Summative Core Exam Study Guide Part 1 EXAM 2026
-2027 NEWEST ACTUAL EXAM TEST BANK| COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+|
EXAM PREP (BRAND NEW!!)
Irregular irregular rhythm with flat underlying baselining + NO P waves
What will an EKG show for Afib?
Check thyroid (hyperthyroidism)
If a patient has new onset Afib, what should you ALWAYS check?
,Blood clot forms in LA + piece of clot breaks off and travels to brain
Describe the relationship between Afib and Strokes?
Left atrial appendage
>90% of thrombi associated with Afib evolve in what part of the heart?
BBs, Non DHP CCBs (diltiazem/verapamil), Digoxin
What are the 3 RATE control options for managing Afib?
Electrical cardioversion, Catheter ablation, Antiarrhythmics (amiodarone)
What are the 3 RHYTHM control options for managing Afib?
,ACs few hours prior
If we decide to use electrical cardioversion to manage Afib and we are
confident that the onset was <48 hours, when should the pt be
anticoagulated?
ACs 3 weeks prior + 4 weeks after procedure
If we decide to use electrical cardioversion to manage Afib and we are
confident that the onset was >48 hours, when should the pt be
anticoagulated?
TEE (look for thrombus; present = NO cardioversion)
If we need to use electrical cardioversion on a pt IMMEDIATELY and
don't have the time to start anticoagulants, what imaging study should
you ALWAYS get?
CHA2DS2 VASc score
What score is used to determine whether a patient with Afib needs
LIFELONG ANTICOAGULANTS following an electrical cardioversion?
, NO (patient still needs ACs for 2-3 months after)
Does catheter ablation reduce the risk for stroke for afib?
Amiodarone (pulmonary fibrosis, liver issues, ILD, thyroid issues, eye)
What is the MC antiarrhythmic medication used to treat Afib? What are
the potential SEs? Hint: PLITE
CCB (less risk of bronchospasm)
When choosing a RATE control med for afib management, what med
should be used if the patient has chronic lung disease?
CCBs
What class of medications is CONTRAINDICATED in HFrEF?
Digoxin
What med is CONTRAINDIACTED in HFpEF?
-2027 NEWEST ACTUAL EXAM TEST BANK| COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+|
EXAM PREP (BRAND NEW!!)
Irregular irregular rhythm with flat underlying baselining + NO P waves
What will an EKG show for Afib?
Check thyroid (hyperthyroidism)
If a patient has new onset Afib, what should you ALWAYS check?
,Blood clot forms in LA + piece of clot breaks off and travels to brain
Describe the relationship between Afib and Strokes?
Left atrial appendage
>90% of thrombi associated with Afib evolve in what part of the heart?
BBs, Non DHP CCBs (diltiazem/verapamil), Digoxin
What are the 3 RATE control options for managing Afib?
Electrical cardioversion, Catheter ablation, Antiarrhythmics (amiodarone)
What are the 3 RHYTHM control options for managing Afib?
,ACs few hours prior
If we decide to use electrical cardioversion to manage Afib and we are
confident that the onset was <48 hours, when should the pt be
anticoagulated?
ACs 3 weeks prior + 4 weeks after procedure
If we decide to use electrical cardioversion to manage Afib and we are
confident that the onset was >48 hours, when should the pt be
anticoagulated?
TEE (look for thrombus; present = NO cardioversion)
If we need to use electrical cardioversion on a pt IMMEDIATELY and
don't have the time to start anticoagulants, what imaging study should
you ALWAYS get?
CHA2DS2 VASc score
What score is used to determine whether a patient with Afib needs
LIFELONG ANTICOAGULANTS following an electrical cardioversion?
, NO (patient still needs ACs for 2-3 months after)
Does catheter ablation reduce the risk for stroke for afib?
Amiodarone (pulmonary fibrosis, liver issues, ILD, thyroid issues, eye)
What is the MC antiarrhythmic medication used to treat Afib? What are
the potential SEs? Hint: PLITE
CCB (less risk of bronchospasm)
When choosing a RATE control med for afib management, what med
should be used if the patient has chronic lung disease?
CCBs
What class of medications is CONTRAINDICATED in HFrEF?
Digoxin
What med is CONTRAINDIACTED in HFpEF?
