IBHRE CEPS TEST ALL 2026 QUESTIONS AND
ANSWERS SURE A+
✔✔Wellens - ✔✔Proximal critical stenosis of LAD
✔✔Lown-Ganong-Levine Syndrome - ✔✔Pre-excitation down James fibers
Reentrant bundle of AV tissue near AVN
no delta wave
Risk of AF inducing VT
✔✔Romano-Ward syndrome - ✔✔-Congenital long QT syndrome
-Autosomal dominant, pure cardiac phenotype (no deafness).
✔✔Lange- Neilson and Jervelle Syndrome - ✔✔-Congenital long QT syndrome
-associated with deafness
✔✔Tako-Tsubo Syndrome - ✔✔"Broken Heart Syndrome"
A cardiomyopathy where the apex of the LV weakens, and balloons outward.
-Associated with extreme stress/grief (recent loss of a loved one/job/divorce etc).
Pt presents with angina, dyspnea, arrhythmias.
Diagnosis:
,-EKG: will show ST-elevations
-Trop: can be elevated.
Treatment:... just like a STEMI
-aspirin, beta-blockers, ACE/ARB.
✔✔Dual AVN physiology is found in what % of population - ✔✔15-25%
✔✔ICD as primary pevention - ✔✔PT at risk for SCD but w/o history
✔✔ICD as secondary prevention - ✔✔survivor of SCA
✔✔Most common arrhythmia in pts recovering form MI - ✔✔PVCs
✔✔EF <30% - ✔✔Strong predictor of SCD
✔✔CHADS2 - ✔✔CHF - 1
hypertension - 1
age > 75 - 1
Diabetes - 1
Stroke - 2
(max score 6)
✔✔CHA2DS2-VASc - ✔✔CHF - 1
hypertension - 1
age > 75 - 2
Diabetes - 1
Stroke - 2
Vascular disease - 1
Age 65-74 - 1
Female - 1
(max score 9)
✔✔Units that measure lab staff radiation - ✔✔REM & Sivert
✔✔Radiation quantity given to pt - ✔✔RAD
✔✔Absorbed radiation dose - ✔✔Gray (Gy)
✔✔Greatest radiation hazard to EP lab scrubs come from - ✔✔scattered x-ray
✔✔Organs most sensitive to radiation-induced cancer - ✔✔bone marrow
breast
thyroid
, ✔✔Lead apron filters out % of x-rays - ✔✔80%
✔✔Radiographic view that will produce highest x-ray exposure to staff working on R
side of pt - ✔✔LAO
✔✔RAO x-ray helps place what catheters - ✔✔HIS & RV
✔✔LAO x-ray helps place what catheters - ✔✔CS
(in LAO the His should point straight at you)
✔✔RAO x-ray shows - ✔✔long axis of ventricle and separates A from V
✔✔In CRT, where should LV lead be placed - ✔✔posterior cardiac vein or lateral
marginal veins
✔✔Most likely complication while advancing catheter into RV - ✔✔RBBB
✔✔Most common complication of LV lead placement in CRT - ✔✔Coronary vein
dissection or perforation
✔✔% of normal pts w/ PFO - ✔✔10-20%
✔✔Needle trips over what and land on Fossa Ovalis - ✔✔Limbus/Limbic ridge
✔✔Pts allergic to contrast should be premedicated with - ✔✔steroid & antihistamine
✔✔In left sided cases, keep ACT above - ✔✔300
✔✔To avoid excessive bleeding, it is safest to pull sheaths when ACT is - ✔✔<160
✔✔2 most common major complications in PVI - ✔✔PV stenosis
Cardiac Tamponade
✔✔3 most common lethal complication of PVI - ✔✔Stroke
Cardiac Tamponade
Atria-esophageal fistula
✔✔Atropine typical use & normal dose - ✔✔Bradycardia & hypotension (.5-1 mg)
✔✔Drug that reduces retained water in CHF pts - ✔✔Lasix (Furosemide)
✔✔Cardiotonic medication Digixin used to - ✔✔Slow HR & increase force of contraction
ANSWERS SURE A+
✔✔Wellens - ✔✔Proximal critical stenosis of LAD
✔✔Lown-Ganong-Levine Syndrome - ✔✔Pre-excitation down James fibers
Reentrant bundle of AV tissue near AVN
no delta wave
Risk of AF inducing VT
✔✔Romano-Ward syndrome - ✔✔-Congenital long QT syndrome
-Autosomal dominant, pure cardiac phenotype (no deafness).
