IBHRE CEPS - TROUBLE QUESTIONS &
ANSWERS FINAL STUDY SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED
A+
>> Type of pause seen after PVC
Answer: Compensatory pause
>> Type of pause seen after PAC
Answer: Non-compensatory pause
>> What would lead I look like in BiV pacing
Answer: small or isoelectric because activating both V at the same time
>> Inferior STEMI best seen in which leads
Answer: inferiors
>> Large (+) p wave in II
Answer: Right Atrial enlargement (RAE)
>> Notched P in II; biphasic late (-) p in V1
Answer: Left Atrial Enlargement (LAE)
>> Elevated R in V1
Answer: Right Ventricle hypertrophy
>> electrolyte imbalance associate with SQTS
,Answer: hypercalcemia
>> electrolyte imbalance associate with LQTS
Answer: hypocalcemia
>> Which 2 leads are usually similar in configuration because they measure
along the same horizontal axis
Answer: I & v6
>> PVC location: (-) II, III, avF
Answer: low, apex
>> PVC location: (+) II, III, avF
Answer: high, outflow tract
>> PVC location: transition before v3
Answer: Left sided
>> PVC location: transition after v3
Answer: Right sided
>> Delta waves: (-) v1
Answer: Right sided
>> Delta waves: (+) v1
Answer: Left sided
>> Delta waves: (-) II, III, avF
Answer: posterior
,>> Delta waves: (+) II, III, avF
Answer: anterior
>> Delta waves: (+) v2-6
Answer: posterior septal
>> Delta waves: transition v1-2
Answer: septal
>> Indication for ablation of AP in pt w/ no SVT
increased risk of AP through pathway leading to VF
Answer: shortest pre-excited R-R <220 in AF
>> Conduction through the AV node with delay or block, resulting in a broader
QRS
Answer: Aberrancy
>> Electrical impulses trigger cardiac muscle contraction by controlling the flux
of which ion across membrane
Answer: Calcium
>> Ventricle activation time measurement
Answer: Beginning of Q to peak of R
>> cSNRT=
Answer: cSNRT=SNRT-SCL
>> AVNRT response to adenosine
Answer: SVT terminates with an A
, >> AVRT response to adenosine
Answer: Ruled out, if SVT continues with AV block
>> VA<AV
Answer: AVRT
>> Ashman's phenomenon
Answer: aberration occurring when a short cycle follows a long one in AF
>> RBBB morphology in v6
Answer: wide S wave
>> LBBB morphology in v6
Answer: opposite of v1
>> Heart block type: A, H, no V
Answer: 2nd type 2 - infranodal block
>> Heart block that resolves during exercise is located in
Answer: AVN
>> Most rare hemiblock
Answer: Left posterior Hemiblock
>> Does antidromic AVRT have a delta wave?
Answer: Yes
>> Does orthodromic AVRT have a delta wave?
Answer: No (AP conducts retrograde)
ANSWERS FINAL STUDY SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED
A+
>> Type of pause seen after PVC
Answer: Compensatory pause
>> Type of pause seen after PAC
Answer: Non-compensatory pause
>> What would lead I look like in BiV pacing
Answer: small or isoelectric because activating both V at the same time
>> Inferior STEMI best seen in which leads
Answer: inferiors
>> Large (+) p wave in II
Answer: Right Atrial enlargement (RAE)
>> Notched P in II; biphasic late (-) p in V1
Answer: Left Atrial Enlargement (LAE)
>> Elevated R in V1
Answer: Right Ventricle hypertrophy
>> electrolyte imbalance associate with SQTS
,Answer: hypercalcemia
>> electrolyte imbalance associate with LQTS
Answer: hypocalcemia
>> Which 2 leads are usually similar in configuration because they measure
along the same horizontal axis
Answer: I & v6
>> PVC location: (-) II, III, avF
Answer: low, apex
>> PVC location: (+) II, III, avF
Answer: high, outflow tract
>> PVC location: transition before v3
Answer: Left sided
>> PVC location: transition after v3
Answer: Right sided
>> Delta waves: (-) v1
Answer: Right sided
>> Delta waves: (+) v1
Answer: Left sided
>> Delta waves: (-) II, III, avF
Answer: posterior
,>> Delta waves: (+) II, III, avF
Answer: anterior
>> Delta waves: (+) v2-6
Answer: posterior septal
>> Delta waves: transition v1-2
Answer: septal
>> Indication for ablation of AP in pt w/ no SVT
increased risk of AP through pathway leading to VF
Answer: shortest pre-excited R-R <220 in AF
>> Conduction through the AV node with delay or block, resulting in a broader
QRS
Answer: Aberrancy
>> Electrical impulses trigger cardiac muscle contraction by controlling the flux
of which ion across membrane
Answer: Calcium
>> Ventricle activation time measurement
Answer: Beginning of Q to peak of R
>> cSNRT=
Answer: cSNRT=SNRT-SCL
>> AVNRT response to adenosine
Answer: SVT terminates with an A
, >> AVRT response to adenosine
Answer: Ruled out, if SVT continues with AV block
>> VA<AV
Answer: AVRT
>> Ashman's phenomenon
Answer: aberration occurring when a short cycle follows a long one in AF
>> RBBB morphology in v6
Answer: wide S wave
>> LBBB morphology in v6
Answer: opposite of v1
>> Heart block type: A, H, no V
Answer: 2nd type 2 - infranodal block
>> Heart block that resolves during exercise is located in
Answer: AVN
>> Most rare hemiblock
Answer: Left posterior Hemiblock
>> Does antidromic AVRT have a delta wave?
Answer: Yes
>> Does orthodromic AVRT have a delta wave?
Answer: No (AP conducts retrograde)
