WorksheetsPharmacology Quiz: Cardiovascular System
Total questions: 50
Worksheet time: 56mins
A powerful hollow muscular organ, about the size of a closed fist of an adult, whose primary function is to provide pressure for the circulation of blood throughout the body.
Artery
Vein
Heart
Blood Vessel
Functions of the blood but one:
Hormone transport
Protection from bleeding
Thermoregulation
Nutrient metabolism
Which of the following organs of the reticuloendothelial system are responsible for the destruction and disposal of red blood cells after they die in about 120 days?
Liver and Kidneys
Liver and Skin
Liver and Spleen
Liver and Large Intestine
What components of the blood are considered the soldiers of the body in the fight against foreign materials which may cause homeostatic and physiological disturbance?
Thrombocytes
Erythrocytes
Leukocytes
Platelets
Which of the following blood vessels are directly connected to the capillaries?
Aorta
Arterioles
Superior Vena Cava
Inferior Vena Cava
Which circulatory pathway delivers deoxygenated blood from the heart to the lungs?
Pulmonary Artery
Pulmonary Vein
Circle of Willi's
Venules
It is the thickest muscular layer of the heart responsible for rhythmic contractions.
Epicardium
Pericardium
Endocardium
Myocardium
The fluid-filled, thin but strong sac, composed of fibrous layer that surrounds and protects the heart by reducing friction through lubrication, and by stabilizing its position in the thoracic cavity.
Epicardium
Pericardium
Endocardium
Peritoneum
The left and the right atria are chambers located at the ____________.
Upper portion of the heart
Lower portion of the heart
Apex of the heart
Mid-clavicular line at the 5th Intercostal Space
Which of the following best describes the heart's semilunar valves? Select all that apply.
Semilunar valves include the tricuspid and the bicuspid valves
Semilunar valves include the pulmonary and the aortic valves
Semilunar valves create the first heartbeat sound 'LUB' when they close
Semilunar valves create the second heartbeat sound 'DUB' when they close
The blood vessel supplying oxygenated blood and nutrients to the heart tissues.
Circle of Willi's
Carotid Artery
Pulmonary Artery
Coronary Artery
The natural peacemaker of the human heart.
Mitral Valve
Auricle
Sinoatrial Node (SA Node)
Atrioventricular Node (AV Node)
That part of the heart's conduction system spreading electrical impulses to the ventricles creating ventricular contraction (pumping of the heart).
Sinoatrial Node (SA Node)
Atrioventricular Node (AV Node)
Bundle of His
Purkinji Fibers
The part of the heart that first receives the deoxygenated blood from the superior and inferior vena cava.
Left atrium
Left ventricle
Right atrium
Right ventricle
A nurse takes a patient's blood pressure which reads 110 / 80. Which of the following statements is correct? Select all that apply.
110 represents the systolic pressure, 80 represents the diastolic pressure
110 represents the blood pressure pressing on the walls of the patient's arteries when the heart relaxes, while 80 represents the blood pressure pressing on the walls of the patient's arteries when the heart contracts
110 represents the diastolic pressure, 80 represents the systolic pressure
110 represents the blood pressure pressing on the walls of the patient's arteries when the heart contracts, while 80 represents the blood pressure pressing on the walls of the patient's arteries when the heart relaxes
A nurse obtained a patient's blood pressure to be 100 / 90. The patient asks the nurse what the reading means. What should be the correct response of the nurse?
Everything looks good! Your blood pressure is within the normal range.
You have a condition called hypotension as your blood pressure reading is below the normal standards.
Your systolic pressure is quite low but your diastolic pressure is high; thus, you have nothing to worry about
It seems that your blood pressure is kind of elevated and is outside of the typical range. Please wait for your attending physician for further assessment.
A nurse is conducting health education to a patient about blood pressure readings. Which among the following statements of the patient shows the need for more explanation and nursing intervention?
Now I know that my blood pressure which is 120 / 80 is within the normal range!
I see. Hypertension has several stages according to the guidelines released by the American Heart Association.
From what I understood, the blood pressure inside the arteries is at maximum during ventricular contraction and is at minimum when the heart muscles are in their resting period.
