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HEART FAILURE

Total questions: 15

Worksheet time: 15mins

Name
Class
Date
1.

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?

a)

Doxorubicin

b)

Bleomycin

c)

Paclitaxel

d)

Cyclophosphamide

2.

Hypokalemia would have what effect on Digoxin

a)

Increased effect of Digoxin

b)

Decreased effect of Digoxin

c)

No effect of Digoxin

d)

Effect that is not clinically significant

3.

What is the primary reason for using Dobutamine or Dopamine in a heart failure patient?

a)

acute improvement in sodium levels to treat hyponatremia

b)

acute treatment of hypertension

c)

short term support in acute decompensated heart failure

4.

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?

a)

YES

b)

NO

5.

Atrial fibrillation would have a more deleterious effect on which type of heart failure?

a)

systolic dysfunction

b)

diastolic dysfunction

6.

Drug used in treating CHF: associated with a reversible thrombocytopenia:

a)

Dopamine

b)

Hydralazine

c)

Methyldopa

d)

Amrinone

e)

Digoxin

7.

Most important digitalis-mediated cardiac effect:

a)

tachycardia

b)

improved renal perfusion

c)

decreased AV transmission

d)

shift of the force-velocity relationship upward

8.

Agent of choice among phosphodiesterase inhibitors for short-term parenteral support in severe heart failure patients:

a)

Dopamine

b)

Milrinone

c)

Dobutamine

d)

IV Isoproterenol

e)

Epinephrine IV

9.

For a patient with acute renal insufficiency, which drug(s) would you want to avoid? Check all that apply.

a)

Hydralazine

b)

Isosorbide dinitrate

c)

Lisinopril

d)

Losartan

10.

Which medication(s) should be avoided in heart failure patients? Check all that apply

a)

Acetaminophen

b)

Diltiazem

c)

Ibuprofen

d)

Pioglitazone

e)

Terazosin

11.

An example of a positive inotropic drug that acts by inhibiting myocardial phosphodiesterase.

a)

triamcinolone

b)

amrinone

c)

tranylcypromine

d)

dopamine

12.

Digitalis-induced bradycardia in the normal heart is due to

a)

decreased conduction through the AV node

b)

increased vagal tone

c)

increased sympathetic tone

d)

decrease in fluid load

e)

peripheral vasodilation

13.

Calcium channel blocker with marked negative inotropic cardiac effects:

a)

Nifedipine

b)

Diltiazem

c)

Amlodipine

d)

Amrinone

e)

Labetalol

14.

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?

a)

add spironolactone 25 mg daily

b)

increase aspirin to 325 mg daily

c)

increase furosemide to 60 mg once daily

d)

discontinue cilostazol 100 mg twice daily

15.

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?

a)

Carvedilol

b)

Nitroglycerine

c)

Amlodpine

d)

Verapamil

e)

Digoxin