IBHRE Study Guide 2026

Everything you need to pass the IBHRE exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

IBHRE exam key facts

The passing score for IBHRE examinations is determined using a criterion-referenced standard developed by subject matter experts based on a standard-setting study. Source
Candidates seeking to retake any IBHRE examination must submit a new application accompanied by the exam fee by the published application deadline for the subsequent exam. Source
Initial IBHRE certifications are valid for 4 years, after which specialists maintain credentials through the IBHRE-C3 continuous competency program. Source

Start the Timed IBHRE Mock Exam →

📋 IBHRE Exam Format at a Glance

150

Questions

180 min

Time Limit

70%

Passing Score

Take a Full IBHRE Exam Simulation →

📚 IBHRE Topics to Study (20)

Syncope and Autonomic Disorders · 21 cards Ablation Procedures and Techniques · 6 cards Ablation Procedures and Techniques · 6 cards Ablation Procedures and Techniques · 6 cards Arrhythmia Interpretation and Diagnosis · 6 cards Cardiac Anatomy and Physiology · 6 cards Clinical Practice and Management · 6 cards Device Troubleshooting and Programming · 6 cards Electrophysiology Principles · 6 cards Implantable Device Functionality · 6 cards Patient Safety and Radiation Management · 6 cards Patient Safety and Radiation Management · 6 cards Patient Safety and Radiation Management · 6 cards Pharmacology and Drug Therapy · 6 cards Pharmacology and Drug Therapy · 6 cards Pharmacology and Drug Therapy · 6 cards Arrhythmias · 5 cards Cardiac Devices · 5 cards Cardiac Electrophysiology · 5 cards Pediatric Electrophysiology · 5 cards

✍️ Sample IBHRE Questions & Answers

1. Ranolazine's antiarrhythmic properties are primarily due to inhibition of which sodium current?

✓ Late INa

Ranolazine inhibits the late (persistent) sodium current, reducing intracellular sodium and calcium overload that can trigger arrhythmias.

2. In cardiac electrophysiology, what is an "ablation" procedure primarily used for?

✓ To destroy or isolate areas of heart tissue that are causing abnormal electrical signals

Cardiac ablation is a therapeutic procedure used to treat various arrhythmias by targeting and neutralizing the specific heart tissue responsible for generating or sustaining abnormal electrical signals. Using heat (radiofrequency ablation) or cold (cryoablation), the procedure creates small scars that block the faulty electrical pathways. This effectively restores a normal heart rhythm and prevents future episodes of arrhythmia.

3. The standard tilt table test is typically performed at what upright angle?

✓ 70 degrees

The Westminster protocol and most international guidelines recommend a tilt angle of 70 degrees as the standard for evaluating neurally mediated syncope.

4. In the VASIS (Vasovagal Syncope International Study) classification, Type 2B vasovagal syncope is characterized by:

✓ Cardioinhibitory response with asystole ≥3 seconds

VASIS Type 2B is defined as a cardioinhibitory response with asystole of ≥3 seconds, which may favor pacemaker implantation in selected patients.

5. Standard 0.5 mm lead equivalent aprons typically attenuate scattered radiation by approximately?

✓ 90–95%

Standard lead aprons attenuate approximately 90–95% of scattered radiation at diagnostic X-ray energies, substantially reducing operator dose.

6. Which of the following is a key consideration when performing an electrophysiology study (EPS) on a pediatric patient?

✓ The use of general anesthesia

Performing an electrophysiology study (EPS) on pediatric patients often requires the use of general anesthesia. Children, especially younger ones, may not be able to remain still or cooperate for the extended duration of the procedure, which involves inserting catheters and inducing arrhythmias. General anesthesia ensures patient comfort, safety, and the ability to obtain accurate diagnostic information.

🎯 Free IBHRE Practice Tests

Syncope and Autonomic Disorders · 21 questions Patient Safety and Radiation Management · 6 questions Pharmacology and Drug Therapy · 6 questions Cardiac Anatomy and Physiology · 6 questions Electrophysiology Principles · 6 questions Arrhythmia Interpretation and Diagnosis · 6 questions Implantable Device Functionality · 6 questions Device Troubleshooting and Programming · 6 questions Clinical Practice and Management · 6 questions Patient Safety and Radiation Management · 6 questions

📖 IBHRE Guides & Articles

Your IBHRE Study Path

1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation

🃏 IBHRE Flashcards (131)🏆 IBHRE Exam Simulation

What Practice Test Geeks adds beyond an AI chat for IBHRE

An AI chatbot can quiz you, but it can't reproduce the exam conditions or keep your record. Here you get:

A timed, full-length IBHRE mock exam — 150 questions in 180 minutes with a 70% pass mark, modeled on the official exam's question count and time limit, followed by a score report broken down by exam domain.
A fixed IBHRE question bank: the same test every attempt, so your score is comparable from one try to the next instead of changing with every regenerated quiz.
Progress saved on your device: completed tests, scores and missed questions stay in My Progress, so you can retake only what you got wrong.
A printable IBHRE cheat sheet you can print or save as a PDF.
IBHRE flashcards built from the same question bank.
Free IBHRE practice tests with the correct answer shown after each question.

Start the Timed IBHRE Mock Exam →

Was this helpful?

How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy

Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

ibhre.org — Exam dates, registration deadline, registration, exam format, time limit, score validity, eligibility, passing score, renewal, retake policy · verified Oct 2026
test-takers.psiexams.com — Test delivery · verified Oct 2026