Deck 19: Drugs for Chest Pain, Myocardial Infraction, and Stroke

Question 1

Which of the following is a true statement regarding angina pectoris?

A) The same as a myocardial infraction
B) Severe chest pain cause by lack of oxygen to the heart muscle
C) An irregular heart beat causing a decreased cardiac output
D) An overload of fluid causing a backup of blood in the ventricles

Answer 1

Severe chest pain cause by lack of oxygen to the heart muscle

Question 2

The pharmacy technician recognizes the need for further teaching when the patient makes which statement?

A) "I will check my weight gain/loss regularly."
B) "I'll make sure to take my high-blood pressure pills."
C) "I am going to a smoking cessation class."
D) "As long as I exercise, stress at my job will not bother me."

Answer 2

"As long as I exercise, stress at my job will not bother me."

Question 3

Which of the following is not a goal for the pharmacotherapy of acute MI?

A) Restore blood supply to the damaged myocardium as quickly as possible
B) Increase myocardial oxygen demand with organic nitrates or beta blockers
C) Prevent associated dysrhythmias with antidysrhythmics
D) Reduce post-MI mortality with aspirin and ACE inhibitors

Answer 3

Increase myocardial oxygen demand with organic nitrates or beta blockers

Question 4

Which drug is not usually used during an MI?

A) Analgesic to decrease pain and fear
B) Anticoagulant to prevent future blood clots
C) Antifibrinolytic to reduce bleeding
D) Thrombolytic to dissolve the clot
E) ASA to reduce platelet aggregation

Question 5

An example of a thrombolytic agent would be:

A) Nitroglycerin
B) Streptokinase
C) Warfarin
D) Digoxin

Question 6

A patient has been prescribed several medications. Which medication is a beta blocker?

A) Nadolol
B) Verapamil
C) Captopril
D) Clopidogrel

Question 7

A patient presents in the Emergency Department with a suspected MI. Which medication should be given as soon as possible?

A) Clopidogrel
B) Morphine
C) Aspirin
D) Metoprolol

Question 8

The patient asks the pharmacist why the nitrate patch needs to be off for 8 hours per day. What is the best response by the pharmacist?

A) "There is no reason to take the patch off each day."
B) "You should wear the patch for 1 day and then leave it off for 1 day."
C) "You should only leave the patch off for 15 minutes."
D) "Leaving the patch off for 8 hours per day helps to delay the development of tolerance."

Question 9

The myocardium receives its nutrients from the first two arteries branching off the aorta, the right and left coronary arteries.

Question 10

Unstable angina requires more aggressive medical intervention as it is associated with an increased risk of stroke.

Question 11

Keeping blood pressure and blood glucose within the normal ranges helps to manage angina.

Question 12

Typical signs of a heart attack include chest pressure, squeezing in the chest, chest fullness or pain, and chest burning or heaviness.

Question 13

Hemorrhagic stroke needs to be rapidly treated with a thrombolytic.

Question 14

Organic nitrates relieve anginal pain by dilating the veins and the cranial arteries.

Question 15

The ACE inhibitors have also been found to reduce mortality following MI.

Question 16

Describe the pathophysiology and treatment of angina.

Question 17

Describe the symptoms, pathophysiology, and treatment of MI.

Question 18

Describe the pathophysiology and treatment of CVA.