IBHRE CEPS REVISED ACTUAL Exam
Questions and CORRECT Answers
Type of pause seen after PVC - CORRECT ANSWER - Compensatory pause
Type of pause seen after PAC - CORRECT ANSWER - Non-compensatory pause
What would lead I look like in BiV pacing - CORRECT ANSWER - small or isoelectric
because activating both V at the same time
Inferior STEMI best seen in which leads - CORRECT ANSWER - inferiors
Large (+) p wave in II - CORRECT ANSWER - Right Atrial enlargement (RAE)
Notched P in II; biphasic late (-) p in V1 - CORRECT ANSWER - Left Atrial Enlargement
(LAE)
Elevated R in V1 - CORRECT ANSWER - Right Ventricle hypertrophy
electrolyte imbalance associate with SQTS - CORRECT ANSWER - hypercalcemia
electrolyte imbalance associate with LQTS - CORRECT ANSWER - hypocalcemia
Which 2 leads are usually similar in configuration because they measure along the same
horizontal axis - CORRECT ANSWER - I & v6
PVC location: (-) II, III, avF - CORRECT ANSWER - low, apex
,PVC location: (+) II, III, avF - CORRECT ANSWER - high, outflow tract
PVC location: transition before v3 - CORRECT ANSWER - Left sided
PVC location: transition after v3 - CORRECT ANSWER - Right sided
Delta waves: (-) v1 - CORRECT ANSWER - Right sided
Delta waves: (+) v1 - CORRECT ANSWER - Left sided
Delta waves: (-) II, III, avF - CORRECT ANSWER - posterior
Delta waves: (+) II, III, avF - CORRECT ANSWER - anterior
Delta waves: (+) v2-6 - CORRECT ANSWER - posterior septal
Delta waves: transition v1-2 - CORRECT ANSWER - septal
Indication for ablation of AP in pt w/ no SVT - CORRECT ANSWER - shortest pre-
excited R-R <220 in AF
increased risk of AP through pathway leading to VF
Conduction through the AV node with delay or block, resulting in a broader QRS - CORRECT
ANSWER - Aberrancy
Electrical impulses trigger cardiac muscle contraction by controlling the flux of which ion across
membrane - CORRECT ANSWER - Calcium
,Ventricle activation time measurement - CORRECT ANSWER - Beginning of Q to peak
of R
cSNRT= - CORRECT ANSWER - cSNRT=SNRT-SCL
AVNRT response to adenosine - CORRECT ANSWER - SVT terminates with an A
AVRT response to adenosine - CORRECT ANSWER - Ruled out, if SVT continues with
AV block
VA<AV - CORRECT ANSWER - AVRT
Ashman's phenomenon - CORRECT ANSWER - aberration occurring when a short cycle
follows a long one in AF
RBBB morphology in v6 - CORRECT ANSWER - wide S wave
LBBB morphology in v6 - CORRECT ANSWER - opposite of v1
Heart block type: A, H, no V - CORRECT ANSWER - 2nd type 2 - infranodal block
Heart block that resolves during exercise is located in - CORRECT ANSWER - AVN
Most rare hemiblock - CORRECT ANSWER - Left posterior Hemiblock
Does antidromic AVRT have a delta wave? - CORRECT ANSWER - Yes
, Does orthodromic AVRT have a delta wave? - CORRECT ANSWER - No (AP conducts
retrograde)
When would you use precordial thump - CORRECT ANSWER - in pulseless VT when
defib is not nearby
Typical BBRVT - CORRECT ANSWER - LBBB morphology: down RB; up HIS
VA conduction times different between RVA & RVT pacing in pt w/ AP - CORRECT
ANSWER - slanted pathway
alpha-adrenergic - CORRECT ANSWER - vasoconstriction
Beta 1 adrenergic - CORRECT ANSWER - Cardiac stimulation
Cholinergic - CORRECT ANSWER - Cardiac depression
Contraindications for Isuprel - CORRECT ANSWER - pts w/ MI - increases MVO2
demand
Beta adrenergic agonist - CORRECT ANSWER - Isoproterenol
Average t 1/2 of Amiodarone - CORRECT ANSWER - ~58 days
Heparin blocks what during a clot formation - CORRECT ANSWER - prothrombin to
thrombin
Normal INR - CORRECT ANSWER - 1.0
