Heart Failure And Acute Mi Drugs

28 Questions | Total Attempts: 130

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Heart Failure Quizzes & Trivia

Pharm Exam 3


Questions and Answers
  • 1. 
    Your pt is on Enalapril and is complaining of a dry cough.  She states that she would prefer not to take this medication anymore.  What is an appropriate substitute?
    • A. 

      Spironolactone

    • B. 

      Metoprolol

    • C. 

      Aspirin

    • D. 

      Losartan

  • 2. 
    ACE inhibitors are protective to the heart in all of the following ways, EXCEPT:
    • A. 

      Decrease vascular resistance

    • B. 

      Decrease venous tone

    • C. 

      Increase Na retention

    • D. 

      Decrease BP

  • 3. 
    What are the two Beta Blockers approved for treatment of heart failure?
  • 4. 
    Beta blockers improve heart's function by:
    • A. 

      Inhibiting renin release

    • B. 

      Decreasing heart rate

    • C. 

      Blocking deleterious effects of NE on cardiac muscle fibers

    • D. 

      All of the above

  • 5. 
    Diuretics help in heart failure by: (check all that apply)
    • A. 

      Decrease preload

    • B. 

      Decrease cardiac workload

    • C. 

      Increase preload

    • D. 

      Increase after load

    • E. 

      Decrease O2 demand

  • 6. 
    What is the most commonly used diuretic in HF?
  • 7. 
    What HF medication can help relieve pulmonary congestion and peripheral edema?
    • A. 

      ACE inhibitors

    • B. 

      ARBs

    • C. 

      Diuretics

    • D. 

      Direct Vasodilators

  • 8. 
    Dilation of veins decreases ______, while dilation of arteries decreases _______.
    • A. 

      Preload, afterload

    • B. 

      Afterload, preload

  • 9. 
    _______ are commonly used venous dilators in CHF.
    • A. 

      Resins

    • B. 

      Nitrates

    • C. 

      Inotropic agents

    • D. 

      Statins

  • 10. 
    You have an African American patient who is intolerant to beta blockers.  You know that what combination of medications is very effective in black patients?
  • 11. 
    ______ reduces afterload, while _____ reduces preload.
    • A. 

      Hydralazine, nitrate

    • B. 

      Nitrate, hydralazine

  • 12. 
    Avoid ________ in patients with HF.
  • 13. 
    All of the following are positive inotropic agents, EXCEPT: 
    • A. 

      Beta adrenergic agonists

    • B. 

      Digitalis glycosides

    • C. 

      Beta adrenergic antagonists

    • D. 

      Phosphodiesterase inhibitors

  • 14. 
    Which of the following is the only oral inotropic agent available?
    • A. 

      Dobutamine

    • B. 

      Inamrinone

    • C. 

      Digoxin

    • D. 

      Milrinone

  • 15. 
    Which of the following are indications to prescribe Digoxin?
    • A. 

      Pts with left ventricular systolic dysfunction

    • B. 

      Pts with diastolic or right-sided HF

    • C. 

      Pts who have HF with a fib

    • D. 

      Pts with mild to moderate HF

    • E. 

      Both A and C

    • F. 

      Both C and D

  • 16. 
    All of the following are factors predisposing a pt to digoxin toxicity, EXCEPT:
    • A. 

      Hypokalemia

    • B. 

      Hyperkalemia

    • C. 

      Hypercalcemia

    • D. 

      Hypomagnesemia

  • 17. 
    All of the following medications decrease preload, EXCEPT: 
    • A. 

      Direct vasodilators

    • B. 

      Diuretics

    • C. 

      Alpha blockers

    • D. 

      ARBs

  • 18. 
    This medication prevents sodium retention, myocardial hypertrophy, and hypokalemia and is used in the most advanced cases of HF:
    • A. 

      Epelerenone

    • B. 

      Spironolactone

    • C. 

      Abciximab

    • D. 

      Clopidogrel

  • 19. 
    This medication is a competitive antagonist of aldosterone at mineralcortioid receptors and reduces mortality in left ventricular systolic dysfunction and HF after acute MI
    • A. 

      Epelerenone

    • B. 

      Spironolactone

    • C. 

      Melrinone

    • D. 

      Clopidogrel

  • 20. 
    All of the following are platelet inhibitors, EXCEPT:
    • A. 

      Aspirin

    • B. 

      Ticlopidine

    • C. 

      Abciximab

    • D. 

      Warfarin

    • E. 

      Eptifibatide

  • 21. 
    A pt is in the ER c/o CP. She states that she has severe asthma and is finding it hard to breathe. What can you NOT give this patient?
    • A. 

      Aspirin

    • B. 

      Clopidogrel

    • C. 

      Abciximab

    • D. 

      Warfarin

  • 22. 
    This medication has an FDA black warning label for bleeding and stroke
    • A. 

      Ticlopidine

    • B. 

      Clopidogrel

    • C. 

      Aspirin

    • D. 

      Prasugrel

  • 23. 
    Neutropenia, thrombotic thrombocytopenic purpura, and aplastic anemia are all side effects of....
    • A. 

      Ticlopidine

    • B. 

      Warfarin

    • C. 

      Heparin

    • D. 

      Lovastatin

  • 24. 
    Hx of stroke, brain tumor, metastatic cancer, head trauma or intracranial bleeding, or pts with healing wounds may not be administered what medication?
    • A. 

      HMG CoA Reductase inhibitors

    • B. 

      Beta Blockers

    • C. 

      Thrombolytic agents

    • D. 

      Aspirin

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