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Angina QNZ 2
Angina QNZ 2
Angina QNZ 2
Mr Green, 60 years old, has severe chest pain when he walks uphill in
cold weather to his home. The pain disappears when he rests. A decision is
made to treat him with nitro glycerin. 1. Nit roglycerin, either directly or
through reflexes, results in which one of the following effects?
2. In advising Mr Green about the adverse effects he may notice, you point
out that nitroglycerin in moderate doses often produces certain
symptoms.Which of the following effects might occur due to the mechanism
listed?
(B) Diltiazem
(C) Esmolol
3. The calcium channel blockers and the ~-blockers are generally effective in
reducing the number of attacks of angina of effort, and most have durations of
4-8 h. Oral and transdermal nitrates have similar or longer durations. Amyl
nitrite, the sublingual nitrates, and esmolol (an intravenous ~-blocker) have
short durations ofaction and are ofno value in prophylaxis. The answer is B.
4. Propranolol blocks tachycardia but has none of the other effects listed. The
answer is A.
5. The major common determinant of myocardial oxygen consumption is
(A) Bradycardia
6. These drugs all reduce venous return sufficiently to cause some degree of
postural hypotension. Throbbing headache is a problem only with the nitrates,
sexual problems only with ganglion blockers, and bradycardia and lupus with none
of them.The answer is O.
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(E) Nitroglycerin
(A) Diltiazem
(B) Guanethidine
(D) Propranolol
(E) Verapamil
8. Isosorbide dinitrate (like all the nitrates) can cause reflextachycardia, but all
the other drugs listed here slow heart rate. The answer is C.
9. A patient being treated for another condition complains that whenever he
takes that medication, his angina becomes worse. Drugs that may
precipitate angina when used for other indications do NOT include
(A) Amphetamine
(B) Hydralazine
(C) Isoproterenol
(D) Metoprolol
(E) Terbutaline
10. When nitrates are used in combination with other drugs for the
treatment of angina, which one of the following combinations results in
additive effects on the variable specified?
10. The effects of ~-blockers (or calcium channel blockers) and nitrates on
heart size, force, ejection time, and rate are opposite. The answer is C.
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Copyright(C) by Foxit Software Company,2005-2008
For Evaluation Only.
(B) Hydralazine
(0) Nifedipine
(E) Nimodipine
(H) Propranolol
(I) Terburaline
(J) Verapamil
(0) Nifedipine