Pharmacology Ch 28, 29, 22

72 Questions

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Pharmacology Quizzes & Trivia

Medication for Heart and kidneys


Questions and Answers
  • 1. 
    Common side effects of niacin includes:
    • A. 

      Headache and hypertension

    • B. 

      Nausea, diarrhea and flatulence

    • C. 

      Flushing, itching and headache

    • D. 

      Constipation

  • 2. 
    Thiazide Diuretics may cause:
    • A. 

      Nephrotoxicity

    • B. 

      Ototoxicity

    • C. 

      Hyperuricemia

    • D. 

      Hypertension

  • 3. 
    Ace Inhibitors:
    • A. 

      Reduce blood pressure (afterload)

    • B. 

      Decrease renal flow

    • C. 

      Increase peripheral vascular resistance

    • D. 

      Increase peripheral vascular resistance

  • 4. 
    Fibric Acids are used to lower:
    • A. 

      Triglycerides

    • B. 

      Cholesterol

    • C. 

      Fatty acids

    • D. 

      Insulin resistance

  • 5. 
    Digitalis toxicity symptoms are:
    • A. 

      Increased renal output

    • B. 

      Anorexia, nausea, vomiting, blurred vision

    • C. 

      Increased potassium level

    • D. 

      Peripheral edema, pulse deficit, nocturnal leg cramps

  • 6. 
     Potassium supplements and salt substitutes should not be given with the following class of diuretic:
    • A. 

      Thiazide

    • B. 

      Loop

    • C. 

      Potassium sparing

    • D. 

      Carbonic anhydrase inhibitors

  • 7. 
     HMG-CoA reductase drugs are also known as:
    • A. 

      Nicotinic acid

    • B. 

      Statins

    • C. 

      Hypoglycemics

    • D. 

      Cholesterol potentiators

  • 8. 
     Which of the following are ways to assess for hydration? Select all that apply
    • A. 

      Skin turgor

    • B. 

      Oral mucous membrane

    • C. 

      Vital signs

    • D. 

      Labatory changes

    • E. 

      All of the above

  • 9. 
     Omega-3 fatty acids are often referred to as:
    • A. 

      Fish Oil

    • B. 

      Statins

    • C. 

      Water soluable vitamins

    • D. 

      Bile acid resins

  • 10. 
    Why are diuretics usually not administered after midafternoon?
    • A. 

      They are irritating to the GI lining

    • B. 

      They cause orthostatic hypotension

    • C. 

      To prevent nocturia

    • D. 

      To prevent polyuria

  • 11. 
     Which of the following statements is/are true about Omacor? Select all that apply.
    • A. 

      Omacor is used to decrease very elevated triglyceride level

    • B. 

      Omacor is often used with statins to further lower cholesterol levels

    • C. 

      Omacor may cause myositis or rhabdomylosis

    • D. 

      Omacor should be used with caution in patients with allergies to fish

  • 12. 
    This is when the ventricles contract as they stretch. How much the heart fibers stretch before contraction for systole (ventricles)
    • A. 

      Preload

    • B. 

      After load

  • 13. 
    This is the pressure in the aorta that must be overcome for blood to be ejected from the L side of the heart
    • A. 

      Preload

    • B. 

      Afterload

  • 14. 
    Another name for muscle weakness is:
    • A. 

      Mytosis

    • B. 

      Hypertrophy

    • C. 

      Rhabdimyosis

  • 15. 
    • A. 

      True

    • B. 

      False

  • 16. 
    Common signs and symptoms of diastolic dysfunction includes:
    • A. 

      Pulmonary edema and CHF

    • B. 

      Pulmonary congestion and peripheral edema

    • C. 

      Respiratory distress

  • 17. 
    Identify which side of the heart is affected:  n ventricle unable to compensate and blood “backs up” into the lungs nSymptoms SOB and cough (esp. when lying down) AKA Congestive Heart Failure
    • A. 

      Left side heart failure

    • B. 

      Right side heart failure

  • 18. 
    Identify which side of the heart is affected:  nIf this side becomes weak the blood “backs up” into the peripheral veins nPeripheral edema (feet and ankles) and engorgement of organs such as the liver occurs
    • A. 

