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WorksheetsHEART FAILURE
Total questions: 15
Worksheet time: 15mins
A 55 year old female with a history of congestive heart failure is found to have breast cancer requiring chemotherapy. Which of the following chemotherapeutic agents should be avoided?
Doxorubicin
Bleomycin
Paclitaxel
Cyclophosphamide
Hypokalemia would have what effect on Digoxin
Increased effect of Digoxin
Decreased effect of Digoxin
No effect of Digoxin
Effect that is not clinically significant
What is the primary reason for using Dobutamine or Dopamine in a heart failure patient?
acute improvement in sodium levels to treat hyponatremia
acute treatment of hypertension
short term support in acute decompensated heart failure
BS is an acutely Decompensated heart failure patient with a cardiac index of 2.0 L/min/2. Is BS at goal with regard to her cardiac index?
YES
NO
Atrial fibrillation would have a more deleterious effect on which type of heart failure?
systolic dysfunction
diastolic dysfunction
Drug used in treating CHF: associated with a reversible thrombocytopenia:
Dopamine
Hydralazine
Methyldopa
Amrinone
Digoxin
Most important digitalis-mediated cardiac effect:
tachycardia
improved renal perfusion
decreased AV transmission
shift of the force-velocity relationship upward
Agent of choice among phosphodiesterase inhibitors for short-term parenteral support in severe heart failure patients:
Dopamine
Milrinone
Dobutamine
IV Isoproterenol
Epinephrine IV
For a patient with acute renal insufficiency, which drug(s) would you want to avoid? Check all that apply.
Hydralazine
Isosorbide dinitrate
Lisinopril
Losartan
Which medication(s) should be avoided in heart failure patients? Check all that apply
Acetaminophen
Diltiazem
Ibuprofen
Pioglitazone
Terazosin
An example of a positive inotropic drug that acts by inhibiting myocardial phosphodiesterase.
triamcinolone
amrinone
tranylcypromine
dopamine
Digitalis-induced bradycardia in the normal heart is due to
decreased conduction through the AV node
increased vagal tone
increased sympathetic tone
decrease in fluid load
peripheral vasodilation
Calcium channel blocker with marked negative inotropic cardiac effects:
Nifedipine
Diltiazem
Amlodipine
Amrinone
Labetalol
A patient with symptomatic lower extremity peripheral artery disease and chronic heart failure (Class II, ejection fraction 40%) presents to a clinic with increased shortness of breath while walking on flat surfaces. The patient's medications include the following:
• Aspirin 81 mg daily
• Furosemide 40 mg once daily
• Potassium chloride 10 mEq once daily
• Metoprolol succinate 100 mg once daily
• Lisinopril 20 mg once daily
• Cilostazol 100 mg twice daily
Which change should be made in the patient's medication regimen?
add spironolactone 25 mg daily
increase aspirin to 325 mg daily
increase furosemide to 60 mg once daily
discontinue cilostazol 100 mg twice daily
A 58 year old female has been diagnosed with systolic congestive heart failure. She currently takes lisinopril, hydralazine, and furosemide. Which of the following medications should be added to improve her symptoms and reduce her mortality in the long-term?
Carvedilol
Nitroglycerine
Amlodpine
Verapamil
Digoxin
