Question 1

Many _____ end in the suffix -pril.

Accepted Answer

A)  β-adrenergic blockers 
B)  calcium channel blockers 
C)  angiotensin-converting enzyme inhibitors (ACEIs) 
D)  angiotensin receptor blockers (ARBs) 
A)  β-adrenergic blockers 
B)  calcium channel blockers 
C)  angiotensin-converting enzyme inhibitors (ACEIs) 
D)  angiotensin receptor blockers (ARBs)

Question 2

MI refers to:

Accepted Answer

A)  injury or necrosis of the heart muscle. 
B)  transient lack of oxygen to the heart. 
C)  congestive heart failure (CHF). 
D)  abnormal sinus rhythm of the heart. 
A)  injury or necrosis of the heart muscle. 
B)  transient lack of oxygen to the heart. 
C)  congestive heart failure (CHF). 
D)  abnormal sinus rhythm of the heart.

Question 3

Which of the following conditions is an absolute contraindication to dental treatment until a consultation with the patient's provider has determined any special treatment alterations that might be warranted?

Accepted Answer

A)  Recent myocardial infarct within the preceding 3 months 
B)  Diabetes 
C)  Hyperlipidemia 
D)  Gout 
A)  Recent myocardial infarct within the preceding 3 months 
B)  Diabetes 
C)  Hyperlipidemia 
D)  Gout

Question 4

Nitroglycerin (NTG)should be:

Accepted Answer

A)  stored in plastic. 
B)  kept in the refrigerator. 
C)  administered once every 5 minutes until the anginal attack is stopped. 
D)  available to the dental team for treatment of an acute anginal attack. 
E)  all of the above. 
A)  stored in plastic. 
B)  kept in the refrigerator. 
C)  administered once every 5 minutes until the anginal attack is stopped. 
D)  available to the dental team for treatment of an acute anginal attack. 
E)  all of the above.

Question 5

Which of the following categories of antihypertensive agents end in the suffix -dipine?

Accepted Answer

A)  Diuretics 
B)  β-Adrenergic blockers 
C)  Calcium channel blockers 
D)  Angiotensin receptor blockers (ARBs) 
A)  Diuretics 
B)  β-Adrenergic blockers 
C)  Calcium channel blockers 
D)  Angiotensin receptor blockers (ARBs)

Question 6

Which of the following categories of drug is the best choice to relieve the acute symptoms of angina?

Accepted Answer

A)  Nitroglycerin (NTG, Nitrostat, Nitrolingual) 
B)  Nitroglycerin (Nitro-Bid) 
C)  Propranolol 
D)  Verapamil (Calan, Isoptin) 
E)  Nifedipine (Procardia) 
A)  Nitroglycerin (NTG, Nitrostat, Nitrolingual) 
B)  Nitroglycerin (Nitro-Bid) 
C)  Propranolol 
D)  Verapamil (Calan, Isoptin) 
E)  Nifedipine (Procardia)

Question 7

If the _____ tablet of sublingual nitroglycerin (NTG)does not stop the anginal attack, the patient should be taken to the emergency room.

Accepted Answer

A)  first 
B)  second 
C)  third 
D)  fourth 
E)  fifth 
A)  first 
B)  second 
C)  third 
D)  fourth 
E)  fifth

Question 8

Dental patients with left heart failure may need to be positioned in the dental chair:

Accepted Answer

A)  with their left hip elevated. 
B)  with their right hip elevated. 
C)  in a semireclined position. 
D)  with their feet at a higher elevation than their head. 
E)  lying flat. 
A)  with their left hip elevated. 
B)  with their right hip elevated. 
C)  in a semireclined position. 
D)  with their feet at a higher elevation than their head. 
E)  lying flat.

Question 9

How long should a person who has had a myocardial infarction wait before receiving dental care?

Accepted Answer

A)  2 weeks 
B)  2 months 
C)  6 months 
D)  12 months 
E)  24 months 
A)  2 weeks 
B)  2 months 
C)  6 months 
D)  12 months 
E)  24 months

Question 10

NSAIDs can antagonize the effects of which of the following antihypertensive medications?

Accepted Answer

A)  Angiotensin converting enzyme inhibitors (ACEIs) 
B)  β-Adrenergic antagonists 
C)  Calcium channel blockers 
D)  Loop diuretics 
E)  Centrally acting hypertensive agents 
A)  Angiotensin converting enzyme inhibitors (ACEIs) 
B)  β-Adrenergic antagonists 
C)  Calcium channel blockers 
D)  Loop diuretics 
E)  Centrally acting hypertensive agents

Question 11

A patient has a cardiovascular disorder for which a physician prescribes a local anesthetic drug. What might this cardiovascular disorder be?