      Left side HF

    • B. 

      Right side HF

  • 19. 
    Cardiac glycosides are:
    • A. 

      The class that increases the strength of contraction

    • B. 

      The class that decreases the strength of contraction

  • 20. 
    • A. 

      Negetive inotrpics and Cholinergics

    • B. 

      We use vasoconstrictor, inotropic and diuretic therapy.

    • C. 

      We use vasodilators, inotropic and diuretic therapy.

  • 21. 
    To treat heart failure the A is:
    • A. 

      ARBs (Angiotensin Receptor Blockers)

    • B. 

      ACE Inhibitors (Angiotensin Converting Enzyme Inhibitors)

    • C. 

      Alpha blockers

  • 22. 
    This enzyme:  nLower blood pressure and decrease volume nThis decreases arterial blood pressure and increases cardiac output nAlso dilates veins that return blood to the heart- this decreases preload and decreases peripheral edema
    • A. 

      ARB

    • B. 

      ACE

    • C. 

      Alpha blockers

    • D. 

      Beta Blockers

  • 23. 
    ACE Inhibitors can cause:
    • A. 

      Hypokalemia

    • B. 

      Hyperkalemia

    • C. 

      Hypertension

    • D. 

      Hypotension

  • 24. 
    With regards to HF the B is for:
    • A. 

      Bronchospasms

    • B. 

      Bronchodialators

    • C. 

      Beta Blockers

  • 25. 
    These enzymes:  nDecrease HR, cardiac output, BP nCommonly used with ACE inhibitors
    • A. 

      Bronchodialtors

    • B. 

      Beta-adrenergic Blockers

  • 26. 
    With regards to HF the D is for:
    • A. 

      Dygloside Digitalis

    • B. 

      Cardiac/ Digitalis glycosides

  • 27. 
    • A. 

      True

    • B. 

      False

  • 28. 
    What route is Digoxin immune fab (ovine) given?
    • A. 

      PO

    • B. 

      IV

    • C. 

      IM

    • D. 

      Sub q

  • 29. 
    What year were Natriuretic approved for heart failure?
    • A. 

      2001

    • B. 

      1998

    • C. 

      2002

    • D. 

      2005

  • 30. 
    These are a small peptide hormone that is produced through recombinant DNA technology and is structurally identical to a hormone secreted by the heart
    • A. 

      Novian

    • B. 

      Nitrates

    • C. 

      Nesiritide (Natrecor)

  • 31. 
    What is BNP (hbnp). Select all that applies.
    • A. 

      It is a hormone known as beta-type natriuretic peptide

    • B. 

      It is a hormone known ascholinergic-type natriuretic peptide

    • C. 

      It is made by the ventricles when HF occurs in response to increased stretch of ventricular walls

    • D. 

      It is made by the ateries when HF occurs in response to increased stretch of ventricular walls

  • 32. 
    These are  nUsed for short term control of acute heart failurenThese drugs have a short half life
    • A. 

      Nitrates

    • B. 

      Phosphodiesterase Inhibitors

    • C. 

      Nateuric Peptides

    • D. 

      Nesiritide (Natrecor)

  • 33. 
    Select all that applies.Phosphodiesterase Inhibitors :
    • A. 

      This increases the amount of K+ (potassium) available for myocardial contraction

    • B. 

      This increases the amount of Ca+ (calcium) available for myocardial contraction

    • C. 

      Causes a positive inotropic response and vasodilation

    • D. 

      Causes a negetive inotropic response and vasodilation

    • E. 

      They block the enzyme phosphodiesterase in cardiac and smooth muscles

  • 34. 
    Select all thqt applies:Name the medication made for Phosphodiases Inhibitors.
    • A. 

      Inamrinone

    • B. 

      Profilax

    • C. 

      Milrinone

    • D. 

      Mirinax

  • 35. 
    The most common side effects for Phosphodiases Inhibitors
    • A. 

      Dysrhythmia

    • B. 

      Tachycardia

    • C. 

      Bradycardia

    • D. 

      Respiratory failure

  • 36. 
    • A. 

