Arrhythmia
Diuretics
Hypertension
Heart Failure
100

A 35-year-old man presents to the emergency room with arrhythmia. The physician noticed she was experiencing paroxysmal supraventricular tachycardia, and her blood pressure was 128/85; the patient's heart rate was also 210 beats per minute. Which one of the following is the best acute therapy for this patient?

Adenosine

100

A patient presented at an emergency room experiencing, hypokalemia, hypomagnesemia, hyponatremia, hyp...particular drug was responsible for the
patients side effects?

Chlorthalidone

100

A patient was experiencing a decrease in blood flow to their kidneys. What is responsible for converting Angiotensinogen into Angiotensin I?

Renin

100

An african american patient with Heart failure was provided the first drug approved only for african american with heart failure...

ISDN/Hydrazlazine

200

A 43-year-old woman presents to the emergency room with arrhythmia. The physician noticed she was experiencing dizziness and lightheadedness, and her blood pressure was 118/79; the patient's heart rate was also 50 beats per minute. Which one of the following is best for this patient therapy?

Atropine

200

Serum electrolytes should be monitored when diuretics are used, particularly the:

Serum potassium level

200

What diagnostic category is a BP reading of 158/104 mm Hg on June 13 and a BP of 150/110 mm Hg on June 17 both were taken on two separate clinic dates.

Stage 2 Hypertension

200

A patient presents at the hospital with low Ejection Fraction, previous myocardial infarction, diabetes, left ventricular hypertrophy, and difficulty breathing. The emergency department physician diagnosed what stage of heart failure in this patient?

Stage C

300

A patient was experiencing atrial arrhythmias, and his physician suggested changing his medication. Which class of anti-arrhythmic drugs prolong the QT interval.

Class IA and Class III

300

What percentage of filtered sodium is reabsorbed in thick ascending limb of renal tubules (loop of Henle)?

25%

300

A 54-year-old patient with reactive airway disease and hypertension presents to the emergency room. The physician noticed her blood pressure is 158/92; which one of the following is best for this patient therapy?

Bisprolol

300

Which one of the following reduces blood pressure and afterload and results in increased cardiac output? This drug is also recommended for African Americans with Heart Failure to reduce mortality.

Hydralazine plus nitrates

400

The Vaughan-Williams classification is the system used to categorize antiarrhythmic drug therapy into class IA, class IB, class IC, class II, class III, class IV and is based on the mechanism of action. Select the antiarrhythmic that exerts its mechanism via slowing depolarization through potassium channel blockade?

A: Sotalol
B: Lidocaine
C: Procainamide
D: Adenosine

A: Sotalol

400

Which drug functions at the proximal convoluted tubule?

A: Lasix
B: Spironolactone
C: Hydrochlorothiazide
D: Isosorbide
E: Triamterene

D: Isosorbide

400

David is a 62 years old African-American man who has had poorly controlled hypertension for the past 10 years, and now presents with signs of ankle edema, a low GFR and a serum creatinine of 2.5 mg/dL. The most effective drug for producing a diuresis and fall in blood pressure for David is

Furosemide

400

A patient with BP of 154/93 develops Heart Failure with Reduced Ejection Fraction (HFrEF). Which drug is not recommended?

A: Ibesartan (Avapro)
B: Metoprol (Toprol)
C: Olmesartan (Benicar)
D: Diltiazem (Cardizem)

D: Diltiazem (Cardizem)

500

A patient with a past medical history significant for atrial fibrillation (AF) is being evaluated in the emergency department. The patient has a significant cough and progressive shortness of breath (SOB). Radiographic evaluation is consistent with pulmonary toxicity. The patient is receiving an antiarrhythmic but cannot recall the name. The medical team is concerned that the pulmonary effect is drug induced. Based upon the pulmonary signs and symptoms of the patient, select the antiarrhythmic causing this side effect.

A: Sotalol
B: Amiodarone
C: Digoxin
D: Dronedarone

B: Amiodarone

500

In which class of diuretics must a sulfamoyl remain unsubstituted?

A: Potassium Sparing
B: High ceiling
C: Carbonic anhydrase inhibitors
D: Osmotics

C: Carbonic anhydrase inhibitors

500

A 38-year-old male has had hypertension for 10 years and recently changed his medications due to concomitant BPH. He develops orthostatic hypotension, which drug is more than likely responsible for his side effect?

Prazosin

500

A 27-year-old pregnant woman diagnosed with hypertension presents to the emergency room. After completing several lab exams, the physician noticed the patient had exercise intolerance and heart failure with reduced ejection fraction. Which therapy is best for this patient.

Metoprolol
Losartan
Kamidri
Nadolol

Metoprolol



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