ANTIANGINA 1. A 52 year old man was brought to the emergency room complaining of pain in the chest during rest.

He was diagnose of suffering from angina pectoris.The antianginal drug that could worsen his symptoms is is: A. nitroglycerine C. Verapamil E. diltiazem B. acebutolol D. Captopril 2. A 48 year-old woman with coronary artery disease asked if she could used the skin patch you gave her routinely, not as needed as you recommended. The reason is that she is afraid to get an attack while she had to work hard on a budged plant. Which of the following is your main concern for not allowing her to do as she ask: A. development of reflex tachycardia B. orthostatic hypotension might be severe C. development of tolerance to its vasodilator action D. cyanide poisoning E. reflex tachycardia leading to hypertension 3. A 56 year-old man with blood pressure 160/100 mm Hg complains of chest pain during exercise. He was given a drug he could not tolerate as it causes headache and palpitation. Which of the following drug was most likely given: A. verapamil C. nifedipine E. diltiazem B. amylnitrate D. propranolol 4. A 55 year-old woman was admitted to the hospital with crushing chest pain and ECG reveals myocardial ischemia. Enzymatic laboratory result support myocardial Infarction (MI). She was given these drugs. Which of the drug given will ease the chest pain but has no longterm effect to reduce the sudden death or other complication of MI: A. aspirin C. heparin E. captopril B. nitroglycerin D. propranolol 5. A 60 year-old man with hypertension complains of tachycardia and heaviness during breathing, he denied of experiencing chest pain. His physician told him he has coronary heart disease , was given these drug and told to have mild exercise (walking 30-45 a day). In 2 day he came back because of asthmatic attacks , he forgot to tell the physician that he has a history of astma bronchiale. Which of the following drug most likely precipitate his asthmatic attack. A. aspirin C. digoxin E. diltiazem B. nitroglycerin D. propranolol ANSWER: 1.B 2. C 3.C 4.B 5. D