prothrombin to thrombin - Answers what part of the coagulation cascade does heparin block?
after gaining venous access - Answers when is heparin usually administered during a case requiring a
transeptal puncture?
hypotension - Answers what can happen if procainamide is administered too quickly?
no known reversal agents - Answers why discontinue Xarelto and Dabigatran (two anticlotting
medications) prior to AF procedure?
eliquis - Answers what is the brand name for apixaban
what is the common name for xarelto - Answers rivaroxaban
pradaxa - Answers Dabigatran (direct thrombin inhibitor)
Warfarin (Coumadin) - Answers Anticoagulant bloodthinner, Vitamin K Antagonist
Clopidogrel (Plavix) - Answers antiplatelet like aspirin, onset of action is slow
Dabigatran (Pradaxa) - Answers Anticoagulant, Direct Thrombin Inhibitor
Rivoroxaban (Xarelto), Apixaban (Eliquis) - Answers anticoagulant, Factor Xa inhibitor
abciximab, eptifibatide, tirofiban - Answers antiplatelet, glycoprotein IIb/IIIa inhibitor
warfarin, coumarin - Answers anticoagulant, block Vitamin K
aspirin, diprydamole - Answers antiplatelet, COX/ thromboxane inhibitor
bridging anticoagulation - Answers oral anticoagulation prior, heparin for the procedure, resume oral
anticoagulation post procedure
aspirin actions - Answers inhibits platelet aggregation, indirect antithrombotic (inhibits prostaglandin
synthesis of thromboxane A2)
hirudin (desirudin, hirulog, argatroban) - Answers subcutaneous direct thrombin inhibitor
enopaxarin (lovenox) - Answers LMWH used for bridging away from warfarin prior to ablation
LMWH - Answers adminstered subcutaneously that cannot be completely reversed by protamine
4000 u with 1000 u/hr drip - Answers maximum heparin dose for full anticoagulation in patients over 70
kg
midazolam - Answers what is the common name for Versed
.04 mg/kg - Answers standard adult dose of atropine
half dose - Answers how much NPH insulin should a patient be administered prior to an EP study? (they
are fasting think about blood sugar)
4-8 weeks - Answers What is the elimination half life of amiodarone?
4 half lives - Answers how long should an anti arrhythmic drug be discontinued prior to EP study?
sodium channel - Answers what do class I drugs primarily affect?
slope of phase 0 (depolarization speed) - Answers what do class 1 drugs effect on sodium channels
primarily do?
Class 1A drugs - Answers slow conduction velocity and increase refractoriness
Class 1B drugs - Answers drugs that shorten refractory periods
Class 1C drugs - Answers pronounced depressants on conduction velocity
class II drugs - Answers What class antiarrhythmic are beta blockers
Class II Drugs (Beta Blockers) - Answers Prevent catecholamine-mediated action on the heart, blocks
sympathetic nervous system cardiac effects (no effect on AP, decreases sympathetic tone)
`class III drugs - Answers increase AP duration by increasing refractoriness but do not affect conduction
velocity
class IV drugs - Answers calcium channel blockers (primarily affecting SA and AV nodes)
Class V drugs - Answers digitalis agents that are used to increase parasympathetic activity
Class IA drug examples - Answers procainamide, disopyrimidine, quinidine
Class IB drug examples - Answers Lidocaine Mexiletine
Class IC drug examples - Answers Flecainide, Propafenone, Encainide
Class II antiarrhythmic drug examples (beta blockers) - Answers propanolol, metoprolol, atenolol,
esmolol
class III drug examples - Answers amiodarone, ibutilide, sotolol, dofetilide
Class IV drug examples - Answers Verapamil, Diltiazem
, 1:1 (10 mg/1000 units) - Answers what is the ratio that heparin and protamine counteract eachother?
2.0-3.0 - Answers INR needed for heparinizing a left sided case
prothrombin to thrombin - Answers what part of the coagulation cascade does heparin block?
after gaining venous access - Answers when is heparin usually administered during a case requiring a
transeptal puncture?
hypotension - Answers what can happen if procainamide is administered too quickly?
no known reversal agents - Answers why discontinue Xarelto and Dabigatran (two anticlotting
medications) prior to AF procedure?
eliquis - Answers what is the brand name for apixaban
what is the common name for xarelto - Answers rivaroxaban
pradaxa - Answers Dabigatran (direct thrombin inhibitor)
Warfarin (Coumadin) - Answers Anticoagulant bloodthinner, Vitamin K Antagonist
Clopidogrel (Plavix) - Answers antiplatelet like aspirin, onset of action is slow
Dabigatran (Pradaxa) - Answers Anticoagulant, Direct Thrombin Inhibitor
Rivoroxaban (Xarelto), Apixaban (Eliquis) - Answers anticoagulant, Factor Xa inhibitor
abciximab, eptifibatide, tirofiban - Answers antiplatelet, glycoprotein IIb/IIIa inhibitor
warfarin, coumarin - Answers anticoagulant, block Vitamin K
aspirin, diprydamole - Answers antiplatelet, COX/ thromboxane inhibitor
bridging anticoagulation - Answers oral anticoagulation prior, heparin for the procedure, resume oral
anticoagulation post procedure
aspirin actions - Answers inhibits platelet aggregation, indirect antithrombotic (inhibits prostaglandin
synthesis of thromboxane A2)
hirudin (desirudin, hirulog, argatroban) - Answers subcutaneous direct thrombin inhibitor
enopaxarin (lovenox) - Answers LMWH used for bridging away from warfarin prior to ablation
LMWH - Answers adminstered subcutaneously that cannot be completely reversed by protamine
4000 u with 1000 u/hr drip - Answers maximum heparin dose for full anticoagulation in patients over 70
kg
