Question 1

Which of the following is an adverse effect of using Ranolazine for chronic angina?

Accepted Answer

QT Prolongation

Question 2

Which of the following does not exacerbate heart failure?

Accepted Answer

DHP CCB

Question 3

You are treating a patient with a PMH of migraine and ED who recently was diagnosed with chronic stable angina. What medication should be avoided when treating this patient's condition?

Accepted Answer

Isorsorbide

Question 4

According to the AHA guidelines, what is the reccomended first line drug class for treating a patient in Stage B heart failure with Type II DM?

Accepted Answer

SGLT2i

Question 5

Which of the following drug classes is considered first line for vasospastic angina?

Accepted Answer

CCB

Question 6

You are treating patient with a CC of PND and orthopnea and on PE they have peripheral edema. What medication would best allieviate thier symptoms?

Accepted Answer

Furosemide

Question 7

What medication should be avoided in patients diagnosed with heart failure?

Accepted Answer

Diltiazem

Question 8

What medication class is indicated for ALL patients with HFrEF and improves patient survival?

Accepted Answer

ACE Inhibitors

Question 9

Which of the following medications can be prescribed for HF but does not improve survival?

Accepted Answer

Furosemide

Question 10

This drug class improves systolic functioning, reverses cardiac remodeling and decreases hypertrophy in patients with stable HFrEF:

Accepted Answer

BB

Question 11

A patient with a PMH of Type II DM and MI is found to have HFrEF and is prescribed Spironolactone. What lab values should be monitored regularly due to the PMH of this patient?

Accepted Answer

K

Question 12

Which of the following medication classes is FIRST LINE for treatment of Vasospastic (Prinzmetal) angina

Accepted Answer

CCB

Question 13

Which of the following is not an adverse effect of the MRA drug class (Spironolactone)?

Accepted Answer

Hypouricemia

Question 14

Which of the following scenarios would hydralazine with isosorbide likely be indicated?

Accepted Answer

In patients unable to tolerate an ACE or ARB

Question 15

This medication slows the SA node without reduction in contractility, improves symptoms of HFrEF but causes bradycardia

Accepted Answer

Ivabradine

Question 16

Which of the following is not a medication for A-fib in patients with structural heart disease that should ONLY be given in the hospital to monitor the QT interval?

Accepted Answer

Procainamide

Question 17

At what interval should a patient who was given Amiodarone have thier TSH levels monitored for hypo/hyperthyroidism?

Accepted Answer

Every 6 months

Question 18

How long should a patient wait between doses of long acting nitrates (isorsorbide or nitroglyerin patches) to avoid blood vessel desensitization?

Accepted Answer

10-12 hours

Question 19

This medication is the drug of choice for conversion of superventricular tachycardia

Accepted Answer

Adenosine

Question 20

What medication would be contraindicated for a patient with a PMH of mitral valve prolapse whose ECG shows a rapid and irregular ventricular rhythm?

Accepted Answer

Flecainide - Contraindicated for structual heart disease

Question 21

This is the drug of choice for treatment of an EKG that has no p-waves, QRS waves or T-waves (Polymorphic VT):

Accepted Answer

Magnesium  - Torsades de Pointes

Question 22

A nurse accidently gave a high dose of digoxin to your patient in atrial fibrilliation! What symptoms are unlikely to be present

Accepted Answer

Papilledema  - Digoxin toxicity

Question 23

This medication is commonly used in A-fib, A-flutter, and AV nodal re-entry SVT because it promotes conversion to sinus rhythm

Accepted Answer

Metoprolol

Question 24

What medication should be avoided for a patient with an irregularly irregular rhythm with pre-excitation (WPW):

Accepted Answer

AV node blocking  - These include adenosine, verapamil, beta blockers, and digoxin

Question 25

All patients with stable angina should be given sublingual nitroglycerin and what other class of medication?

Accepted Answer

Beta Blockers - UNLESS IT'S VASOSPASTIC ANGINA!!!!

