Deck 25: Cardiovascular Drugs

Question 1

Nayeli has just been diagnosed with high cholesterol.What category of antilipemics is considered to be the first choice for monotherapy of high cholesterol?

A)statins
B)omega-3 fatty acids
C)fibric acid derivatives
D)bile acid sequestrants

Answer 1

statins

Question 2

Huey is given adenosine to convert his PSVT.What advantage does adenosine have over diltiazem?

A)Adenosine is less likely to cause hypotension.
B)Adenosine can be used in patients with symptomatic bradycardia.
C)Adenosine can be used in patients with second- or third-degree heartblock.
D)Adenosine is an oral agent and has a rapid effect.

Answer 2

Adenosine is less likely to cause hypotension.

Question 3

The only clinical drug currently used in the cardiac glycoside family is .

A)rifampin
B)heparin
C)warafin
D)digoxin

Answer 3

digoxin

Question 4

Cian,who is diabetic,has been found to have extremely high triglycerides.What category of antilipemic agents will both lower her triglycerides and improve her glucose tolerance?

A)cholesterol absorption inhibitors
B)bile acid sequestrants
C)fibric acid derivatives
D)statins

Question 5

Drew is taking an angiotensin receptor blocker to treat hypertension.What medication has most likely been prescribed?

A)losartan
B)amlodipine
C)atenolol
D)nebivolol

Question 6

Ginny has hypertension and is taking an ACE inhibitor.How do ACE inhibitors work?

A)By slowing heart rate
B)By increasing cardiac output
C)By decreasing vasoconstriction
D)By stabilizing the heart membrane

Question 7

Fay takes amiodarone for the treatment of refractory life-threatening ventricular arrhythmia.What side effect of amiodarone caused it to have a "Black Box Warning?"

A)nausea and vomiting
B)organ toxicity
C)photosensitivity
D)visual disturbances

Question 8

Boris takes digoxin for heart failure.What is important for him to know?

A)He can take most over-the-counter medications,because most are safe with digoxin.
B)He should take it with an antacid.
C)He should expect side effects,but it is safe to continue taking the digoxin if they occur.
D)He should regularly take his pulse.

Question 9

What antiarrythmic agent has local anesthetic effects,direct stabilizing action on myocardial membranes,and beta- adrenergic blocking properties?

A)propafenone
B)procainamide
C)verapamil
D)amiodarone

Question 10

Bernice is being treated with adenosine.She likely has .

A)an arrhythmia
B)heart failure
C)a clotting disorder
D)hypertension

Question 11

Davina is rushed to the hospital shortly after she begins to experience symptoms of what is diagnosed as an ischemic stroke.What agent can be administered that will dissolve the clot?

A)ticagrelor
B)altephase
C)prasugrel
D)dipyridamole

Question 12

Jake takes nicotinic acid for the treatment of diabetic dyslipidemia.How does nicotinic acid act?

A)It binds bile acids in the intestine.
B)It reduces hepatic synthesis of triglycerides.
C)It inhibits intestinal absorption of both dietary and biliary cholesterol.
D)It inhibits the enzyme for cholesterol synthesis.

Question 13

Rafael has just suffered a myocardial infarction and his physician in putting him on a prescription medication that has been shown to reduce atherosclerotic events (myocardial infarction,stroke,and vascular death)in patients with a history of recent stroke,recent MI,or established peripheral vascular disease.What medication fits this description?

A)clopidogrel
B)filgrastim
C)alteplase
D)dipyridamole

Question 14

Gaynor has an artificial heart valve and takes warfarin,which acts by .

A)altering the synthesis of blood coagulation factors in the liver
B)inhibiting the release of thromboplastin
C)initiating fibrinolysis
D)inhibiting the action of fibrin in clot formation

Question 15

Mateo takes an antiarrhythmic that acts by inhibiting adrenergic nerve receptors.He is most likely taking .

A)lidocaine
B)disopyramide
C)propafenone
D)propranolol

Question 16

Abdul is taken to the emergency room and is treated with a medication that is especially useful in converting and maintaining atrial fibrillation to sinus rhythm.What is this drug likely to be?

A)lidocaine
B)propafenone
C)adenosine
D)amiodarone

Question 17

Mariam takes a calcium channel blocker as an antiarrhythmic.What are the only two calcium channel blockers with significant antiarrhythmic activity?

A)adenosine and lidocaine
B)metoprolol and amiodarone
C)procainamide and propafenone
D)verapamil and diltiazem

Question 18

Tegan uses sublingual nitroglycerin for angina and has been warned to store it in a glass container with a tightly fitting screw top away from heat,because it is so sensitive to environmental conditions.How can she tell if,despite her efforts,the medication has lost its potency?

A)She will not feel tingling when she places it under her tongue.
B)Her vision will blur and her mouth will get dry.
C)The medication will change color and smell odd.
D)She will get a severe rash and itching.

Question 19

What antiarrythmic agent acts by slowing AV nodal conduction and is also used in the treatment of hypertension and angina?

A)verapamil
B)lidocaine
C)procainamide
D)adenosine

Question 20

Velma is taking digoxin for heart failure.What is a result of untreated heart failure?

A)Urination is greatly increased.
B)The heart muscle enlarges.
C)The heart rate is decreased.
D)Norepinephrine levels decrease.

Question 21

Kieran,who is being treated with heparin,is experiencing serious bleeding complications.What is the antidote?

A)vitamin K
B)fresh frozen plasma
C)protamine sulfate
D)prothrombin complex concentrate

Question 22

Bhu is undergoing rigorous chemotherapy for cancer and has become anemic.What type of medication will increase her body's production of red blood cells?

A)immunostimulants
B)hemoglobin synthesis agonists
C)colony stimulating factors
D)erythropoiesis-stimulating agents

Question 23

Dawson,who is on warfarin therapy,is surprised to learn that he must try to keep his intake of foods high in vitamin K consistent,as they can alter the effectiveness of his therapy.What are some foods that are high in vitamin K?

A)soft candies such as caramels and fudge
B)asparagus and cabbage
C)dairy products and eggs
D)beef and chicken

Question 24

Bhu is undergoing rigorous chemotherapy for cancer and is experiencing myelosuppression.What type of medication will improve her body's production of neutrophils?

A)colony stimulating factors
B)hemoglobin synthesis agonists
C)immunostimulants
D)erythropoiesis-stimulating agents

Question 25

Irwin has prehypertension,which is defined as .

A)SBP range of 150-189 and DBP range of 90 or higher
B)DBP range of 100-139 and SBP range of 90 to 100
C)SBP range of 120-139 and DBP range of 80-89
D)DBP range of 120-139 and SBP range of 80-89