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Practice Exam 2

Practice Exam 2

This is a self-grading exam. Answers are entered by clicking the button corresponding to your selection. The examination is scored by clicking 'Grade Test' at the bottom of the form. Correct answers are found through hyperlinks at the bottom of the page.



Question # 1 (Multiple Answer) Vasodilators that may mediate local myocardial control of coronary vascular tone

    A) adenosine
    B) bradykinin
    C) prostaglandins
    D) potassium ions
    E) hydrogen ions

Question # 2 (Multiple Choice) Amino acid precursor for nitric oxide:

    A) methionine
    B) arginine
    C) aspartate
    D) phenylalanine
    E) dopamine

Question # 3 (Multiple Choice) Calcium channel blockers: inotropic effects --

    A) increased inotropism
    B) decreased inotropism

Question # 4 (Multiple Choice) Angina associated with coronary vasospasm:

    A) exertional angina
    B) Prinzmetal's angina (variant)

Question # 5 (Multiple Answer) Homeostatic activities of nitric oxide:

    A) cardiovascular tone
    B) gastrointestinal smooth muscle relaxation
    C) immune regulation
    D) platelet regulation
    E) CNS signaling

Question # 6 (Multiple Answer) Associated with predominantly cardiac effects:

    A) amlodipine (Norvasc)
    B) diltiazem (Cardiazem)
    C) nifedipine (Procardia, Adalat)
    D) verapamil (Isoptin, Calan)

Question # 7 (Multiple Answer) Increased myocardial oxygen requirements:

    A) increased myocardial wall tension
    B) decreased contractile state
    C) increased heart rate

Question # 8 (Multiple Answer) Mechanism(s) explaining calcium channel blocker effectiveness in managing exertional angina:

    A) decreased contractility
    B) decreased afterload
    C) decreased preload
    D) increased coronary blood flow

Question # 9 (Multiple Choice) More likely to influence myocardial contractility:

    A) diltiazem (Cardiazem)
    B) nifedipine (Procardia, Adalat)

Question # 10 (Multiple Choice) More likely to have an effect on AV nodal conduction:

    A) diltiazem (Cardiazem)
    B) amlodipine (Norvasc)

Question # 11 (Multiple Answer) Commonly use nitrates for management of classical angina:

    A) sublingual nitroglycerin
    B) transdermal nitroglycerin
    C) isosorbide dinitrate (Isordil, Sorbitrate)
    D) isosorbide-5-mononitrate

Question # 12 (Multiple Answer) Effective antianginal drug(s):

    A) propranolol (Inderal)
    B) timolol (Blocadren)
    C) esmolol (Brevibloc)
    D) metoprolol (Lopressor)
    E) atenolol (Tenormin)

Question # 13 (Multiple Answer) Associate with predominately vascular effects:

    A) amlodipine (Norvasc)
    B) verapamil (Isoptin, Calan)
    C) nicardipine (Cardene)
    D) diltiazem (Cardiazem)

Question # 14 (Multiple Choice) Beta adrenergic receptor blockers are beneficial in managing angina because they:

    A) reduced angina frequency
    B) reduced severity of exertional angina attacks
    C) both
    D) neither

Question # 15 (True/False) Major mistake: administration of verapamil (IV) to patient with ventricular tachycardia which was missed diagnosed as supraventricular arrhythmia:

    A) true
    B) false

Question # 16 (Multiple Answer) Pharmacological actions associated with calcium channel blockers that tend to diminish angina:

    A) decreased afterload
    B) increased heart rate
    C) decreased myocardial wall tension
    D) decreased preload

Question # 17 (Multiple Choice) Relatively little effects on myocardial contractility compared to verapamil:

    A) amlodipine (Norvasc)
    B) felodipine (Plendil)
    C) both
    D) neither

Question # 18 (Multiple Answer) Nitrates: smooth muscle relaxation -- noncardiac sites:

