Conditions

Question 1

Condition

Atrial arrhythmia

Answer 1

quinidine (IA)
procainamide (IA)
metoprolol (II) contra’d Wolff
amiodarone (III) low dose

Question 2

Condition

aFib/aFlut

Answer 2

verapamil (IV)

diltiazem (IV)

Question 3

Condition

aFib w/ CHF

Answer 3

digoxin

Question 4

Condition

supraventricular arrhythmia w/o CHF

Answer 4

sotalol (III)
verapamil (IV)
diltiazem (IV)

Question 5

Condition

supraventricular arrhythmia w/ CHF

Answer 5

sotalol (III)

Question 6

Condition

ventricular arrhythmia

Answer 6

quinidine (IA)
procainamide (IA)
lidocaine (IB)
mexiletine (IB)
flecainide (IC)
amiodarone (III) high dose

Question 7

Condition

ventricular arrhythmia w/ risk vTac, Torsades

Answer 7

flecainide (IC)

quinidine or procainamide (IA) combo w/ Ca and B blockers

Question 8

Condition

long QT syndrome, Na channel type

Answer 8

mexiletine (IB)

Question 9

Condition

long QT syndrome, K channel type

Answer 9

metoprolol (II)

Question 10

Condition

AV node arrhythmia

Answer 10

adenosine

Question 11

Condition

variant angina + tachycardia

Answer 11

non-DHP Ca channel blockers:
verapamil (IV)
diltiazem (IV)

Question 12

Condition

variant angina + bradycardia

Answer 12

DHP Ca channel blockers:

amlodipine

Question 13

Condition

uncomplicated HTN

Answer 13

diuretics (hydrocholothiazide + amiloride)
beta blocker (propanolol)

Question 14

Condition

HTN w/ hx of MI, angina

Answer 14

propanalol

captopril supplement

Question 15

Condition

HTN w/ CHF

Answer 15

cardevilol

Question 16

Condition

exercise angina prophylaxis

Answer 16

organic nitrates:
nitroglycerin
isosorbide dinitrate

Question 17

Condition

emergency angina

Answer 17

aspirin

nitroglycerin sublingual

Question 18

Condition

gestational HTN

Answer 18

a-methyl-dopa (A2 agonist)

Question 19

Condition

HTN w/ DM renal dysfx’n

Answer 19

captopril (ACE inhibitor)

Question 20

Condition

HTN w/ LVH

Answer 20

captopril (ACE inhibitor)

Question 21

Condition

African American HTN

Answer 21

BiDil (hydralazine (arteriodilator) + isosorbide dinitrate (vasodilator)

Question 22

Condition

high LDL w/ polypharmacy (D-D interx’n)

Answer 22

pravastatin

ezetimibe (absorption blocker)

Question 23

Condition

high LDL

Answer 23

statin
ezetimibe (absorption blocker)
gemfibrozil (fibrate)

Question 24

Condition

high LDL w/ hyperTAGemia

Answer 24

NO CHOLESTYRAMINE

Question 25

# Condition raise HDL

Answer 25

niacin

Question 26

# Condition neurogenic shock

Answer 26

norepinephrine (endogenous catecholamine)

Question 27

# Condition CHF + left-sided acute MI | presents with tachycardia

Answer 27

diuretics (thiazide or furosemide) aldosterone inhibitor (sprinolactone, no K supplement) ACE inhibitor (captopril, enalapril) ARB (candesartan) nitroglycerin inotrope (dopamine/dobutamine/milrinone) when stable: beta blocker (metoprolol, carvedilol)

Question 28

# Condition CHF+ right-sided acute MI | presents with bradycardia

Answer 28

fluid support aldosterone inhibitor (sprinolactone, no K supplement) ACE inhibitor (captopril, enalapril) ARB (candesartan) no nitroglycerin! dopamine/dobutamine/milrinone when stable: beta blocker (metoprolol, carvedilol)

Question 29

# Condition chronic CHF

Answer 29

``` aldosterone inhibitor (sprinolactone, no K supplement) ACE inhibitor (captopril, enalapril) ARB (candesartan) nitroglycerin beta blocker (metoprolol, carvedilol) ```

Question 30

# Condition inserting pacemaker

Answer 30

isoprotenerol (synthetic catecholamine)

Question 31

# Condition heart block

Answer 31

isoprotenerol (synthetic catecholamine)

Question 32

# Condition nasal decongestant

Answer 32

non-catecholamine sympathomimetics: phenylephrine ephedrine

Question 33

# Condition delay preterm labor

Answer 33

terbutaline (non-catecholamine sympathomimetic)

Question 34

# Condition bronchospasm/asthma

Answer 34

1st line: terbutaline, albuterol (non-catecholamine sympathomimetics) 2nd line: theophylline (a xanthine)

Question 35

# Condition ADHD

Answer 35

``` sympathomimetics: amphetamines methylphenidate atomexitine A2 agonists: clonidine guanficine ```

Question 36

# Condition ADHD, worried parents will snort rx

Answer 36

atomexitine clonidine guanfacine

Question 37

# Condition pheochromocytoma

Answer 37

phentolamine (A blocker)+ phenoxybenzamine (A1 blocker)+ propanalol (beta blocker)

Question 38

# Condition BPH

Answer 38

prazosin

Question 39

# Condition glaucoma

Answer 39

``` timolol (beta blocker) clonidine (A2 agonist) a-methyl-dopa (A2 agonist) carbachol (but can cause HTN) physostigmine, miotic (anticholinesterase) ```

Question 40

# Condition opioid withdrawal

Answer 40

clonidine (A2 agonist)

Question 41

# Condition post-op ileus

Answer 41

muscarinic agonists: acetylcholine bethanechol

Question 42

# Condition paralytic ileus

Answer 42

acetylcholinesterase: endrophonium neostigmine

Question 43

# Condition relieve urinary retention

Answer 43

muscarinic agonists: acetylcholine bethanechol

Question 44

# Condition myasthenia gravis dx

Answer 44

endrophonium (acetylcholinestrase)

Question 45

# Condition myasthenia gravis tx

Answer 45

neostigmine + atropine

Question 46

# Condition veruconium-induced paralysis

Answer 46

neostigmine + atropine

Question 47

# Condition alzheimer's

Answer 47

anticholinesterases (aka indirect agonists): donezepil rivastigmine galantamine

Question 48

# Condition sarin poisoning

Answer 48

atropine+pralidoxime

Question 49

# Condition dissecting aorta

Answer 49

hexamethonium (nicotinic antagonist)

Question 50

# Condition surgical muscle paralysis

Answer 50

nicotinic antagonists (slow acting): tubocurarine vecuronium

Question 51

# Condition endotrachial intubation

Answer 51

nicotinic antagonist: | succinycholine (fast acting)

Question 52

HTN emergency

Answer 52

sodium nitroprusside esmolol (B1 antagonist) phenyloxybenzamine

Question 53

Hyperlipidemia in pregnancy

Answer 53

cholestyramine

Question 54

arrhythmia + ICD

Answer 54

sotalol