Cardio

Question 1

What is the LDL equation?

Answer 1

LDL = TC - HDL - TG/5

Equation can’t be used when TG > 400

Question 2

High intensity statins are indicated for whom?

Answer 2

1. LDL ≥ 190

2. LDL 70 - 189 AND diabetes AND aged 40-75

Question 3

High intensity Lipitor dose?

Answer 3

40-80mg

Question 4

Generic of Crestor?

Answer 4

Rosuvastatin

Question 5

Generic of Lipitor?

Answer 5

Atorvastatin

Question 6

High intensity Crestor dose?

Answer 6

20-40mg

Question 7

Statin interactions?

Answer 7

Niacin and fibrates (specifically gemfibrozil)

Question 8

Generic of Zocor?

Answer 8

Simvastatin

Question 9

2 statins have many drug interactions, which ones are they?

Answer 9

Simvastatin + lovastatin; with grapefruit, protease inhibitors, azoles, macrolides (except zithromax) and amiodarone

Question 10

Which cholesterol lowering drug can increase uric acid and BG?

Answer 10

Niacin

Question 11

Which cholesterol drug can increase LDL?

Answer 11

Fish oil (not with Vascepa (Icosapent ethyl) though)

Question 12

MOA of fibrates

Answer 12

PPAR alpha activators

Question 13

Niacin MOA

Answer 13

Decreased hepatic synthesis of VLDL

Question 14

Zetia MOA

Answer 14

Inhibits cholesterol in small intestines

Question 15

When to start Tx for HTN?

Answer 15

1. ≥140 or ≥90

2. 130-139 or 80-89 AND ASCVD risk ≥10% or CVD

Question 16

Initial drug selection for HTN?

Answer 16

1. Non blacks = thiazide, CCB, ACEi or ARBs

2. Blacks = thiazide or CCB

Question 17

Generic of Lotrel?

Answer 17

Amlodipine / Benazepril

Question 18

Generic of Microzide?

Answer 18

HCTZ

Question 19

What are the Beta-1 selective BB?

Answer 19

Atenolol, Esmolol, Metoprolol

Question 20

HTN and Pregnancy?

Answer 20

Use labetalol, Nifedipine ER, or methyldopa

Question 21

Which BB are taken with food?

Answer 21

Metoprolol and carvedilol

Question 22

Ziac generic?

Answer 22

Bisoprolol / HCTZ

Question 23

Unique AE of olmesartan?

Answer 23

Sprue-like enteropathy

Question 24

Brand of olmesartan?

Answer 24

Benicar

Question 25

Which PPIs should be avoided with Plavix?

Answer 25

Omeprazole + esomeprazole

Question 26

Brand of omeprazole?

Answer 26

Prilosec

Question 27

Brand of esomeprazole?

Answer 27

Nexium

Question 28

General Antianginal Tx?

Answer 28

Beta - blockers, CCB, Nitrates, and Ranolazine

Question 29

Brand of Ranolazine?

Answer 29

Ranexa

Question 30

Ranolazine AE?

Answer 30

QT prolongation

Question 31

ACS general Tx plan?

Answer 31

MONA-GAP--BA

Question 32

Brand of Ticagrelor?

Answer 32

Brillanta

Question 33

C/I of Prasugrel?

Answer 33

Serious bleeds or h/x of TIA or stroke

Question 34

C/I of Ticagrelor?

Answer 34

Just bleeds

Question 35

Which P2Y12i should be stopped 7 days prior to surgery?

Answer 35

Prasugrel, the others are 5 days

Question 36

Which P2Y12i should not have ASA exceed 100mg?

Answer 36

Ticagrelor

Question 37

Therapeutic range of digoxin in CHF?

Answer 37

0.5 - 0.9

Question 38

Which meds used in CHF dont improve survival?

Answer 38

Ivabradine + digoxin

Question 39

Generic of Vasotec

Answer 39

Enalapril

Question 40

What is the difference between thiazides and loop diuretics in terms of which electrolytes are affected?

Answer 40

Loop = K, Mg, Na, Cl, and Ca are all lowered Thiazides = Same, except Ca is increased

Question 41

What are the class 2 anti-arrhythmics?

Answer 41

Beta Blockers

Question 42

What are the class 1c anti-arrhythmics?

Answer 42

Flecainide + Propafenone

Question 43

What are the class 4 anti-arrhythmics?

Answer 43

Verapamil + Diltiazem

Question 44

What are the class 1b anti-arrhythmics?

Answer 44

Lidocaine + Mexiletine

Question 45

What are the class 1a anti-arrhythmics?

Answer 45

Disopyramide, Qunidine, Procainamide

Question 46

Therapeutic range of digoxin for A.Fib?

Answer 46

0.8 - 2.0

Question 47

What are the class 3 anti-arrhythmics?

Answer 47

Amiodarone, Sotalol

Question 48

What is nimodipine used for?

Answer 48

Used orally to prevent vasospams in acute subarachnoid hemorrhages