wayground logo

Free Printable Worksheets

NEW

Font size

S
M
L
XL
Worksheets

PAD NAPLEX Review 3e

Total questions: 12

Worksheet time: 6mins

Name
Class
Date
1.

Clopidogrel works by which of the following mechanisms?

a)

Selectively and irreversibly inhibits ADP-induced platelet aggregation.

b)

Reversibly inhibits platelet aggregation.

c)

Reduces blood viscosity by inhibiting phosphodiesterase.

d)

Suppresses cyclic adenosine monophosphate (cAMP) degradation, which produces vasodilation.

2.

A 42-year-old smoker with hypertension, diabetes, hypercholesterolemia, and PAD complains of pain in his calves when he walks two to three blocks. What therapy might offer him the greatest benefit in symptom reduction and in overall mortality?

a)

Limb revascularization procedure

b)

Cilostazol

c)

Smoking cessation

d)

Pravastatin

3.

A 58-year-old male patient with heart failure, erectile dysfunction, and CAD with stable angina underwent testing for PAD after having findings suggestive of PAD on physical examination at his last primary care office visit. Which of the following diagnostic tests is most appropriate to confirm a PAD diagnosis in this patient?

a)

Fecal occult blood test

b)

Toe-brachial index

c)

Cardiac catheterization

d)

Ankle-brachial index

4.

Which of the following is recommended as an alternative antiplatelet therapy for patients with PAD who do not tolerate aspirin?

a)

Pentoxifylline 400 mg twice daily

b)

Clopidogrel 225 mg daily

c)

Clopidogrel 75 mg daily

d)

Pentoxifylline 400 mg three times daily

5.

Which of the following patients would have a contraindication for receiving cilostazol as treatment for peripheral arterial disease?

a)

A 49-year-old woman with hypertension

b)

A 60-year-old man with a history of benign prostatic hypertrophy

c)

A 48-year-old man with congestive heart failure

d)

A 52-year-old woman with hypothyroidism

6.

Select the primary pharmacologic management for PAD.

a)

Anticoagulants

b)

Antiplatelet agents

c)

Antihypertensive agents

d)

Sympatholytic agents

7.

Which of the following immunizations is recommended for patients with PAD?

a)

Pneumococcal PPSV-23

b)

Pneumococcal PCV-13

c)

Annual influenza vaccine

d)

Zoster vaccine

8.

The 58-year-old male patient with heart failure and CAD was diagnosed with PAD after recent testing. Current medications: carvedilol 25 mg po bid, lisinopril 40 mg po daily, aspirin 81 mg po daily. The patient describes his lower extremity pain as cramping up and down the backs of his legs, worse during busy times at the restaurant and resolves with rest. Which of the following therapies would be the best treatment for his leg symptoms?

a)

Cilostazol 100 mg po twice daily

b)

Structured walking exercise therapy

c)

Pentoxifylline 400 mg po three times daily

d)

Clopidogrel 75 mg po daily

9.

Which of the following medications is contraindicated in patients with hypersensitivity to xanthines?

a)

Aspirin

b)

Plavix

c)

Trental

d)

Pletal

10.

Which of the following antiplatelet agents is not generally used in the treatment of PAD and should be monitored with periodic complete blood count testing related to potential hematologic complications that include agranulocytosis and aplastic anemia?

a)

Aspirin

b)

Simvastatin

c)

Ticlopidine

d)

Dipyridamole plus aspirin

11.

Which of the following medications require dosage reduction when administered with strong CYP3A4 inhibitors?

a)

Aspirin

b)

Cilostazol

c)

Pentoxifylline

d)

Clopidogrel

12.

A 66-year-old female patient with PAD and exertional pain in her lower extremities is currently taking cilostazol, aspirin, atorvastatin, and lisinopril. Which of the following is the most common adverse effect of taking cilostazol and aspirin in combination?

a)

Heart failure hospitalizations

b)

Subtherapeutic effects of cilostazol

c)

Skeletal muscle soreness

d)

Increased bleeding risk