antian Flashcards
21.1 What is the clinical term for angina caused by coronary vasospasm?
C. Prinzmetal angina
21.2 All of the following medications can be useful for managing stable angina in a patient with coronary artery disease except:
C. Immediate-release nifedipine.
21.3 A 72-year-old male presents to the primary care clinic complaining of chest tightness and pressure that is increasing in severity and frequency. His current medications include atenolol, lisinopril, and nitroglycerin. Which intervention is most appropriate at this time?
D. Refer the patient to the nearest emergency room
for evaluation.
21.4 A 62-year-old patient with a history of asthma and vasospastic angina states that he gets chest pain both with exertion and at rest, about ten times per week. One sublingual nitroglycerin tablet always relieves his symptoms, but this medication gives him an awful headache every time he takes it. Which is the best option for improving his angina?
B. Add amlodipine.
21.5 Which side effect is associated with amlodipine?
C. Edema.
21.6 Which medication should be prescribed to all anginal patients to treat an acute attack?
C. Nitroglycerin sublingual tablet or spray.
21.7 A 65-year-old male experiences uncontrolled angina attacks that limit his ability to do household chores. He is adherent to a maximized dose of β-blocker with a low heart rate and low blood pressure. He was unable to tolerate an increase in isosorbide mononitrate due to headache. Which is the most appropriate addition to his antianginal therapy?
C. Ranolazine.
21.8 A 68-year-old male with a history of angina had a MI last month, and an echocardiogram reveals heart failure with reduced ejection fraction. He was continued on his previous home medications (diltiazem, enalapril, and nitroglycerin), and atenolol was added at discharge. He has only had a few sporadic episodes of stable angina that are relieved with nitroglycerin or rest. What are eventual goals for optimizing this medication regimen?
D. Stop diltiazem and change atenolol to bisoprolol.
21.9 Which of the following medications would be safe to use in a patient taking ranolazine?
C. Enalapril.
21.10 A patient whose angina was previously well controlled with once-daily isosorbide mononitrate states that recently he has been taking isosorbide mononitrate twice a day to control angina symptoms that are occurring more frequently during early morning hours. Which of the following is the best option for this patient?
A. Continue once-daily administration of isosorbide mononitrate but advise the patient to take this medication in the evening.
