Exam Review Pharm Flashcards

(83 cards)

1
Q

Any deviation from the normal rhythm of the heart

A

An arrhythmia

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2
Q

Abnormal cardiac electrophysiological function is how what drug works?

A

Antiarrhythmics

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3
Q

Class I drugs

A

Sodium channel blockers

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4
Q

Sodium channel blockers exert their actions on the ?

A

Sodium (fast) channels

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5
Q

Class II drugs

A

B-adrengeric blockers

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6
Q

B-adrenergic blockers work by blocking:

A

Sympathetic nervous system stimulation of the heart

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7
Q

Class III drugs

A

Potassium channel blockers

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8
Q

Potassium channel blockers increase the?

A

Action potential duration by prolonging repolarization in phase 3

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9
Q

Class IV drugs

A

Calcium channel blockers

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10
Q

Calcium channel blockers work by:

A

Inhibiting the calcium channel

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11
Q

Loop diuretics act primarily along the?

A

Ascending limb of the loop of henle

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12
Q

Loop diuretics are used to manage edema associated with

A

Heart failure and hepatic or renal disease

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13
Q

Loop diuretics are used to control

A

Hypertension

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14
Q

Mannitol is a(n)

A

Osmotic diuretic

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15
Q

Mannitol works along the:

A

Entire nephron

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16
Q

Mannitols major sites of action is:

A

Proximal tubule and descending limb of the loop of henle

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17
Q

Mannitol can be used to treat:

A

Cerebral edema

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18
Q

Spironolactone and triamterene are used to treat:

A

Hyperaldosteronism and hypotension

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19
Q

Chlorthalidone and hydrochlorothiazide are used in the treatment of:

A

Hypertension

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20
Q

The therapeutic effects of ACE inhibitors and ARBs in the treatment of HF are related to:

A

Their potent vasodilating properties

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21
Q

B-blockers prevent _________ __________ actions on the heart

A

Catecholamine-mediated

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22
Q

Reduces HR, delays atrioventricular node conduction, reduces myocardial contractility and decreases myocardial automaticity

A

B-blockers

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23
Q

Used in the severe stages of HF to decrease edema

A

Aldosterone antagonists

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24
Q

Milrinone

A

Positive inotropic response and vasodilation

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25
26
Slows the heart and improves cardiac efficiency
Digoxin
27
Diuretics Beta blockers Nitrates ACE inhibitors ARBS CCBs Alpha blockers All treat:
Hypertension
28
Decreasing volumes of plasma and extracellular fluid, which results in decreased preload:
Primary effect of diuretics
29
These drugs work by blocking a critical enzyme system responsible for production of angiotensin II
ACE inhibitors
30
ACE inhibitors and ARBS are more effective in:
White population rather than black population
31
Block sodium channels on peripheral vessels
DHP ccbs
32
Triglycerides are stored in
Adipose tissue
33
HMG-CoA reductase inhibitors Bile acid sequestrants Niacin (vitiman B3) Fibrates All can be used to treat:
Dyslipidemia
34
Bind bile and prevent the resorption of bile acids from the small intestine
Bile acid sequestrants
35
Effective in lowering lipid levels
Niacin
36
Primarily effect triglyceride levels
Fibric acid derivatives
37
Nitrates B-blockers CCbs All used to treat:
Angina pectoris
38
Primary mechanism of nitrates
Vasodilation
39
Drugs that prevent the formation of a clot
Anticoagulants
40
Prevents clot formation
Antiplatelet
41
Preventing the lysis of fibrin, promoting clot formation
Antiffibrinolytic
42
Antianginal drugs help decrease the workload of the heart and reduce angina by?
Reducing the heart rate
43
Beta blockers help treat stable angina by:
Reducing myocardial oxygen demand by reducing heart rate
44
Nitrate therapy treats acute angina by:
Dilates coronary peripheral arteries more than coronary arteries
45
Used to decrease the frequency and severity of exertional angina
Metoprolol
46
Antihypertensive that has hyperkalemia as a potential side effect:
Spironolactone
47
Diuretic used as a first line for treating hypertension
Hydrochlorothiazide
48
An action of digoxin
Slows the heart rate
49
Blocks the enzyme responsible for LDL-receptor breakdown
PCSK9 inhibitors
50
Will stop a crucial step in the pathway of cholesterol synthesis
Rosuvastatin
51
Decrease the slope of phase 0, depolarization, in myocytes
Sodium channel blockers
52
Non-DHPs treat arrhythmias by:
Inhibiting nodal cell calcium channels, they reduce heart rate
53
Propranolol is class?
Class II agent
54
Disopyramide is class?
Class IA agent
55
Amiodarone is class?
Class III agent
56
Propafenone is class?
Class IC agent
57
Verapamil is class?
Class IV agent
58
Lidocaine is class?
Class IB agent
59
Drugs that end in “pril”
ACE inhibiotrs
60
Drugs that end in “lol”
Beta-blockers
61
Blocks intestinal absorption of LDL
Ezetimibe
62
reduces hepatic synthesis of LDL
HMG CoA reductase inhibitors
63
Increase clearance of very low density lipoprotein VLDL
Fibric acid derivatives
64
Promote intestinal clearance of cholesterol
Bile acid sequestrants
65
Angina is a symptom of:
Ischemic heart
66
Used to treat variant angina?
Nifedipine
67
You should avoid _________________ with diltiazem
Grapefruit juice
68
Used to treat symptoms of acute angina
Isosorbide dinitrate
69
Drug used to treat supraventricular arrhythmias
Dilitiazem
70
Arrhythmia that typically occurs because of scar tissues from an MI
Ventricular tachycardia
71
Primary management of ventricular arrhythmias
Amiodarone
72
Hydrochlorothiazide prescribed with furosemide in heart failure, it can cause
Hypokalemia
73
Digoxin should be administer alone with what other drugs when used for treating heart failure
ACE inhibitors
74
The effect on the heart when cardiac glycosides are used
Positive inotropic effect, increasing the force of contraction
75
First line treatment of hypertension when coronary artery disease is present and ACE inhibitors are not tolerated
Olmesartan
76
First like treatment of hypertension in patients with angina
Atenolol
77
Drug that can cause dehydration and hypokalemia
Furosemide
78
A drug associated with a characteristic cough side effect
Quinapril
79
An orally administered anticoagulant used to prevent pulmonary embolism, thrombotic and embolic stroke
Warfarin
80
Routes used to administer heparin and LMWH
IV and subcutaneous
81
Thrombolytic drugs help dissolve clots by
Increasing the digestion of fibrin
82
CCBs are used in the treatment of stable and unstable angina True/false
False
83