Cardio Review Quiz Flashcards
Which of the following is the most appropriate regimen to manage JF’s hypertensive emergency?
A. Captopril 12.5 mg by mouth three times daily
B. Hydralazine 20 mg IV every 4 to 6 hours as needed to achieve BP target
C. Nicardipine 5 mg/hr, titrated to achieve BP target (max dose 15 mg/hr)
D. Esmolol 50 mcg/kg/min, titrated to achieve BP target (max dose 200 mcg/kg/min)
C
What initial diuretic therapy should be recommended for RQ for acute treatment of her heart failure exacerbation?
A. Continue home dose (furosemide 40 mg by mouth twice daily).
B. Double home dose (furosemide 80 mg by mouth twice daily).
C. Give furosemide 40 mg IV once and assess response.
D. Give furosemide 120 mg IV once and assess response.
C
Of the options listed what would be an option to optimize RQ’s GDMT for her chronic HFrEF?
Read carefully as the response is changed from class.
A. Start sacubitril/valsartan 49/51 mg twice daily.
B. Resume valsartan 160 mg twice daily.
C. Decrease furosemide back to 40 mg twice daily.
D. Increase carvedilol to 6.25 mg twice daily.
E. A and D are good options
E
Which of the following medication changes would be most appropriate to reduce RQ’s risk of HF-related morbidity and mortality?
A. Switch furosemide to bumetanide.
B. Add spironolactone 25 mg daily.
C. Add digoxin 125 mcg daily.
D. Switch carvedilol to ivabradine.
B. Add spironolactone 25 mg daily.
B
Which of the following medications would be indicated for TD based on the most recent ACC/AHA primary prevention guidelines?
A. Aspirin 81 mg daily
B. Rosuvastatin 10 mg daily
C. Simvastatin 10 mg daily
D. Fenofibrate 150 mg daily
B
Which of the following treatment strategies is most appropriate to treat GR’s STEMI?
A. Alteplase (tPA) 15 mg IV bolus, followed by 0.75 mg/kg infusion
B. Eptifibatide 180 mcg/kg IV bolus, followed by 1 mcg/kg/min infusion
D. Unfractionated heparin infusion as a bridge to CABG
D. PCI - activate the cath lab
D
Which of the following is NOT indicated in the early treatment of ACS?
A. Spironolactone 12.5 mg immediately
B. Unfractionated heparin infusion
C. Oxygen therapy if O2 saturation < 90%
D. Aspirin 325 mg immediately
A
GR was taken to the cath lab, where he was found to have a 100% RCA occlusion. He is now s/p DES to the RCA. Prior to PCI, he received ticagrelor 180 mg once and aspirin 325 mg once. During the case, he was continued on heparin infusion to maintain ACT > 250 seconds. Which of the following is the most appropriate therapy to initiate next?
A. Aspirin 325 mg daily should be continued indefinitely
B. Start abciximab 10 mcg/min, continuing until hospital discharge
C. Start warfarin 5 mg daily and continue heparin infusion as bridge to therapeutic INR
D. Ticagrelor 80 mg twice daily, starting 12 hours after the loading dose
D
Which of the following is the most appropriate antiplatelet regimen for GR following STEMI?
A. Aspirin 81 mg daily plus ticagrelor 90 mg twice daily, both continued indefinitely
B. Aspirin 81 mg daily, continued indefinitely, plus clopidogrel 75 mg daily x 12 months
C. Aspirin 81 mg daily, continued indefinitely, plus prasugrel 10 mg daily x 3-6 months
D. Aspirin 325 mg daily, continued indefinitely, plus clopidogrel 75 mg daily x 12 months
B
In addition to his antiplatelet therapy, which of the following regimens would be most appropriate for GR at discharge?
A. Atorvastatin 80 mg daily, carvedilol 12.5 mg twice daily, warfarin 5 mg daily
B. Atorvastatin 80 mg daily, carvedilol 12.5 mg twice daily, lisinopril 10 mg daily
C. Atorvastatin 20 mg daily, carvedilol 3.125 mg twice daily, lisinopril 10 mg daily
D. Atorvastatin 20 mg daily, carvedilol 3.125 mg twice daily, lisinopril 10 mg daily, eplerenone 12.5 mg daily
B
What is the most appropriate adjustment to GR’s medication regimen to improve his angina symptoms?
A. Increase metoprolol to 25 mg twice daily.
B. Increase atorvastatin to 80 mg daily.
C. Add amlodipine 10 mg daily.
D. Add ranolazine 500 mg twice daily.
A
