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IBHRE Certification Exam Comprehensive Practice Questions with Answers Rated A+

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IBHRE Certification Exam Comprehensive Practice Questions with Answers Rated A+ This document contains a comprehensive collection of IBHRE (International Board of Heart Rhythm Examiners) practice questions with detailed answers. Topics include pacemaker and ICD function, electrophysiology principles, cardiac pharmacology, lead technology, heart failure management, and diagnostic testing. Ideal for preparation for both EP and CCDS certification exams, this material helps reinforce key concepts and clinical decision-making relevant to the IBHRE certification. Keywords: IBHRE practice exam EP board prep ICD knowledge check pacemaker troubleshooting electrophysiology questions CRT therapy device programming cardiac pharmacology heart rhythm disorders lead extraction risks defibrillator programming HF management MADIT trial criteria QT prolongation drugs battery longevity calculation

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August 4, 2025
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IBHRE Certification Exam Comprehensive Practice
Questions with Answers 2025 -2026 Rated A+
1.67 Hz would equal how many bpm? - ANSWER-100 bpm
1 bpm = 0.0166667 Hz

A band-pass filter modifies incoming signals according to which of the following units of
measure? - ANSWER-Hertz

A function of pacemaker circuitry that allows the pacemaker output to be dissipated
quickly maximizing both the output and sensing capability? - ANSWER-Charge dump

A likely benefit but possible concern of a ventricular detection enhancement such as
"stability" would be best described as what? - ANSWER-Increase the specificity but
decrease the sensitivity

A MDT style 3.2mm low profile lead with no sealing rings and a long pin fits
appropriately with which header? - ANSWER-VS-1 B (sealing rings in header)

A patient is scheduled to receive radiation therapy for lung cancer in a location very
close to an implanted generator. What should be done? - ANSWER-Relocate the
pacemaker before the radiation treatment

A patient who undergoes revascularization for CAD who has sustained VT should be
managed with: - ANSWER-Post or perisurgical ICD implamt

An EP takes a retrospective look at 360 consecutive ICD patients to gather data one his
patient survival statistic. It uncovers one pharmacological factor was linked to better
patient survival, what is it ? - ANSWER-Beta blocker therapy

An idiopathic dilated cardiomyopathy patient was implanted with an ICD due to aborted
SCD. Patient was placed on amio to decrease frequency of VT. As a result of the amio
the patient experienced thyrotoxicosis which manifests itself by? - ANSWER-
Polymorphic VT

Approximate infection rate of CRTD implant in a normal healthy male? - ANSWER-2-4%

Approximately what percentage of CRT patients are non responders? - ANSWER-30%

Arrythmogenic RV dysplasia differs from brugada syndrome by presenting with? -
ANSWER-Monomorphic VT

AV block occurs in what percentage of congenital open heart surgeries? - ANSWER-1-
3%

, AV sequential paced patients with frequent ventricular ectopic should have the the
following parameters to decrease chance of competition: - ANSWER-Short blanking
periods

Battery capacity of a pacemaker is given in which parameter? - ANSWER-Current

DBS (Drawn Brazed Strand) is a term associated with: - ANSWER-Silver & nickel alloy
conductor material

Defibrillation energies exceed pacing energies by a factor of ? - ANSWER-1,000,000

Diastolic dysfunction is characterized by: - ANSWER-Increased ventricular wall stiffness

Early results have shown which of the following categories of CHF patients to benefit
from BiV pacing? - ANSWER-NYHA class III with BBB

Fluoroquinolones, a new gen antibiotic is known for which cardiac effect? - ANSWER-
Prolonging QT

If one doubles the distance away from the radiation source, the exposure level is ____
compared to original? - ANSWER-1/4 less

In a circuit with resistance of 500 ohms and 600 ohms in the parallel circuit the
resistance would be? - ANSWER-R total = R1 x R2
————
(R1 + R2)
= (500 x 600)
——————-
(500 + 600)
= 272.7 ohms

In a normal person, stroke volume increases by what % when exercising? - ANSWER-
50%

In order to charge a capacitor, and ICD must provide current of approximately: -
ANSWER-2 amps

In order to have a pacing system automatically assess capture and thresholds, the
essential electrode characteristics would be? - ANSWER-Minimal electrode diameter
size

In pacing, capacitors are: - ANSWER-Charged in parallel and discharged in series

Infection from microorganisms within the patient would be termed? - ANSWER-
Endogenous

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