Chapter 11: Cardiovascular Drugs

Front 1

WHICH OF THE FOLLOWING DRUGS MOST LIKELY CAUSES ORTHOSTATIC HYPOTENSION?

Back 1

DILTIAZEM

Front 2

WHICH OF THE FOLLOWING DRUGS CAN CAUSE XEROSTOMIA?

Back 2

FUROSEMIDE

Front 3

A PATIENT HAS NOT DISCONTINUED THE WARFARIN HE IS TAKING BECAUSE OF HEART STENTS PLACED LAST YEAR. THIS PATIENT WILL MOST LIKELY EXPERIENCE?

Back 3

BLEEDING

Front 4

WHICH OF THE FOLLOWING DRUGS NEEDS TO BE MONITORED BY INR LEVELS?

Back 4

WARFARIN

Front 5

WHICH OF THE FOLLOWING DRUGS IS THE FIRST LINE DRUG USED IN THE TREATMENT OF HEART FAILURE IN A 50-YEAR OLD MALE?

Back 5

ASPIRIN

Front 6

WHICH OF THE FOLLOWING DRUGS SHOULD NOT BE TAKEN WITH NAPROXEN (ALEVE) FOR MORE THAN 5 DAYS?

Back 6

ENALAPRIL (VASOTEC)

Front 7

WHICH OF THE FOLLOWING DRUGS MOST LIKELY WILL CAUSE GINGIVAL ENLARGEMENT?

Back 7

AMLODIPINE

Front 8

WHICH OF THE FOLLOWING LAB VALUES MUST BE OBTAINED IN A PATIENT TAKING WARFARIN BEFORE PERIODONTAL DEBRIDEMENT PROCEDURES ARE STARTED?

Back 8

INTERNATIONAL NORMALIZED RATIO

Front 9

A PATIENT IS TAKING AMLODIPINE (NORVASC). AFTER PERIODONTAL TREATMENT IS COMPLETED AT AN OFFICE VISIT AND THE PATIENT IS READY TO BE DISMISSED, WHICH ONE OF THESE PROCEDURES SHOULD BE FOLLOWED?

Back 9

HAVE THE PATIENT SIT UPRIGHT IN DENTAL CHAIR A WHILE.

Front 10

A PATIENT IS TAKING LOW DOSE ASPIRIN TO PREVENT STROKE AS PRESCRIBED BY HIS PHYSICIAN. THE PATIENT HAS NO REMARKABLE MEDICAL HISTORY. WHICH OF THE FOLLOWING PROCEDURES SHOULD BE FOLLOWED BEFORE PERFORMING ORAL PROPHYLAXIS?

Back 10

PERFORM THE DENTAL PROCEDURE WITHOUT DISCONTINUING THE ASPIRIN.

Front 11

PLAQUE BUILD UP (BACTERIA, FAT, CHELSTEROL

Back 11

ATHEROSCLEROSIS

Front 12

DISMISSAL BLOOD PRESSURE:

Back 12

180/105

Front 13

BLOOD PRESSURE IS REGULATED BY

Back 13

1. SYMPATHETIC NERVOUS SYSTEM
2. KIDNEYS

Front 14

ABOVE 140/90

Back 14

HYPERTENSION
MOST COMMON CARDIOVASCULAR DISEASE IN US

Front 15

PRIMARY HYPERTENSION-

Back 15

UNKNOWN ETIOLOGY. NO ONE CAUSE.
MAJORITY OF CASES (80-90%)

Front 16

SECONDARY HYPERTENSIONS-

Back 16

KNOWN CAUSE. ONLY SMALL POPULATION WITH HYPERTENSION HAVE AN UNDERLYING DISEASE KNOWN TO RAISED BLOOD PRESSURE (USALLY KIDNEY DISEASE)

Front 17

MALIGNANT HYPERTENSION-

Back 17

BLOOD PRESSURE IS VERY HIGH OR RAPIDLY RISING WITH EVIDENCE OF RETINAL AND RENAM DAMAGE.

Front 18

SYSTOLIC PRESSURE-

Back 18

LEFT VENTRICLE CONTRACTS OR PUMPS, FORCING THE BLOOD OUT.