      Bradycardia

    • B. 

      HTN

    • C. 

      Nausea

    • D. 

      Dehydration

  • 37. 
    Select all that applies.What substances are reabsorbed by the kidney that cannot be filtered?
    • A. 

      Pottassium

    • B. 

      Glucose

    • C. 

      Albumins

    • D. 

      Sodium

    • E. 

      Chloirde

  • 38. 
    • A. 

      Aluminum

    • B. 

      Phosphate

    • C. 

      Pottassium

    • D. 

      Hydrogen

    • E. 

      Calcium

  • 39. 
    PCN-G enters the urine by:
    • A. 

      Secretion

    • B. 

      Diffusion

    • C. 

      Excretion

    • D. 

      None of the above

  • 40. 
    What is the normal creatine level for males?
    • A. 

      0.7-1.5

    • B. 

      0.8-1.9

    • C. 

      7.0-10.5

    • D. 

      8.0-9.1

  • 41. 
    • A. 

      Liver failure

    • B. 

      Drug accumilation

    • C. 

      Most common cause is lack of sufficient blood flow through the kidney

  • 42. 
    Most common cause of Chronic Renal Failure is:
    • A. 

      Respiratory Disease

    • B. 

      Diabetes Mellitus

    • C. 

      Bladder infection

    • D. 

      Urinary tract infection

  • 43. 
    • A. 

      Snthetic plasma

    • B. 

      Synthetic erythropoietin

    • C. 

      Synthetic leukocytes

    • D. 

      Syntehtic enzymes

  • 44. 
    • A. 

      Loop diurectics

    • B. 

      Diurectics

    • C. 

      Potassium sparing

    • D. 

      Thizide potassium

  • 45. 
    These:  nAKA high ceiling diuretics nThese are the most effective diuretics nWork on the Loop of Henle
    • A. 

      Potassium sparing diurectics

    • B. 

      Thiazide diurectics

    • C. 

      Loop diurectics

    • D. 

      Carbonic anhydrase inhibitor diuretics

  • 46. 
    Loop Diuretics inhibit the body’s ability to reabsorb sodium at the ascending Loop of Henle which leads to increased water in the urine. Potassium is also "lost" into the urine. Can cause
    • A. 

      Hypercalcemia

    • B. 

      Low sodium

    • C. 

      Hypokalemia

    • D. 

      Hyperkalemia

  • 47. 
      nFurosemide (Lasix) nTorsemide (Demadex) nBumetanide (Bumex) are considered:
    • A. 

      Loop diurectics

    • B. 

      Thiazide directics

    • C. 

      Heart medication

    • D. 

      Respiratory meds

  • 48. 
    Side effects of Loop diurectics includs.  Select all that applies:
    • A. 

      Hypotension

    • B. 

      Emesis

    • C. 

      Dehydration Thirst, dry mouth, HA, weight loss

    • D. 

      Ototoxicity

    • E. 

      Nausea

  • 49. 
    These drug:  nMost commonly prescribed class of diuretics nAct on the distal tubule to block sodium reabsorption and increase water excretion nLess effective than loop diuretics and are INEFFECTIVE in pts with severe renal disease
    • A. 

      Potassium sparing diurectics

    • B. 

      Loop diurectics

    • C. 

      Thiazide Diurectics

  • 50. 
    Common thiazides includes:Select all that applies  
    • A. 

      Hydrochlorothiazide (HCTZ)

    • B. 

      Inamrinone (Inocor)

    • C. 

      Chlorthalidone (Hygroton)

    • D. 

      Milrinone (Primacor)

  • 51. 
    Side effects of thiazide includes:Selet all that applies...
    • A. 

      Hypotension

    • B. 

      Dehydration

    • C. 

      Nausea

    • D. 

      Hypokalemia

  • 52. 
    Loops and thiazide diurectics causes
    • A. 

      Hypercalcemia

    • B. 

      Hyperkalemia

    • C. 

      Hypocalcemia

    • D. 

      Hypokalemia

  • 53. 
    These are:  nLESS effective than loop diuretics nDo NOT cause hypokalemia nCauses mild diuresis nSodium and potassium are exchanged in the distal tubule
    • A. 

