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WorksheetsCardiovascular Agents
Total questions: 121
Worksheet time: 2hrs 7mins
Frusemide belongs to .....
Loop diuretics
Carbonic anhydrase inhibitor
thiazide diuretics
Which of the following is an aldosterone antagonist?
Frusemide
Spironolactone
Mannitol
Indapamide acts on the .............. of the nephron.
collecting duct
Loop of Henle
Distal Convoluted Tubule
Proximal Convoluted Tubule
Which of the following is a side effect of Spironolactone?
Hypokalemia
Hyperkalemia
Ototoxicity
Name the agent under the class of carbonic anhydrase inhibitor.
Frusemide
Indapamide
Acetazolamide
Mannitol
Diuretics can be used for the following conditions EXCEPT
Heart Failure
Edema
Fluid in the lungs
Diabetes
This hormone is responsible to absorb water from the lumen.
Antidiuretic hormone (ADH)
Parathyroid
Aldosterone
Spironolactone works on the ...... of the nephron.
proximal convoluted tubule
distal convoluted tubule
loop of Henle
collecting duct
The following processes occur in the nephron EXCEPT
secretion
absorption
filtration
reabsorption
Ototoxicity is a side effect related to this diuretic.
acetazolamide
mannitol
frusemide
thiazide
Beta blockers
~pril
~olol
~ipine
~sartan
Vasotec
enalapril
lisinopril
propranolol
nifedipine
Lopressor
atenolol
metoprolol
Inderal
propranolol
Crosses the BBB
timolol
propranolol
metoprolol
carvedilol
CCB
~olol
~sartan
~pril
~ipine
ACE inhibitor
Vasotec
Lopressor
Cardizem
Coreg
Loop- furosemide-
Diamox
Lasix
Osmitrol
Osmotic- mannitol
Neptazane
Diamox
Osmitrol
Thiazide-hydrochlorothiazide
HCTZ, Microzide
Diamox
Lasix
What is "normal" blood pressure
120/110 mmHg
120/80 mmHg
100/80 mmHg
140/80 mmHg
Fatima has blood pressure 183/81, what is Fatima's systolic pressure?
81
183
183/81
81/183
A diastolic pressure of 80 - 89
normal blood pressure
prehypertension
hypertension stage 1
hypertension stage 2
A primary hypertension/ or essential hypertension is caused by:
Medications such as pain relievers
Diseases such as obesity and kidney disease
Diabetes
no known cause
Increased blood pressure over time can cause problems with the heart, blood vessels, kidneys and even the brain
True
False
Low blood pressure
diastolic pressure
systolic pressure
hypotension
hypertension
Why is high blood pressure or hypertension a 'silent' killer?
It has no sound
It has no symptoms
It kills people
It is a leading cause of death in the world
can hypertension be completely cured?
yes
no
is hypertension inherited mainly?
yes
no
which of these diseases is related to hypertension?
peptic ulcer
diabetes
pneumonia
What happens in the body when the blood pressure is high?
Walls of arteries get stretched and damaging
The body suffers a series of mild heart attacks
Prescription drug abuse and prescription drug misuse mean the exact same thing.
True
False
It is safer to abuse prescription drugs than street drugs.
True
False
It is safe to take a prescription medicine that has expired as long as it is your own prescription.
True
False
It is safe to take any over-the-counter medication along with your prescription medication since over-the-counter drugs do not require a prescription from a doctor.
True
False
Prescription drug abuse can lead to addiction.
True
False
Prescription drug abuse is against the law.
True
False
Misuse or abuse of prescription drugs can be deadly.
True
False
An unusually rapid heart rate: over 100 bpm
Tachycardia
Tachypnea
Metabolism
A problem
An unusually slow heartbeat
Tachycardia
Bradypnea
Tachypnea
Bradycardia
A nurse is caring for four clients. Which one should the nurse see first?
Client who needs a beta blocker, and has a blood pressure of 92/58 mm Hg
Client who had a first dose of captopril (Capoten) and needs to use the bathroom
Hypertensive client with a blood pressure of 188/92 mm Hg
Client who needs pain medication prior to a dressing change of a surgical wound
what layer of the heart is damaged in a heart attack?
endocardium
epicardium
pericardium
myocardium
what valve does blood pass through when it's going from the right atrium and ventricle?
The tricuspid valve
the aortic valve
the pulmonary valve
the mitral valve
which vessel takes blood from the lower portion of the body and returns it to the heart?
the aorta
the right atrium
the inferior vena cava
the superior vena cava
what is the natural pacemaker of the heart?
The SA node in the right atrium
the AED
The SA node in the left atrium
the AV node and Bundle of His
A patient with a hx of HTN presents to the outpatient clinic with a BP of 185/110. ROS and PE normal other than elevated BP. What is your recommendation?
Send patient to the ER
Initiate clonidine and optimize BP medications
Initiate nifedipine and optimize BP medications
Initiate esmolol IV
Patient presents to the ED with chest pain and a BP of 200/120. She has a history of HTN and she's pregnant. What would be the best agent to initiate?
Labetalol
Nitroprusside
Nicardipine
Captopril
Which agent is effective across multiple comorbidities (ACS, ARF, eclampsia, etc.)
