Pharmacology Ch 28, 29, 22

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Pharmacology Ch 28, 29, 22 - Quiz

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. 
    True or false:Diastolic Dysfunction is the most common type of heart failure
    • 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. 
    How do we treat heart failure?
    • 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

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