    A) Sphincter of Oddi
    B) biliary duct
    C) bronchioles
    D) esophageal
    E) uterine smooth muscle

Question # 19 (Multiple Answer) Mechanism(s) responsible for antianginal effects of beta-blockers:

    A) increased heart rate
    B) decreased contractility
    C) decreased blood pressure during exercise

Question # 20 (Multiple Choice) Cardioselective beta-blocker:

    A) propranolol (Inderal)
    B) metoprolol (Lopressor)
    C) both
    D) neither

Question # 21 (Multiple Answer) Causes of myocardial ischemia:

    A) coronary vessel atherosclerosis
    B) arterial thrombi
    C) reduced preload
    D) coronary vasospasm
    E) decreased afterload

Question # 22 (Multiple Choice) Nitric oxide half-life:

    A) less than five seconds
    B) about a minute
    C) ten minutes
    D) an hour
    E) longer than one-hour

Question # 23 (Multiple Answer) Physiological effects of low-dose nitrates:

    A) increased end-diastolic right ventricular pressure
    B) decreased left ventricular chamber size
    C) arteriolar dilation

Question # 24 (True/False) Verapamil (Isoptin, Calan)-- major use other than for management of angina: treating reentrant super ventricular tachycardia

    A) true
    B) false

Question # 25 (Multiple Answer) Pharmacological interventions for management of angina:

    A) nitrates
    B) beta- agonists
    C) calcium channel blockers
    D) antimuscarinics

Question # 26 (Multiple Choice) Control of coronary blood flow involves:

    A) local metabolism
    B) nervous system regulation
    C) both
    D) neither

Question # 27 (Multiple Answer) May cause worsening of myocardial ischemia:

    A) amlodipine (Norvasc)
    B) nimodipine (Nimotop)
    C) nifedipine (Procardia, Adalat)
    D) nicardipine (Cardene)
    E) felodipine (Plendil)

Question # 28 (Multiple Choice) More appropriate for treating variant angina:

    A) propranolol (Inderal)
    B) diltiazem (Cardiazem)

Question # 29 (Multiple Answer) Examples of beta adrenergic receptor blockers used in management of chronic, classical angina:

    A) propranolol (Inderal)
    B) isoproterenol (Isuprel)
    C) nadolol (Corgard)
    D) atenolol (Tenormin)
    E) doxepin (Sinequan)

Question # 30 (Multiple Answer) Side effects associated with calcium channel blockade:

    A) hypertension
    B) dizziness
    C) flushing
    D) nausea

Correct Answers

1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30






































Question # 1 (Multiple Answer) Vasodilators that may mediate local myocardial control of coronary vascular tone

(A) adenosine

(B) bradykinin

(C) prostaglandins

(D) potassium ions

(E) hydrogen ions

BACK







































Question # 2 (Multiple Choice) Amino acid precursor for nitric oxide:

Answer: (B) arginine

BACK







































Question # 3 (Multiple Choice) Calcium channel blockers: inotropic effects --

Answer: (B) decreased inotropism

BACK







































Question # 4 (Multiple Choice) Angina associated with coronary vasospasm:

Answer: (B) Prinzmetal's angina (variant)

BACK







































Question # 5 (Multiple Answer) Homeostatic activities of nitric oxide:

(A) cardiovascular tone

(B) gastrointestinal smooth muscle relaxation

(C) immune regulation

(D) platelet regulation

(E) CNS signaling

BACK







































Question # 6 (Multiple Answer) Associated with predominantly cardiac effects:

(B) diltiazem (Cardiazem)

(D) verapamil (Isoptin, Calan)

BACK







































Question # 7 (Multiple Answer) Increased myocardial oxygen requirements:

(A) increased myocardial wall tension

(C) increased heart rate

BACK







































Question # 8 (Multiple Answer) Mechanism(s) explaining calcium channel blocker effectiveness in managing exertional angina:

(A) decreased contractility

(B) decreased afterload

(D) increased coronary blood flow

BACK







































Question # 9 (Multiple Choice) More likely to influence myocardial contractility:

