Question 1

Describe the pathophysiology and treatment of CVA.

Accepted Answer

A CVA is caused by a thrombus within or bleeding from a vessel serving the brain. Although drug therapy is limited, immediate treatment may reduce the degree of permanent disability resulting from a CVA. CT scan to determine the type as the symptoms are similar. Surgery for hemorrhagic stroke. Drug therapy of thrombotic stroke focuses on two main goals: (1) prevention of strokes through the use of anticoagulants and antihypertensive agents and (2) restoration of blood supply to the affected portion of the brain as quickly as possible after an acute stroke through the use of thrombolytics.

Question 2

The myocardium receives its nutrients from the first two arteries branching off the aorta, the right and left coronary arteries.

Accepted Answer

A) True 
 B)False  True

Question 3

Which of the following is not a goal for the pharmacotherapy of acute MI?

Accepted Answer

A)  Restore blood supply to the damaged myocardium as quickly as possible 
B)  Increase myocardial oxygen demand with organic nitrates or beta blockers 
C)  Prevent associated dysrhythmias with antidysrhythmics 
D)  Reduce post-MI mortality with aspirin and ACE inhibitors 
A)  Restore blood supply to the damaged myocardium as quickly as possible 
B)  Increase myocardial oxygen demand with organic nitrates or beta blockers 
C)  Prevent associated dysrhythmias with antidysrhythmics 
D)  Reduce post-MI mortality with aspirin and ACE inhibitors B

Question 4

Typical signs of a heart attack include chest pressure, squeezing in the chest, chest fullness or pain, and chest burning or heaviness.

Accepted Answer

A) True 
 B)False

Question 5

Hemorrhagic stroke needs to be rapidly treated with a thrombolytic.

Accepted Answer

A) True 
 B)False

Question 6

The ACE inhibitors have also been found to reduce mortality following MI.

Accepted Answer

A) True 
 B)False

Question 7

Unstable angina requires more aggressive medical intervention as it is associated with an increased risk of stroke.

Accepted Answer

A) True 
 B)False

Question 8

An example of a thrombolytic agent would be:

Accepted Answer

A)  Nitroglycerin 
B)  Streptokinase 
C)  Warfarin 
D)  Digoxin 
A)  Nitroglycerin 
B)  Streptokinase 
C)  Warfarin 
D)  Digoxin

Question 9

Organic nitrates relieve anginal pain by dilating the veins and the cranial arteries.

Accepted Answer

A) True 
 B)False

Question 10

Describe the symptoms, pathophysiology, and treatment of MI.

Accepted Answer

Symptoms: Typical signs of a heart attac

Question 11

Which drug is not usually used during an MI?

Accepted Answer

A)  Analgesic to decrease pain and fear 
B)  Anticoagulant to prevent future blood clots 
C)  Antifibrinolytic to reduce bleeding 
D)  Thrombolytic to dissolve the clot 
E)  ASA to reduce platelet aggregation 
A)  Analgesic to decrease pain and fear 
B)  Anticoagulant to prevent future blood clots 
C)  Antifibrinolytic to reduce bleeding 
D)  Thrombolytic to dissolve the clot 
E)  ASA to reduce platelet aggregation

Question 12

Describe the pathophysiology and treatment of angina.

Accepted Answer

Angina pectoris is characterized by seve

Question 13

Which of the following is a true statement regarding angina pectoris?

Accepted Answer

A)  The same as a myocardial infraction 
B)  Severe chest pain cause by lack of oxygen to the heart muscle 
C)  An irregular heart beat causing a decreased cardiac output 
D)  An overload of fluid causing a backup of blood in the ventricles 
A)  The same as a myocardial infraction 
B)  Severe chest pain cause by lack of oxygen to the heart muscle 
C)  An irregular heart beat causing a decreased cardiac output 
D)  An overload of fluid causing a backup of blood in the ventricles

Question 14

The patient asks the pharmacist why the nitrate patch needs to be off for 8 hours per day. What is the best response by the pharmacist?

Accepted Answer

A)  "There is no reason to take the patch off each day." 
B)  "You should wear the patch for 1 day and then leave it off for 1 day." 
C)  "You should only leave the patch off for 15 minutes." 
D)  "Leaving the patch off for 8 hours per day helps to delay the development of tolerance." 
A)  "There is no reason to take the patch off each day." 
B)  "You should wear the patch for 1 day and then leave it off for 1 day." 
C)  "You should only leave the patch off for 15 minutes." 
D)  "Leaving the patch off for 8 hours per day helps to delay the development of tolerance."

