CVS

Question 0

Adrenaline uses

Answer 0

Cardiac arrest, anaphylaxis, resistant asthma

Question 1

Use of adenosine triphosphate IV (6mg)

Answer 1

Supraventricular tachycardia (acute kidney failure, pulmonary hypertension)

Question 2

Adrenaline dose in cardiac arrest

Answer 2

10ml 1:10,000 IV

Question 3

Adrenaline dose in anaphylaxis

Answer 3

1ml of 1:10,000 IV over 5 minutes or 0.3-0.5ml of 1:1,000 IM

Question 4

Adrenaline dose in asthma

Answer 4

300-500 mcg IM

Question 5

Uses of aspirin

Answer 5

MI prevention, acute rheumatic fever, fever

Question 6

Dosage of aspirin

Answer 6

300mg QDS acute or 75mg per day preventative

Question 7

Use of amiloride

Answer 7

K+ sparing diuretic- HTN and congestive heart failure

Question 8

Uses of amiodarone

Answer 8

Cardiac arrest (VF), arrhythmias

Question 9

Dose of amiodarone in cardiac arrest

Answer 9

300mg in 20-30cc 5% dextrose loading then 360mg over 6 hours then 540mg over 18 hours

Question 10

Uses of Amlodipine

Answer 10

Angina, HTN

Question 11

Use of atenolol

Answer 11

HTN (fourth line)

Question 12

Uses of atropine

Answer 12

Bradycardia, Mobitz Type 1, 3rd degree heart block, organophosphate poisoning

Question 13

Uses of bendroflumethiazide

Answer 13

Thiazide diuretic- HTN

Question 14

Clopidogrel

Answer 14

Prevention of ischaemic events, during STEMI/NSTEMI

Question 15

Use of Digoxin

Answer 15

Atrial fibrillation, treatment resistant heart failure

Question 16

Diltiazem mechanism of action

Answer 16

Benzathiazepine calcium channel blocker

Question 17

Uses of diltiazem

Answer 17

HTN, angina, migraine, SVT. Commonly found in UK cocaine

Question 18

Doxazosin mechanism of action

Answer 18

a1-selective alpha blocker (no NA binding in vascular smooth muscle)

Question 19

Uses of doxazosin

Answer 19

HTN, BPH, PTSD

Question 20

Dose of furosemide (loop diuretic)

Answer 20

20-1000mg daily PO or 20-1500mg IV (<4mg/minute)

Question 21

Dose of GTN in a metered spray

Answer 21

400 micrograms

Question 22

Dose of isosorbide mononitrate

Answer 22

20mg BD

Question 23

Losartan mechanism of action

Answer 23

Ang II receptor antagonist

Question 24

Use of losartan

Answer 24

Second line HTN drug, or first line if <55 and not tolerant of ACE I. Delays diabetic neuropathy

Question 25

Mechanism of action of methyldopa

Answer 25

a2-selective alpha adrenergic agonist

Question 26

Mechanism of action of nicorandil

Answer 26

Nitrate and K+ATP channel agonist

Question 27

Use of ramipril (ACE I)

Answer 27

HTN, congestive heart failure, diabetic neuropathy

Question 28

Dose of Simvastatin

Answer 28

5-80mg (normally 40mg) (don’t take with grapefruit!)

Question 29

Mechanism of action of Spironolactone

Answer 29

Competitive antagonist of aldosterone receptor (K+ sparing diuretic). Also blocks androgen receptor

Question 30

Dose of Spironolactone

Answer 30

25mg-100mg (may be higher in essential HTN)

Question 31

Dose of tenecteplase within 30 mins of MI

Answer 31

30-50mg IV bolus based on weight

Question 32

Standard dose of amlodipine

Answer 32

5mg PO. May increase to 10mg.

Question 33

Dose of bendroflumethiazide

Answer 33

Oedema: 5-10mg mane (lower maintenance)

HTN- 2.5mg mane

Question 34

Dose of doxazocin

Answer 34

Start- 1mg/day
Increase weekly as required
Max 16mg/day

Question 35

Dose of losartan

Answer 35

HTN/nephropathy- 50-100mg OD

HF- 12.5mg OD up to 150mg

Question 36

Dose of digoxin

Answer 36

Rapid digitalisation: PO 0.75-1.5mg/24h
Maintenance: 125-250 micrograms
HF: 62.5-125 micrograms

Question 37

Dose of clopidogrel

Answer 37

Prevention: 75mg OD
ACS: 300mg stat

Question 38

Dose of nicorandil

Answer 38

10mg BD, max 60mg/day

Question 39

Dose of dipyridamole

Answer 39

PO 300-600mg/day in 3-4 doses