Stage 2 hypertension needs medical attention, provided that it is already symptomatic.
A patient is about to undergo a process called venipuncture in the arm to obtain a blood sample to assess his overall health. Which of the following tests helps detect specific health conditions such as anemia, cancer, infections, and clotting disorders? Select all that apply.
Complete Blood Count (CBC)
Coagulation Panel
Blood Culture
Lipid Panel
A patient with narrowed coronary arteries is most likely to experience ________:
Angina pectoris
Ischemic stroke
Deep vein thrombosis (DVT)
Aneurysm
Myocardial infarction (heart attack) is most commonly caused by:
Valve stenosis
Coronary artery occlusion
Sustained hypertension
Ruptured aneurysm
Which hormone increases heart rate and contractility during sympathetic activation?
Acetylcholine
Epinephrine
Dopamine
Serotonin
Which disorder is characterized by narrowing of peripheral arteries, especially in the legs?
Coronary artery disease
Peripheral artery disease
Peripheral vascular disease
Venous insufficiency
Which are possible complications of uncontrolled hypertension? Select all that apply.
Stroke
Aortic aneurysm
Chronic kidney disease
Retinopathy
Which clinical feature differentiates stable angina from unstable angina?
Relief with rest or administration of nitroglycerin
Pain lasting >30 minutes
Association with elevated cardiac enzymes
Pain occurring at rest
Which term describes a slow heart rate (<60 bpm), and which drug can be used to treat it if symptomatic?
Tachycardia; Digoxin
Bradycardia; Atropine
Arrhythmia; Amiodarone
Palpitation; Metoprolol
Which conduction abnormality requires immediate defibrillation, and which emergency drug may also be administered as part of its treatment?
Ventricular fibrillation - Epinephrine
Atrial fibrillation - Amiodarone
First-degree AV block - Atropine
Sinus tachycardia - Metoprolol
Select all that apply. Which are modifiable risk factors for atherosclerosis (plaque build up inside the arterial walls)?
Hypertension and Hyperlipidemia
Smoking
Type 1 Diabetes Mellitus
Type 2 Diabetes Mellitus
Family history
Which lipid abnormality is most strongly associated with atherosclerosis, and which class of cardiovascular drugs is commonly used to treat it?
Hypercholesterolemia (High LDL) - Treated with antilipidemic agents e.g. statins
Hypercholesterolemia (High LDL) - Treated with fibrinolytics
Hypertriglyceridemia (High Triglycerides) - Treated with antiplatelets
High VLDL - Treated with beta blockers
Which of the following drug classes are considered first-line therapy for the management of primary (essential) hypertension? Select all that apply.
Thiazide Diuretics
ACE Inhibitors - "PRILS"
Angiotensin II Receptor Blockers / ARBs - "SARTANS"
Calcium Channel Blockers / CCBs - "DIPINES"
Beta Blockers - "LOLS"
A 68-year-old male patient arrives at the emergency department with severe shortness of breath, crackles on lung auscultation, and frothy pink sputum. He has a history of congestive heart failure. The physician suspects acute pulmonary edema and orders immediate diuretic therapy to rapidly reduce fluid overload. Which of the following diuretic medications is the drug of choice due to its classification as a potent loop diuretic commonly used in this condition?
Hydrochlorothiazide
Furosemide
Spironolactone
Mannitol
A 58-year-old male patient with a history of coronary artery disease suddenly complains of chest pain and tightness while walking to the bathroom. The nurse quickly assesses him and notes that he is diaphoretic and anxious but stable. The physician prescribes a medication that will provide immediate relief by dilating the coronary arteries and improving blood flow to the heart. Which of the following drugs should the nurse prepare to administer sublingually for rapid relief of the patient’s anginal pain?
Isosorbide mononitrate, Class: Nitrate Oral
Atenolol, Class: Beta Blocker Oral or IV
Nitroglycerin, Class: Nitrate Spray or Oral
Verapamil, Class: Calcium Channel Blocker Oral or IV
Which of the following calcium channel blocker can be used for treating supraventricular tachycardia (SVT) as it lowers heart rate and heart contractility? Select all that apply.