Front 19

DIASTOLIC PRESSURE

Back 19

IS WHEN THE LEFT VENTRICLE RELAXES, ALLOWING THE BLOOD VESSELS TO REFILL WITH BLOOD.

Front 20

IS THE AMOUNT (VOLUME) OF BLOOD PUMPED OUT PER MINUTE BY THE VENTRICLE OF THE HEART

Back 20

CARDIAC OUTPUT

Front 21

REFERS TO THE RESISTANCE OFFERED BY THE SYSTEMIC BLOOD VESSELS TO THE FLOW OF BLOOD.

Back 21

PERIPHERAL RESISTANCE

Front 22

BLOCK ALPHA 1

Back 22

DILATION

Front 23

TOTAL AMOUNT OF BLOOD IN BODY

Back 23

5 LITERS

Front 24

LEFT VENTRICLE CONTRACTS OR PUMPS, FORCING THE BLOOD OUT

Back 24

SYSTOLIC

Front 25

LEFT VENTRICLE RELAXES, ALLOWING THEM TO REFILL WITH BLOOD

Back 25

DIASTOLIC

Front 26

LET FLUID OUT

Back 26

DIURETICS

Front 27

SLOW THE PUMP

Back 27

SLOW THE HEART RATE/ CONTRACTIBILITY

Front 28

INCREASE DIAMETER

Back 28

VASODILATION

Front 29

ANTIHYPERTENSIVE MEDICATIONS ALL HAVE POTENTIAL TO CAUSE

Back 29

1.XEROSTOMIA
2.ORTHOSTATIC HYPOTENSION
(GET US TOO FAST AND FAINT)

Front 30

DECREASES PLASMA VOLUME

Back 30

DIURETICS

Front 31

DECREASES CARDIAC OUTPUT

Back 31

B1 BLOCKERS
SLOWS THE HEART RATE/OUTPUT

Front 32

DECREASES PERIPHERAL VASCULAR RESISTANCE

Back 32

VASODILATORS (A1 BLOCKERS, CALCIUM CHANNEL BLOCKERS, ACE INHIBITORS)

Front 33

3 CLASSES OF DIURETICS:

Back 33

1. THIAZIDES
2. LOOP DIURETICS
3. POTASSIUM-SPARING DIURETICS

Front 34

INCREASE URINE EXCRETION, REDUCE BLOOD PRESSURE AND EDEMA THROUGH AN INCREASE IN SODIUM AND WATER EXCRETION IN THE KIDNEYS, DECREASE BLOOD VOLUME, CARDIAC OUTPUT

Back 34

DIURETICS

Front 35

HYDROCHLOROTHIAZIDE (HCTZ)

Back 35

THIAZIDE DIURETICS INHIBIT SODIUM REABSORPTION BACK INTO THE BLOOD, RESULTING IN INCREASED URINATION.

Front 36

LAST FOR AT LEAST 24 HOURS, ALLOWING ONCE DAILY DOSING POTASSIUM IS ALSO LOST IN URINE.

Back 36

ANTIHYPERTENSIVE

Front 37

HYPOKALEMIA CAN CAUSE

Back 37

ARRHYTHMIAS

Front 38

THIAZIDE DIURETICS CAN CAUSE HYPERGLYCEMIA. HOW?

Back 38

DECREASES EFFECTIVENESS OF ANTIDIABETIC DRUGS (CAN RAISE GLUCOSE LEVELS)

Front 39

NON-STERIODAL ANTI-INFLAMMATORY DRUGS TAKEN MORE THAN 5 DAYS DECREASE THE...

Back 39

ANTIHYPERTENSIVE EFFECT OF THIAZIDES
(BLOOD PRESSURE INCREASES)

Front 40

MORE LOSS OF FLUIDS THAN WITH THIAZIDES IS CALLED

Back 40

LOOP DIURETICS

Front 41

WHAT ADVERSE EFFECT IS OF CONCERN REGARDING CALCIUM CHANNEL BLOCKERS?

Back 41

GINGIVAL ENLARGEMENT

Front 42

WHAT DRUG CAN REDUCE THE EFFECTS OF SOME ANTIHYPERTENSIVE DRUGS WHEN TAKEN TOGETHER?

Back 42

IBUPROFEN

Front 43

INCREASE IN ARTERIAL PRESSURE-

Back 43

HYPERTENSION

Front 44

WHAT DRUG CLASSIFICATION DOES WARFARIN (COUMADIN) BELONG TO?