Accepted Answer

A)  Coronary artery disease 
B)  Hypertension 
C)  Arrhythmia 
D)  Angina pectoris 
A)  Coronary artery disease 
B)  Hypertension 
C)  Arrhythmia 
D)  Angina pectoris

Question 12

Which agent reduces serum cholesterol by increasing its utilization for bile acid synthesis?

Accepted Answer

A)  Niacin 
B)  Atorvastatin 
C)  Gemfibrozil 
D)  Cholestyramine 
E)  Clopidogrel 
A)  Niacin 
B)  Atorvastatin 
C)  Gemfibrozil 
D)  Cholestyramine 
E)  Clopidogrel

Question 13

Essential hypertension is:

Accepted Answer

A)  of unknown cause. 
B)  iatrogenic hypertension. 
C)  precipitated by another disorder. 
D)  a rapidly developing form of hypertension, requiring aggressive therapy. 
A)  of unknown cause. 
B)  iatrogenic hypertension. 
C)  precipitated by another disorder. 
D)  a rapidly developing form of hypertension, requiring aggressive therapy.

Question 14

Calcium channel blockers may be used to treat which of the following? (Select all that apply.)

Accepted Answer

A)  Angina 
B)  Cardiac arrhythmia 
C)  Hypertension 
D)  Hyperlipidemia 
A)  Angina 
B)  Cardiac arrhythmia 
C)  Hypertension 
D)  Hyperlipidemia

Question 15

Approximately _____% of people with hypertension are properly treated.

Accepted Answer

A)  20 
B)  40 
C)  50 
D)  60 
A)  20 
B)  40 
C)  50 
D)  60

Question 16

Preload refers to blood in the arteries, and afterload refers to blood in the veins.

Accepted Answer

A) True 
 B)False

Question 17

To prevent tolerance, prophylactic nitrates should be given with at least a(n):

Accepted Answer

A)  week off every month. 
B)  day off every week. 
C)  8- to 12- hour "vacation" every day. 
D)  1 hour "vacation" every 12 hours. 
A)  week off every month. 
B)  day off every week. 
C)  8- to 12- hour "vacation" every day. 
D)  1 hour "vacation" every 12 hours.

Question 18

The presence of _____ in the oral cavity can be a sign of an adverse effect associated with the oral anticoagulants.

Accepted Answer

A)  lichen planus 
B)  petechial hemorrhages 
C)  linear gingival erythema 
D)  hairy tongue 
A)  lichen planus 
B)  petechial hemorrhages 
C)  linear gingival erythema 
D)  hairy tongue

Question 19

Which of the following are true of both apixaban (Eliquis)and rivaroxaban (Xarelto)? (Select all that apply.)

Accepted Answer

A)  Both are indicated to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation. 
B)  Both are indicated for the treatment of deep vein thrombosis (DVT)and pulmonary embolism (P
E) . 
C)  Both drugs have a marked treatment benefit when contrasted with warfarin. 
D)  INR monitoring is not required with these drugs. 
A)  Both are indicated to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation. 
B)  Both are indicated for the treatment of deep vein thrombosis (DVT)and pulmonary embolism (P
E) . 
C)  Both drugs have a marked treatment benefit when contrasted with warfarin. 
D)  INR monitoring is not required with these drugs.

Question 20

Hydralazine is contraindicated as an antihypertensive therapy in pregnant women.

Accepted Answer

A) True 
 B)False

Exam 14: Drugs for the Treatment of Cardiovascular Disease

Many _____ end in the suffix -pril.

MI refers to:

Which of the following conditions is an absolute contraindication to dental treatment until a consultation with the patient's provider has determined any special treatment alterations that might be warranted?

Nitroglycerin (NTG)should be:

Which of the following categories of antihypertensive agents end in the suffix -dipine?

Which of the following categories of drug is the best choice to relieve the acute symptoms of angina?

If the _____ tablet of sublingual nitroglycerin (NTG)does not stop the anginal attack, the patient should be taken to the emergency room.

Dental patients with left heart failure may need to be positioned in the dental chair:

How long should a person who has had a myocardial infarction wait before receiving dental care?

NSAIDs can antagonize the effects of which of the following antihypertensive medications?

A patient has a cardiovascular disorder for which a physician prescribes a local anesthetic drug. What might this cardiovascular disorder be?

Which agent reduces serum cholesterol by increasing its utilization for bile acid synthesis?

Essential hypertension is:

Calcium channel blockers may be used to treat which of the following? (Select all that apply.)

Approximately _____% of people with hypertension are properly treated.

Preload refers to blood in the arteries, and afterload refers to blood in the veins.

To prevent tolerance, prophylactic nitrates should be given with at least a(n):

The presence of _____ in the oral cavity can be a sign of an adverse effect associated with the oral anticoagulants.

Which of the following are true of both apixaban (Eliquis)and rivaroxaban (Xarelto)? (Select all that apply.)

Hydralazine is contraindicated as an antihypertensive therapy in pregnant women.

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