      Carbonic anhydrase inhibitors

    • B. 

      Thiazide diurectics

    • C. 

      Loop Diurectics

    • D. 

      Potassium sparing

  • 54. 
      The medications listed below are used for: nAmiloride HCL (Midamor) nSpironolactone (Aldactone) nTriamterene (Dyrenium)
    • A. 

      Carbonic anhydrase inhibitors

    • B. 

      Loop diurectics

    • C. 

      Potassium sparing

    • D. 

      Thiazide durectics

  • 55. 
    Select all that applies:Side effects of Potassium sparing drugs causes:
    • A. 

      Dehydration

    • B. 

      Hypertension

    • C. 

      Dizziness

    • D. 

      Hyperkalemia

    • E. 

      Bradycardia

  • 56. 
    Methylxanthines are used for:Select all that applies:
    • A. 

      Used for renal disease

    • B. 

      Used for the cardiorenal disease

    • C. 

      Also used as bronchodilators

    • D. 

      Also used as vasocinstrictors

  • 57. 
    Types of Methyxnthines includes: Select all that applies:
    • A. 

      Aminophylline

    • B. 

      Spironolactone (Aldactone)

    • C. 

      Theophylline (TheoDur)

    • D. 

      Triamterene (Dyrenium

  • 58. 
    These are an enzyme that affects acid-base balance by its ability to form carbonic acid from water and carbon dioxide.
    • A. 

      Thiazide diuretics

    • B. 

      Carbonic anhydrase inhibitors

    • C. 

      Potassium sparing

    • D. 

      Loop diurectics

  • 59. 
    Carbonic anhydrase Inhibitor medications end with which prefix:
    • A. 

      -ide

    • B. 

      -ile

    • C. 

      -oide

    • D. 

      -ille

  • 60. 
    Side effects of carbonic anhydrase inhibitor:(Select all that applies)
    • A. 

      Sulfa derivatives with possibility for allergic reactions

    • B. 

      Decrease intra-ocular pressure quickly

    • C. 

      Electrolyte imbalances with prolonged use Hypokalemia Hyponatremia

    • D. 

      Renal Failure

  • 61. 
    • A. 

      Hyperkalemia

    • B. 

      Hypokalemia

  • 62. 
    What is the effect of  Sodium polystyrene sulfate. (Kayaxelate)
    • A. 

      Rhabdomyosis

    • B. 

      Constipation

    • C. 

      Diarrhea

    • D. 

      None of the above

  • 63. 
    • A. 

      True

    • B. 

      False

  • 64. 
    • A. 

      Obesity

    • B. 

      Cholesterol

    • C. 

      Hyperlipidemia

  • 65. 
    • A. 

      Fats

    • B. 

      Carbohydrates

    • C. 

      Triglycerides

    • D. 

      Glucose

  • 66. 
    What are the three classes of lipids?Select all that applies...
    • A. 

      Monosaccharides

    • B. 

      Steroids

    • C. 

      Triglycerides

    • D. 

      Phospholipids

  • 67. 
    What is the most common type of lipid?
    • A. 

      Phospholipid

    • B. 

      Triglyceride

    • C. 

      Steroid

  • 68. 
    Cholesterol is best known of the:
    • A. 

      Triglyceride

    • B. 

      Steroid

    • C. 

      Phospholipid

  • 69. 
    Best known phospholipids are:
    • A. 

      Green vegetables

    • B. 

      Lecithins

    • C. 

      Fruits

    • D. 

      Meat

  • 70. 
    Identify the good the good liproprotein:
    • A. 

      HDL

    • B. 

      LDL

    • C. 

      VLDL

    • D. 

      IDL

    • E. 

      Chylomicrons

  • 71. 
    How mpercentage of cholesterol is LDL?
    • A. 

      75%

    • B. 

      30%

    • C. 

      50%

    • D. 

      45%

  • 72. 
    Most of the triglycerides are transported  to:
    • A. 

      Kidney for storage

    • B. 

      Liver for storage

    • C. 

      Adipose tissue for storage

    • D. 

      None of the above