Question 1

Most dental procedures do not require a change in the dose of warfarin.

Accepted Answer

A) True 
 B)False  True

Question 2

Angiotensin-converting enzyme inhibitors (ACEIs)are a treatment of choice for congestive heart failure (CHF).

Accepted Answer

A) True 
 B)False  True

Question 3

Eating bananas when taking thiazide diuretics will:

Accepted Answer

A)  deplete calcium. 
B)  prevent diuresis. 
C)  replenish potassium. 
D)  inhibit the drug's metabolism. 
A)  deplete calcium. 
B)  prevent diuresis. 
C)  replenish potassium. 
D)  inhibit the drug's metabolism. C

Question 4

What precautions should the dental professional exercise with a patient taking an a-adrenergic receptor blocker? (Select all that apply.)

Accepted Answer

A)  Raise and lower the dental chair slowly. 
B)  Use local anesthetic with no or low-dose epinephrine. 
C)  Use caution and local measures for excessive bleeding tendency. 
D)  Nonsteroidal antiinflammatory drugs (NSAIDs)will exacerbate the antihypertensive effect of the α1-blockers to produce a hypertensive crisis. 
A)  Raise and lower the dental chair slowly. 
B)  Use local anesthetic with no or low-dose epinephrine. 
C)  Use caution and local measures for excessive bleeding tendency. 
D)  Nonsteroidal antiinflammatory drugs (NSAIDs)will exacerbate the antihypertensive effect of the α1-blockers to produce a hypertensive crisis.

Question 5

A serious lupus-like reaction is associated with which cardiovascular drug?

Accepted Answer

A)  Clonidine 
B)  Hydralazine 
C)  Isosorbide dinitrate 
D)  Spironolactone 
A)  Clonidine 
B)  Hydralazine 
C)  Isosorbide dinitrate 
D)  Spironolactone

Question 6

Hypersalivation is a sign of toxicity for which of the following agents?

Accepted Answer

A)  Clonidine 
B)  Digoxin 
C)  Enalapril 
D)  Hydrochlorothiazide 
E)  Nifedipine 
A)  Clonidine 
B)  Digoxin 
C)  Enalapril 
D)  Hydrochlorothiazide 
E)  Nifedipine

Question 7

Which of the following is the most common cardiovascular disease?

Accepted Answer

A)  Heart failure 
B)  Cardiac arrhythmia 
C)  Angina 
D)  Hypertension 
A)  Heart failure 
B)  Cardiac arrhythmia 
C)  Angina 
D)  Hypertension

Question 8

Which of the following antibiotics can increase the toxicity of digoxin in some patients? (Select all that apply.)

Accepted Answer

A)  Penicillin 
B)  Erythromycin 
C)  Tetracycline 
D)  Metronidazole 
E)  Ampicillin 
A)  Penicillin 
B)  Erythromycin 
C)  Tetracycline 
D)  Metronidazole 
E)  Ampicillin

Question 9

Which diuretic acts at the ascending loop of Henle of the kidney nephron to cause rapid diuresis?

Accepted Answer

A)  Hydrochlorothiazide 
B)  Triamterine 
C)  Furosemide 
D)  Spironolactone 
A)  Hydrochlorothiazide 
B)  Triamterine 
C)  Furosemide 
D)  Spironolactone

Question 10

Some studies have found that the presence of periodontal disease predicts an increase in morbidity and mortality resulting from cardiovascular disease and others have failed to show a relationship.

Accepted Answer

A) True 
 B)False

Question 11

Blood returning from the pulmonary circulation enters the left atrium.

Accepted Answer

A) True 
 B)False

Question 12

The cells of cardiac muscles have an intrinsic rhythm called:

Accepted Answer

A)  spontaneity. 
B)  automaticity. 
C)  anarchy. 
D)  hierarchy. 
A)  spontaneity. 
B)  automaticity. 
C)  anarchy. 
D)  hierarchy.

Question 13

The use of nitroglycerin (NTG)is contraindicated if sildenafil (Viagra)has been administered within 24 hours. This is because the NTG-sildenafil combination can precipitate a hypertensive crisis.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second statement is false. 
D)  The first statement is false; the second statement is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second statement is false. 
D)  The first statement is false; the second statement is true.

Question 14

Which of the following statements is true of ezetimibe?