Question 26

Medications from which of the following drug classes are contraindicated in patients with severe asthma?

Accepted Answer

BB

Question 27

Which of the following medications slows atrioventricular nodal contraction and decreases heart rate?

Accepted Answer

Verapamil

Question 28

Which of the following medications is the most appropriate treatment for a patient with a regular, monomorphic wide-complex tachyarrhythmia after a myocardial infarction?

Accepted Answer

Amiodarone

Question 29

A patient in A-fib has an old EKG which shows a shortened PR interval and a wide QRS with a slurred initial upstroke. Which of the following is the appropriate medication choice for this condition?

Accepted Answer

Procainamide - Condition: A-fib w/ WPW

Question 30

Which of the following dieuretics will not increase the likelihood of developing gout?

Accepted Answer

Spironolactone

Patient Management - Heart Failure Test Review

2) Which of the following does not exacerbate heart failure?

3) You are treating a patient with a PMH of migraine and ED who recently was diagnosed with chronic stable angina. What medication should be avoided when treating this patient's condition?

4) According to the AHA guidelines, what is the reccomended first line drug class for treating a patient in Stage B heart failure with Type II DM?

5) Which of the following drug classes is considered first line for vasospastic angina?

6) You are treating patient with a CC of PND and orthopnea and on PE they have peripheral edema. What medication would best allieviate thier symptoms?

7) What medication should be avoided in patients diagnosed with heart failure?

8) What medication class is indicated for ALL patients with HFrEF and improves patient survival?

9) Which of the following medications can be prescribed for HF but does not improve survival?

10) This drug class improves systolic functioning, reverses cardiac remodeling and decreases hypertrophy in patients with stable HFrEF:

11) A patient with a PMH of Type II DM and MI is found to have HFrEF and is prescribed Spironolactone. What lab values should be monitored regularly due to the PMH of this patient?

12) Which of the following medication classes is FIRST LINE for treatment of Vasospastic (Prinzmetal) angina

13) Which of the following is not an adverse effect of the MRA drug class (Spironolactone)?

14) Which of the following scenarios would hydralazine with isosorbide likely be indicated?

15) This medication slows the SA node without reduction in contractility, improves symptoms of HFrEF but causes bradycardia

16) Which of the following is not a medication for A-fib in patients with structural heart disease that should ONLY be given in the hospital to monitor the QT interval?

17) At what interval should a patient who was given Amiodarone have thier TSH levels monitored for hypo/hyperthyroidism?

18) How long should a patient wait between doses of long acting nitrates (isorsorbide or nitroglyerin patches) to avoid blood vessel desensitization?

19) This medication is the drug of choice for conversion of superventricular tachycardia

20) What medication would be contraindicated for a patient with a PMH of mitral valve prolapse whose ECG shows a rapid and irregular ventricular rhythm?

21) This is the drug of choice for treatment of an EKG that has no p-waves, QRS waves or T-waves (Polymorphic VT):

22) A nurse accidently gave a high dose of digoxin to your patient in atrial fibrilliation! What symptoms are unlikely to be present

23) This medication is commonly used in A-fib, A-flutter, and AV nodal re-entry SVT because it promotes conversion to sinus rhythm

24) What medication should be avoided for a patient with an irregularly irregular rhythm with pre-excitation (WPW):

25) All patients with stable angina should be given sublingual nitroglycerin and what other class of medication?

26) Medications from which of the following drug classes are contraindicated in patients with severe asthma?

27) Which of the following medications slows atrioventricular nodal contraction and decreases heart rate?

28) Which of the following medications is the most appropriate treatment for a patient with a regular, monomorphic wide-complex tachyarrhythmia after a myocardial infarction?

29) A patient in A-fib has an old EKG which shows a shortened PR interval and a wide QRS with a slurred initial upstroke. Which of the following is the appropriate medication choice for this condition?

30) Which of the following dieuretics will not increase the likelihood of developing gout?