CCDS IBHRE COMPREHENSIVE EXAM 2026 QUESTIONS
AND SOLUTIONS RATED A+
✔✔Bacteria common with Acute pocket infections? - ✔✔Staphylococcus Aureus
✔✔Bacteria common with Chronic pocket infections? - ✔✔Staphylococcus Epidermis
✔✔Third degree and advanced second degree AV Block associated with symptomatic
brady or v arrhythmias - ✔✔Class 1 ppm indication
✔✔Third degree and advance second degree AV block requiring drug therapy -
✔✔Class 1 ppm indication
✔✔Third degree and advanced second degree AV block in patients with documented
asymptomatic pauses of 3.0s or longer - ✔✔Class 1 ppm indication
✔✔Third degree or advanced second degree AV block with escape < 40 - ✔✔Class 1
ppm indication
✔✔Third degree av block with escape > 40; asymptomatic - ✔✔IIa
✔✔Asymptomatic 2nd degree at intra/infra HIS level - ✔✔IIa
✔✔Symptomatic 1st or 2nd degree AV Block - ✔✔IIa
✔✔Asymptomatic 2nd degree type 2 with narrow QRS - ✔✔IIa
✔✔2nd Degree type 2 with wide QRS - ✔✔Class 1
✔✔Nuero muscular diseases like myotonic muscular dystrophy - ✔✔IIa
✔✔Asymptomatic 1st degree block - ✔✔Class III
✔✔2nd Degree type 1 Supra HIS - ✔✔Class III
✔✔AV block expected to resolve - ✔✔Class III
✔✔Advanced 2nd degree AV block or intermittent third degree AV block - ✔✔Class I
✔✔2nd Degree type 2 - ✔✔Class 1
✔✔Alternating bbb - ✔✔Class 1
, ✔✔Syncope not due to AV block - ✔✔Class IIa
✔✔Persistent 2nd degree block in HIS/purkinje system with alternating BBB after
STEMI - ✔✔Class I
✔✔Third degree with or below HIS/purkinje after STEMI - ✔✔Class 1
✔✔Persistent and symptomatic second or third degree - ✔✔Class I
✔✔Myotonic Dystrophy - ✔✔IIa
✔✔Tick bite can lead to? - ✔✔CHB
Limes disease -> CHB
✔✔Takotsubo Syndrome - ✔✔- LV apical ballooning
- common after an argument or emotional distress
- presents like MI
✔✔Commotio Cordis - ✔✔A blunt chest injury caused by a sudden, direct blow to the
chest that occurs only during the critical portion of a person's heartbeat.
✔✔In vasodepressor syncope patients, what stimulates cardiac C-fibers? - ✔✔vigorous
squeezing of relatively empty ventricles
✔✔What antibiotics should be used primitively for CIED? - ✔✔penicillin;
vancomycin in presence of penicillin allergy
✔✔Symptomatic brady post MI - ✔✔Class I
✔✔Bilateral BBB post MI - ✔✔Class 1
✔✔Mobitz II post MI - ✔✔Class I
✔✔The Kissing Bug - ✔✔Chagas disease
lifelong parasitic disease
Can cause SCD
✔✔Brugada syndrome - ✔✔most common in Asian males. ECG pattern of pseudo-right
budnle ranch block and ST elevations in V1-V3. increased risk of ventricular
tachyarrthymias and SCD
SCN5A gene
✔✔CRT-D infection rate in otherwise healthy males? - ✔✔.5-1.5%
AND SOLUTIONS RATED A+
✔✔Bacteria common with Acute pocket infections? - ✔✔Staphylococcus Aureus
✔✔Bacteria common with Chronic pocket infections? - ✔✔Staphylococcus Epidermis
✔✔Third degree and advanced second degree AV Block associated with symptomatic
brady or v arrhythmias - ✔✔Class 1 ppm indication
✔✔Third degree and advance second degree AV block requiring drug therapy -
✔✔Class 1 ppm indication
✔✔Third degree and advanced second degree AV block in patients with documented
asymptomatic pauses of 3.0s or longer - ✔✔Class 1 ppm indication
✔✔Third degree or advanced second degree AV block with escape < 40 - ✔✔Class 1
ppm indication
✔✔Third degree av block with escape > 40; asymptomatic - ✔✔IIa
✔✔Asymptomatic 2nd degree at intra/infra HIS level - ✔✔IIa
✔✔Symptomatic 1st or 2nd degree AV Block - ✔✔IIa
✔✔Asymptomatic 2nd degree type 2 with narrow QRS - ✔✔IIa
✔✔2nd Degree type 2 with wide QRS - ✔✔Class 1
✔✔Nuero muscular diseases like myotonic muscular dystrophy - ✔✔IIa
✔✔Asymptomatic 1st degree block - ✔✔Class III
✔✔2nd Degree type 1 Supra HIS - ✔✔Class III
✔✔AV block expected to resolve - ✔✔Class III
✔✔Advanced 2nd degree AV block or intermittent third degree AV block - ✔✔Class I
✔✔2nd Degree type 2 - ✔✔Class 1
✔✔Alternating bbb - ✔✔Class 1
, ✔✔Syncope not due to AV block - ✔✔Class IIa
✔✔Persistent 2nd degree block in HIS/purkinje system with alternating BBB after
STEMI - ✔✔Class I
✔✔Third degree with or below HIS/purkinje after STEMI - ✔✔Class 1
✔✔Persistent and symptomatic second or third degree - ✔✔Class I
✔✔Myotonic Dystrophy - ✔✔IIa
✔✔Tick bite can lead to? - ✔✔CHB
Limes disease -> CHB
✔✔Takotsubo Syndrome - ✔✔- LV apical ballooning
- common after an argument or emotional distress
- presents like MI
✔✔Commotio Cordis - ✔✔A blunt chest injury caused by a sudden, direct blow to the
chest that occurs only during the critical portion of a person's heartbeat.
✔✔In vasodepressor syncope patients, what stimulates cardiac C-fibers? - ✔✔vigorous
squeezing of relatively empty ventricles
✔✔What antibiotics should be used primitively for CIED? - ✔✔penicillin;
vancomycin in presence of penicillin allergy
✔✔Symptomatic brady post MI - ✔✔Class I
✔✔Bilateral BBB post MI - ✔✔Class 1
✔✔Mobitz II post MI - ✔✔Class I
✔✔The Kissing Bug - ✔✔Chagas disease
lifelong parasitic disease
Can cause SCD
✔✔Brugada syndrome - ✔✔most common in Asian males. ECG pattern of pseudo-right
budnle ranch block and ST elevations in V1-V3. increased risk of ventricular
tachyarrthymias and SCD
SCN5A gene
✔✔CRT-D infection rate in otherwise healthy males? - ✔✔.5-1.5%
