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Drug For shock and Angina Pectoris Quiz
Question 1
In case of heart arrest associated to hypovolemic shock, intensive care including medication is initiated as soon as possible to resume heart function and ensuring hemodynamic stability. Which of the following is the most potent stimulant for heart?
*
A. Adrenaline
B. Noradrenaline
C. Dopamine
D. Ephedrine
Question 2
Choose among the following a condition that may facilitate the appearance of toxicity in a patient receiving digoxin for congestive heart failure.
*
A. Hyperkalemia
B. Hypernatremia
C. Hypocalcemia
D. Hypomagnesemia
Question 3
Aldosterone release is stimulated by which of the following?
*
A. Renin
B. Angiotensinogen
C. Angiotensin II
D. Hypervolemia
Question 4
Which of the following cardiovascular agents is classified chemically as a glycoside?
*
A. Nifedipine
B. Digoxin
C. Flecainide
D. Cholestyramine
E. Warfarin
Question 5
Situations that predispose a digitalis treated patient to toxicity include
*
A. Hypercalcemia
B. Hyperkalemia
C. Hypermagnesemia
Question 6
In case of acute pain of angina pectoris the most effective treatment would be to administer which one among the following?
*
A. Mannitol intravenous
B. Sodium nitrate
C. Nisertine
D. Nitroglycerin
Question 7
Antianginal pharmacotherapy provide the following benefit/benefits among users in emergency department : (select all applied)
*
A. Terminate anginal attack
B. Decrease the frequency of anginal attacks
C. Retard the progression of coronary artery disease
Question 8
Which of the following drugs is absolutely contraindicated in pregnancy
*
A. Atenolol
B. Losartan
C. Methyldopa
D. Nifedipine
Question 9
The use of calcium channel blockers leads to a fall in blood pressure with a decrease in venous return and this can be achieved thought different mechanisms.(Select All)
*
A. Vasodilation of arterioles By blocking calcium entry, these drugs relax the smooth muscle, causing the arterioles to dilate. This dilation reduces peripheral resistance, which in turn lowers blood pressure.
B. Reduced force of cardiac contraction (negative inotropy) By blocking calcium entry, they can reduce the force of myocardial contraction and This leads to a decrease in cardiac output, which contributes to lowering blood pressure.
C. Reduced heart rate (negative chronotropy - more with certain CCBs) By blocking calcium channels in the SA node, they can decrease heart rate and A slower heart rate contributes to lowering cardiac output and blood pressure.
Question 10
The following are pharmacological class of drugs used in the management of angina pectoris and It a typical example for each( select all correct)
*
A. Calcium Channel Blockers, example Amlodipine, Nifedipine (primarily affect vascular smooth muscle), Verapamil, Diltiazem (also affect heart rate and contractility)
B. Beta-Blockers, example Metoprolol, Atenolol, Propranolol
C. Nitrates, example Nitroglycerin (short-acting, used for acute attacks), Isosorbide Mononitrate (long-acting, used for prevention), Isosorbide Dinitrate (long-acting, used for prevention)
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