IBHRE CEPS UPDATED ALL FINAL EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔Anticoagulant, Direct Thrombin Inhibitor - ✔✔Dabigatran (Pradaxa)
✔✔Anticoagulant, direct factor XA inhibitor - ✔✔Rivaroxaban & Apixaban
✔✔Factor Xa inhibitors - ✔✔Rivaroxaban
Apixaban
Edoxaban
✔✔Recommended therapy for asymptomatic pt w/ LQTS - ✔✔Avoid exercise & stress;
take beta blockers
✔✔Best drug class for ischemic hearts - ✔✔beta blockers
✔✔drugs to convert AF to NSR - ✔✔Ibutilide & dofetilide
✔✔Drug to give in drug acquired Torsades - ✔✔Isuprel
✔✔Ventricular antiarrhythmic that acts on ischemic tissue by blocking conduction,
interrupting reentry circuits; used in MI pts w/ frequent PVCs that depress
hemodynamics - ✔✔Lidocaine
,✔✔Oral drug most similar to Lidocaine - ✔✔Mexiletine
✔✔Drug that decreases theophylline levels - ✔✔Mexiletine
✔✔Most common toxic effect of antiarrhythmic drugs - ✔✔proarrhythmic
✔✔1st line class 1c drug on symptomatic AF pts w/ recent onset w/ no structural or
ischemic heart disease - ✔✔Flecainide
✔✔1st line action for pt w/ narrow complex SVT - ✔✔Vagal maneuvers
✔✔Side effects of amiodarone - ✔✔Acute - AV block, hypotension, bradycardia
Chronic - pulmonary fibrosis, peripheral deposition leading to bluish discoloration,
arrhythmias, hypo/hyperthyroidism, photosensitivity (corneal deposition)
✔✔Drugs to avoid in WPW - ✔✔Any drug that blocks the AVN can increase the risk of
rapid bypass
Adenosine
Beta Blockers
Calcium Channel Blockers
Digoxin
✔✔Drugs that may be beneficial in WPW - ✔✔Flecainide & Procainamide
✔✔Rhythm control for AF & AFL - ✔✔1c & III
✔✔Rate control for AF & AFL - ✔✔II & IV
✔✔Cardiac Active Sympathetic catecholamines - ✔✔DINED
Dopamine
Isuprel
Norepinephrine
Epinephrine
Dobutamine
✔✔Beta Blocker Contraindications - ✔✔Asthma
Heart block
COPD
Diabetes
Extremities PVD
✔✔Benefits of Vasopressin over Epinephrine in VF/pulseless VT - ✔✔Reduced cardiac
ischemia & irritability
,one-time does to simplify administration
reduced propensity for VF
✔✔ACE inhibitors reduce - ✔✔vasoconstriction & hypertension
✔✔Medical therapies indicated for pt in anaphylactic shock - ✔✔IV fluid & epinephrine
✔✔Cardiotonic drugs like Digitalis - ✔✔Slow HR & increase force of contraction
✔✔Contrast is filtered out via - ✔✔Kidneys
✔✔Deg and time of tilt table test - ✔✔60-90 degrees
20-45 min
✔✔SA node conduction time (SACT) - ✔✔SACT=(return interval-BCL)/2
✔✔Echo beat - ✔✔impulse travels down to V via slow pathway & back up to A via fast
pathway
✔✔Tach happenings in DDD pacing when the paced V wave passes retrograde up to
the AVN which is sensed as an A then the V is paced too soon - ✔✔PMT
✔✔Type of AP that can conduct both ways - ✔✔manifest
✔✔Type of AP that can only conduct retrograde - ✔✔Concealed
✔✔Normal para-hisian response - ✔✔high output: A capture
low output: V capture at longer time
✔✔Epicardial punture location - ✔✔subxyphoid
✔✔AV dissociation & H before each V - ✔✔BBRVT
