Contraindications

Question 1

Chloropheniramine

Answer 1

Pregnant, Elderly and Children

Question 2

Ipratropropium Bromide

Answer 2

Caution in older men c prostatic hyperplasia (bc of effects on urinary retention)

Question 3

Tiotropium

Answer 3

Caution in older men c prostatic hyperplasia (bc of effects on urinary retention)

Question 4

Diphenhydramine

Answer 4

Pregnant, Elderly and Children

Question 5

Dimenhydrinate

Answer 5

Pregnant, Elderly and Children

Question 6

Beta blockers

Answer 6

patients in respiratory distress

Question 7

Atrovastatin

Answer 7

Liver disease

Question 8

Pravastatin

Answer 8

Liver disease

Question 9

Ezetimibe

Answer 9

Check liver function test before starting

Question 10

Cholestyramine

Answer 10

pts w/ hypertriglyceridemia

Question 11

Niacin (vit B3)

Answer 11

Pregnancy

Question 12

Gemfibrozil

Answer 12

pregnancy (can cross placenta)
children
Kidney disease

Question 13

Nitroglycerin

Answer 13

Co-use of nitrates & viagra → life threatening hypotension

Question 14

Verapamil

Answer 14

heart failure patients

Question 15

Diltazem

Answer 15

heart failure patients

Question 16

Propanolol

Answer 16

Asthma (also blocks β2)

Depression

Question 17

Hydrochlorothiazide

Answer 17

impaired renal function

Question 18

Captopril

Answer 18

Pregnancy

Pts with bilat renal artery stenosis

Question 19

Losartan

Answer 19

Pregnancy

Pts with bilat renal artery stenosis

Question 20

Methyldopa

Answer 20

Depression

Question 21

Clonidine

Answer 21

Depression

Question 22

Flecainide

Class IC

Answer 22

Severe bradycardia

Question 23

Quinidine

Class IA

Answer 23

Excessive Na channel block bc → asystole

Inherited long QT, syncope, sudden cardiac death

Question 24

Rate control drugs

Answer 24

WPW

Question 25

Acetazolamide

Answer 25

Sulfonamides

Question 26

Loop diuretics

Answer 26

Caution in elderly due to hypotension

Question 27

thiazide diuretics

Answer 27

Caution in diabetics

Question 28

Angiotensin receptor neprilysin inhibitor (ARNI)

Answer 28

Teratogenic (CANNOT USE IN PREGNANCY)

Question 29

Carvedilol

Answer 29

Asthmatics | COPD

Question 30

Ivabradine

Answer 30

CYP3A4 inducers or inhibitors bradycardia

Question 31

Isosorbide

Answer 31

PDE5 inhibitors | AKA ED drugs

Question 32

Dinitrate/hydralazine

Answer 32

CAD (bc drop in BP could cause MI)

Question 33

Digoxin

Answer 33

Antibiotics inactivate digoxin diuretics that alter K⁺ (hyokalemia → toxicity and hyperkalemia → heart block) P-glycoprotein inhibitors