Arrythmias

Question 1

True or false: rhythm control is usually the preferred first line treatment in AF

Answer 1

False: rate control is preferred first line

Question 2

_______ are class IV anti arrhythmic drugs

Answer 2

Non-dihydropyridine calcium channel blockers

Question 3

Beta blockers are class _____anti arrhythmic drugs

Answer 3

Class II

Question 4

Class III anti arrhythmic drugs are ______ and ______

Answer 4

Amiodarone and sotalol

Question 5

Risk assessment tool for stroke risk ?

Answer 5

CHA2DS2-VASc

Question 6

Risk assessment tool for bleeding risk ?

Answer 6

HAS-BLED

Edit: Recently replaced by ORBIT (from NICE CKS)

Question 7

What class of anti arrhythmic is flecainide?

Answer 7

Class I

Question 8

Which drug is used for treatment of paroxysmal supraventricular tachycardia ?

Answer 8

Adenosine is the drug of choice

Question 9

What is the antidote for digoxin

Answer 9

Digoxin specific antibody

Question 10

True or false: plasma concentration of digoxin needs to be regularly monitored during maintenance treatment

Answer 10

FALSE - it does not need to be monitored regularly unless problems are suspected

Question 11

First line for rate control is ____

Answer 11

Beta blockers

Second line CCBs

Question 12

First line for rhythm control is ______

Answer 12

Beta blockers

second line amiodarone/other anti-arrhythmics

Question 13

What CHADS-VASc score indicates a need for anticoagulation?

Hint: different score for men and for women

Answer 13

Men: +1

Women: +2

Question 14

True or false:

Amiodarone can cause hyponatraemia

Answer 14

TRUE

Question 15

True or false: Beta blockers are cautioned in diabetics

Answer 15

TRUE

They may mask the signs of hypoglycaemia

Question 16

Which antiemetic increases the risk of arrhythmias and should therefore be avoided in patients with arrhythmias?

Answer 16

Domperidone (A DA receptor antagonist)

Question 17

True or false:

Verapamil is effective for both SVT and VT

Answer 17

FALSE

It is only effective for SVT

Question 18

Which drugs can be used for both SVT and VT

5 points

Answer 18

Amiodarone 
Beta blockers 
Disopyramide 
Flecainide 
Propafenone

Question 19

What drug(s) are used to terminate paroxysmal SVT

Answer 19

Adenosine

Verapamil preferred if asthmatic

Question 20

True or false:

Beta blockers can be used for both rate and rhythm control in AF

Answer 20

TRUE

Question 21

What is used to treat Torsades des pointes?

Answer 21

IV magnesium sulfate

Question 22

What is the preferred drug treatment to correct ventricular tachycardia

Answer 22

IV amiodarone