ACS

Question 1

Nitroglycerin indication

Answer 1

• Persistent ischemic chest pain
• Heart failure
• Hypertension

Question 2

Nitroglycerin Contraindications

Answer 2

Sildenafil or vardenafil (use within 24 hr) or tadalafil (use within 48 hr)
• Systolic blood pressure < 90 mm Hg or ≥ 30 mm Hg below baseline
• Heart rate < 50 beats/min or heart rate > 100 beats/min
• Right ventricular infarction

Question 3

BB indication they shouldn’t have

Answer 3

Hf
Low output
Cardiogenic shock

Question 4

Avoid bb with ————— like——

Answer 4

sympathomimetic activity (acebutolol, pindolol, penbutolol)

Question 5

STEMI Fibrinolytic

Answer 5

Clopidegrol

Question 6

STEMI PCI & NSTMI INVASIVE

Answer 6

Prasugrel or Ticagrelor

Question 7

Prasugrel CI for?

Answer 7

TIA AND STROKE

Question 8

naïve pts should have ?

Answer 8

Cangrelor

Question 9

Clopidogrel
1- loading dose?
2- maintenance dose?
3- prodrug or not?
4 reversible?
5- drug interaction?
6- surgery hold time?
7- bleeding risk?
8-ci?

Answer 9

1 300-600 mg
2 75mg
3 yes by two steeps
4 no
5 ppi
6 5 days
7 less one
8 nothing

Question 10

Prasugrel

3- prodrug or not?
4 reversible?
5- drug interaction?
6- surgery hold time?
7- bleeding risk?
8-ci?

Answer 10

3 yes 1 step
4 no
5 no
6 7 days
8tia and stroke

Question 11

Ticagrelor

3- prodrug or not?
4 reversible?
5- drug interaction?
6- surgery hold time?
7- bleeding risk?
8-ci?

Answer 11

3 no
4yes
5 aspirin if more than 100
6 3to5 days
Intracranial hemorrhage Severe hepatic disease
ACS managed medic

Question 12

Cangrelor
Inter pact with
And dont with

Answer 12

Clopidogrel and prasugre

No such drug interaction exists with ticagrelor.

Question 13

Abciximab reversed by

Eptifibatide and tirofiban reversed by

Answer 13

platelet transfusion

Cannot

Question 14

If pts has heparin-induced thrombocytopenia we give him ?

Answer 14

Bivalirudin

Question 15

Drug not used with pci

Answer 15

Fondaparinux

Question 16

Duration of therapy for ufh

Answer 16

2 days

Question 17

Duration of therapy for Bivalirudin

Answer 17

End of pci

Question 18

Duration of therapy for Enoxaparin Fondaparinux

Answer 18

8 days

Question 19

List two types of pci and its adv and disadv

Answer 19

BMS / Decrease Thrombosis
Increase Restenosis

DES/ Decrease Restenosis
Increase Thrombosis