Quiz 1 Anti Hypertensive Indication and Counter Indications

Question 1

Atenolol

Answer 1

Indication(s): Angina pectoris Chronic, HTN, AMI

Contraindications: Hypersensitivity to atenolol, sinus bradycardia, 2nd- or 3rd-degree AV block, overt heart failure or cardiogenic shock

Question 2

Metoprolol

Answer 2

Indication(s): Angia, Heart failure with reduced ejection fraction, HTN, AMI

Contraindications: Hypersensitivity; severe bradycardia, 2nd- or 3rd-degree AV block, sick sinus syndrome; decompensated heart failure; cardiogenic shock

Question 3

Nebivolol

Answer 3

Indication(s): HTN

Contraindications: Hypersensitivity to nebivolol; severe bradycardia, 2nd- or 3rd-degree AV block, sick sinus syndrome; decompensated heart failure, cardiogenic shock; severe hepatic impairment

Question 4

Propanolol

Answer 4

Indication(s): Angia pectoris, chronic, cardiac dysrhythmia, HTN, Migraine, prophylaxis

Contraindications: Hypersensitivity to propranolol; asthma; sinus bradycardia, AV block, sick sinus syndrome, cardiogenic shock

Question 5

Carvedilol

Answer 5

Indication(s): Heart failure with reduced ejection fraction, HTN, Impaired ventricular function post-MI

Contraindications: Hypersensitivity, bronchial asthma, severe sinus bradycardia, 2nd- or 3rd-degree AV block, sick sinus syndrome, overt heart failure, cardiogenic shock, severe hepatic impairment

Question 6

Labetalol

Answer 6

Indication(s): HTN

Contraindications: Hypersensitivity, bronchial asthma, severe sinus bradycardia, 2nd-or 3rd degree AV block, sick sinus syndrome, overt heart failure, cardiogenic shock, severe hepatic impairment

Question 7

Clonidine

Answer 7

Indication(s): ADHD, HTN

Contraindications: Hypersensitivity

Question 8

Prazosin

Answer 8

Indication(s): hypertension

Contraindications: MINIPRESS is contraindicated in patients with known sensitivity to quinazolines, prazosin, or any of the inert ingredients.

Question 9

Amlodipine

Answer 9

Indication(s): HTN, Stable angina, variant angina

Contraindications: Hypersensitivity to amlodipine

Question 10

Nifedipine

Answer 10

Indication(s): HTN, Stable chronic angia, variant angia

Contraindications: Hypersensitivity, cardiogenic shock, STEMI, concomitant use of CYP3A4/5 inducers

Question 11

Hydralazine

Answer 11

Indication(s): HTN

Contraindications: Hypersensitivity to hydralazine; dissecting aortic aneurysm; coronary artery disease; mitral valve rheumatic heart disease

Question 12

Chlorthalidone

Answer 12

Indication(s): HTN, Edema

Contraindications: Hypersentivity to chlorthalidone or sulfonamides;anuria

Question 13

Furosemide

Answer 13

Indication(s): Edema related to heart failure, renal failure, HTN

Contraindications: Hypersensitivity to furosemide; anuria

Question 14

Hydrochlorothiazide

Answer 14

Indication(s): Edema, HTN

Contraindications: Hypersensitivity to hydrochlorothiazide or sulfonamide, concomitant to dofetilide therapy or anuric patients

Question 15

Spironolactone

Answer 15

Indication(s): Heart failure, HYHA class III-IV, Edema associated with heart failure, nephrotic syndrome, HTN, Hypokalemia

Contraindications: Hypersensitivity to spironolactone, anuria, acute renal insufficiency, hyperkalemia

Question 16

Triamterene-HCTZ

Answer 16

Indication(s): Edema, HTN

Contraindications: Hypersensitivity to hydrochlorothiazide, sulfonamides, or triamterene; concomitant use of potassium supplements, potassium-containing salt substitutes, or other potassium-sparing diuretics; or in patients with anuria, acute/chronic renal insufficiency, or hyperkalemia

Question 17

Irbesartan

Answer 17

Indication(s): Diabetic nepropathy in aptients with diabetes mellitus type 2 and HTN

Contraindications: Hypersensitivity or pregnancy, concomitant use with aliskiren in diabetics

Question 18

Losartan

Answer 18

Indication(s): HTN, Reduce risk of cerebrovascular accident, in hypertensive patients with left ventricular hypotrophy, prophylaxis, diabetic nephropathy, diabetic nephropathy

Contraindications: Hypersensitivity to losartan or other angiotensin II receptor antagonists, pregnancy

Question 19

Losartan-HCTZ

Answer 19

Indication(s): HTN, HTN with left ventricular hypertrophy, stroke prevention

Contraindications: Pregnancy, Hypersensitivity to angiotensin II receptor antagonists

Question 20

Olmesartan

Answer 20

Indication(s): HTN

Contraindications: Hypersensitivity to olmesartan or other ARB, pregnancy, concurrent use with aliskiren in patients with DM

Question 21

Valsartan

Answer 21

Indication(s): Heart Failure, HTN, Myocardial infarction

Contraindications: Hypersensitivity, pregnancy, concurrent use with aliskiren in patients with DM

Question 22

Benazepril

Answer 22

Indication(s): Hypertension

Contraindications: Hypersensitivity; history of angioedema; anuria; concomitant use with aliskiren in patients with diabetes mellitus; concurrent sacubitril

Question 23

Enalapril

Answer 23

Indication(s): Heart failure, HTN, Kidney disease, nondiabetic

Contraindications: Hypersensitivity to enalapril, history of angioedema, pregnancy, concurrent sacubitril

Question 24

Lisinopril

Answer 24

Indication(s): ST-segment elevation MI, heart failure with reduced ejection fraction, HTN

Contraindications: Hypersensitivity to lisinopril or other ACEIs, history of ACEI-induced angioedema, and hereditary or idiopathic angioedema, concurrent use with aliskiren in diabetic patients, concurrent use with sacubitril

Question 25

Lisinopril-HCTZ

Answer 25

Indication(s): Hypertension, Edema

Contraindications: Adding hydrochlorothiazide: Hypersensitivity to hydrochlorothiazide or sulfonamide, concomitant dofetilide therapy, or anuric patients

Question 26

Rampiril

Answer 26

Indication(s): Heart failure, HTN, Reduce risk of myocardial infraction, stroke, and death fro cardiovascular causes

Contraindications: Hypersensitivity to ramipril or other ACEIs, history of ACEI-induced angioedema; concurrent sacubitril