quick quiz

Aspirin can be used for primary prevention of cardiovascular disease

• True

• False

A patient with a QRisk score of 12% and no established cardiovascular disease requires a medication for prevention of future cardiovascular events. Which of these medications will be most appropriate

• Atorvastatin 20mg

• Atorvastatin 80mg

• Simvastatin 20mg

• Simvastatin 80mg

A 62 Year old patient has a 10 year risk of cardiovascular disease of 14 %. Their GP wishes to

prescribe a statin for primary prevention of cardiovascular disease. The patient takes over the

counter omeprazole and vitamin D. Which of the following would be the most appropriate treatment?

• Atorvastatin 20mg

• Simvastatin 40mg

• Pravastatin 10mg

• Atorvastatin 80mg

A 62-year-old patient has recently been admitted to the hospital after an NSTEMI. As part of their management, they have undergone an angiogram and had two stents inserted. Previously only taking amlodipine for hypertension, the GP has been asked to prescribe the following in addition to amlodipine:   

•Aspirin 75 mg once daily  

•Clopidogrel 75 mg once daily (for 12 months)  

•Bisoprolol 2.5 mg once daily  

•Ramipril 2.5 mg once daily  

 

• Atorvastatin 40mg O.D

• Atorvastatin 80mg O.D

• Ezetimibe 10mg O.D

• Simvastatin 80mg O.D

Which of the following interacts with statins. Tick all that apply

• Grapefruit juice

• Amlodipine

• Ranolazine

• Cranberry juice

• Clopidogrel

A 67 year old male patient of Black African origin has presented to his GP for his annual health check. During the consultation, the patient’s blood pressure is assessed and obtains a reading of 166/100mmHg. Subsequent ABPM shows a blood pressure of 161/98mmHg. The patient has a history of type 2 DM and currently takes metformin 500mg BD. His current HbA1C is 49mmol/mol. What is the most appropriate treatment?

• Lisinopril

• Losartan

• Amlodipine

• Indapamide

Which of the following is NOT attributed to statins

• Myopathy

• Hepatotoxicity

• Decreased blood glucose level

• Interstitial lung disease

What will be the first line antihypertensive of choice for Mr A, British, Age 43 and with no other medical condition

• Lisinopril

• Bisoprolol

• Losartan

• Indapamide

Capped dose of simvastatin with amlodipine is

• 10mg

• 20mg

• 40mg

• 80mg

Electrolyte disturbances associated with indapamide includes the following except

• Hypokalemia

• Hyponatremia

• Hypernatremia