Cardio Pharm (UWorld)

Question 1

Vasospastic Angina

Answer 1

CCB - Diltiazem/Amlodipine

- Coronary A vasoDilation

Question 2

Peripheral Artery Dse (initial mgt)

Answer 2

Aspirin + Atorvastatin

Single most effective: Cilostazol

Question 3

HTN Emergency pt treated presents with
Alt Mental Status
Lactic Acidosis 
Seizures
Coma

Answer 3

Nitroprusside Overdose/Cyanide Poisoning

Question 4

Acute Coronary Syndrome

Answer 4

Aspirin

ACS treated with ASA

Question 5

Cardiac pt with nausea

Answer 5

DIG TOX

Question 6

Digoxin Toxicity

Answer 6

N/V
Dec Appetite 
Confusion
Weakness
Atrial Tachyarrhythmia with AV Block

Question 7

Reduce Risk of Thromboembolism

Answer 7

Warfarin or

Apixaban, Dabigatran, Rivaroxaban

Question 8

Inc long term survival in pt with LV Dysfunction

Answer 8

B Blockers
ACEi
ATII Rec Blockers

Mineralcoirticoid Rec Antagonist (Spironolactone/Eplerenone)

If African American - Hydralazine and Nitrates

Question 9

Atrial Fibrillation Mgt (stable)

Answer 9

Rate control (BB preferred with CCB alt)
Anti Coag - Warfarin (chronic)

Question 10

Nitrate effects on CV System

Answer 10

Systemic VasoD

Dec Preload, LVEDV, Wall stress, O2 demand

Question 11

Amiodarone Toxicity presents with

Answer 11

Thyroid dysfunction (INC or DEC)
Hepatotoxicity
Dec HR
Heart Block
Pneumonitis
Neuro disturbances
Visual Disturbances

Question 12

STEMI initial Mgt (2)

Answer 12

ASA

PCI/Catheterization/Angioplasty

Question 13

Cocaine-associated chest pain Treatment (initial)

Answer 13

Benzodiazepine

Question 14

Pulmonary HTN Initial treatment (2)

Answer 14

Diuretic

ACEi/ARB

Question 15

Asymp Carotid Artery Stenosis tx (2)

Answer 15

Antiplatelet and statin

Question 16

Acute arterial occlusion (6 P’s) tx

Answer 16

**Heparin

Pain 
Pallor 
Poikilo-thermia (hypothermia)
Paresthesia
Pulselessness
Paralysis

Question 17

Acute Pulmonary Edema in Acute MI

Answer 17

Diuretics e.g. Furosemide

Question 18

Beta 1 agonist that Dec LVESV

Answer 18

Dobutamine

• INC contractility
• Symptomatic imp of decomp HF

Question 19

Narrow QRS Complex Tachycardia Tx or SVT

Answer 19

IV Adenosine

Question 20

Sinus Bradycardia tx

Answer 20

IV Atropine

Question 21

HOCM initial tx

Answer 21

Beta Blockers
Verapamil
Disopyradine