WorksheetsBeta-Blocker Review
Total questions: 18
Worksheet time: 25mins
Which of the following disease states is NOT a contraindication to the use of immediate release beta-blockers?
Untreated Pheochromocytoma
Second Degree Heartblock
Diabetes Mellitus Type II
Severe Bradycardia
Which of the following beta-blockers would be most appropriate for a pregnant patient?
Labetalol
Atenolol
Propranolol
Acebutolol
No beta-blockers are safe in pregnancy
Which of the following beta-blockers are known to reduce mortality in heart failure with reduced ejection fraction? (Select all that apply).
Metoprolol Succinate
Acebutolol
Carvedilol
Propranolol
Bisoprolol
Which of the following are common (1-10%) side effects of beta-blockers? (Select all that apply).
Dizziness
Photosensitivity
Diarrhea
Fatigue
Xerostomia
Beta-blockers are not considered first-line antihypertensives unless the patient:
(Select all that apply).
Has CAD
Has T2DM
Is post-MI
Has a History of Stroke
Which of the following is NOT a possible mechanism of action for beta-blockers in hypertension?
Beta-blockers inhibit sympathetic nervous system activity at the beta-1 receptors of cardiac tissue, reducing cardiac output.
Beta-blockers inhibit sympathetic nervous system activity at the beta-1 receptors of juxtaglomerular cells, reducing renin expression.
Beta-blockers inhibit sympathetic nervous system activity at the alpha-1 receptors of vascular endothelial cells, reducing systemic vascular resistance.
Beta-blockers inhibit sympathetic nervous system activity at the beta-2 receptors of vascular endothelial cells, reducing total peripheral resistance.
Which of the following statements regarding propranolol is false?
Propranolol blocks sympathetic nervous system activity at both beta-1 and beta-2 receptors
Propranolol is the most hydrophilic beta-blocker
Propranolol is the beta-blocker of choice in migraine prophylaxis
Propranolol has the greatest central nervous system penetration of any beta-blocker
Which of the following beta-blockers have intrinsic sympathomimetic activity? (Select all that apply).
Atenolol
Carvedilol
Acebutolol
Pindolol
Bisoprolol
Which of the following beta-blockers target alpha-1 receptors? (Select all that apply).
Bisoprolol
Timolol
Labetalol
Atenolol
Carvidelol
Which of the following statements regarding beta-blockers is false?
Cardioselective beta-blockers are safer than non-selective agents in patients with asthma or diabetes
Beta-blockers with intrinsic sympathomimetic activity produce greater CV risk reduction than other beta-blockers
Cardioselective beta-blockers are preferred to non-selective beta-blockers in hypertension
Third generation beta-blockers can produce vasodilation
Which of the following beta-blockers are cardioselective? (Select all that apply).
Bisoprolol
Atenolol
Propanolol
Metoprolol
Carvedilol
Which of the following beta-blockers are known to provide visual field protection in glaucoma? (Select all that apply).
Timolol
Metoprolol
Betaxolol
Propranolol
Carvedilol
Which of the following statements about beta-blocker use in post-MI patients is correct?
Carvidelol, atenolol, and bisoprolol are among the preferred beta-blockers for post-MI therapy
Beta-blockers should be considered for all patients post-STEMI, but not for patients post-NSTEMI
A post-MI patient managed with ASA, rosuvastatin, and ramipril would not gain any additional cardioprotective benefit from adding a beta-blocker
Beta-blockers should not be used in patients with reduced LV function post-MI
Which of the following statements about beta-blocker therapy is least correct?
Abrupt cessation of beta-blockers can trigger unstable angina or myocardial infarction
Beta-blockers should not be used for hypertension in patients greater than 60 years old
Beta-blockers may aggravate intermittent claudication or Raynaud's phenomenon
Beta-blockers are less likely to be effective in African Americans
Potential complications of beta-blockers include: (Select all that apply).
Bradycardia
Hypotension
Heart block
Acute heart failure
Increased Serum Glucose
Which of the following statements regarding beta-blocker overdose is incorrect?
Beta-blocker overdose often presents with hypoglycemia, bradycardia, and respiratory depression
Propranolol is the most common beta-blocker in overdose
Activated charcoal can be given if the patient presents within 1-hour of ingesting the beta-blocker
Glucagon can be given to reduce bronchospasms
Atropine can be given to correct bradycardia
Which of the following statements regarding beta-blocker dosing is incorrect?
Effective angina control typically requires higher doses than effective blood pressure control
The target dose for carvedilol in heart failure is 25mg BID
When discontinuing beta-blockers, a short taper period is necessary
Beta-blocker dosing does not need to be adjusted for hepatic function
S. D. reports to your ED with retrosternal chest pain and is diagnosed with angina pectoris. She is 53-year-old woman who is hypertensive with a BP of 148/90. She has well-controlled asthma and diabetes. Her medications include metformin 1000mg BID, Clorthalidone 25mg once daily, beclomethasone 200mcg once daily, and salbutamol PRN. Amlodipine was previously tried for S.D's hypertension but was poorly tolerated. Which of the following beta-blockers would be most appropriate for managing S. D.'s new diagnosis?
Carvedilol
Metoprolol
Acebutelol
Pindolol
A beta-blocker is contraindicated for this patient
