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IBHRE CEPS - Trouble Questions with Answers
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IBHRE CEPS - Trouble Questions with Answers
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IBHRE CEPS - Trouble Questions withAnswers
168. Compared to the the permanent pacemaker, does a temp pacer have
constant current or voltage? Also, how much voltage can it generate? 5V or
20V? - -Constant current, 20V. (Doubles 9.5V)
-171. Which patient with acute MI is most likely to need a temp pacer?
Inferior MI, Mobitz I AV Bock
Inferior MI, bundle branch block
Anterior MI, Mobitz I AV Bock
Anterior MI, bundle branch block - -Anterior MI, bundle branch block
Acute BBB post MI should be seen as a warning and often proceeds CHB. The
RCA commonly supplies blood to the AV node making the impact of an
Anterior MI more significant
-12. For maximum electrical safety, the ECG monitored patient should be
_____________, and the monitor chassis should be _______________ or non-
conductive. (Grounded vs Ungrounded) - -Ungrounded, grounded
-34. What channel is responsible for the SA and AV node upstroke? - -Ca++
Slow Channel
-38. How does gender effect SVT frequency for AVNRT and AVRT? - -Women
twice as likely to get AVNRT, men twice as likely to get AVRT
-39. The plateau (phase 2) occurs on the surface ECG during the_________ ,
and during mechanical _________________ . - -QT interval, Systole
-48. The pause after atrial pacing is termed: - -Overdrive suppression
-49. Most arrhythmias in the EP lab are caused by?
a. Vagal response
b. Automaticity
c. Triggered
d. Reentry - -Reentry
-50. What mechanism causes "triggered" arrhythmias?
a. Reentry
b. After depolarization
c. Automaticity of the atrial tissue
d. Automaticity of the ventricular tissue - -After depolarization (think R on T)
, -51. What do the terms EAD and DAD stand for and what arrythmias are
they associated with? - -EAD - Early after deporization, Torsades
DAD - Delayed after depolarization, RVOT VT
-55. Which arrhythmia type most closely resembles an "itch of the heart" in
acutely ill patients? - -Automatic arrhythmias
-58. - -
-59.. - -
-60. - -
-61. - -
-62. - -
-63. An ambulatory patient is: - -Able to walk
-67. What does tachypnea mean? - -Rapid breathing
-75. - -
-96. - -
-157. What blade is most often used for the initial subcutaneous tissue
incision? (Looking for a number) - -#10 scalpel blade
-169. The distal electrode of a pacing lead is negative of positive? - -
Negative (Cat = negative)
-170. If you press emergency pacing on the MDT temp pacer, what rate does
it pace at? - -Whatever rate you have currently programmed. (Not just
always 60)
-173. A pulse train of 8 paced beats with a fixed cycle length is termed:
a. Incremental Pacing
b. Decremental Pacing
c. Synchronous Pacing
d. Asynchronous Pacing - -a. Incremental Pacing - Also known as bust pacing
-178. The new RF powered transseptal needle that may be used to puncture
a fibrotic and aneurysmal atrial septum has:
a. Irrigated tip RF electrode
b. A mounted ICE transducer
c. Side holes for pressure and contrast
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