Nifedipine
Verapamil
Amlodipine
Diltiazem
Which drug is the antidote for heparin overdose?
Vitamin K
Protamine sulfate
Fresh frozen plasma
Idarucizumab
Which drug class lowers triglycerides most effectively?
Statins
Fibrates
PCSK9 inhibitors
Bile acid sequestrants
Which drug is the antidote for warfarin overdose?
Protamine sulfate
Phytonadione (Vitamin K)
Fresh frozen plasma
Idarucizumab
Which drug can cause cyanide toxicity if used for prolonged infusion?
Hydralazine
Sodium Nitroprusside
Nitroglycerin
Diazoxide
The nurse is teaching about risk factors for coronary artery disease. Which should be included? Select all that apply.
Smoking and Diabetes mellitus
Hypertension
Hyperlipidemia
Regular exercise
Which of the following drugs is a calcium channel blocker?
Atenolol
Amlodipine
Captopril
Losartan
Which statement by the patient taking atorvastatin indicates a need for further teaching?
"I will avoid grapefruit juice while on this medication."
"I may take this medication at night."
"If I develop muscle pain, I should notify my doctor."
"I can stop the medication once my cholesterol levels normalize."
All blood thinners but one:
Anticoagulants
Antithrombotics
Fibrinolytics
Hemostatics
Which of the following antiplatelet agents used in the prevention of myocardial infarction and stroke is contraindicated with a patient with active peptic ulcer?
Aspirin
Clopidogrel
Dipyridamole
Cilostazol
A patient who is about to undergo removal of wisdom teeth was prescribed by the dentist with an antifibrinolytic drug to promote blood clotting and prevent excessive bleeding. As a nurse, which of the following medications will you administer to the patient?
Heparin
Warfarin
Aspirin
Tranexamic Acid
Iron supplements (e.g. Ferrous Sulfate) and B-vitamins (e.g. Folate and Cyanocobalamin) used to treat some types of anemia are under which drug class?
Hematopoietic Drugs
Coagulants
Anticoagulants
Antithrombotics
The following are types of drugs that can be used to treat hypotension in patients suffering from hypovolemic shock, except one.
Vasopressors e.g. norepinephrine and epinephrine
Cardiotonic Agents (Positive Inotropes) e.g. dopamine and dobutamine
Mineralocorticoids e.g. fludrocortisone
Vasodilators e.g. hydralazine and minoxidil
These are considered the most powerful diuretics - drugs that promote diuresis (increased urine output); fast onset; preferred for acute/severe Congestive Heart Failure with pulmonary and/or general edema because of rapid fluid removal.
Loop Diuretics
Thiazide Diuretics
Potassium-sparing Diuretics
Aldosterone Antagonist Diuretics
RAAS Inhibitors work by blocking the overactivity of the Renin-Angiotensin-Aldosterone System in patients with hypertension to reduce vasoconstriction and achieve vasodilation. Which of the following RAAS Inhibitor drugs are most preferred to avoid the risk of getting dry cough and angioedema (due to bradykinin)?
ACE Inhibitors
ARBs
Direct Renin Inhibitors
CCBs
Which is a Calcium Channel Blocker drug used to treat hypertension?
Propranolol
Losartan
Captopril
Nifedipine
A patient is admitted for an antihypertensive medication overdose of RAAS Inhibitors Lisinopril (ACE Inhibitor) and Valsartan (ARB), resulting in severe hyperkalemia. What would be the nurse’s expected intervention that the attending physician will order?
Administer Atropine
Administer Vitamin K
Administer Calcium Gluconate
Administer Potassium
Which of the following direct-acting vasodilators may cause hypertrichosis (excessive hair growth)?
Sodium Nitropusside
Hydralazine
Minoxidil
Diazoxide
A life-threatening condition where the heart suddenly and unexpectedly stops beating and ceases pumping blood (asystole) caused by an internal electrical problem of the conduction system of the heart.
Myocardial Infarction
Congestive Heart Failure
Cardiac Arrest
Heart Attack
