Cardiology

Atrial Fibrillation

100

This class of agents is 1st line for rate control, but is contraindicated in HFrEF.

non-DHP CCB

200

These classes of anti-arrhythmias are associated with prolonged QTc (hint: there are 3)

Class Ia, Ic, and III

300

Atrial fibrillation that has been continuous and sustained for 6 months is classified as this.

persistent 

400

Determine whether the following patient needs anticoagulation for stroke prevention based on this score (include the name of the score and the number): 

78yom with a PMH of HFrEF, a-fib, and a stroke 2 years ago. 

Yes, CHA2DS2VASc of 5 (>/=2 for a male patient)

500

These are the 4 black boxed warnings associated with amiodarone

pulmonary toxicity 

hepatotoxicity 

for life-threatening arrhythmias only 

pro-arrhythmic

Anticoagulant

100

This level should be monitored closely in patients receiving UFH for the treatment of VTE or ACS. The goal level range may vary by institution. 

aPTT

200

At a creatinine clearance <30mL/min, enoxaparin should be dosed as:

30mg subcut daily

300

Apixaban 2.5mg BID is only used in 2 scenarios: DVT ppx after knee/hip replacement or in patients with a-fib and these criteria

2 of the following:

Age >/= 80, Body weight </= 60, SCr >/= 1.5

400

The color of warfarin tablets is standardized by dose. The 5mg tablet is this color.

Peach

Remember: Please (1mg, pink) Let (2mg, lavender) Grandma (2.5mg, green) Brown (3mg, brown) Bring (4mg, blue) Peaches (5mg, peach) To (6mg, teal) Your (7.5mg, yellow) Wedding (10mg, white)

500

This may indicate HIT 5-10 days following the administration of heparin.

an unexplained drop in platelets >50%

Stroke

100

If the patient's last know normal was within this timeframe, a fibrinolytic is appropriate.

4.5 hours

200

When a patient presents with an acute ischemic stroke, the pharmacist will confirm that the patient has not had this class medication within the last 48 hours.

DOAC

300

A patient with a mild stroke has an NIHSS score of 2. You recommended this anti-platelet regimen for secondary prevention (include drug, dose, route, strength, and duration).

DAPT with clopidogrel 75mg daily and aspirin 81mg daily for 21-90days. Then continue either aspirin or clopidogrel indefinitely. 

400

A patient with an intracranial hemorrhage develops increased intracranial pressure. 1 of these 2 agents may be used to draw water out of the brain. 

hypertonic saline or mannitol

500

This medication is used for 21 days after a subarachnoid hemorrhage to improve outcomes associated with cerebral artery vasospasm.

nimodipine

Dyslipidemia

100

This is the LDL goal for a patient with no clinical ASCVD and a baseline LDL 190+.

<100

200

This medication for hypertriglyceridemia is contraindicated with statins.

gemfibrozil

300

These 3 statins must be taken at bedtime.

Simvastatin

Lovastatin

Fluvastatin ER

400

A 48yof with T2DM and no other co-morbidities is starting a statin today. Her LDL is 200 today. This is the regimen you recommended (hint: there may be multiple correct answers).

Atorvastatin 40-80mg daily 

or 

Rosuvastatin 20-40mg daily

500

This is the maximum dose of rosuvastatin allowed in a patient on concomitant cyclosporine.

5mg/day

SIHD

100

This is what you would recommend if a male patient asked how much alcohol he could have per day.

no more than 2 drinks/day

200

This antihypertensive class of medications is recommended for patients with CAD.

ACEi/ARB (RAASi)

300

Patients should be instructed to store SL nitroglycerin tablets in this way.

tightly capped in original amber bottle

400

This is the preferred application site of a nitroglycerin patch.

chest

500

This medication class has a warning for thrombotic thrombocytopenic purport (TTP)

P2Y12 inhibitors