PSA Cardiovascular Prescribing

Question 1

What is the first-line treatment for hypertension?

Accepted Answer

ACE inhibitors, ARBs, calcium channel blockers, or thiazide diuretics depending on patient characteristics

Answer

Only beta-blockers

Answer

No medication until blood pressure exceeds 200/120

Answer

Surgery

Question 2

Why is aspirin prescribed after a myocardial infarction?

Accepted Answer

To inhibit platelet aggregation and reduce the risk of further cardiovascular events

Answer

To reduce pain only

Answer

To lower blood pressure

Answer

To reduce cholesterol

Question 3

What is the role of statins in cardiovascular disease?

Accepted Answer

To lower LDL cholesterol, reduce cardiovascular risk, and stabilize atherosclerotic plaques

Answer

Only to reduce cholesterol for cosmetic reasons

Answer

To treat high blood pressure

Answer

To increase HDL cholesterol only

Question 4

What monitoring is required for patients on ACE inhibitors?

Accepted Answer

Renal function (creatinine/eGFR) and potassium levels, especially after initiation and dose changes

Answer

No monitoring is needed

Answer

Only blood pressure monitoring

Answer

Only cholesterol levels

Question 5

What is the difference between rate control and rhythm control in atrial fibrillation?

Accepted Answer

Rate control slows the heart rate; rhythm control attempts to restore normal sinus rhythm

Answer

They are the same treatment

Answer

Rate control is always preferred

Answer

Rhythm control is the only option

Question 6

Why is anticoagulation important in atrial fibrillation?

Accepted Answer

AF causes blood stasis in the atria, increasing stroke risk; anticoagulants reduce this risk

Answer

Anticoagulants treat the AF itself

Answer

Only patients with symptoms need anticoagulation

Answer

Anticoagulation is never needed in AF