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Worksheets

Diamond Approach

Total questions: 15

Worksheet time: 9mins

Name
Class
Date
1.

Cardiac syndrome X is nowadays known as ________ ?

a)

Stable angina

b)

Unstable angina

c)

Vasospastic angina

d)

Microvascular angina

2.

Chronic stable angina can generally be divided into _________ categories.

a)

1

b)

2

c)

3

d)

4

3.

Find the odd one. Microvascular angina is generally associated with:

a)

Absence of coronary atherosclerosis

b)

Metabolic dysfunction

c)

Endothelial dysfunction

d)

Inflammation

4.

Find the right option(s). The primary goal of pharmacological anti-anginal treatment includes _________.

a)

Alleviate symptoms

b)

Increase exercise tolerance

c)

Improve quality of life

d)

Prevent MI and death

5.

As per ESC guidelines, which of the following is not a first-choice anti-anginal?

a)

Beta blockers

b)

Long acting nitrates

c)

CCB-DHP

d)

Non-DHP CCB

6.

Which of the following anti-anginals can increase heart rate? (More than one correct is possible)

a)

Nitrates

b)

DHP CCBs

c)

Ranolazine

d)

Nicorandil

7.

Choose the wrong one. At low doses, nitrates reduce _________ .

a)

Venous return and preload

b)

Ventricular volume

c)

Myocardial wall tension

d)

Coronary spasm

8.

Tick the correct one(s). At high doses, nitrates can ________ .

a)

Reduce coronary spasm

b)

Improve subendocardial blood flow

c)

Lower heart rate

d)

Increase collateral circulation

9.

Find the right answer(s). Adverse effects of nitrate include:

a)

Headache

b)

Flushing

c)

Hypotension

d)

Palpitations

10.

Tick the right option(s). Beta blockers can reduce _________ .

a)

Heart rate

b)

Myocardial contractility

c)

Coronary spasm

d)

Release of renin from JG cells

11.

Find the drug(s) devoid of any hemodynamic effect.

a)

Trimetazidine

b)

Nicorandil

c)

Ranolazine

d)

Verapamil

12.

Trimetazidine causes __________ .

a)

Inhibition of 3-KAT

b)

Increase in glucose metabolism

c)

Inhibition of fatty acid oxidation

d)

Improvement in collateral circulation

13.

Which are the drugs suitable in angina with high heart rate?

a)

Beta blockers

b)

DHP CCBs

c)

Non-DHP CCBs

d)

Ivabradine

14.

Which of the following anti-anginal is not suitable in heart rate below 50-55 bpm?

a)

Nitrates

b)

DHP CCBs

c)

Non-DHP CCBs

d)

Nicorandil

15.

Which of the beta blockers may be used in angina with diabetes mellitus as a comorbidity?

a)

Bisoprolol

b)

Carvedilol

c)

Nebivolol

d)

Atenolol