Midterm Indications

Question 1

Nitrates

Answer 1

Angina (1st Line)
Acute Coronary Symp
HF
Acute MI (Nitroglycerin)

Question 2

DRNI

Answer 2

HTN

Question 3

ACE-I

Answer 3

HTN (1st line)
HF
Acute & Post MI
Diabetic Nephropathy

Question 4

ARB’s

Answer 4

HTN
HF
Acute & Post MI
Diabetic Nephropathy (but use ACE-I first)

Question 5

Atropine

Answer 5

Bradycardia (blockade of M2 on SA node)
AV block
AntiChE toxicity

Question 6

Cholinesterase Inhibitor Indic

Answer 6

Donepezil: Alzheimer's
Physostigmine: Glaucoma, AChR antag tox
Pyridostigmine: Myasthenia Gravis
Echothiophate: Glaucoma
Malathion: Insecticide

Question 7

CCB (DHP)

Answer 7

Angina Pectoris

HTN (1st Line, greater selectivity)

Question 8

CCB (Non-DHP)

Answer 8

Variant Angina Pectoris
HTN
Post-MI Protection (If BB is CI)
SVT (rate control)

Question 9

Ranolazine

Answer 9

Angina Pectoris

Question 10

Metolazone

Answer 10

Diuretic Refractory Edema

Question 11

Thiazide

Answer 11

HTN (1st line)
Adj. Agent
Mild diuretic

Question 12

Hydralazine

Answer 12

Adj. for HTN
Combo w Nitrate for HFrEF
HTN emergency in pregnant (pre-eclampsia)

Question 13

Minoxidil

Answer 13

Severe HTN (resistant)
Adj. w/ B Blocker or diuretic
Baldness

Question 14

Nitroprusside

Answer 14

HTN (emergency)
Acute HF
HOTN for surgery

Question 15

Aldosterone Blocker

Answer 15

Resistant HTN
HF
Dec. Ascites formation in cirrhosis

Question 16

Tx for Bradyarrhythmia

Answer 16

B agonists

• Isoproterenol
• Dobutamine

Anticholinergics
-Atropine

Pacemakers

Question 17

BB - general

Answer 17

HTN
Angina
MI
Glaucoma
ACS
CAD
CHF

Question 18

Propanalol

Answer 18

Performance anxiety
essential tremor
migraine prophylaxis

Question 19

Antiarrhythmic BB:

Answer 19

Metoprolol
Esmolol
Propanalol
Labetalol

Question 20

Class IB

Answer 20

Ventricular Ar ONLY

Question 21

Class IA

Answer 21

Rhythm control
Not use because of toxicity but can be used for:
AF, AFl, PSVT, VT

Question 22

Class IC

Answer 22

Vent Ar
Supravent Ar
AF/AFl

Question 23

Amiodarone

Answer 23

Rate and Rhythm control
Rate control for supra vent Ar. (BB properties)
Has properties of all 4 classes

Question 24

Digoxin

Answer 24

Rate control of Supra Vent Ar

Question 25

Adenosine

Answer 25

Acute Tx of PSVT

Question 26

Magnesium

Answer 26

Tdp (unknown MOA)

Question 27

Isoproterenol

Answer 27

Prevent TdP

Question 28

Why is Sotalol special?

Answer 28

can cause and prevent Arr

Question 29

VT/VF Drugs

Answer 29

Amiodarone
Lidocaine
Procainide (but rare)