Back 44

ANTICOAGULANT

Front 45

NITROGLYCERIN IS AN EXAMPLE OF A:

Back 45

NITRATE

Front 46

ASPIRIN INHIBITS

Back 46

PLATELET FORMATION

Front 47

PLAVIX BELONGS TO WHICH CLASSIFICATION?

Back 47

ANTIPLATELET

Front 48

SOURCES OF OF CHOLESTEROL:

Back 48

LIVER & DIET

Front 49

WHAT SUBSTANCE IS INHIBITED BY ASPIRIN?

Back 49

THROMBOXANE A2

Front 50

WHAT LIPOPROTEINS IS PRIMARILY RESPONSIBLE FOR THE DEVELOPMENT OF CORONARY ATERY DISEASE?

Back 50

LDL

Front 51

BETA BLOCKERS SHOULD NOT BE USED WITH ____ PATIENTS.

Back 51

ASTHMATIC

Front 52

WHAT SHOULD BE MONITORED CAREFULLY DURING THE FIRST FEW MONTHS OF THERAPY WITH THE STATINS?

Back 52

LIVER FUNCTION

Front 53

ASPRIN IS TAKEN EVERYDAY TO PREVENT...

Back 53

HEART ATTACK, CLOTTING

Front 54

PITTING EDEMA IS ASSOCIATED WITH ___ SIDED HEART FAILURE.

Back 54

RIGHT

Front 55

PULMONARY CONGESTION IS ASSOCIATED WITH ____ SIDED HEART FAILURE.

Back 55

LEFT

Front 56

RAMIPRIL (ALTACE)

Back 56

ANGIOTENSIN CONVERTING ENZYME INHIBITOR (ACE INHIBITOR)

Front 57

VALSARTAN

Back 57

ANGIOTENSION RECEPTOR BLOCKER (ARB)

Front 58

HYDROCHLOROTHIZIDE (HCTZ)

Back 58

DIURETIC

Front 59

TERAZOSIN (HYTRIN)

Back 59

ALPHA 1 BLOCKER

Front 60

PROPRANOLOL (INDERAL)

Back 60

BETA-BLOCKER

Front 61

LOSARTAN (COZAR)

Back 61

ANGIOTENSIN RECEPTOR BLOCKER (ARB)

Front 62

AMLODIPINE (NORVASC)

Back 62

CALCIUM CHANNEL BLOCKER

Front 63

DILTIAZEM (CARDIZEM)

Back 63

CALCIUM CHANNEL BLOCKER

Front 64

VERAPAMIL (CALAN)

Back 64

CALCIUM CHANNEL BLOCKER

Front 65

GUANETHIDINE (ISMELIN)

Back 65

ALPHA 1 BLOCKER

Front 66

FUROSEMIDE (LASIX)

Back 66

DIURETIC

Front 67

NIFEDIPINE (PROCARDIA, ADALET)

Back 67

CALCIUM CHANNEL BLOCKER

Front 68

ENALAPRIL

Back 68

ANGIOTENSION CONVERTING ENZYME INHIBITOR (ACE INHIBITOR)

Front 69

OLMESARTAN (BENICAR)

Back 69

ANGIOTENSIN RECEPTOR BLOCKER (ARB)

Front 70

RAMIPRIL (ALTACE)

Back 70

ANGIOTENSION CONVERTING ENZYME INHIBITOR (ACE INHIBITOR)

Front 71

CLONIDINE (CATAPRESS)

Back 71

ALPHA 2 AGONIST

Front 72

CARVEEDILOL (COREG)

Back 72

BETA BLOCKER

Front 73

ATENOLOL (TENORMIN)

Back 73

BETA BLOCKER

Front 74

DOXAZOSIN (CARDURA)

Back 74

ALPHA 1 BLOCKER

Front 75

SPIRONOLACTONE (ALDACTONE)

Back 75

DIURETIC

Front 76

LISINOPRIL (PRINIVIL)

Back 76

ANGIOTENSION CONVERTING ENZYME INHIBITOR (ACE INHIBITOR)

Front 77

IRBESARTAN (AVAPRO)

Back 77

ANGIOTENSION RECEPTOR BLOCKER (ARB)