1 Flashcards

1
Q

Give the shared effect of beta blockers and non-dihydropyridine calcium antagonists on the heart (2)

A

decrease myocardial contractility

decreases HR

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2
Q

Name one renin inhibitor and one aldosterone antagonist

A

Aliskerin - renin inhibitor

Spironolactone - aldosterone antagonist

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3
Q

Mechanism of action of reserpine

A

Binds tightly and irreversibly to adrenergic storage vesicles in central and peripheral adrenergic neurons by interfering with vesicular membrane-associated transporter (VMAT)

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4
Q

2 most important adverse metabolic effects common to both propranolol and hydrochlorothiazide

A

increases insulin resistance/decreases glucose tolerance

increases cholesterol levels

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5
Q

this drug may cause hypertrichosis

A

minoxidil

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6
Q

beta blocker indicated for heart failure

A

carvedilol

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7
Q

important indication of cardioselective beta blockers aside from hypertension

A

CHF, MI

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8
Q

mechanism of action of minoxidil

A

hyperpolarization of cells through increased K efflux by activating ATP-dependent potassium channels

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9
Q

site of action of thiazide diuretics

A

distal convoluted tubule

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10
Q

name 1 short acting ACE inhibitor

A

captopril

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11
Q

shortest acting beta blocker

A

esmolol

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12
Q

why do we give a1 blockers like prazosin before bedtime

A

orthostatic hypotension

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13
Q

enzyme in rbc that converts cyanide to thiocyanate

A

rhodanase

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14
Q

CO, TPR or BOTH

hydrochlorothiazide
nifedipine
minoxidil
metoprolol

A

both (diuretic)
tpr (ccb)
tpr (K+ ATP channel opener)
co (bb)

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15
Q

contraindication of ACEi and ARBs in pregnancy

A

pulmonary hypoplasia

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16
Q

important indication of prazosin in males besides hypertension

A

BPH

17
Q

beta blocker approved for treatment of heart failure

A

carvedilol

18
Q

most import adverse effect of minoxidil

A

hepatotoxicity

19
Q

class of beta blockers contraindicated in patients with PAD

A

non cardioselective

20
Q

withdrawal of this drug can cause rebound hypertension

A

clonidine