IBHRE CEPS Questions And Answers
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Type of pause seen after PVC - ANSWERS✔✔Compensatory pause
Type of pause seen after PAC - ANSWERS✔✔Non-compensatory pause
What would lead I look like in BiV pacing - ANSWERS✔✔small or isoelectric
because activating both V at the same time
Inferior STEMI best seen in which leads - ANSWERS✔✔inferiors
Large (+) p wave in II - ANSWERS✔✔Right Atrial enlargement (RAE)
Notched P in II; biphasic late (-) p in V1 - ANSWERS✔✔Left Atrial Enlargement
(LAE)
Elevated R in V1 - ANSWERS✔✔Right Ventricle hypertrophy
electrolyte imbalance associate with SQTS - ANSWERS✔✔hypercalcemia
electrolyte imbalance associate with LQTS - ANSWERS✔✔hypocalcemia
Which 2 leads are usually similar in configuration because they measure along the
same horizontal axis - ANSWERS✔✔I & v6
PVC location: (-) II, III, avF - ANSWERS✔✔low, apex
PVC location: (+) II, III, avF - ANSWERS✔✔high, outflow tract
PVC location: transition before v3 - ANSWERS✔✔Left sided
PVC location: transition after v3 - ANSWERS✔✔Right sided
Delta waves: (-) v1 - ANSWERS✔✔Right sided
,Delta waves: (+) v1 - ANSWERS✔✔Left sided
Delta waves: (-) II, III, avF - ANSWERS✔✔posterior
Delta waves: (+) II, III, avF - ANSWERS✔✔anterior
Delta waves: (+) v2-6 - ANSWERS✔✔posterior septal
Delta waves: transition v1-2 - ANSWERS✔✔septal
Indication for ablation of AP in pt w/ no SVT - ANSWERS✔✔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 -
ANSWERS✔✔Aberrancy
Electrical impulses trigger cardiac muscle contraction by controlling the flux of
which ion across membrane - ANSWERS✔✔Calcium
Ventricle activation time measurement - ANSWERS✔✔Beginning of Q to peak of
R
cSNRT= - ANSWERS✔✔cSNRT=SNRT-SCL
AVNRT response to adenosine - ANSWERS✔✔SVT terminates with an A
AVRT response to adenosine - ANSWERS✔✔Ruled out, if SVT continues with
AV block
VA<AV - ANSWERS✔✔AVRT
Ashman's phenomenon - ANSWERS✔✔aberration occurring when a short cycle
follows a long one in AF
RBBB morphology in v6 - ANSWERS✔✔wide S wave
,LBBB morphology in v6 - ANSWERS✔✔opposite of v1
Heart block type: A, H, no V - ANSWERS✔✔2nd type 2 - infranodal block
Heart block that resolves during exercise is located in - ANSWERS✔✔AVN
Most rare hemiblock - ANSWERS✔✔Left posterior Hemiblock
Does antidromic AVRT have a delta wave? - ANSWERS✔✔Yes
Does orthodromic AVRT have a delta wave? - ANSWERS✔✔No (AP conducts
retrograde)
When would you use precordial thump - ANSWERS✔✔in pulseless VT when
defib is not nearby
Typical BBRVT - ANSWERS✔✔LBBB morphology: down RB; up HIS
VA conduction times different between RVA & RVT pacing in pt w/ AP -
ANSWERS✔✔slanted pathway
alpha-adrenergic - ANSWERS✔✔vasoconstriction
Beta 1 adrenergic - ANSWERS✔✔Cardiac stimulation
Cholinergic - ANSWERS✔✔Cardiac depression
Contraindications for Isuprel - ANSWERS✔✔pts w/ MI - increases MVO2
demand
Beta adrenergic agonist - ANSWERS✔✔Isoproterenol
Average t 1/2 of Amiodarone - ANSWERS✔✔~58 days
Heparin blocks what during a clot formation - ANSWERS✔✔prothrombin to
thrombin
, Normal INR - ANSWERS✔✔1.0
Complications of high INR - ANSWERS✔✔bleeding
Anticoagulant, Direct Thrombin Inhibitor - ANSWERS✔✔Dabigatran (Pradaxa)
Anticoagulant, direct factor XA inhibitor - ANSWERS✔✔Rivaroxaban &
Apixaban
Factor Xa inhibitors - ANSWERS✔✔Rivaroxaban
Apixaban
Edoxaban
Recommended therapy for asymptomatic pt w/ LQTS - ANSWERS✔✔Avoid
exercise & stress; take beta blockers
Best drug class for ischemic hearts - ANSWERS✔✔beta blockers
drugs to convert AF to NSR - ANSWERS✔✔Ibutilide & dofetilide
Drug to give in drug acquired Torsades - ANSWERS✔✔Isuprel
Ventricular antiarrhythmic that acts on ischemic tissue by blocking conduction,
interrupting reentry circuits; used in MI pts w/ frequent PVCs that depress
hemodynamics - ANSWERS✔✔Lidocaine
Oral drug most similar to Lidocaine - ANSWERS✔✔Mexiletine
Drug that decreases theophylline levels - ANSWERS✔✔Mexiletine
Most common toxic effect of antiarrhythmic drugs - ANSWERS✔✔proarrhythmic
1st line class 1c drug on symptomatic AF pts w/ recent onset w/ no structural or
ischemic heart disease - ANSWERS✔✔Flecainide
1st line action for pt w/ narrow complex SVT - ANSWERS✔✔Vagal maneuvers
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