Practice Test Geeks(PSA) Prescribing Safety Assessment Practice Test
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Cardiovascular Prescribing Flashcards

6 cards from real PSA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Cardiovascular Prescribing flashcards as text

  1. What is the first-line treatment for hypertension?

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

    First-line antihypertensives are chosen based on age, ethnicity, and comorbidities: ACE inhibitors/ARBs for younger patients, CCBs for older patients and Black patients.

  2. Why is aspirin prescribed after a myocardial infarction?

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

    Low-dose aspirin irreversibly inhibits platelet cyclooxygenase, reducing platelet aggregation and the risk of further thrombotic events after MI.

  3. What is the role of statins in cardiovascular disease?

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

    Statins reduce LDL cholesterol through HMG-CoA reductase inhibition and have additional benefits including plaque stabilization and anti-inflammatory effects.

  4. What monitoring is required for patients on ACE inhibitors?

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

    ACE inhibitors can cause hyperkalemia and acute kidney injury. Renal function and potassium should be checked before starting, after 1-2 weeks, and after dose changes.

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

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

    Rate control uses beta-blockers or CCBs to manage ventricular rate, while rhythm control uses antiarrhythmics or cardioversion to restore normal rhythm. Choice depends on symptoms and patient factors.

  6. Why is anticoagulation important in atrial fibrillation?

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

    The irregular contraction in AF allows blood to pool in the atria, forming clots that can travel to the brain causing stroke. Anticoagulants prevent clot formation.