Cardiovascular Agents Ch 9

Beneficial effects of ACE inhibitors for the treatment of heart failure include: I.Decrease in pulmonary capillary wedge pressure II.Control of the ventricular rate III.Decrease in systemic vascular resistance

1 & III

A patient is ordered to take an ACE inhibitor. Which of the following classifications of medications could also be given to promote complete blockade of angiotensin II? Calcium channel blocker Sodium channel blocker Beta blocker ARB

ARB

Which medication can be used for the treatment of PSVT Adenosine Digoxin ACE inhibitors Phosphodiesterase inhibitors

Adenosine

Which diuretic would you recommend for a patient who is hypokalemic: Aldactone Furosemide Lasix Microzide

Aldactone

On an ECG tracing, what is represented by the P-wave?

Atrial depolarization

Which adrenergic receptor is found primarily in the heart?

Beta 1

Carvedilol (Coreg) is an example of:

Beta blocker

Which of the following agents would effect a patients HR: Chronotropic Ionotropic Dromotropic Losartan

Chronotropic

All of the following are means by which administration of a vasodilator will decrease afterload except: Dilation of arterial vessels Dilation of venous vessels Dilation of both arterial and venous vessels Constriction of arterial vessels

Constriction of arterial vessels

Administration of a diuretic would have which of the following effects on the heart: Chronotropic Increase in afterload Decrease in preload Dromotropic

Decrease in preload

Vasodilators that are used to decrease the afterload forces on the heart include all of the following except: Hydralazine ACE inhibitors Digoxin Nitrates

Digoxin

Which of the following antiarrhythmic drugs causes an increase in total calcium, resulting in an increase contractility of the heart: Atenolol Theophylline Digoxin Metaprolol

Digoxin

Which of the following medications results in increased contractility of the heart: Bretylium Dopamine Digoxin Dobutamine

Digoxin

Which of the following agents would effect a patients electrical conduction system: Chronotropic Ionotropic Dromotropic Refractory

Dromotropic

Dromotropic drugs have no affect on the conductivity of the heart T/F

False

Sympathetic stimulation has no impact on HR T/F

False

The AV node is the hearts primary pacemaker T/F

False

The P wave represents atrial repolarization T/F

False

The QRS complex represents ventricular repolarization T/F

False

The left side of the heart is responsible for pumping blood into the pulmonary circuit T/F

False

Vasodilators increase afterload T/F

False

antiarrhythmic medications do not have pharmacological or an electrophysiological action T/F

False

Cardiac cells can become excited in which of the following situations: I.Oxygen deficit II.Electrolyte balance III.Ischemia

I & III

A female is diagnosed with a metabolic syndrome in the presence of which of the following? I.Fasting glucose <110 mg/dl II.High-density lipoprotein cholesterol <50 mg/dl III.Triglycerides >150 mg/dl

II & III

Which of the following classifications of medications can be used as an antianginal: I. Beta-agonists II. Calcium-channel blockers III. Nitroglycerin

II & III

Stimulation of the parasympathetic system would result in all of the following except: Decreased force of contraction Decreased heart rate Increased AV conduction Decrease in automaticity

Increase in AV conduction

Upon administration of a calcium channel blocker, you would expect all of the following results except: Decrease in contractility Decrease in AV conduction Decrease in automaticity Increase in HR

Increase in HR

Stimulation of the sympathetic system would cause which of the following? Decrease heart rate Decrease force of contraction Increase automaticity Inhibition of AV conduction

Increase in automaticity

In heart failure, all of the following conditions can occur except: Enlarged heart Ankle edema Increased fluid removal from the kidneys Pulmonary edema

Increased fluid removal from the kidneys

ACE inhibitors are used to reduce the work of the heart by

Inducing vasodilation

Which of the following agents would affect a patients contractility of the heart: Chronotropic Ionotropic Dromotropic Conductor

Ionotropic

From which ventricle of the heart is blood ejected into systemic circulation?