Question 15

Keeping blood pressure and blood glucose within the normal ranges helps to manage angina.

Accepted Answer

A) True 
 B)False

Question 16

A patient presents in the Emergency Department with a suspected MI. Which medication should be given as soon as possible?

Accepted Answer

A)  Clopidogrel 
B)  Morphine 
C)  Aspirin 
D)  Metoprolol 
A)  Clopidogrel 
B)  Morphine 
C)  Aspirin 
D)  Metoprolol

Question 17

The pharmacy technician recognizes the need for further teaching when the patient makes which statement?

Accepted Answer

A)  "I will check my weight gain/loss regularly." 
B)  "I'll make sure to take my high-blood pressure pills." 
C)  "I am going to a smoking cessation class." 
D)  "As long as I exercise, stress at my job will not bother me." 
A)  "I will check my weight gain/loss regularly." 
B)  "I'll make sure to take my high-blood pressure pills." 
C)  "I am going to a smoking cessation class." 
D)  "As long as I exercise, stress at my job will not bother me."

Question 18

A patient has been prescribed several medications. Which medication is a beta blocker?

Accepted Answer

A)  Nadolol 
B)  Verapamil 
C)  Captopril 
D)  Clopidogrel 
A)  Nadolol 
B)  Verapamil 
C)  Captopril 
D)  Clopidogrel

Exam 19: Drugs for Chest Pain, Myocardial Infraction, and Stroke

Describe the pathophysiology and treatment of CVA.

The myocardium receives its nutrients from the first two arteries branching off the aorta, the right and left coronary arteries.

Which of the following is not a goal for the pharmacotherapy of acute MI?

Typical signs of a heart attack include chest pressure, squeezing in the chest, chest fullness or pain, and chest burning or heaviness.

Hemorrhagic stroke needs to be rapidly treated with a thrombolytic.

The ACE inhibitors have also been found to reduce mortality following MI.

Unstable angina requires more aggressive medical intervention as it is associated with an increased risk of stroke.

An example of a thrombolytic agent would be:

Organic nitrates relieve anginal pain by dilating the veins and the cranial arteries.

Describe the symptoms, pathophysiology, and treatment of MI.

Which drug is not usually used during an MI?

Describe the pathophysiology and treatment of angina.

Which of the following is a true statement regarding angina pectoris?

The patient asks the pharmacist why the nitrate patch needs to be off for 8 hours per day. What is the best response by the pharmacist?

Keeping blood pressure and blood glucose within the normal ranges helps to manage angina.

A patient presents in the Emergency Department with a suspected MI. Which medication should be given as soon as possible?

The pharmacy technician recognizes the need for further teaching when the patient makes which statement?

A patient has been prescribed several medications. Which medication is a beta blocker?

The Practice of Pharmacy

Drug Classification, Regulation, and Approval

Drug Forms and Routes of Drug Administration

Pharmacokinetics

Pharmacodynamics

Substance Abuse

Using Drug References

Drugs for Disorders Associated With the Autonomic Nervous System

Drugs for Anxiety, Daytime Sedation, and Insomnia

Drugs for Emotional, Behavioural, and Mood Disorders

Drugs for Psychoses and Degenerative Diseases

Drugs for Seizures

Drugs for the Control of Pain and Fever

Drugs for Local and General Anaesthesia

Drugs for Coagulation Disorders

Drugs for Hypertension

Drugs for Heart Failure

Drugs for Dysrhythmias

Drugs for Lipid Disorders

Drugs for Shock and Anaphylaxis

Drugs for Kidney, Acid-Base, and Electrolyte Disorders

Drugs for Bacterial Infections

Drugs for Fungal, Viral, and Parasitic Diseases

Drugs for Neoplasia

Drugs for Respiratory Disorders

Drugs for Immune System Modulation

Drugs for Eye and Ear Disorders

Drugs for Gastrointestinal Disorders

Vitamins, Minerals, and Nutritional Supplments

Drugs for Muscle Spasm and Bone Disorder

Drugs for Skin Disorders

Drugs for Endocrine Disorders

Drugs for Disorders and Conditions of the Reproductive System

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