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Parma , L4 , drugs used in heart failure

 L4 drugs used in heart failure, Parma 


Lecture video 


MCQ 


1-Drugs For AHF which decrease Afterload to improve Low Cop include:

A- ACEIs
B- Hydralazine
C-Spironolactone
D- Nitro Prusside

2-..... are venodialators drugs which improve Congestive symptoms.

A- loop diuretics
B-Hydralazine
C- Digoxin
D-Nitrates

3-Mixed dialtors used in acute HF include....

A -ACEIS, ARBS
8- Hydralazine
C-Sodium nitroprusside
D-Nitrates

4- Patient of Hf is first stabilized on of following except.

A -loop diurtics.
B-digoxin
C-B blockers
D-ACEIS

5-Role of ACEIS in HF include all of folloing except.

A- Decrease Preload and after load
B- Renoprotective
С – decrease Mortality
D- Resenstize the down regulated B₁ Receptors

6-which is the best line of Treatment of acute myocardial infarction in diabetic patient with nephropathy?

A- Loop diuretics
B- Carvedilol
C-ACEIS
D-ACEIS with Carvedilol

7 Digoxin has Postive iontropic effect in Hf Due to......

A – increase myocardial Contraction and Cop
B- Decrease Venous pressue
C- Decrease baro reflex through decreasing sympathetic overactivity 
D-all of above

8-All are effects of digoxin at therapeutic Dose except: 

A -Vagal stimulation.
В- AVN block 
C-arrhythmogenic effect 
D-inhibit SAN


9. About Pharmaco kinetics of digitalis all are true except:

A - 70% of oral dose: is rapidly absorbed
B-70% bounded to plasma protein
C-70% are excreted unchanged in urine
D-narrow safety margin

10- B blockers are Contraindicated with digitais in HF Due to ....

A- decrease inactivation of digoxin. by killing
Git Flora
B- decrease renal excretion of digoxin
C- can lead to Complete heart block.
D- increase Digoxin induced tachyarrhythmia

11- All of Following are indication of Digoxin except....

A- CHF with AF 
B-chronic AF
C-PSVT
-D- Acute MI. and rheumatic carditis

12-which are manifestations of Digoxin.toxcity 

A- early GIt upset 
B-supra-Ventricular and Ventricular tachyarrhythmia
C- yellow and green Coloured Vision with confusion
D- All of above

13- which are lines of treatment of digoxin Toxicity

A) Lidocaine or Phenytoin in ventricular arrhythmias
B) B blockers.
C) Quinidine,
D- -Digibind antibodies E- A and D

14- One of Postive iontropic drugs used in HF with renal involvement and hypotension is ....

A-Do butamine
B-Dopamine
C-digoxin
D-Milrione

15- One of Postive iontropic drugs whichIncrease cardiac Contractility and balanced VD Is

A – Dopamine
B – Dobutumine
C-Milrinone
D-Digoxin

16-lines of management of acute HF andAcute Pulmonary edema is

A- Frusemide I’v
B- Nitroglycerine
C-Morphine Iv
D- All of above

True or false

1- If patient with sick Sinus Syndrome Take digoxin, he is at risk of cardiac arrest ()


2- Milrinone is refered in normotensive with preserved renal function ()


3- In Severe cases of Acute heart failure  BP is decreased and shock develops ()


Answers

1-d
2-d
3-C
4-B
d-5
6-d
7-d
  8-C
9-B
10-C
11-d
12-d
13-E
14-B
15-C
16-d

1-T
2-F
3-T

Data

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