Week 2 Quiz Flashcards

(36 cards)

1
Q

A hypertensive crisis can involve which of the following?
Select one:

a. a sudden decline in blood pressure
b. A decrease in heart rate
c. A rapid rise in blood pressure
d. A loss of cardiac output

A

c. A rapid rise in blood pressure

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2
Q

Omega-3 Fatty Acids work by reducing the production of ________. (fill in the blank)
Select one:

  • a. HDL cholesterol
  • b. Fatty acids
  • c. LDL cholesterol
  • d. Triglycerides
A
  • d. Triglycerides
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3
Q

AV blocks, bradyarrhythmias, and PVCs (Premature Ventricular Contractions) are dysrhythmias seen with toxicity of which of the following medications?
Select one:

  • a. Amlodipine
  • b. Rosuvastatin
  • c. Digoxin
  • d. Nitrates
A
  • c. Digoxin
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4
Q

Which of the following medication classes would inhibit the renin-angiotensin-aldosterone system?
Select one:

  • a. nitrates
  • b. thiazide diuretics
  • C. ARNIS
  • d. beta blockers
A
  • C. ARNIS
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5
Q

Which one of the following about “cough due to ACE Inhibitors” is TRUE?
Select one:

  • a. Results from the accumulation of bradykinin
  • b. Responds to Nitrates
  • c. Resolves with addition of diuretics
  • d. Is just as likely to occur as ARB-induced cough
A
  • a. Results from the accumulation of bradykinin
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6
Q

Which of following medication is a positive inotrope AND has a negative chronotropic response?
Select one:

  • a. Verapamil
  • b. Digoxin
  • c. Diltiazem
  • d. Bisoprolol
A
  • b. Digoxin
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7
Q

Which medication must be protected from light, can precipitate out to produce cyanide, and works rapidly to reduce blood pressure?
Select one:

a. Hydralazine
b. Ramipril
c. Sodium Nitroprusside
d. Labetalol

A

c. Sodium Nitroprusside

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8
Q

Which drug class would work to decrease cardiac output primarily?
Select one:

  • a. Beta blockers
  • b. ACE-inhibitors
  • c. DHP calcium channel blockers
  • d. Nitrates
A
  • a. Beta blockers
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9
Q

Which of the following about Labetalol is TRUE?
Select one:

a. Reduces peripheral vascular resistance by alpha and beta blockade
b. Some contraindications are dissecting aortic aneurysms, malignant hypertension
c. Can be used in 2nd or 3rd degree heart block
d. Useful for in patients with bronchial asthma

A

a. Reduces peripheral vascular resistance by alpha and beta blockade

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10
Q

Which drug class wil promote bradykinin vasodilator effects?
Select one:

a. ARBs
b. Diuretics
c. Beta blockers
d. ACE-inhibitors

A

d. ACE-inhibitors

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11
Q

The two most common indications for Digoxin are:
Select one:

a. Atrial fibrillation with controlled ventricular response, heart failure X
b. Atrial fibrillation with controlled ventricular response, hypertension
c. Atrial fibrillation with uncontrolled ventricular response, hypertension
d. Atrial fibrillation with uncontrolled ventricular response, heart failure

A

d. Atrial fibrillation with uncontrolled ventricular response, heart failure

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12
Q

Which of the following is TRUE about Digoxin?
Select one:

a. Increases the force of contraction
b. Decreases intracellular calcium
c. Increases conduction in the AV node
d. Decreases the force of contraction

A

a. Increases the force of contraction

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13
Q

Dobutamine is a preferred inotropic agent in acute heart failure for the cardiac medicine or cardiac care unit patient because it:
Select one:

a. Removes excess fluid from the body
b. Causes marked alpha stimulation and major vasoconstriction
c. Predominantly has Beta effects, increasing cardiac output
d. Decreases heart rate markedly

A

c. Predominantly has Beta effects, increasing cardiac output

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14
Q

Which of the following drug classes is used to treat the symptoms of acute heart failure;
Select one:

a. Beta-blockers
b. Loop Diuretics
c. Aldosterone antagonists
d. ACE-inhibitors

A

b. Loop Diuretics

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15
Q

Which of the following about Calcium channel blockers and Hypertension (HTN) is TRUE?
Select one:

a. DHPs are useful for treating supraventricular arrhythmias
b. There is no preference for DHPs compared to non-DHPs for HTN
c. Overall, non-DHPs are primarily for HTN
d. Overall, DHPs are primarily for HTN

A

d. Overall, DHPs are primarily for HTN

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16
Q

Which cholesterol is responsible for depositing cholesterol in artery walls?
Select one:

  • a. HDL-cholesterol
  • b. Triglycerides
  • c. Non-HDL-cholesterol
  • d. LDL-cholesterol
A
  • d. LDL-cholesterol
17
Q

