CVS

1 Which drug use for Case patient has ductus arteriosus

Iv indomethacin

2 cardioglycoside
Digoxin inhibits sodium-potassium atpase

3 Calculate CHADS2 score in patient with DM, HTN, 60year , history of HF?
DM=1, HTN=1, CHF=1
The total is = 3

4 Lithium drug-drug interaction

Reduced serum levels with carbonic anhydrase inhibitors, chlorpromazine, sodium containing
preparations, theophylline, urea. Enhanced hypothyroid effects with iodine.

5 One drug approved to reduce mortality in heart failure??

beta blocker

6 Responsible for generate impulse

SA node

7 Propranolol similar to which one ?

Nadolol

8 Food interaction with amidarone ?

Grapefruit

9 Which following have vasoconstriction effect?

Alpha 1

10 Which drug cause constipation?

Verapamil

11 Test of IHD?
troponins (I or T)

12 Vasodilator side effect?

Tachycardia

13 Any of these have more alpha activity

Epinephrine

14 Drug Disease interaction

Celecoxib and cardiac toxicity

15 Cardiac enzyme used in diagnosis of heart attack

tropinon enzyme

16 Patient with ISHD coronary heart disease has injury and severe pain
morphine (the best for treat moderate to severe pain)

17 Patient suffer from heart disease

Sildenafil or teradonifil for 4 hr after Lisinopril
18 The best OTC for heart failure disease with knee pain.
paracetamol > is The BEST with the presence of heart disease

19 What is the meaning of P wave in ECG

Is
P wave = arterial depolarization
QRS = ventricular depolarization
T wave = ventricular repolarization
U wave = Note that arterial repolarization is within QRS complex

20 Which of drug should not be used in atrial fibrillation

Verapamil

21 Activation of alpha 2 adrenoceptor lead to

Flushing – decrease

22 Activation of alpha 1 adrenoceptor lead to

Flushing – BP

23 Drug accelerate HF
Gabapentin

24 Management of Acute gout attack in HF patient

Colchicines

25 doxorubicin side effect

Cardiotoxicity

26 Beta blocker for HF patient

Bisoprolol

27 Beta blocker intrinsic

Acebutolol (β1-selective antagonist) and pindolol (nonselective β-blocker)

28 C/I in transit ischemic attack

Prasugrel

29 non selective a blocker for extravasation

Phentolamine

30 Decrease mortality in HF
beta blocker

31 Side effects CCB

First-degree atrioventricular block and constipation are common dose dependent side
effects of verapamil

32 Absolute contra-indication for use fibrinolytic

stroke within 2 month

33 first line vasopressor used in septic shock

Norepinephrine
34 which drug contraindicated in CHF
Pioglitazone

35 reflex tachycardia of hydralazine treated with ?

Propranalol

36 medication cause long Qr and bradycardia?

propranolo

37 which of the following decrease heart rate ?

metoprolol (beta1 blocker)

38 Dopamine is used in cardiac shock as ?

Increase .force of contraction

39 which of the following conditions have non preventable adverse effect ?

tachycardia with some forgot his dose of anti hypertensive drug and took 3pills

40 Nitroprusside in congestive heart failure patient is administered by ?

slow i.v. infusion

41 the action of digoxin can reduced with ?

antacid and hyperthyroidism

42 about digitoxin , which is false ?

Oral bioavaiability 100%

43 phenytoin uses other than anti convelcent agent are ?

ttt irreqular heart beat&ttt painful nerve coduction (neuralgia)

44 Hydralazine, ?
vessel relaxation. It dilates arterioles more than veins

45 about digioxin what is not true ?

taken only orally

46 Which of the following beta-adrenergic agents is not short acting?

Salmetrol

47 To supply the myocardium with 02 shortly after myocardial infarction we give ?

Aspirin

48 all the following diazoxide side effects except ?

Dieresis

49 Digoxin action except ?

increase conduction velocity in AV node

50 Dobutamine is used as ?
In cardiac surgery
51 Food increase effect of ?
Prpranolol

52 Dopamine is used in cardiac shock as ?

Increase force of contraction

53 Which one has narrow therapeutic index: nifedipine therapeutic index?

Digoxin

54 Drug prevent Microalbuminuria ?

ACEI

56 Overdose of the following lead to prolongation of Qr and bradycardia ?

Propranol

57 which one has narrow therapeutic index: ?

Digoxin

58 streptokinase is used in ?
myocardial infarction

59 Verapamil inhibit metabolism of ?

Digoxin

60 phase 2 in cardiac mean that ?

61 phase 3 in cardiac mean that ?

repolarization due to k outflux

62 Dopamine is used in cardiac shock as ..

selective dilate renal and mesenteric (vasodilation)

63 Dopamine is used in cardiac shock as:

Increase .force of contraction

64 Relief pain due to MI (Myocardial Infarction).

Morphine

65 Which of the following cardiac glycoside doesn't occur naturally

Amrinone
66 Streptokinase used in ...
Myocardial infarction

67 Hydralazine acts on heart by

Relax smooth muscle

68 ACEI role in CHF

prevent ventricular remodeling

69 ACEi is contraindicated in
bilateral renal artery stenosis
70 Altepase used is
Acute coronary syndrome

71 Patient with heart failure take ARB+CCB+ thiazides diuretics and still uncontrolled Stage 4 heart
failure , What is the next intervention ?
Spironolactone.

72 What is the Medication that used as rhyme and rate control for patients with heart failure?
Preference

73 Which medication considered as Rate control ?

Jst
74 Which medication considered as rhythm control ?

75 75 year Patient have MI and gout he take chochicin to improve acute attack but not effective.
What is the next intervention ?
use ibuprofen. indomethacin. acetoameniphen.
acute gout amack include ibuprofen 800 mg three to four times daily or indomethacin 25 to 50 mg
four times daily.