Respiratory Drugs (Patho/Pharm)
Anti-Arrhythmic Classes (Patho/Pharm)
Drug Classes I–IV (Patho/Pharm)
Neurotransmitters (Behavioral Health)
EKG/ECG interpretation
100

This type of inhaler is used for quick relief of asthma symptoms.

What is a short-acting beta-2 agonist (SABA)?


100

Class I anti-arrhythmic drugs primarily block these ion channels.


What are sodium channels?



100

This system classifies drugs based on their action on cardiac conduction.


What is the Vaughan-Williams classification? 



100

This neurotransmitter is often called the “feel-good” chemical and regulates mood, sleep, and appetite.


What is SEROTONINNNN :))))))))))

100

This waveform represents atrial depolarization on an EKG.


What is the P-wave?

200

These drugs block histamine H1 receptors to reduce sneezing, itching, and urticaria.


What are antihistamines?

200

Beta-blockers fall into which anti-arrhythmic class?


What is Class II?



200

Class II anti-arrhythmics reduce heart rate primarily by decreasing this node’s conduction velocity.


What is AV node conduction?



200

GABA primarily exerts this effect on the nervous system.


What is inhibitory, calming (basically chilling)?
200

The QRS complex represents this part of the cardiac cycle.


What is ventricular depolarization? 

300

Inhaled corticosteroids reduce airway inflammation by inhibiting transcription of these pro-inflammatory molecules.


What are cytokines and inflammatory cells (ex: eosinophils, mast cells, etc).



300

Class I anti-arrhythmics differ in their effect on the action potential. Which statements are true? Select all that apply.

  • a) Class IA slows conduction and prolongs repolarization
  • b) Class IB shortens repolarization
  • c) Class IC significantly slows conduction without affecting repolarization
  • d) Class IB drugs are first-line for atrial fibrillation


What are a, b, c?

300


  • Which of the following drugs does not correctly match their class?

    • a) Lidocaine – Class I
    • b) Propranolol – Class II
    • c) Diltiazem – Class IV
    • d) Amiodarone – Class I


What is d?

300

Which neurotransmitters are primarily excitatory in the CNS? SATA.

  • a) Glutamate
  • b) GABA
  • c) Dopamine
  • d) Acetylcholine


What are a, c, d?
300

Which of the following may widen the QRS complex? Select all that apply.

  • a) First-degree AV block
  • b) Hyperkalemia
  • c) Bundle branch block
  • d) Flecainide overdose


What is b,d?

400

Which of the following are common adverse effects of inhaled corticosteroids? Select all that apply.

  • a) Oral thrush
  • b) Hypertension
  • c) Dysphonia (hoarseness)
  • d) Hyperglycemia


What is a, c, d?

400

Match the anti-arrhythmic drug to its primary class:

  1. Lidocaine
  2. Amiodarone
  3. Flecainide

  • a) Class I
  • b) Class III
  • c) Class IC


Answer: 1-a, 2-b, 3-c


400

Match the class to its primary electrophysiologic effect:

  1. Class I
  2. Class II
  3. Class III
  4. Class IV

    1. a) Beta-blockade
    2. b) Sodium channel blockade
    3. c) Potassium channel blockade
    4. d) Calcium channel blockade


Answer: 1-b, 2-a, 3-c, 4-d



400

Match the neurotransmitter to its primary CNS role:

  1. Serotonin
  2. Dopamine
  3. GABA
  4. Norepinephrine

  • a) Inhibitory/calming
  • b) Mood regulation
  • c) Motivation/reward
  • d) Fight-or-flight response


Answer: 1-b, 2-c, 3-a, 4-d


400

Match the EKG change to the likely cause:


  1. ST elevation
  2. Peaked T waves
  3. Prolonged PR interval



  • a) Hyperkalemia
  • b) Myocardial infarction
  • c) First-degree AV block


Answer: 1-b, 2-a, 3-c



500

Which of the following statements about beta-2 agonists and inhaled corticosteroids are true? Select all that apply.

  • a) Long-acting beta-2 agonists (LABAs) can be used alone for asthma maintenance.
  • b) LABAs work by increasing intracellular cAMP in airway smooth muscle.
  • c) Inhaled corticosteroids decrease airway inflammation by reducing cytokine production.
  • d) Overuse of short-acting beta-2 agonists may lead to tolerance and decreased efficacy.
  • e) Beta-2 agonists directly reduce eosinophilic inflammation.


What are b, c, d?

500

A 65-year-old patient with persistent atrial fibrillation is started on amiodarone. Which of the following statements about amiodarone are true? Select all that apply.

  • a) Slows AV nodal conduction to help control ventricular rate
  • b) Prolongs ventricular repolarization, increasing the QT interval
  • c) Blocks sodium channels, decreasing conduction velocity in atrial tissue
  • d) Should be used cautiously in patients with thyroid or liver disease
  • e) Causes significant shortening of the action potential duration


What are: a, b, c, d

500

Combining Class II and Class IV anti-arrhythmics can be useful in atrial fibrillation. Which of the following are true? Select all that apply.


  • a) Both slow AV node conduction
  • b) May lead to excessive bradycardia
  • c) Both prolong QT interval significantly
  • d) Used primarily for rate control


What are a, b, d?


500

A 28-year-old patient with schizophrenia is started on a typical antipsychotic. Which of the following statements about the drug’s effects and potential side effects are true? Select all that apply.

  • a) Blocks D2 receptors in the mesolimbic pathway to reduce hallucinations and delusions
  • b) Can cause extrapyramidal symptoms such as dystonia or parkinsonism
  • c) Increases dopamine release in the mesolimbic pathway
  • d) May also block D2 receptors in the nigrostriatal pathway, contributing to movement side effects
  • e) Primarily enhances serotonin transmission to improve positive symptoms


What are a, b,  d?

500

A patient presents with a fast, regular heart rate and narrow QRS complexes. Which of the following statements are true? Select all that apply.

  • a) Likely supraventricular tachycardia (SVT)
  • b) Originates above the ventricles
  • c) Likely Atrial Fibrilation
  • d) Often involves AV node reentry


What are a,b?