Ischemic Heart Disease/Chronic Stable Angina

16 Questions | By ToeKneeAy | Last updated: Mar 22, 2022 | Total Attempts: 1169

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Ischemic Heart Disease/Chronic Stable Angina - Quiz

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.

Questions and Answers

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 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
5.

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
6.

Which beta blocker has NOT been proven to prevent MI/mortality?
- A.
  
  Bisoprolol
- B.
  
  Carvedilol
- C.
  
  Metoprolol succinate
- D.
  
  Metoprolol tartrate
7.

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
8.

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
9.

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
10.

Which of the following INCORRECTLY describes an NSTEMI?
- A.
  
  New onset
- B.
  
  Occlusive thrombus
- C.
  
  Occuring at rest
- D.
  
  ST segment depression
11.

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
12.

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
13.

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
14.

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
15.

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
16.

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