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Worksheets

08.12.2025 Batch C

Total questions: 20

Worksheet time: 18mins

Name
Class
Date
1.

Choose the single best response: Angiotensin Receptor Blockers are useful in the treatment of ALL EXCEPT:

a)

Arrhythmia

b)

Myocardial infarction

c)

Heart failure

d)

Diabetic nephropathy

2.

Choose the single best response: Which among the following IS NOT a loop diuretic?

a)

Metolazone

b)

Furosemide

c)

Ethacrynic acid

d)

Bumetanide

3.

Choose the single best response: Propranolol should not be prescribed for a patient of angina pectoris who is already receiving:

a)

Isosorbide dinitrate

b)

Felodipine

c)

Verapamil

d)

Nifedipine

4.

Choose the single best response: Anti anginal agents include ALL EXCEPT:

a)

Sodium nitroprusside

b)

Nitroglycerin / Glyceryl trinitrate

c)

Verapamil

d)

Amlodipine

5.

Choose the single best response: Which ARB (Angiotensin receptor Blocker) has a mild uricosuric action (probenecid-like)?

a)

Losartan

b)

Irbesartan

c)

Olmesartan

d)

Telmisartan

6.

Choose the single best response: The drug most commonly used for hypertensive emergencies in preeclampsia is:

a)

Nicardipine

b)

Nitroprusside

c)

Labetalol

d)

Esmolol

7.

Choose the single best response: ACE Inhibitors are contraindicated in which of the following conditions?

a)

Post-myocardial infarction

b)

Bilateral renal artery stenosis

c)

Hypertensive diabetic nephropathy

d)

Congestive heart failure

8.

Choose the correct response/responses (Multiple options maybe right): Thiazides can cause ALL EXCEPT:

a)

Hypocalcemia

b)

Hyperuricemia

c)

Hypoglycaemia

d)

Hyperkalaemia

9.

Choose the correct response/responses (Multiple options maybe right): Following calcium channel blockers can be used in ischemic heart disease:

a)

Verapamil Sustained release

b)

Amlodipine

c)

Nifedipine Extended release

d)

Nifedipine soft gel

10.

Choose the correct response/responses (Multiple options maybe right): False statement/statements is/are:

a)

CCBs, nitrates and non-selective beta blockers are the preferred drugs in variant angina

b)

Ivabradine reduces late INa current thereby decreasing heart rate/cardiac work in angina pectoris

c)

Nitroglycerin produces vasodilation by increasing cAMP levels in vascular smooth muscle

d)

Drug tolerance to nitrate therapy can be reduced by providing drug free intervals

11.

Assertion–Reason Questions: Assertion: Angiotensin Receptor blockers can cause dry cough and angioedema. Reason: Dry cough and angioedema can be caused by preventing the breakdown of bradykinin.

a)

Both Assertion and Reason are true, and Reason explains Assertion.

b)

Both Assertion and Reason are true, but Reason does not explain Assertion.

c)

Assertion is true, Reason is false.

d)

Assertion is false, Reason is true.

12.

Assertion–Reason Questions: Assertion: IV Furosemide is used in pulmonary oedema due to acute left ventricular failure. Reason: IV furosemide produces venodilation thereby reducing the preload acting on the heart.

a)

Both Assertion and Reason are true, and Reason explains Assertion.

b)

Both Assertion and Reason are true, but Reason does not explain Assertion.

c)

Assertion is true, Reason is false.

d)

Assertion is false, Reason is true.

13.

Assertion–Reason Questions: Assertion: Calcium channel blockers reduce the severity of variant angina. Reason: Calcium channel blockers are coronary vasodilators.

a)

Assertion is correct. Reason is correct. Reason is the correct explanation for the Assertion.

b)

Assertion is correct. Reason is correct. Reason is not the correct explanation for the Assertion.

c)

Assertion is correct. Reason is wrong.

d)

Assertion is wrong. Reason is wrong.

14.

