


Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
A series of questions and answers related to pacemaker function and programming, covering topics such as voltage, resistance, pacing modes, and lead maturation. It is a valuable resource for students preparing for the ibhre exam, offering insights into key concepts and practical applications.
Typology: Exams
1 / 4
This page cannot be seen from the preview
Don't miss anything!
Voltage is? - Correct Answer-The electromotive force pushing on electrons If the PM output voltage is 5v and the measured lead resistance is 330 ohms, then the current that flows out of the pacemaker into the heart is? - Correct Answer-15. I=V/R=5V/.33 k ohm If a unipolar lead wire has an insulation break one would expect the resistance to? - Correct Answer-decrease for a wire fracture the resistance? - Correct Answer-increases if the output vlotage of the pacemaker is programmed from 5 volts to 2.5 volts, the energy delivered to the heart is? - Correct Answer-quartered Which of the following affect the longevity of the PM? - Correct Answer-output voltage, resistance of lead and amount % pacing Which Pt's PM will last longer? - Correct Answer-#1: AMP=5V, L.R.=90, resistance 500ohms, PW=.5ms, 100%pacing #2: AMP=5V, L.R.=60, resistance 500ohms, PW=.5ms, 100%pacing #3: AMP=2.5V, L.R.=60, resistance 330ohms, PW=.5ms, 100% pacing (#4: AMP=2.5v, L.R.=60, resistance 500ohms, PW=.5ms, 50%pacing) The strength duration curve is dependent on the? - Correct Answer-Cell's membrane capacitance, intracellular and extracellular resistance and threshold voltage. A patient on flecainide should? - Correct Answer-Have their threshold checked The acute threshold peaking is due to? - Correct Answer-Trauma and inflammation An advantage of bipolar leads is? - Correct Answer-They are less susceptible to EMI The two parameters that are important for ventricular sensing and should be measured are? - Correct Answer-R-wave amplitude and slew rate If an external PM is set to a sensitivity setting of 5mV and some R-waves go unsensed, then you should do the following - Correct Answer-Increase sensing by lowering sensitivity to 2.5mV.
Typical acceptable R-wave amplitude values for an acute ventricular lead is? - Correct Answer- 7 - 15mV Typical acceptable P wave amplitude values for an acute atrial lead is? - Correct Answer-greater than 2mV The slew rate is? - Correct Answer-Change in voltage divided by time or the slope of the EGM Typical lead resistance range measured in ohms is? - Correct Answer- 300 - 2000 ohms At the time of implant we want a threshold? - Correct Answer-at .5ms to be less than 1 volt for ventricle When connecting a unipolar PM to the lead in the patient? - Correct Answer-place the PM in the pocket to check pacing The formula for calculating rate? - Correct Answer-60,000 ms/min - time period in ms. Hysterisis is? - Correct Answer-The interval the PM waits after a sensed beat before pacing A SSI PM is one that? - Correct Answer-senses and pace in either the atrium or ventricle and inhibits You should always check which of the following when programming a unipolar pacemaker to bipolar configuration? - Correct Answer-Bipolar lead is implanted Which of the following is likely to happen during the lead maturation process? - Correct Answer-Encapsulation of electrode with fibrin tissue Which of the following is/are NOT factor (s) which influence PM longevity? - Correct Answer-Output voltage lead resistance pulse duration (X) blanking Cardiac stimulation thresholds are expressed in terms of? - Correct Answer-Voltage, current, and energy. Which of the following combinations of variables interact to determine stimulation threshold? - Correct Answer-Voltage and pulse width A PM that paces and sense only in the ventricle and is inhibited by spontaneous ventricular activity is designated? - Correct Answer-VVI
The specific intracardiac event sensed by PM's is termed? - Correct Answer-Intrinsic deflection Setting a low pacing rate on a demand ventricular PM may have all of the following benefits except? - Correct Answer-Allowing a lower output setting. In a bipolar pacing ventricular PM? - Correct Answer-Both the anode and the cathode are in the heart.