Bile acid sequestrants work by which of the following mechanisms?
Select one:

d. a. Promote bile acid reabsorption into the blood
b. Impair an enzyme responsible for making cholesterol
c. Bind to bile acid and prevent reabsorption from the GI tract
d. Stimulate the liver to stop producing bile acid

A

c. Bind to bile acid and prevent reabsorption from the GI tract

18
Q

Which drug works to treat hypertension by lowering peripheral vascular resistance, primarily:
Select one:

a. Ramipril
b. Spironolactone
c. Bisoprolol
d. Furosemide

19
Q

ACE Inhibitors generic drug names end in ________
Select one:

a. “pine”
b. “pril”
c. “olol”
d. “sartan”

A

b. “pril”

20
Q

Which diuretic subclass is most useful for treating hypertension?
Select one:

  • a. Potassium-sparing diuretics
  • b. Thiazide diuretics
  • c. Aldosterone antagonists
  • d. Loop Diuretics
A
  • b. Thiazide diuretics
21
Q

Complete this equation: CO x PVR = which of the following?
Select one:

a. BP
b. HR
c. SVR
d. SV

22
Q

Which of the following drug classes has hypotension, cough, angioedema, and hyperkalemia all as possible side effects?
Select one:

  • a. Beta blockers
  • b. ACE-inhibitors
  • c. ARBs.
  • d. Thiazide diuretics
A
  • b. ACE-inhibitors
23
Q

ACE Inhibitors are agents that:
Select one:

a. Inhibit ACE from converting angiotensinogen to angiotensin I
b. Inhibit ACE from converting angiotensin I to angiotensin II
c. Inhibit AT I (Angiotensin 1) receptors
d. Inhibit bradykinin formation

A

b. Inhibit ACE from converting angiotensin I to angiotensin II

24
Q

Medications that block angiotensin Il from binding to the AT1 receptors are known as which of the following?
Select one:

a. diuretics
b. ARBS
c. ACE-inhibitors
d. beta blockers

25
Which of the following drug classes causes marked venous dilation, modest coronary dilation, and lesser arterial dilation: Select one: a. Nitrates b. Beta blockers c. Calcium channel blockers d. ACE-inhibitors
a. Nitrates
26
Which of the following drug classes works by decreasing hepatic cholesterol synthesis? Select one: a. Fibrates b. Statins c. PCSK9 inhibitors d. Ezetimibe
d. Ezetimibe
27
ACE stands for: Select one: a. Aldosterone-converting enzyme b. Angiotensin-converting enzyme c. Angiotensin-converting endogenous d. Aldosterone-converting exogenous
b. Angiotensin-converting enzyme
28
When a patient is having acute angina sublingual nitroglycerin will affect the following things: chest pain, blood pressure, and what else? Select one: a. Chest sounds b. Oxygen saturation c. Heart sounds d. Cholesterol
b. Oxygen saturation
29
The nitrate-free interval of 10-12 hours is necessary for which reason: Select one: a. The dose of nitrate therapy would be too high if the patch is left on for 24 hours b. Continuous nitrate therapy increases the risk of side effects from nitrate therapy c. It is difficult for patients to keep the patch on all day d. High dose or frequent nitrate therapy leads to nitrate tolerance
d. High dose or frequent nitrate therapy leads to nitrate tolerance
30
Which antihypertensive medication works by inhibiting the conversion of angiotensin I to angiotensin II? Select one: a. ARBs b. Beta-blockers c. ACE-inhibitors d. ARNIs
c. ACE-inhibitors
31
HDL + LDL + (TG/5) is the equation for which of the following? Select one: a. Triglycerides b. Total cholesterol c. Dietary cholesterol d. Cholesterol produced directly by the liver
b. Total cholesterol
32
Which of the following medications would be indicated for heart failure, hypertension, acute MI, and post-infarct LV dysfunction? Select one: a. ACE-inhibitors b. Digoxin c. Loop diuretics d. Non-DHP calcium channel blockers
a. ACE-inhibitors
33
Match the site of absorption with the form of Nitroglycerin. (4 marks) Oral tablets, Patches, Intravenous Infusion, Sublingual Spray Gastrointestinal tract Skin Blood stream Mucous membranes
Gastrointestinal tract - Oral tablets Skin - Patches Blood stream - Intravenous infusion Mucous membranes - Sublingual spray
34
ARBs are: Select one: * a. Angiotensin receptor blockers * b. Angiotensin renin blockers * c. Aldosterone receptor blockers * d. Aldosterone renin blockers
* a. Angiotensin receptor blockers
35
Nitrates are indicated for the following conditions. Select one: * a. Supraventricular arrhythmias * b. Ventricular Arrhythmias * c. Dyslipidemia * d. Acute angina
* d. Acute angina
36
Which drug class works, in part, by blocking the breakdown of natriuretic peptides, resulting in vasodilation and natriuresis? Select one: * a. ARBs * b. ACE Inhibitors * c. Diuretics * d. ARNIS
* d. ARNIS