Assertion: Nitroglycerin 5 mg is given sublingually to relieve the pain in exertional angina. Reason: Sub lingual route bypasses first pass metabolism and produces rapid action

a)

Both Assertion and Reason are true, and Reason explains Assertion.

b)

Both Assertion and Reason are true, but Reason does not explain Assertion.

c)

Assertion is true, Reason is false.

d)

Assertion is false, Reason is true.

15.

Assertion: Non-selective beta blockers are given in patients with dyslipidemia. Reason: Non-selective beta blockers have unfavourable effect on lipid profile

a)

Both Assertion and Reason are true, and Reason explains Assertion.

b)

Both Assertion and Reason are true, but Reason does not explain Assertion.

c)

Assertion is true, Reason is false.

d)

Assertion is false, Reason is true.

16.

Case: A 58-year-old male patient, with a history of ischemic heart disease, was brought to the ER (Emergency Room) of a tertiary care hospital, around 7 AM, with severe chest pain and diaphoresis, that was neither getting relieved with rest nor with the administration of sublingual nitroglycerin tablets. ECG showed ST elevation in V2-V4 leads and cardiac biomarkers, especially cardiac Troponin levels, were raised. A clinical diagnosis of ST Elevation Myocardial Infarction (STEMI) was made. All the below drugs are immediately administered to this patient EXCEPT:

a)

Amlodipine

b)

Aspirin

c)

Atorvastatin

d)

Morphine

17.

Case: A 58-year-old male patient, with a history of ischemic heart disease, was brought to the ER (Emergency Room) of a tertiary care hospital, around 7 AM, with severe chest pain and diaphoresis, that was neither getting relieved with rest nor with the administration of sublingual nitroglycerin tablets. ECG showed ST elevation in V2-V4 leads and cardiac biomarkers, especially cardiac Troponin levels, were raised. A clinical diagnosis of ST Elevation Myocardial Infarction (STEMI) was made. Most likely reason for STEMI in the above patient is:

a)

Atherosclerosis producing ischemia in myocardial tissues

b)

Coronary vasospasm resulting in deprivation of oxygenated blood to myocardial tissue

c)

Rupture of atheromatous plaque leading to thrombotic occlusion of coronary artery

d)

Increase in myocardial oxygen demand due to excessive physical activity

18.

Case: A 58-year-old male patient, with a history of ischemic heart disease, was brought to the ER (Emergency Room) of a tertiary care hospital, around 7 AM, with severe chest pain and diaphoresis, that was neither getting relieved with rest nor with the administration of sublingual nitroglycerin tablets. ECG showed ST elevation in V2-V4 leads and cardiac biomarkers, especially cardiac Troponin levels, were raised. A clinical diagnosis of ST Elevation Myocardial Infarction (STEMI) was made. Which among the following drugs is NOT preferred on a long-term basis in this patient?

a)

HMG coA reductase inhibitors

b)

Opioid analgesics

c)

Anti platelet agents

d)

Beta blockers

19.

Case: A 58-year-old male patient, with a history of ischemic heart disease, was brought to the ER (Emergency Room) of a tertiary care hospital, around 7 AM, with severe chest pain and diaphoresis, that was neither getting relieved with rest nor with the administration of sublingual nitroglycerin tablets. ECG showed ST elevation in V2-V4 leads and cardiac biomarkers, especially cardiac Troponin levels, were raised. A clinical diagnosis of ST Elevation Myocardial Infarction (STEMI) was made. Drug given immediately in this patient to promote plaque stabilization is:

a)

Morphine

b)

Rosuvastatin

c)

Nitroglycerin

d)

Enalapril

20.

Case: A 58-year-old male patient, with a history of ischemic heart disease, was brought to the ER (Emergency Room) of a tertiary care hospital, around 7 AM, with severe chest pain and diaphoresis, that was neither getting relieved with rest nor with the administration of sublingual nitroglycerin tablets. ECG showed ST elevation in V2-V4 leads and cardiac biomarkers, especially cardiac Troponin levels, were raised. A clinical diagnosis of ST Elevation Myocardial Infarction (STEMI) was made. Which among the following drugs is given in this patient to prevent ventricular arrhythmias?

a)

Aspirin

b)

Rosuvastatin

c)

Propranolol

d)

Lidocaine