cardiology Flashcards
Mr 66 year old lady takes the below medication:
Simvastatin 40mg tablets
She has been newly prescribed amlodipine 10mg tablets. You contact her doctor due to an interaction. What is the likely consequence of this drug interaction?
Risk of muscle related side effects
maximum dose of simvastatin is 20mg when used with Amlodipine
Amlodipine slightly increases the exposure of simvastatin and therefore can increase the risk of myopathy and rhabdomyolysis
A 54 year old man take the following medication:
Citalopram 20mg tablets
He has been prescribed rivaroxaban 15mg tablets. What is the likely consequence of drug interaction?
risk of bleeding
increased risk due to both of the medications effects on platelets
Mrs Riley, a 65 year old, takes amiodarone tablets. She has been newly prescribed simvastatin 40mg tablets. You contact her doctor because of a drug interaction. What is the likely consequence of this drug interaction?
Risk of muscle related side effects
Maximum dose of simvastatin is 20mg when used with amiodarone. The risk of rhabdomyolysis is increased by concomitnt use of amiodarone
A 35 year old pregnant lady has gestational hypertension. Her blood pressure is 148/96mmHg. She is not on any other medication and has no other medical conditions. Which one of the above antihypertensive drugs would be appropriate to prescribe?
Labetalol tablets
Which one of the above antihypertensives would you recommend for a 53 year old Afro-Caribbean man who has been diagnosed with hypertension. He is not on any other medication and has no other medical conditions.
amlodipine tabs
CCB first line for non diabetic patients 55+, all ages of black african
Mrs Lister, a 45 year old Caucasian lady, has been newly diagnosed with hypertension. She is not on any other medication and has no other medical conditions. Which one of the above would be the most appropriate to prescribe?
Ramipril
Mrs Patel, a 45 year old, has hypertension which she takes medication for. She has a dry cough and her doctor suspects it is due to her antihypertensive medication. Which one of the above is most likely to cause a dry cough?
Ramipril tablets
Mr Thomas, a 47 year old, has been newly prescribed simvastatin 20mg tablets . You counsel him on how and when to take the medication. In addition you advise him to avoid which one of the above?
Grapefruit juice
A 62 year old takes warfarin tablets. You remind him to avoid which one of the above with his medication?
Cranberrry Juice
Ms Lewis, a 56 year old, has been newly prescribed amlodipine 5mg tablets for hypertension. You counsel her on the medication and advise her to avoid which one of the above?
Grapefruit Juice
A 66 year old has been prescribed rivaroxaban 15mg tablets for DVT prophylaxis. He has difficulty swallowing tablets and you recommend they can be crushed and mixed with which one of the above?
apple puree
Mr Lam, a 60 year old, has been prescribed ticagrelor 90mg tablets. He takes simvastatin tablets regularly. What dose of simvastatin should he not exceed?
Simvastatin 40mg
Mrs Law, a 57 year old, takes amlodipine 5mg tablets. She has been newly prescribed simvastatin tablets. What is the maximum dose of simvastatin that can be prescribed for her?
Simvastatin 20mg
Mr Thomas, a 42 year old, has been newly prescribed perindopril for hypertension? Select one cautionary/advisory label from the above list that would appear on the dispensing label for this drug.
Take 30 to 60 minutes before food
Mrs Popat has been prescribed rivaroxaban 20mg tablets for deep vein thrombosis (DVT). Select one cautionary/advisory label from the above list that would appear on the dispensing label for each of the below drugs
Take with or just after food, or a meal
Mrs Adams, a 66 year old, takes amiodarone 100mg tablets for arrhythmia. Select one cautionary/advisory label from the list that would appear on the dispensing label for each of the below drugs.
Protect your skin from sunlight—even on a bright but cloudy day. Do not use sunbeds
A 48 year old man has been prescribed a lipid lowering drug that works by binding to bile acids. Which one of the above has he most likely been prescribed?
cholestyramine
Mr Khan, a 55 year old, has been prescribed a lipid lowering drug that works by inhibiting the intestinal absorption of cholesterol. Which one of the above has he most likely been prescribed?
Ezetimibe
Mr Thomas, a 48 year old, has been started on a lipid lowering drug. Which one of the above belongs to a class of drugs that are used as first line treatment for hypercholesterolaemia?
Simvastatin
Mrs Patel a 56 year old has hypercholesterolaemia but has failed to respond to statins and other oral lipid regulating drugs. Her doctor has suggested she tries a lipid modifying drug that is only available as a subcutaneous injection. Which one of the above has she most likely been prescribed?
Evolocumab
Mr Thomas, a 66 year old doctor, has recently stopped her oral antiarrhythmic drug. You advise her that she should continue to protect her skin from sunlight even on a cloudy day for several months after stopping this drug. Which antiarrhythmic drug was she most likely taking?
Amiodarone
Mrs Rowe, a 58 year old, has very occasional ectopic beats which she has seen the doctor about. Her doctor told her she doesn’t need any medication but if they become troublesome that he may consider treatment. Which one of the above can be used for ectopic beats?
Propranolol
ectopic beats do not usually require treatment unless severe or troublesome. beta blockers can be used
Mrs Azad, a 29 year old, has gestational hypertension. She has been prescribed labetalol and should achieve a BP of less than which one of the above readings?
135/85mmHg
Mrs Greer, a 45 year old, has had her BP checked at the pharmacy. She is not on any medication and has no medical conditions. Her reading would diagnose her with severe hypertension. Which one of the above readings would be considered severe?
180/120mmHg
