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WorksheetsPHARMACY II AND PHARMACY TECH CHAPTER 20 REVIEW
Total questions: 48
Worksheet time: 24mins
Name
Class
Date
1.
A patient is newly diagnosed with hypertension but has no symptoms. Why is hypertension often called the “silent killer”?
a)
Symptoms occur only during exercise
b)
Blood pressure fluctuates frequently
c)
It only affects elderly patients
d)
It resolves without treatment
e)
Organ damage can occur without noticeable symptoms
2.
A patient’s blood pressure is 148/94 mm Hg. How should this reading be interpreted?
a)
Normal
b)
Hypotensive
c)
Borderline hypotension
d)
Prehypertensive
e)
Hypertensive
3.
A prescription for lisinopril is received. This medication belongs to which class?
a)
Beta-blocker
b)
Calcium channel blocker
c)
Diuretic
d)
ARB
e)
ACE inhibitor
4.
Which medication suffix indicates an angiotensin II receptor blocker (ARB)?
a)
-olol
b)
-pril
c)
-statin
d)
-ide
e)
-sartan
5.
Reducing sodium intake helps lower blood pressure because sodium causes:
a)
Vasodilation
b)
Lower blood volume
c)
Slower heart rate
d)
Reduced fluid retention
e)
Increased fluid retention and blood volume
6.
Which class is commonly used as initial therapy for uncomplicated hypertension?
a)
Beta-blockers
b)
ACE inhibitors
c)
Calcium channel blockers
d)
Alpha blockers
e)
Diuretics
7.
Abrupt discontinuation of clonidine may result in:
a)
Hypotension
b)
Bradycardia
c)
Sedation
d)
Hypoglycemia
e)
Rebound hypertension
8.
Which factor increases the risk of hypertension?
a)
Low sodium diet
b)
Regular exercise
c)
Adequate hydration
d)
Young age
e)
Genetic history
9.
Dizziness when standing quickly is known as:
a)
Hypertension
b)
Arrhythmia
c)
Angina
d)
Syncope
e)
Orthostatic hypotension
10.
Which medication increases blood pressure in hypotensive patients?
a)
Hydrochlorothiazide
b)
Propranolol
c)
Lisinopril
d)
Furosemide
e)
Fludrocortisone
11.
Which cholesterol level is classified as high?
a)
Below 200 mg/dL
b)
200–239 mg/dL
c)
180 mg/dL
d)
199 mg/dL
e)
240 mg/dL or higher
12.
LDL cholesterol is considered harmful because it:
a)
Removes plaque
b)
Raises HDL
c)
Lowers triglycerides
d)
Improves circulation
e)
Contributes to plaque formation
13.
Atorvastatin primarily works by:
a)
Raising LDL
b)
Lowering HDL
c)
Increasing triglycerides
d)
Blocking calcium
e)
Lowering LDL and VLDL
14.
Statins lower cholesterol by inhibiting:
a)
ACE enzymes
b)
Beta receptors
c)
Bile acid binding
d)
Platelet aggregation
e)
HMG-CoA reductase
15.
Coronary artery disease is caused by:
a)
Vasodilation
b)
Hypotension
c)
Arrhythmias
d)
Valve failure
e)
Atherosclerosis
16.
A thrombus in a coronary artery most directly leads to:
a)
Angina
b)
Hypotension
c)
Arrhythmia
d)
Heart failure
e)
Myocardial infarction
17.
Which is a modifiable CAD risk factor?
a)
Age
b)
Gender
c)
Race
d)
Genetics
e)
Diet
18.
Niacin is used to:
a)
Increase LDL
b)
Lower HDL
c)
Treat arrhythmias
d)
Lower blood pressure
e)
Enhance lipid-lowering therapy
19.
Which drug class reduces myocardial oxygen demand?
a)
Diuretics
b)
Anticoagulants
c)
Antibiotics
d)
Thrombolytics
e)
Beta-blockers
20.
Smoking cessation reduces CAD risk by slowing:
a)
Heart rate
b)
Blood pressure
c)
Oxygen use
d)
Glucose metabolism
e)
Atherosclerotic progression
21.
Chest pain after exertion relieved by rest indicates:
a)
Variant angina
b)
Unstable angina
c)
Myocardial infarction
d)
Heart failure
e)
Classic angina
22.
Nitroglycerin relieves angina by causing:
a)
Increased heart rate
b)
Vasoconstriction
c)
Platelet aggregation
d)
Fluid retention
e)
Vasodilation
23.
