Ischemic Heart Disease/Chronic Stable Angina
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This quiz will test your knowledge of the risk factors associated with IHD, the pathophysiology and diagnosis of IHD, and the drugs and treatment plans in regards to IHD.
- 1.Which of the following does NOT contribute to myocardial oxygen supply?
- A.
Contractility
- B.
Coronary blood flow
- C.
Oxygen availability
- D.
Oxygen extraction
- 2.Which of the following are risk factors for IHD? (Check all that apply)
- A.
Dyslipidemia
- B.
Family history of CVD
- C.
Family history of DM
- D.
Hypertension
- E.
Obesity
- F.
Physical inactivity
- G.
Smoking
- 3.Which of the following may be precipitated by exertion or emotional stress and relieved by rest?
- A.
Chronic Stable Angina
- B.
Unstable Angina
- C.
NSTEMI
- D.
STEMI
- 4.Which of the following INCORRECTLY describes an NSTEMI?
- A.
New onset
- B.
Occlusive thrombus
- C.
Occuring at rest
- D.
ST segment depression
- 5.Which class of medications and/or medication are associated with a decrease in mortality? (Check all that apply)
- A.
ACEI/ARB
- B.
Aspirin
- C.
Beta blockers
- D.
Calcium channel blockers
- E.
Nitrates
- 6.Which class of medications and/or medication are associated with a decrease in anginal symptoms? (Check all that apply)
- A.
ACEI/ARB
- B.
Aspirin
- C.
Beta blockers
- D.
Calcium channel blockers
- E.
Nitrates
- 7.Which beta blocker has NOT been proven to prevent MI/mortality?
- A.
Bisoprolol
- B.
Carvedilol
- C.
Metoprolol succinate
- D.
Metoprolol tartrate
- 8.Which of the following would be the goal heart rate when titrating the dose of a beta blocker?
- A.
50 bpm
- B.
60 bpm
- C.
65 bpm
- D.
70 bpm
- 9.Which of the following is a relative contraindication to beta-blocker therapy?
- A.
Acute decompensated heart failure
- B.
Bronchospastic disease
- C.
Preexisting high-degree AV block
- D.
Severe bradycardia
- 10.Which of the following is the MAJOR reason for the "dose free" intervals in long acting nitrates?
- A.
Bradycardia
- B.
Dyspepsia
- C.
Tachycardia
- D.
Tachyphylaxis
- 11.Which PDE5 inhibitor requires at least 48 hours separation between it and nitrate dosing to avoid an increased risk of hypotension?
- A.
Sildenafil (Viagra (R))
- B.
Tadalafil (Cialis (R))
- C.
Vardenafil (Levitra (R))
- D.
All PDE5 inhibitors require only 24 hours separation
- 12.Which DDI may be a cause for concern and therefore, should be addressed with the physician? (Check all that apply)
- A.
Simvastatin 10mg and amlodipine
- B.
Simvastatin 20mg and amlodipine
- C.
Simvastatin 40mg and amlodipine
- D.
Simvastatin 10mg and diltiazem
- E.
Simvastatin 20mg and diltiazem
- F.
Simvastatin 40mg and diltiazem
- 13.A diabetic patient presents to your clinic with HTN and IHD, due to compelling indications, which medication(s) should the patient receive? (Check all that apply)
- A.
ACE inhibitor
- B.
Beta-blocker
- C.
Calcium Channel Blocker
- D.
Diuretic
- 14.In which instance may clopidogrel indicated for treatment of IHD?
- A.
Aspirin is contraindicated
- B.
The patient has had a previous MI
- C.
The patient has symptomatic peripheral artery disease (PAD)
- D.
All of the above are instances in which clopidogrel is indicated
- 15.According to the Focused 2014 update, if revascularization is indicated (patient has diabetes and multivessel CAD), which of the following is true?
- A.
CABG is preferred in most cases to PCI
- B.
PCI is preferred in most cases to CABG
- C.
Both CABG and PCI have equal efficacy
- 16.Ranolazine would be prescribed as a substitute if initial treatment with which agent failed?
- A.
ACE inhibitors
- B.
Beta-blockers
- C.
Calcium channel blockers
- D.
Nitrates
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