Ischaemic heart disease

Question 1

What is the difference between stable angina and unstable angina?

Answer 1

In stable angina, there are no changes in symptoms over previous months and chest pain is usually under 5 mins
In unstable angina, there is a sudden deterioration of angina symptoms and there is an increasing frequency of attacks

Question 2

What are the first line treatments for stable angina?

Answer 2

CCB

B-blockers

Question 3

What class of CCBs are amlodipine and nifedipine?

Answer 3

Dihydropyridines

Question 4

What class of CCB is diltiazem?

Answer 4

Benzothiazepine

Question 5

What class of CCB is Verapamil?

Answer 5

Phenylalkylamine

Question 6

Nitrates lead to arterial vasodilation. True or false?

Answer 6

False - venous

Question 7

Tachycardia is a side effect of nitrates. True or false?

Answer 7

True

Question 8

GTN is a short acting nitrate. True or false?

Answer 8

True

Question 9

A side effect of aspirin is GI irritation and ulceration. This can be reduced by use of enteric coated tablets. True or false?

Answer 9

False

Question 10

What is the mechanism of action of nicorandil?

Answer 10

Potassium channel activator leading to vasodilation

Question 11

What is the mechanism of action of Ivabradine?

Answer 11

It is a selective sinus node inhibitor

Question 12

A visual luminous phenomena in the first two months of use of which drug is experienced by patients?

Answer 12

Ivabradine

Question 13

Verapamil/B-blocker combination is contraindicated. True or false?

Answer 13

True