✔✔Criteria for BBRVT - ✔✔HIS precedes QRS
HV 55-160
✔✔if PPI-TCL<30 - ✔✔within circuit
✔✔Phased Array - ✔✔ICE
✔✔Morady Pacing - ✔✔VAAV=AT
VAV=AVNRT
, ✔✔PVC @ time of HIS (HIS is refractory), if impulse reaches A - ✔✔pathway
✔✔PVC @ time of HIS (HIS is refractory), if impulse advances A - ✔✔pathway
✔✔PVC @ time of HIS (HIS is refractory), if conduction is unaltered - ✔✔doesn't mean
anything: maybe no pathway or maybe pathway is far away
✔✔Explanation for unexpected conduction of an impulse that had blocked at a larger
coupling interval - ✔✔Gap phenomemon
✔✔Spontaneous termination of orthodromic AVRT end with: - ✔✔A
✔✔Coumel's law - ✔✔when BBB occurs on same side as AP (ipsilateral) that tach with
be slower
✔✔ACLS - ✔✔advanced cardiac life support
✔✔First medication given during ACLS - ✔✔Oxygen
✔✔When ablating in the CS, it's safest to only ablate along the inner surface due to -
✔✔The Circumflex
✔✔Coolant in Cryo - ✔✔Nitrous oxide gas
✔✔Most common location for focal ATs - ✔✔Crista
✔✔Where is RBB located - ✔✔RV septum below HIS
✔✔Recommended therapy for asymptomatic pt in 1st deg block if HV >100 ms -
✔✔Pacer
✔✔Caused by non physiologic VVI pacing; caused by single chamber V pacing -
✔✔Pacemaker syndrome
✔✔How to alleviate pacemaker syndrome - ✔✔upgrade to DDD device
✔✔Possible cause for loss of V capture 2 months after ppm implant - ✔✔lead
dislodgement
✔✔Follows V pace, prevents QRS & T wave sensing in A - ✔✔Post ventricular atrial
refractory period (PVARP)
✔✔TARP= - ✔✔TARP=AV+PVARP
QUESTIONS AND ANSWERS SURE A+
✔✔Anticoagulant, Direct Thrombin Inhibitor - ✔✔Dabigatran (Pradaxa)
✔✔Anticoagulant, direct factor XA inhibitor - ✔✔Rivaroxaban & Apixaban
✔✔Factor Xa inhibitors - ✔✔Rivaroxaban
Apixaban
Edoxaban
✔✔Recommended therapy for asymptomatic pt w/ LQTS - ✔✔Avoid exercise & stress;
take beta blockers
✔✔Best drug class for ischemic hearts - ✔✔beta blockers
✔✔drugs to convert AF to NSR - ✔✔Ibutilide & dofetilide
✔✔Drug to give in drug acquired Torsades - ✔✔Isuprel
✔✔Ventricular antiarrhythmic that acts on ischemic tissue by blocking conduction,
interrupting reentry circuits; used in MI pts w/ frequent PVCs that depress
hemodynamics - ✔✔Lidocaine
,✔✔Oral drug most similar to Lidocaine - ✔✔Mexiletine
✔✔Drug that decreases theophylline levels - ✔✔Mexiletine
✔✔Most common toxic effect of antiarrhythmic drugs - ✔✔proarrhythmic
✔✔1st line class 1c drug on symptomatic AF pts w/ recent onset w/ no structural or
ischemic heart disease - ✔✔Flecainide
✔✔1st line action for pt w/ narrow complex SVT - ✔✔Vagal maneuvers
✔✔Side effects of amiodarone - ✔✔Acute - AV block, hypotension, bradycardia
Chronic - pulmonary fibrosis, peripheral deposition leading to bluish discoloration,
arrhythmias, hypo/hyperthyroidism, photosensitivity (corneal deposition)
✔✔Drugs to avoid in WPW - ✔✔Any drug that blocks the AVN can increase the risk of
rapid bypass
Adenosine
Beta Blockers
Calcium Channel Blockers
Digoxin