Questions and CORRECT Answers
Type of pause seen after PVC - CORRECT ANSWER - Compensatory pause
Type of pause seen after PAC - CORRECT ANSWER - Non-compensatory pause
What would lead I look like in BiV pacing - CORRECT ANSWER - small or isoelectric
because activating both V at the same time
Inferior STEMI best seen in which leads - CORRECT ANSWER - inferiors
Large (+) p wave in II - CORRECT ANSWER - Right Atrial enlargement (RAE)
Notched P in II; biphasic late (-) p in V1 - CORRECT ANSWER - Left Atrial Enlargement
(LAE)
Elevated R in V1 - CORRECT ANSWER - Right Ventricle hypertrophy
electrolyte imbalance associate with SQTS - CORRECT ANSWER - hypercalcemia
electrolyte imbalance associate with LQTS - CORRECT ANSWER - hypocalcemia
Which 2 leads are usually similar in configuration because they measure along the same
horizontal axis - CORRECT ANSWER - I & v6
PVC location: (-) II, III, avF - CORRECT ANSWER - low, apex
,PVC location: (+) II, III, avF - CORRECT ANSWER - high, outflow tract
PVC location: transition before v3 - CORRECT ANSWER - Left sided
PVC location: transition after v3 - CORRECT ANSWER - Right sided
Delta waves: (-) v1 - CORRECT ANSWER - Right sided
Delta waves: (+) v1 - CORRECT ANSWER - Left sided
Delta waves: (-) II, III, avF - CORRECT ANSWER - posterior
Delta waves: (+) II, III, avF - CORRECT ANSWER - anterior
Delta waves: (+) v2-6 - CORRECT ANSWER - posterior septal
Delta waves: transition v1-2 - CORRECT ANSWER - septal
Indication for ablation of AP in pt w/ no SVT - CORRECT ANSWER - shortest pre-
excited R-R <220 in AF
increased risk of AP through pathway leading to VF
Conduction through the AV node with delay or block, resulting in a broader QRS - CORRECT
ANSWER - Aberrancy
Electrical impulses trigger cardiac muscle contraction by controlling the flux of which ion across
membrane - CORRECT ANSWER - Calcium
,Ventricle activation time measurement - CORRECT ANSWER - Beginning of Q to peak
of R
cSNRT= - CORRECT ANSWER - cSNRT=SNRT-SCL
AVNRT response to adenosine - CORRECT ANSWER - SVT terminates with an A
AVRT response to adenosine - CORRECT ANSWER - Ruled out, if SVT continues with
AV block
VA<AV - CORRECT ANSWER - AVRT
Ashman's phenomenon - CORRECT ANSWER - aberration occurring when a short cycle
follows a long one in AF
RBBB morphology in v6 - CORRECT ANSWER - wide S wave
LBBB morphology in v6 - CORRECT ANSWER - opposite of v1
Heart block type: A, H, no V - CORRECT ANSWER - 2nd type 2 - infranodal block
Heart block that resolves during exercise is located in - CORRECT ANSWER - AVN
Most rare hemiblock - CORRECT ANSWER - Left posterior Hemiblock
Does antidromic AVRT have a delta wave? - CORRECT ANSWER - Yes
, Does orthodromic AVRT have a delta wave? - CORRECT ANSWER - No (AP conducts
retrograde)
When would you use precordial thump - CORRECT ANSWER - in pulseless VT when
defib is not nearby
Typical BBRVT - CORRECT ANSWER - LBBB morphology: down RB; up HIS
VA conduction times different between RVA & RVT pacing in pt w/ AP - CORRECT
ANSWER - slanted pathway
alpha-adrenergic - CORRECT ANSWER - vasoconstriction
Beta 1 adrenergic - CORRECT ANSWER - Cardiac stimulation
Cholinergic - CORRECT ANSWER - Cardiac depression
Contraindications for Isuprel - CORRECT ANSWER - pts w/ MI - increases MVO2
demand
Beta adrenergic agonist - CORRECT ANSWER - Isoproterenol
Average t 1/2 of Amiodarone - CORRECT ANSWER - ~58 days
Heparin blocks what during a clot formation - CORRECT ANSWER - prothrombin to
thrombin
Normal INR - CORRECT ANSWER - 1.0
