Pharm- Chf/ Antiarrhythmics/ Antianginals

55 Questions | By Chinedua | Updated: Mar 21, 2022 | Attempts: 141

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Pharm- Chf/ Antiarrhythmics/ Antianginals - Quiz

Ready for more work on pharmacy? Today we’ll be looking at a number of different pharmaceuticals, including antiarrhythmic agents, which are used to suppress abnormal rhythms of the heart. What can you tell us about this and more?

Questions and Answers

1.

CHF includes congestion of the pulmonary or systemic circulation (backward failure) and reduced output to body tissues (forward failure)
- A.
  
  True
- B.
  
  False
2.

Which of the following is not true about CHF
- A.
  
  May be a chronic or an acute condition
- B.
  
  Includes backwards and forward failure
- C.
  
  Kidneys retain sodium and water
- D.
  
  Leg and GI edema is seen in Left sided CHF
3.

The triad of Right Ventricular Failure features all of the following symptoms except
- A.
  
  JVD
- B.
  
  Clear Lungs
- C.
  
  Tachypnea
- D.
  
  Hypotension
4.

Ascites, Pleural Effusion and Pericardial Effusion are Signs of Right Heart Failure
- A.
  
  True
- B.
  
  False
5.

Which of the following would not be included in first line drug therapy for CHF?
- A.
  
  Fosiniopril (Monopril)
- B.
  
  Candesartan (Atacand)
- C.
  
  Metoprolol (Lopressor)
- D.
  
  Captopril (Capoten)
6.

Which of the following is a second-line drug for CHF?
- A.
  
  Telmisartan (Micardis)
- B.
  
  Digoxin (Lanoxin)
- C.
  
  Inamrinone (Inocor)
- D.
  
  A&C
- E.
  
  B&C
7.

ACE inhibitors/ARBs increase Cardiac Output in CHF and non CHF patients
- A.
  
  True
- B.
  
  False
8.

Bumetanide (Bumex) and Fursimide (Lasix) are which class of drug
- A.
  
  Thiazide diuretics
- B.
  
  Loop Diuretics
- C.
  
  Phosphodiesterase inhibitors
- D.
  
  Cardiac Glycosides
9.

Which of the following is a diuretics is less likely to be used in CHF because of its low level of effectiveness?
- A.
  
  Furosemide (Lasix)
- B.
  
  Metolazone (Zaroxolyn)
- C.
  
  Bumetanide (Bumex)
10.

Which of the following is a Cardiac Glycoside?
- A.
  
  Furosemide (Lasix)
- B.
  
  Carvedilol (Coreg)
- C.
  
  Milrinone (Primacor)
- D.
  
  Digoxin (Lanoxin)
11.

Which of the following is not true about Cardiac Glycosides?
- A.
  
  Positive Inotropic effects
- B.
  
  Negative chronotropic effects
- C.
  
  Indicated for VFib/Tachycardia
- D.
  
  Should be used cautiously in pregnancy
12.

Which of the following drugs slows progression of heart failure and helps to reverse cardiac remodelling?
- A.
  
  Atenolol (Tenormin)
- B.
  
  Digoxin (lanoxin)
- C.
  
  Milrinone (Primacor)
- D.
  
  Hydralazine (Apresoline)
13.

Which of the following is true about Phosphodiesterase inhibitors?
- A.
  
  Uusually used for long term therapy
- B.
  
  Includes Milrinone (Primacor) and Inamrinone (Inocor)
- C.
  
  Prevents ventricular dysrhythmias
- D.
  
  A & B
- E.
  
  B & C
14.

Which of the following drugs reduce cardiac oxygen demand and are used when ACE inhibitors are not tolerated?
- A.
  
  Milrinone (Primacor)
- B.
  
  Nitroprusside (Nitropress)
- C.
  
  Digoxin (Lanoxin)
- D.
  
  Furosemide (Lasix)
15.

Which of the following is true about Spironolactone?
- A.
  
  Is a direct aldosterone antagonist
- B.
  
  Prevents hyperkalemia and Na+ retention
- C.
  
  Reverses cardiac remodeling
- D.
  
  All of the above
16.

Which of the following pacemaker-rate pairings are correct?
- A.
  
  SA node 40-60
- B.
  
  Ventricles 60-100
- C.
  
  AV Junction 40-60
- D.
  
  SA Node 20-40
17.

Which of the following would not be an indication for Pharmacotherapy in Arrhythmia patients?
- A.
  
  Hemodynamic compromise occurs
- B.
  
  Decrease in myocardial oxygen demand
- C.
  
  Potential for malignant ventricular arrhythmias
- D.
  
  All of the above
18.

Which of the following is inconsistent with the goals of antiarrhythmic therapy
- A.
  
  Restore and maintain normal sinus rhythm
- B.
  
  Suppress excitable areas outside normal pathway
- C.
  
  Control ventricular rate and optimize cardiac output
- D.
  
  None of the above
19.

Which of the following is true about Class I Antiaarhythmic drugs??
- A.
  
  Divided into 3 sections
- B.
  
  Alters potassium concentration of cell membrane
- C.
  
  Alters sodium concentration of cell membrane
- D.
  
  A & C
- E.
  
  A & B
20.

Which of the following Antiarrhythmic Classes is a Beta Blocker?
- A.
  
  I
- B.
  
  II
- C.
  
  III
- D.
  
  Ib
- E.
  
  IV
21.

Class IV Antiarrhythmic drugs are _____________ blockers
- A.
  
  Beta
- B.
  
  Na+
- C.
  
  K+
- D.
  
  Ca++
- E.
  
  None of the above
22.

Which of the following is a Class Ic Antiarrhythmic?
- A.
  
  Quinidine
- B.
  
  Propafenone (Rythmol)
- C.
  
  Lidocaine
- D.
  
  Mexiletene
23.

Which of the following is a Class Ia Antiarrhythmic?
- A.
  
  Flecainide (Tambocor)
- B.
  
  Disopyramide (Norpace)
- C.
  
  Mexiletene
- D.
  
  A & B
24.

Lidocaine and Mexiletene are which class of Antiarrhythmic?
- A.
  
  IV
- B.
  
  Misc
- C.
  
  Ib
- D.
  
  Ic
25.

Which of the following drugs is a moderate sodium channel blocker and may promote Torsades des Pointes?
- A.
  
  Lidocaine
- B.
  
  Flecainide (Tambocor)
- C.
  
  Propafenone (Rythmol)
- D.
  
  Quinidine