Answer: (A) diltiazem (Cardiazem)

BACK







































Question # 10 (Multiple Choice) More likely to have an effect on AV nodal conduction:

Answer: (A) diltiazem (Cardiazem)

BACK







































Question # 11 (Multiple Answer) Commonly use nitrates for management of classical angina:

(A) sublingual nitroglycerin

(B) transdermal nitroglycerin

(C) isosorbide dinitrate (Isordil, Sorbitrate)

(D) isosorbide-5-mononitrate

BACK







































Question # 12 (Multiple Answer) Effective antianginal drug(s):

(A) propranolol (Inderal)

(B) timolol (Blocadren)

(D) metoprolol (Lopressor)

(E) atenolol (Tenormin)

BACK







































Question # 13 (Multiple Answer) Associate with predominately vascular effects:

(A) amlodipine (Norvasc)

(C) nicardipine (Cardene)

BACK







































Question # 14 (Multiple Choice) Beta adrenergic receptor blockers are beneficial in managing angina because they:

Answer: (C) both

BACK







































Question # 15 (True/False) Major mistake: administration of verapamil (IV) to patient with ventricular tachycardia which was missed diagnosed as supraventricular arrhythmia:

Answer: True

BACK







































Question # 16 (Multiple Answer) Pharmacological actions associated with calcium channel blockers that tend to diminish angina:

(A) decreased afterload

(C) decreased myocardial wall tension

BACK







































Question # 17 (Multiple Choice) Relatively little effects on myocardial contractility compared to verapamil:

Answer: (C) both

BACK







































Question # 18 (Multiple Answer) Nitrates: smooth muscle relaxation -- noncardiac sites:

(A) Sphincter of Oddi

(B) biliary duct

(C) bronchioles

(D) esophageal

(E) uterine smooth muscle

BACK







































Question # 19 (Multiple Answer) Mechanism(s) responsible for antianginal effects of beta-blockers:

(B) decreased contractility

(C) decreased blood pressure during exercise

BACK







































Question # 20 (Multiple Choice) Cardioselective beta-blocker:

Answer: (B) metoprolol (Lopressor)

BACK







































Question # 21 (Multiple Answer) Causes of myocardial ischemia:

(A) coronary vessel atherosclerosis

(B) arterial thrombi

(D) coronary vasospasm

BACK







































Question # 22 (Multiple Choice) Nitric oxide half-life:

Answer: (A) less than five seconds

BACK







































Question # 23 (Multiple Answer) Physiological effects of low-dose nitrates:

(B) decreased left ventricular chamber size

(C) arteriolar dilation

BACK







































Question # 24 (True/False) Verapamil (Isoptin, Calan)-- major use other than for management of angina: treating reentrant super ventricular tachycardia

Answer: True

BACK







































Question # 25 (Multiple Answer) Pharmacological interventions for management of angina:

(A) nitrates

(C) calcium channel blockers

BACK







































Question # 26 (Multiple Choice) Control of coronary blood flow involves:

Answer: (C) both

BACK







































Question # 27 (Multiple Answer) May cause worsening of myocardial ischemia:

(A) amlodipine (Norvasc)

(B) nimodipine (Nimotop)

(C) nifedipine (Procardia, Adalat)

(D) nicardipine (Cardene)

(E) felodipine (Plendil)

dihydropyridine --secondary to tachycardia BACK







































Question # 28 (Multiple Choice) More appropriate for treating variant angina:

Answer: (B) diltiazem (Cardiazem)

BACK







































Question # 29 (Multiple Answer) Examples of beta adrenergic receptor blockers used in management of chronic, classical angina:

(A) propranolol (Inderal)

(C) nadolol (Corgard)

(D) atenolol (Tenormin)

BACK







































Question # 30 (Multiple Answer) Side effects associated with calcium channel blockade:

(B) dizziness

(C) flushing

(D) nausea

BACK