Pharmacology Cardiovascular System Drugs Questions and Answers

Question 1

A patient being treated for hypertension with lisinopril presents with a persistent, non-productive cough. This adverse effect is primarily attributed to the accumulation of which substance?

Accepted Answer

Bradykinin

Answer

Angiotensin II

Answer

Aldosterone

Answer

Norepinephrine

Question 2

A 65-year-old male on long-term atorvastatin therapy for hypercholesterolemia presents with severe muscle pain, tenderness, and weakness. Which laboratory value is most critical to assess for potential rhabdomyolysis?

Accepted Answer

Creatine Kinase (CK)

Answer

Alanine Aminotransferase (ALT)

Answer

Serum Creatinine

Answer

Alkaline Phosphatase (ALP)

Question 3

The use of a non-selective beta-blocker, such as propranolol, is contraindicated in which of the following patient populations due to the high risk of acute exacerbation?

Accepted Answer

Patients with asthma

Answer

Patients with essential tremor

Answer

Patients with migraine headaches

Answer

Patients with hyperthyroidism

Question 4

An elderly patient with chronic heart failure and renal impairment is taking digoxin. The patient develops nausea, vomiting, and visual disturbances. Which electrolyte abnormality significantly increases the risk of digoxin toxicity?

Accepted Answer

Hypokalemia

Answer

Hypernatremia

Answer

Hyperkalemia

Answer

Hypocalcemia

Question 5

What is the primary mechanism by which sublingual nitroglycerin provides rapid relief from an acute anginal attack?

Accepted Answer

Venodilation leading to a decrease in myocardial preload

Answer

Increasing myocardial contractility (positive inotropy)

Answer

Arterial vasoconstriction to improve coronary perfusion pressure

Answer

Directly dissolving atherosclerotic plaques

Question 6

A patient who is stable on a long-term warfarin regimen for atrial fibrillation requires treatment for a fungal infection. Co-administration of which of the following medications would most likely lead to a dangerously high INR and increased risk of bleeding?

Accepted Answer

Fluconazole

Answer

Nystatin

Answer

Amphotericin B

Answer

Rifampin

A patient being treated for hypertension with lisinopril presents with a persistent, non-productive cough.This adverse effect is primarily attributed to the accumulation of which substance?

A patient being treated for hypertension with lisinopril presents with a persistent, non-productive cough.
This adverse effect is primarily attributed to the accumulation of which substance?