✔✔Drugs that may be beneficial in WPW - ✔✔Flecainide & Procainamide
✔✔Rhythm control for AF & AFL - ✔✔1c & III
✔✔Rate control for AF & AFL - ✔✔II & IV
✔✔Cardiac Active Sympathetic catecholamines - ✔✔DINED
Dopamine
Isuprel
Norepinephrine
Epinephrine
Dobutamine
✔✔Beta Blocker Contraindications - ✔✔Asthma
Heart block
COPD
Diabetes
Extremities PVD
✔✔Benefits of Vasopressin over Epinephrine in VF/pulseless VT - ✔✔Reduced cardiac
ischemia & irritability
,one-time does to simplify administration
reduced propensity for VF
✔✔ACE inhibitors reduce - ✔✔vasoconstriction & hypertension
✔✔Medical therapies indicated for pt in anaphylactic shock - ✔✔IV fluid & epinephrine
✔✔Cardiotonic drugs like Digitalis - ✔✔Slow HR & increase force of contraction
✔✔Contrast is filtered out via - ✔✔Kidneys
✔✔Deg and time of tilt table test - ✔✔60-90 degrees
20-45 min
✔✔SA node conduction time (SACT) - ✔✔SACT=(return interval-BCL)/2
✔✔Echo beat - ✔✔impulse travels down to V via slow pathway & back up to A via fast
pathway
✔✔Tach happenings in DDD pacing when the paced V wave passes retrograde up to
the AVN which is sensed as an A then the V is paced too soon - ✔✔PMT
✔✔Type of AP that can conduct both ways - ✔✔manifest
✔✔Type of AP that can only conduct retrograde - ✔✔Concealed
✔✔Normal para-hisian response - ✔✔high output: A capture
low output: V capture at longer time
✔✔Epicardial punture location - ✔✔subxyphoid
✔✔AV dissociation & H before each V - ✔✔BBRVT
✔✔Criteria for BBRVT - ✔✔HIS precedes QRS
HV 55-160
✔✔if PPI-TCL<30 - ✔✔within circuit
✔✔Phased Array - ✔✔ICE
✔✔Morady Pacing - ✔✔VAAV=AT
VAV=AVNRT
, ✔✔PVC @ time of HIS (HIS is refractory), if impulse reaches A - ✔✔pathway
✔✔PVC @ time of HIS (HIS is refractory), if impulse advances A - ✔✔pathway
✔✔PVC @ time of HIS (HIS is refractory), if conduction is unaltered - ✔✔doesn't mean
anything: maybe no pathway or maybe pathway is far away
✔✔Explanation for unexpected conduction of an impulse that had blocked at a larger
coupling interval - ✔✔Gap phenomemon
✔✔Spontaneous termination of orthodromic AVRT end with: - ✔✔A
✔✔Coumel's law - ✔✔when BBB occurs on same side as AP (ipsilateral) that tach with
be slower
✔✔ACLS - ✔✔advanced cardiac life support
✔✔First medication given during ACLS - ✔✔Oxygen
✔✔When ablating in the CS, it's safest to only ablate along the inner surface due to -
✔✔The Circumflex
✔✔Coolant in Cryo - ✔✔Nitrous oxide gas
✔✔Most common location for focal ATs - ✔✔Crista
✔✔Where is RBB located - ✔✔RV septum below HIS
✔✔Recommended therapy for asymptomatic pt in 1st deg block if HV >100 ms -
✔✔Pacer
✔✔Caused by non physiologic VVI pacing; caused by single chamber V pacing -
✔✔Pacemaker syndrome
✔✔How to alleviate pacemaker syndrome - ✔✔upgrade to DDD device
✔✔Possible cause for loss of V capture 2 months after ppm implant - ✔✔lead
dislodgement
✔✔Follows V pace, prevents QRS & T wave sensing in A - ✔✔Post ventricular atrial
refractory period (PVARP)
✔✔TARP= - ✔✔TARP=AV+PVARP