✔✔Lange- Neilson and Jervelle Syndrome - ✔✔-Congenital long QT syndrome
-associated with deafness
✔✔Tako-Tsubo Syndrome - ✔✔"Broken Heart Syndrome"
A cardiomyopathy where the apex of the LV weakens, and balloons outward.
-Associated with extreme stress/grief (recent loss of a loved one/job/divorce etc).
Pt presents with angina, dyspnea, arrhythmias.
Diagnosis:
,-EKG: will show ST-elevations
-Trop: can be elevated.
Treatment:... just like a STEMI
-aspirin, beta-blockers, ACE/ARB.
✔✔Dual AVN physiology is found in what % of population - ✔✔15-25%
✔✔ICD as primary pevention - ✔✔PT at risk for SCD but w/o history
✔✔ICD as secondary prevention - ✔✔survivor of SCA
✔✔Most common arrhythmia in pts recovering form MI - ✔✔PVCs
✔✔EF <30% - ✔✔Strong predictor of SCD
✔✔CHADS2 - ✔✔CHF - 1
hypertension - 1
age > 75 - 1
Diabetes - 1
Stroke - 2
(max score 6)
✔✔CHA2DS2-VASc - ✔✔CHF - 1
hypertension - 1
age > 75 - 2
Diabetes - 1
Stroke - 2
Vascular disease - 1
Age 65-74 - 1
Female - 1
(max score 9)
✔✔Units that measure lab staff radiation - ✔✔REM & Sivert
✔✔Radiation quantity given to pt - ✔✔RAD
✔✔Absorbed radiation dose - ✔✔Gray (Gy)
✔✔Greatest radiation hazard to EP lab scrubs come from - ✔✔scattered x-ray
✔✔Organs most sensitive to radiation-induced cancer - ✔✔bone marrow
breast
thyroid
, ✔✔Lead apron filters out % of x-rays - ✔✔80%
✔✔Radiographic view that will produce highest x-ray exposure to staff working on R
side of pt - ✔✔LAO
✔✔RAO x-ray helps place what catheters - ✔✔HIS & RV
✔✔LAO x-ray helps place what catheters - ✔✔CS
(in LAO the His should point straight at you)
✔✔RAO x-ray shows - ✔✔long axis of ventricle and separates A from V
✔✔In CRT, where should LV lead be placed - ✔✔posterior cardiac vein or lateral
marginal veins
✔✔Most likely complication while advancing catheter into RV - ✔✔RBBB
✔✔Most common complication of LV lead placement in CRT - ✔✔Coronary vein
dissection or perforation
✔✔% of normal pts w/ PFO - ✔✔10-20%
✔✔Needle trips over what and land on Fossa Ovalis - ✔✔Limbus/Limbic ridge
✔✔Pts allergic to contrast should be premedicated with - ✔✔steroid & antihistamine
✔✔In left sided cases, keep ACT above - ✔✔300
✔✔To avoid excessive bleeding, it is safest to pull sheaths when ACT is - ✔✔<160
✔✔2 most common major complications in PVI - ✔✔PV stenosis
Cardiac Tamponade
✔✔3 most common lethal complication of PVI - ✔✔Stroke
Cardiac Tamponade
Atria-esophageal fistula
✔✔Atropine typical use & normal dose - ✔✔Bradycardia & hypotension (.5-1 mg)
✔✔Drug that reduces retained water in CHF pts - ✔✔Lasix (Furosemide)
✔✔Cardiotonic medication Digixin used to - ✔✔Slow HR & increase force of contraction