Which nitroglycerin form is used for acute attacks?
a)
Capsule
b)
Patch
c)
Extended-release tablet
d)
Ointment
e)
Sublingual tablet
24.
Nitroglycerin patches should be:
a)
Worn continuously
b)
Cut in half
c)
Applied to same site
d)
Taken with food
e)
Removed nightly
25.
Variant angina is caused by:
a)
Exercise
b)
Clot formation
c)
Plaque rupture
d)
Stress
e)
Coronary artery spasms
26.
Unstable angina is dangerous because it:
a)
Resolves quickly
b)
Is painless
c)
Occurs only during exercise
d)
Has no blockage
e)
Worsens due to obstruction
27.
Which class is commonly combined with nitrates?
a)
Antibiotics
b)
Antihistamines
c)
Anticoagulants
d)
Diuretics
e)
Calcium channel blockers
28.
Nitroglycerin tablets should be stored:
a)
In plastic bags
b)
Refrigerated
c)
With food
d)
In weekly pill boxes
e)
In original dark glass container
29.
Angina pain may radiate to the:
a)
Lower back
b)
Abdomen
c)
Legs
d)
Feet
e)
Jaw, neck, or arms
30.
Emergency nitroglycerin use is indicated for:
a)
Hypertension
b)
Hyperlipidemia
c)
Arrhythmia
d)
Heart failure
e)
Acute chest pain
31.
An embolus differs from a thrombus because it:
a)
Forms in veins only
b)
Is stationary
c)
Prevents clotting
d)
Is harmless
e)
Travels to block another vessel
32.
Warfarin works by interfering with:
a)
Calcium channels
b)
Platelet adhesion
c)
Sodium balance
d)
Clot dissolution
e)
Vitamin K synthesis
33.
A myocardial infarction occurs when blood flow is:
a)
Reduced slightly
b)
Temporarily slowed
c)
Increased
d)
Partially blocked
e)
Completely blocked
34.
Which drug class improves survival after MI?
a)
Antihistamines
b)
Antibiotics
c)
Bronchodilators
d)
Antacids
e)
ACE inhibitors
35.
A transient ischemic attack (TIA) is:
a)
Permanent brain damage
b)
Complete blockage
c)
Heart rhythm disorder
d)
Stroke
e)
Temporary reduction of brain oxygen
36.
Arrhythmias are caused by problems in the:
a)
Valves
b)
Blood vessels
c)
Capillaries
d)
Myocardium
e)
Cardiac conduction system
37.
The heart’s natural pacemaker is the:
a)
AV node
b)
Bundle of His
c)
Purkinje fibers
d)
Ventricles
e)
SA node
38.
Lidocaine is primarily used to treat arrhythmias:
a)
Long-term
b)
In pediatrics
c)
In hypertension
d)
As maintenance therapy
e)
In emergency situations
39.
Quinidine treats arrhythmias by:
a)
Increasing HR
b)
Increasing BP
c)
Increasing sodium
d)
Enhancing oxygen
e)
Slowing conduction
40.
Heart failure occurs when the heart cannot:
a)
Beat regularly
b)
Contract at all
c)
Receive oxygen
d)
Maintain rhythm
e)
Pump blood effectively
41.
Edema in heart failure results from:
a)
Fluid loss
b)
Low sodium
c)
Dehydration
d)
Reduced blood volume
e)
Fluid accumulation
42.
Which is a cardiac glycoside?
a)
Warfarin
b)
Furosemide
c)
Atenolol
d)
Lisinopril
e)
Digoxin
43.
Diuretics benefit HF patients by:
a)
Increasing HR
b)
Increasing BP
c)
Increasing volume
d)
Improving rhythm
e)
Reducing fluid overload
44.
Loop diuretics cause loss of:
a)
Calcium
b)
Glucose
c)
Chloride
d)
Magnesium
e)
Potassium
45.
Potassium-sparing diuretics are often combined with:
a)
Statins
b)
Anticoagulants
c)
ACE inhibitors
d)
Beta-blockers
e)
Thiazide diuretics
46.
Which diuretic often requires potassium supplementation?
a)
Triamterene
b)
Spironolactone
c)
Amiloride
d)
Digoxin
e)
Hydrochlorothiazide
47.
Beta-blockers lower heart rate by blocking:
a)
Acetylcholine
b)
Calcium
c)
Sodium
d)
Potassium
e)
Epinephrine and norepinephrine
48.
Cardiovascular medications often require:
a)
Short-term use
b)
No counseling
c)
Pediatric dosing
d)
OTC substitution
e)
Lifestyle modification counseling
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