2. Decreasing the Load After the Fill May the Force be with you Clearing the Path Let it Flow 10 20 30 40 50

3. Question 1 - 10 This is used to increase cardiac output by increasing preload and stroke volume (SV)

4. Answer 1 – 10 Fluid Blood Products Volume Expanders

5. Question 1 - 20 A class of drugs that blocks conversion of angiotensin I to angiotensin II

6. Answer 1 – 20 Ace Inhibitors

7. Question 1 - 30 This is a life threatening side effect of ACE Inhibitors

8. Answer 1 – 30 Angioedema

9. Question 1 - 40 Risk category of ACE Inhibitors for use in pregnancy.

10. Answer 1 – 40 Category X

11. Question 1 - 50 Commonly used ACE Inhibitor that is not a prodrug.

12. Answer 1 – 50 Lisinopril Captopril

13. Question 2 - 10 A class of drugs used for arterial dilating to decrease SV and improve cardiac output

14. Answer 2 – 10 Nitrites Calcium channel blockers ACEI ARBs

15. Question 2 - 20 A class of drugs that blocks angiotensin II at all receptor sites

16. Answer 2 – 20 Angiotensin receptor blockers

17. Question 2 - 30 This heart valve condition causes an increase in ventricular afterload and a decrease in stroke volume (SV)

18. Answer 2 – 30 Aortic stenosis

19. Question 2 - 40 Name one drug that could be substituted for an ACE Inhibitor if someone developed a cough while taking them.

20. Answer 2 – 40 Losartan (would take any sartan)

21. Question 2 - 50 Commonly used nomenclature for ventricular pressure at the end of systole

22. Answer 2 – 50 Afterload

23. Question 3 - 10 Name of the primary cardiac receptor responsible for heart rate and force.

24. Answer 3 – 10 Beta 1 receptor

25. Question 3 - 20 This is an effect of stimulation of Beta 1 receptors

26. Answer 3 – 20 ↑heart rate ↑contractility ↑automaticity ↑conduction velocity Renin release (any one is correct)

27. Question 3 - 30 Name of a cardioselective drug used to block Beta 1 receptors

28. Answer 3 – 30 Acebutolol (Sectral) (ISA) Atenolol (Tenormin) Metoprolol (Lopressor) Esmolol (Brevebloc) Bisoprolol (Zebeta) Nebivolol (Bystolic) (any one is correct)

29. Question 3 - 40 A cardiac related medical condition for which you might want to use a beta blocker

30. Answer 3 – 40 Hypertension Angina Arrythmias Acute coronary syndrome Cardiomyopathy Heart Failure

31. Question 3 - 50 This class of drugs slows conduction of impulses through the heart in the depolarization phase causing both a decrease in HR and vasodilation

32. Answer 3 – 50 Calcium Channel blockers

33. Question 4 - 10 Class of drugs used to prevent strokes by interfering with platelet aggregation

34. Answer 4 – 10 Antiplatelet drugs IIb-IIIa inhibitors

35. Question 4 - 20 Blood test that measures effectiveness of heparin therapy

36. Answer 4 – 20 PTT

37. Question 4 - 30 Oral drug commonly used to prevent platelet aggregation

38. Answer 4 – 30 Plavix (Clopidogrel) Effient (Prasugrel) Brilinta (Ticagrelor) ASA

39. Question 4 - 40 Antiplatelet drug that might be administered to someone with acute coronary symptoms

40. Answer 4 – 40 ASA

41. Question 4 - 50 A drug that lowers LDL and is in the HMG-CoA Reductase Inhibitor classifiction

42. Answer 4 – 50 “Statins” Atorvastatin Fluvastatin Lovastatin Pravastatin Rosuvastatin Simvastatin

43. Question 5 - 10 Area in the nephron tube where the most reabsorption occurs

44. Answer 5 – 10 Proximal convoluted tubule

45. Question 5 - 20 Hyperkalemia is the most significant side effect of using this class of drugs for diuresis

46. Answer 5 – 20 Potassium sparing diuretics

47. Question 5 - 30 Class of drug that promotes urine production by blocking sodium reabsorption in the early distal convoluted tubule

48. Answer 5 – 30 Thiazide diuretics

49. Question 5 - 40 Class of diuretics that can be given in those with chronic kidney disease

50. Answer 5 – 40 Loop diuretics

51. Question 5 - 50 Name of drug that promotes diuresis by creating an osmotic force within the lumen of the nephron.

52. Answer 5 – 50 Mannitol