Left ventricle

All of the following ions are influential in the hearts conduction system except: Magnesium Sodium Potassium Calcium

Magnesium

The role of the kidneys in cardiac function includes all of the following except: Regulation of fluid balance Maintenance of oxygen balance Maintenance of acid-base balance Maintenance of electrolyte balance

Maintenance of oxygen balance

Which of the following drugs is a phosphodiesterase inhibitor that results in increased vascular smooth muscle contraction and increased heart contractility? Milrinone Dobutamine Aldactone Dopamine

Milrinone

Which of the following is considered the agent of choice for the relief of anginal pain: Nitroprusside Dopamine Levophed Nitroglycerine

Nitroglycerine

Which of the following drugs used for heart failure must be shielded from light to maintain stability: Nesiritde Nitroglycerine Nitroprusside Milrinone

Nitroprusside

Which of the following is not considered to be a cause of arrhythmias: roarrythmics Antiarrhythmic drug toxicity Pacemaker origination in the SA node Electrolyte imbalance

Pacemaker origination in the SA node

Milrinone is classified as which of the following: Beta blocker Anticholinergic Calcium channel blocker Phosphodiesterase inhibitor

Phosphodiesterase inhibitor

Acute coronary syndrome with non ST segment elevation would involve which of the following medications: Lovastatin Niacin Plavix Zetia

Plavix

A medication is given to increase a patients heart rate. It has what effect?

Positive chronotropic

From which chamber of the heart is blood ejected into pulmonary circulation?

Right ventricle

The normal pacemaker for the electrical conduction system of the heart is

SA node

Which of the following is considered to be the pacemaker of the heart: AV node SA node Perkinje fibers Bundle of His

SA node

Which of the following lipid-lowering agents block cholesterol biosynthesis: Colestipol Ezetimibe Gemfibrozil Simvastatin

Simvastatin

Which of the following best describes afterload? The resistance against which the heart must pump The amount of blood in the ventricles before contraction A deviation from normal The ability to generate pacemaking activity

The resistance against which the heart must pump

Which of the following is a ventricular arrhythmia: SVT Atrial flutter Torsades de pointes Atrial fibrillation

Torsades de pointes

Adenosine can be given for the treatment of supraventricular tachycardia T/F

True

Any deviation from a normal ECG is an arrhythmia T/F

True

Chronotropic drugs affect the heart rate T/F

True

Inotropic drugs affect the force of contraction T/F

True

Proarrythmia is an arrhythmia caused by the administration of certain medications. T/F

True

Sympathetic stimulation results in increased force of cardiac contraction T/F

True

The SA node is the hearts primary pacemaker T/F

True

The T wave represents ventricular repolarization T/F

True

The aortic semilunar valve allows the passage of blood into systemic circulation T/F

True

The back up pacemaker of the heart is the AV node T/F

True

The bicuspid valve separates the left atrium and the left ventricle T/F

True

The left side of the heart is responsible for pumping blood into the systemic circuit T/F

True

The pulmonic semilunar valve allows passage of blood into pulmonary circulation T/F

True

The refractory period is when the cardiac cells can not receive further stimulation T/F

True

The tricuspid valve separates the right atrium from the right ventricle T/F

True

Which physiologic response occurs from contact with angiotensin II

Vasoconstriction

On an ECG tracing, what is represented by the QRS complex?

Ventricular depolarization

On an ECG tracing, what is represented by the T wave?

Ventricular repolarization

Pharmacologic agents used to treat shock include all of the following except: Verapamil Dopamine Epinephrine Vasopressin

Verapamil

Atrial fibrillation

a common supraventricular arrhythmia

Which valve separates the left atrium and ventricle

bicuspid valve

ARBs are used for the treatment of hypotension T/F

false

Why is diuretic therapy used in patients with heart failure

to reduce excess fluid retention

Which valve separates the right atrium and ventricle

tricuspid