Chemistry MC: PC3

PC3

Showing posts with label PC3. Show all posts

Which of the following is TRUE regarding fondaparinux?

A) It can always be used for the treatment of VTE
B) It was the highest peak concentration of all the anti-Xa drugs
C) It should not be used as monotherapy in the treatment of STEM
D) It is contraindicated in fibrinolysis

Answer: It should not be used as monotherapy in the treatment of STEM

An 82 year old male was seen today in clinic and diagnosed with atrial fibrillation. He weighs 70Kg, has a SCr=2.1mg/dL and no drug allergies. The patient's PCP wants to prescribe Eliquis (apixaban). Which dose is CORRECT?

A) 5mg twice daily
B) 2.5mg twice daily
C) 5mg once daily
D) 2.5mg once daily

Answer: 2.5mg twice daily

Which of the following is CORRECT about clopidogrel?

A) Clopidogrel is metabolized by CYP3A4
B) Clopidogrel is a prodrug
C) Clopidogrel is reversibly bound
D) Clopidogrel maintenance dose is 90mg twice daily

Answer: Clopidogrel is a prodrug

CA has HF and needs a rhythm control medication. Her only two options are:

A) amiodarone
B) dronedarone
C) sotalol
D) dofetilide

Answer: amiodarone and dofetilide

What medication can be used for rate and rhythm control?

A) dofetilide
B) sotalol
C) amiodarone
D) flecainide

Answer: amiodarone

YS needs an anticoagulant. She has a SAMe score of 3. What would be her best option?

A) DOAC
b) warfarin

Answer: DOAC

EC needs a rhythm control medication. He has CAD, but no other comorbidities. All are treatment options besides?

A) flecainide
B) dofetilide
C) dronedarone
D) sotalol

Answer: flecainide

GC has arrhythmia problems and needs therapy for rate control. She has HFrEF. What therapy options are best for her?

A) BB, non-DHP CCB
B) BB, digoxin

Answer: BB, digoxin

CG has arrhythmias problems and needs a therapy for his rate control. He has COPD, but no other comorbidities. All are options besides?

A) BB
B) diltiazem
C) verapami
D) amiodarone

Answer: amiodarone

ES is a female patient with a CHADS-VASc of 1. What treatment should she get?

A) warfarin
B) DOAC
C) no tx

Answer: no tx

Which is not a candidate for ICD?

A) class II/III with LVEF <35%, post 40 days MI
B) class I LVEF <30%, post 40 days MI
C) secondary prevention and class IV HF

Answer: secondary prevention and class IV HF

If a patient has SVT what should be done first?

A) vasovagal maneuvers
B) IV BBs or non-DHP CCBs
C) synchronized cardioversion

Answer: vasovagal manuevers

Which drug has peripheral edema as a side effect?

A) lidocaine
B) diltiazem
C) dofetilide
D) verapamil

Answer: diltiazem

Which drug should be restarted if more than 3 doses are missed?

A) amiodarone
B) sotalol
C) dofetilide
D) dronedarone

Answer: sotalol

Which 2 drugs should be initiated in the hospital?

A) amiodarone
B) sotalol
C) dofetilide
D) dronedarone

Answer: dofetilide and sotalol

Which drug should not be taken with thiazides or bactrim?

A) amiodarone
B) sotalol
C) dofetilide
D) dronedarone

Answer: dofetilide

Which drug should only be used for paroxysmal AF?

A) amiodarone
B) sotalol
C) dofetilide
D) dronedarone

Answer: dronedarone

Which drugs block Ca+?

A) lidocaine, flecainide
B) amiodarone, sotalol, dofetilide, dronedarone
C) diltiazem, verapamil

Answer: diltiazem, verapamil

Which drugs block K+?

A) lidocaine, flecainide
B) amiodarone, sotalol, dofetilide, dronedarone
C) diltiazem, verapamil

Answer: amiodarone, sotalol, dofetilide, dronedarone

Which drugs block Na+?

A) lidocaine, flecainide
B) amiodarone, sotalol, dofetilide, dronedarone
C) diltiazem, verapamil

Answer: lidocaine, flecainide