Accepted Answer

A)  It is an HMG Co-A reductase inhibitor. 
B)  This drug decreases total cholesterol, HDL cholesterol, and decreases HDL cholesterol levels. 
C)  Little difference exists in the cholesterol lowering abilities of ezetimibe/simvastatin and simvastatin alone. 
D)  Ezetimibe/simvastatin has been found to lower low-density lipoprotein (LDL)cholesterol and has a marked effect on plaque buildup. 
A)  It is an HMG Co-A reductase inhibitor. 
B)  This drug decreases total cholesterol, HDL cholesterol, and decreases HDL cholesterol levels. 
C)  Little difference exists in the cholesterol lowering abilities of ezetimibe/simvastatin and simvastatin alone. 
D)  Ezetimibe/simvastatin has been found to lower low-density lipoprotein (LDL)cholesterol and has a marked effect on plaque buildup.

Question 15

Which of the following antihyperlipidemic agents can promote gallstone formation?

Accepted Answer

A)  HGM CoA reductase inhibitors 
B)  Niacin 
C)  Cholestyramine 
D)  Gemfibrozil 
A)  HGM CoA reductase inhibitors 
B)  Niacin 
C)  Cholestyramine 
D)  Gemfibrozil

Question 16

Which agent is most likely to cause xerostomia?

Accepted Answer

A)  Losartan 
B)  Clonidine 
C)  Enalapril 
D)  Atenolol 
A)  Losartan 
B)  Clonidine 
C)  Enalapril 
D)  Atenolol

Question 17

Nitroglycerine (NTG)is used for what cardiovascular disease?

Accepted Answer

A)  Atherosclerosis 
B)  Coronary artery disease 
C)  Arrhythmias 
D)  Angina pectoris 
A)  Atherosclerosis 
B)  Coronary artery disease 
C)  Arrhythmias 
D)  Angina pectoris

Question 18

Severe hypotension and reflex tachycardia are caused by combination of sympathomimetics, such as epinephrine, with which antihypertensive agent class?

Accepted Answer

A)  Calcium channel blockers 
B)  α1-Adrenergic blocking agents 
C)  Angiotensin receptor blockers (ARBs) 
D)  Potassium-sparing diuretics 
A)  Calcium channel blockers 
B)  α1-Adrenergic blocking agents 
C)  Angiotensin receptor blockers (ARBs) 
D)  Potassium-sparing diuretics

Question 19

Myocardial infarction occurring 9 months prior to an office visit would be a contraindication to dental treatment.

Accepted Answer

A) True 
 B)False

Question 20

Of the vitamin K-dependent clotting factors, which has the shortest circulating half-life?

Accepted Answer

A)  Factor II 
B)  Factor VII 
C)  Factor VIII 
D)  Factor IX 
E)  Factor X 
A)  Factor II 
B)  Factor VII 
C)  Factor VIII 
D)  Factor IX 
E)  Factor X

Exam 14: Drugs for the Treatment of Cardiovascular Disease

Most dental procedures do not require a change in the dose of warfarin.

Angiotensin-converting enzyme inhibitors (ACEIs)are a treatment of choice for congestive heart failure (CHF).

Eating bananas when taking thiazide diuretics will:

What precautions should the dental professional exercise with a patient taking an a-adrenergic receptor blocker? (Select all that apply.)

A serious lupus-like reaction is associated with which cardiovascular drug?

Hypersalivation is a sign of toxicity for which of the following agents?

Which of the following is the most common cardiovascular disease?

Which of the following antibiotics can increase the toxicity of digoxin in some patients? (Select all that apply.)

Which diuretic acts at the ascending loop of Henle of the kidney nephron to cause rapid diuresis?

Some studies have found that the presence of periodontal disease predicts an increase in morbidity and mortality resulting from cardiovascular disease and others have failed to show a relationship.

Blood returning from the pulmonary circulation enters the left atrium.

The cells of cardiac muscles have an intrinsic rhythm called:

The use of nitroglycerin (NTG)is contraindicated if sildenafil (Viagra)has been administered within 24 hours. This is because the NTG-sildenafil combination can precipitate a hypertensive crisis.

Which of the following statements is true of ezetimibe?

Which of the following antihyperlipidemic agents can promote gallstone formation?

Which agent is most likely to cause xerostomia?

Nitroglycerine (NTG)is used for what cardiovascular disease?

Severe hypotension and reflex tachycardia are caused by combination of sympathomimetics, such as epinephrine, with which antihypertensive agent class?

Myocardial infarction occurring 9 months prior to an office visit would be a contraindication to dental treatment.

Of the vitamin K-dependent clotting factors, which has the shortest circulating half-life?

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