Ischemic Heart Disease Quiz

Question 1

Which of the following medications should be prescribed to treat an acute angina attack?

A) Isosorbide mononitrate
B) Nitroglycerin sublingual tablet or spray
C) Propanolol
D) Ranolazine

Answer 1

B - the other options do not provide PROMPT relief of angina and are not indicated for treatment of an acute attack

Question 2

These two calcium channel antagonists have high activity for the T channel also referred to as the cardiac channel?

A) Nifedipine and amlodipine
B) Diltiazem and verapamil
C) Nifedipine and verapamil
D) Amlodipine and diltiazem

Answer 2

B

Question 3

Your patient today is a 68-year-old woman with chest pain that requires frequent rest breaks even while grocery shopping. She is managed using a maximized dose of β-blocker. Her resting heart rate is low (54) and blood pressure in clinic today is elevated (154/82 mm Hg). She has been unable to tolerate an increase in isosorbide mononitrate due to headache. You want to help reduce chest pain and improve her control of hypertension without reducing her heart rate. The best option is:

A) Ranolazine
B) Diltiazem
C) Amlodipine
D) Verapamil

Answer 3

C - amlodipine is the best option to reduce chest pain and improve her control of hypertension without reducing her heart rate.

Since your patient’s heart rate is relatively low; diltiazem and verapamil could decrease the heart rate further.

Ranolazine can be used when other agents are maximized but ranolazine would not help to lower her blood pressure.