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IBHRE study review Exam Questions with answers
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IBHRE study review Exam Questionswith answers
Alerts allow for earlier detection of problems, therefore allowing more
effective treatment. - -How does remote monitoring improve survival?
-Increased efficiency, reduced cost, expedited clinical decisions and
improved survival. - -Name the benefits of remote monitoring:
-Class I. - -Remote monitoring is a ________ indication for all patients.
-Treated VF episode. - -Which of the following would be a red alert?
-R-R irregularity. - -How does an Implantable Loop Recorder detect A fib?
-Holter monitor. - -Which of the following is used for the shortest amount of
time?
-Threshold test. - -When interrogating an IRL, which test can't you run?
-Event recorder. - -Which of the following only records events or when a
patient presses a button?
-Implantable loop recorder - -Which of the following continuously loops over
data, saving specific episodes for up to 5 years?
-Implantable cardiac monitor.
Insertable cardiac monitor.
Injectable cardiac monitor. - -Implantable loop recorders can also be known
as?
-> 3 secs. - -How long must a recorded pause on an IRL last for an
asymptomatic patient to warrant a pacemaker?
-False; Complete heart block is an indication for a pacemaker since that
patient has no AV conduction. - -True or False: Complete heart block is an
indication for an ILR.
-Irregularity of ventricular rhythm.
A fib creates an irregularly irregular ventricular pattern, which can be
distinguished from most other SVTs. ILRs can only sense ventricular beats, so
this is the method they use to detect AF. - -How does an IRL detect atrial
fibrillation?
, -Patient rates are likely to be much slower at night when they are sleeping
and do not necessitate a pacemaker. - -Why does time of day matter when
analyzing IRL brady reports?
-Rate response is turned on. - -In a single chamber device, if the pacing rate
is faster than the programmed base rate, that means:
-To help the device to sense flutter waves that are falling into PVAB on every
other beat. - -What is the purpose of the blanked flutter search and atrial
flutter response algorithms?
-Pace conditioning - -Which of the following adjusts the atrial pacing rate
above the intrinsic rhythm to keep the atria refractory and suppress AF
triggers?
-Rate smoothing - -Which of the following limits the change in pacing
interval from beat to beat to prevent rapid acceleration or deceleration?
-PAC response - -Which of the following paces rapidly to eliminate the pause
after a PAC and prevent arrhythmias?
-1) New onset AF.
2) AF Burden and duration of episodes.
3) Ventricular rate during episodes.
4) Impact of medication and other treatment. - -If at follow up you find
episodes of AF, what should you report to the physician?
-Extend the AV Delay. - -To see the underlying rhythm in the ventricular
channel while in DDD mode, you should:
-Raise the base rate. - -To see pacing in the atrial channel while in DDD
mode, you should:
-Lower the base rate. - -To see the underlying rhythm in the atrial channel
while in DDD mode, you should:
-Shorten the AV Delay. - -To see pacing in the ventricular channel while in
DDD mode, you should:
-Torsades. - -Rate smoothing is useful in preventing:
-Program PVARP 50 ms longer than RVAC. - -If you discover that a patient
has retrograde conduction during follow up, to prevent PMT you should:
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