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Bullan mat

Total questions: 20

Worksheet time: 11mins

Name
Class
Date
1.

What is a cause of Pulmonary Arterial Hypertension?

a)

Heart Failure with reduced LVEF

b)

Connective Tissue Disease

c)

COPD

d)

Metabolic Disorders

2.

There are many possible causative agents for PAH, but which of the following is considered a DEFINITE cause of PAH?

a)

cocaine

b)

amphetamines

c)

leflunomide

d)

anorexigens

3.

To confirm the diagnosis of PAH, what test is required?

a)

Echocardiography

b)

Pulmonary function testing

c)

Right Heart Catheterization

d)

Vasoreactivity Testing

4.

A 32 year old woman presents to your office with a PMHx of congenital heart disease and diabetes. She complains of mild limitation of activity, lower extremity edema, and fatigue. Regular physical activity causes increased dyspnea, chest pain and fatigue. Her mPAP is 35mm Hg and she shows signs of increased cardiac output. Based on the treatment algorithm, what would be the best drug for her at this time?

a)

Verelan

b)

Norvasc

c)

Revatio

d)

Remodulin

5.

What treatment would be recommended for a patient in Functional Class Group 3?

a)

Adcirca

b)

Tracleer

c)

Veletri

d)

Uptravi

6.

Which drug has a BBW for liver toxicity?

a)

Bosentan

b)

Orenitram

c)

Riociguat

d)

Selexipag

7.

What is the only PAH drug with evidence of improved survival?

a)

Iloprost

b)

Treprostinil

c)

Selexipag

d)

Epoprostenol

8.

Which drug is a selective ETA receptor antagonist?

a)

Tracleer

b)

Letairis

c)

Opsumit

d)

Adempas

9.

If treatment is disrupted for more than 3 days, which drug requires a re-titration?

a)

Uptravi

b)

Ventavis

c)

Veletri

d)

Remodulin

10.

Which drugs are CI with nitrates?

a)

Adempas

b)

Revatio

c)

Adcirca

d)

Bosentan

11.

Which drugs have REMS programs?

a)

Flolan

b)

Opsumit

c)

Letairis

d)

Tracleer

12.

Which drug must be given with food and may be visible as ghost shell post-excretion?

a)

Orenitram

b)

Opsumit

c)

Riociguat

d)

Uptravi

13.

Which Endothelin Receptor Antagonists requires no titration?

a)

Bosentan

b)

Ambrisentan

c)

Macitentan

d)

Uhsentan

14.

Which drug can cause vision changes?

a)

Revatio

b)

Adcirca

c)

Adempas

d)

Uptravi

15.

Patient on Sildenafil is considered to have treatment failure - what changes should be made in the treatment?

a)

add Macitentan

b)

add Riociguat

c)

add Nifedipine

d)

lung transplant needed

16.

Which PH group has poorly understood mechanisms?

a)

Group 3

b)

Group 4

c)

Group 5

d)

Group 6

17.

Sildenafil is dosed

a)

20mg BID, titrated up to 80mg BID over 4 weeks

b)

40mg TID, titrated up to 80mg TID over 2 weeks

c)

20mg TID, titrated up to 80mg TID over 4 weeks

d)

40mg BID, titrated up to 80mg BID over 2 weeks

18.

CCBs are indicated for which Functional Class Groups?

a)

Group 1

b)

Group 2

c)

Group 3

d)

Group 4

19.

What drug may cause nose bleeds?

a)

Revatio

b)

Acirca

c)

Tracleer

d)

Adempas

20.

Which drug requires a backup medication cassette and pump to avoid interruption in therapy, which can lead to rebound PH?

a)

Remodulin

b)

Flolan

c)

Ventavis

d)

Tyvaso