Nicardipine
Phentolamine
Hydralazine
Fenoldopam
Which formulation should not be used for hypertensive crisis because of erratic PK?
IM
IV
PO
SL
Nitroglycerin typically isn't recommended except...
As an adjunct agent in acute MI
For pregnant patients
For cocaine overdose
For cyanide overdose
Which of the following is NOT a limitation to use of nitroprusside?
Risk of cyanide accumulation
Development of tachyphylaxis
Must be protected from light
Difficult to titrate
Which beta-blocker is preferred for critically ill patients because of it's ultra-short acting properties?
Labetalol
Propranolol
Esmolol
Carvedilol
ACEI and ARBs are not used in
Hypertension
Diabetic nephropathy
Myocardial Infarction
B/L Renal Artery stenosis
Which step in RAAS pathway is mediated by Angiotensin Converting Enzyme
Angiotensinogen to Angiotensin 1
Step catalyzed by Renin
Angiotensin 1 to Angiotensin 2
Action of Angiotensin 2 on AT-2 receptors
Find out the lysine derivative of enalaprilat using the following emoji
Enalapri
Lisinopril
Captopril
Verapamil
Plasma half ife of Losartan
24-48 hours
1-2 hours
12-16 hours
9-10 hours
ACEI mainly causes
Hyperakalemia
Hypokalemia
Hypoglycemia
Sepsis
Which of the following is false about angina pectoris?
principal symptom of patients with ischemic heart disease
sudden, severe, substernal pain
radiates along the right shoulder most of the time and to the flexor group of muscles
usually caused by exercise or heavy meal
How many chambers does your heart have?
1
2
3
NOTA
2 ANSWERS. CHOOSE ALL THAT APPLIES.
Mr. P.D was diagnosed with Prinzmetal Angina. Upon checking for his medical history, which of the following combination of drugs could have been prescribed to him by the doctor?
Nitrates
Calcium Channel Blockers
Beta Blockers
Alpha Blockers
A relative of an in-patient for stable angina asked you that he is not familiar with the term "stable" angina. You tried to explain it using other known names for stable angina. Which of the following is not another term for stable angina?
Exertional
Crescendo
Fixed
Classic
2 ANSWERS. ANSWER ALL THAT APPLIES.
Stable angina is usually caused by obstruction of the coronary arteries. Which of the following classification of drugs is not correctly paired with its generic drug?
Nitrates - Nitroglycerin
Beta Blockers - Spironolactone
Calcium Channel Blockers - Nifedipine
Calcium Channel Blockers - Propanolol
Which of the following is a Levine Sign?
In the hospital, a folk of the patient was having severe chest pains. He said to you that this has been going on for 15 minutes already. You called the attention of a doctor and knowing the patient's history for angina he would most likely administer:
Relaxation of the heart
Systole
Asystole
Diastole
Cardiac Arrest
A method of drug administration used for gradual absorption of the anti-anginal drug for prolonged prophylactic purpose.
All of the following are effects of Nitrates except?
Peripheral Artery Vasodilation
Reduction of peripheral arterial resistance
decrease after load
reduced venous load
Adverse effects of Nitrates are all of the following except?
throbbing headache
flushing of the face
dizziness at the end of the treatment
postural hypotension
Decreases heart rate, blood pressure, and cardiac contractility without appreciable decrease in cardiac output
Alpha Blockers
Nitrates
Calcium Channel Blockers
Beta Blockers
All of the following are common calcium channel blockers. Which of these are not correctly paired with its onset of action?
Nifedipine - 20 minutes
Verapamil - 1 to 2 hours
Diltiazem - 1 hour
Nicardifine - 20 minutes
These are all unwanted effects of Calcium Channel Blockers except?
Nausea
Vomitting
Flushing of the face
Bradycardia
2 ANSWERS. CHOOSE ALL THAT APPLIES.
Combination of drugs that are useful in severe vasospastic or exertional angina with congestive heart failure and sick sinus syndrome.
Beta Blockers
Nitrates
Calcium Channel Blockers
NOTA
Usual dosage for Nitroglycerin tablets.
0.5 to 1.5 mg
0.5 to 1.2 grams
0.7 to 1.5 mg
0.5 to 1.2 mg
The following route of administration will provide the highest concentration of drugs in the blood
Intavascular
Intradermal
Intramuscular
Oral
An antibiotic is defined as:
any substance that can kill bacteria
any chemical that can kill microbes
products produced by organisms to inhibit other organisms
a drug used to treat colds and flu
All of these are common ways in which antimicrobial drugs affect cells except for:
inhibit cell wall synthesis
inhibit 70S ribosomes
inhibit DNA/RNA synthesis
denature proteins
Of the following antibiotics, which inhibit cell wall synthesis--check ALL that apply.
Penicillins
Aldehydes
Tetracyclines
Cephalosporins
Beta-lactamase is:
an enzyme our cells use to attack the cell walls of bacteria
an enyzyme bacteria use to break down certain antibiotics
an antimicrobial drug that inhibits cell wall synthesis
an antimicrobial drug that inhibits protein synthesis
Bacteria would likely obtain the beta-lactamase enzyme via:
mutation of existing genes
horizontal gene transfer
radiation treatment
All of these antibiotics inhibit protein synthesis EXCEPT:
Erythromycin
Streptomycin
Tetracyclin
Vancomycin
