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IBHRE EXAM PRACTICE EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTONS NEW MODIFIED TESTED AND APPROVED!!!

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Prepare confidently for the IBHRE (International Board of Heart Rhythm Examiners) exam with this comprehensive PDF containing 141 pages of practice exam questions. Each question includes the correct verified solution, updated and modified to reflect the latest exam content. This resource covers pacing, ICDs, electrophysiology, device programming, complications, and more—essential for electrophysiology technicians, nurses, and allied professionals. Approved and tested for accuracy, it’s an ideal study tool for exam success.

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IBHRE EXAM PRACTICE EXAM QUESTIONS
WITH CORRECT VERIFIED SOLUTONS NEW
MODIFIED TESTED AND APPROVED!!!


What is the voltage measurement of a pacing system with a resistance of 800 ohms, current
of 4.5 miliamps and pacing rate of 60 ppm?



a) 0.36 V

b) 3.6 V

c) 5.6 V

d) 0.56 V --CORRECT ANSWER--B. 3.6 V



Which of the following conditions has been shown to cause: an increase in stimulation
threshold, a wide QRS, latency, or undersensing?



a) hypokalemia

b) hyperkalemia

c) hypercalcemia

d) hypocalcemia --CORRECT ANSWER--B. Hyperkalemia



What is the estimated battery service life of a pacemaker with a 1.6 Amp-hour battery and a
16 microamp current drain?



a) 5.6 years


Page 1 of 141

,b) 8.5 years

c) 10.0 years

d) 11.4 years --CORRECT ANSWER--D. 11.4 years



A 75 year old male with complete heart block and an old anterior myocardial infarct has a
DDDC pacemaker with the following settings: (Questions 23-25)

Low rate - 60 ppm Upper rate - 100 ppm

AV delay - 200 msec Atrial refractory period - 350 msec

Ventricular refractory period - 300 msec



The pacemaker Wenckebach interval is:



a) 0 msec

b) 50 msec

c) 100 msec

d) 150 msec --CORRECT ANSWER--B. 50 ms



A 75 year old male with complete heart block and an old anterior myocardial infarct has a
DDDC pacemaker with the following settings: (Questions 23-25)

Low rate - 60 ppm Upper rate - 100 ppm

AV delay - 200 msec Atrial refractory period - 350 msec

Ventricular refractory period - 300 msec



The pacemaker for the above 75 year old patient will reach its 2:1 block point at what rate?




Page 2 of 141

,a) 100 ppm

b) 109 ppm

c) 119 ppm

d) 2:1 block should not occur --CORRECT ANSWER--B. 109 bpm



A 75 year old male with complete heart block and an old anterior myocardial infarct has a
DDDC pacemaker with the following settings: (Questions 23-25)

Low rate - 60 ppm Upper rate - 100 ppm

AV delay - 200 msec Atrial refractory period - 350 msec

Ventricular refractory period - 300 msec



What will the apparent maximal AV delay be prior to the 2:1 block point?



a) 200 ms

b) 250 ms

c) 300 ms

d) 350 ms --CORRECT ANSWER--B. 250 ms



The term virtual electrode describes:



a) a new porous tip electrode material

b) the lead electrode and the surrounding myocardium

c) the afterpotential from the output pulse

d) all of the above --CORRECT ANSWER--B. The Lead Electrode & The Surrounding
Myocardium

Page 3 of 141

, Which of the following acronym(s) describes an insulation material that has been utilized in
ICD leads?



a) CMOS

b) DBS/DFT

c) MCRD

d) PTFE --CORRECT ANSWER--D. PTFE



The difference in the physiologic AV delay between atrial paced beats and atrial sensed beats
is generally regarded as being between:



a) 12 and 20 milliseconds

b) 25 and 50 milliseconds

c) 60 and 100 milliseconds

d) 110 and 120 milliseconds --CORRECT ANSWER--B. 25 & 50 ms



Conditions required for reentry circuits would include:



a) unidirectional block of a pathway

b) differential conduction of the pathways

c) two pathways connected distally and proximally

d) all of the above --CORRECT ANSWER--D. All the above



What is meant by "intention to treat" analysis in a randomized control trial?

Page 4 of 141

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