Questão 1
Questão
Quinidine is principally used to treat
Questão 2
Questão
Quinidine is used to treat
Questão 3
Questão
Verapamil is most efficacious in the treatment of
Questão 4
Questão
Which of the following drugs is most useful in treating or preventing angina pectoris?
Responda
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a. Digitalis
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b. Quinidine
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c. Propranolol
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d. Procainamide
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e. Pentobarbital
Questão 5
Questão
Each of the following drugs can be used in the prevention and treatment of angina pectoris EXCEPT
Questão 6
Questão
All of the following drugs are useful in the treatment of hypertension EXCEPT
Responda
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a. Ephedrine
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b. Reserpine
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c. Methyldopa
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d. Thiazide diuretics
Questão 7
Questão
Digitalis is useful in the treatment of which of the following conditions?
Questão 8
Questão
All of the following drugs are useful in the treatment of cardiac arrhythmias EXCEPT
Responda
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a. Digitalis
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b. Lidocaine
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c. Phenytoin
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d. Procainamide
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e. Aminophylline
Questão 9
Questão
The drug of choice for initial therapy for mild hypertension is
Responda
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a. Reserpine
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b. Guanethidine
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c. Phenobarbital
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d. Chlorothiazide
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e. Alpha-methyldopa
Questão 10
Questão
Which of the following antihypertensives are usually reserved for treatment of severe hypertension?
Responda
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a. Sedatives and reserpine
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b. Thiazide diuretics and reserpine
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c. Sedatives and thiazide diuretics
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d. Guanethidine and ganglionic blocking agents
Questão 11
Questão
Which of the following beta-adrenergic receptor blocking agents is thought to be cardioselective?
Responda
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a. Nadolol
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b. Timolol
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c. Metoprolol
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d. Propranolol
Questão 12
Questão
Antiarrhythmic drugs, such as quinidine, suppress certain cardiac arrhythmias by
Responda
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a. Stimulating the beta-adrenergic receptor
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b. Suppressing cardiac ATP-ase activity
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c. Increasing ectopic pacemaker activity
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d. Increasing the refractory period of cardiac muscle
Questão 13
Questão
Most drugs useful in the treatment of cardiac arrhythmias act primarily by
Responda
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a. Blocking Purkinje fibers
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b. Blocking the alpha-adrenergic receptor
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c. Suppressing SA node impulse formation
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d. Causing a positive inotropic effect
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e. Increasing the refractory period of cardiac muscle
Questão 14
Questão
The most important pharmacologic action of drugs that suppress cardiac arrhythmias is
Responda
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a. Blockade of the vagus nerve
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b. Stimulation of cardiac ATP-ase activity
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c. Blockade of the Beta-adrenergic receptor
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d. Stimulation of the beta-adrenergic receptor
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e. Increased refractory period of cardiac muscle
Questão 15
Questão
Lidocaine produces its antiarrhythmic effects by
Responda
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a. Increasing AV conduction
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b. Decreasing cardiac excitability
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c. Increasing cardiac conduction velocity
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d. Increasing spontaneous pacemaker activity
Questão 16
Questão
When digitalis is used in atrial fibrillation, the therapeutic objective is to
Responda
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a. Abolish cardiac decompensation
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b. Inhibit vagal impulses to the heart
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c. Decrease the rate of A-V conduction
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d. Increase the rate of cardiac repolarization
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e. Produce a decrease in the rate of atrial contraction
Questão 17
Questão
Nitroglycerin dilates the coronary arteries in angina pectoris by
Responda
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a. Decreasing the heart rate reflexly
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b. Increasing the metabolic work of the myocardium
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c. Direct action on smooth muscle in the vessel walls
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d. Increasing the effective refractory period in the atrium
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e. Blocking beta-adrenergic receptors
Questão 18
Questão
Propranolol is of value in treating angina pectoris because it
Responda
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a. Has a direct action on vascular smooth muscle
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b. Blocks autoregulatory mechanisms in the heart
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c. Inhibits oxygen metabolism in cardiac cells
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d. Provides relief within seconds of an acute anginal attack
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e. Prevents chronotropic responses to endogenous epinephrine emotions and exercise
Questão 19
Questão
Administration of angiotensin results in
Responda
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a. Anti-inflammatory effects
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b. Antihistaminic effects
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c. Increased blood pressure
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d. Increased heart rate
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e. A sedative effect
Questão 20
Questão
The primary antihypertensive effect of captopril (Capoten) is due to accumulation of
Questão 21
Questão
Administration of angiotensin results in
Responda
-
a. A sedative effect
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b. Increased heart rate
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c. Increased blood pressure
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d. Antihistaminic effects
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e. Anti-inflammatory effects
Questão 22
Questão
Which of the following is NOT characteristic of the thiazide diuretics?
Responda
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a. Increase renal excretion of sodium and chloride
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b. Increase renal excretion of potassium
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c. Increase the toxicity of digitalis
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d. Exacerbate existing diabetes
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e. Cause hypokalemia
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f. Cause hypoglycemia
Questão 23
Questão
The most useful diuretic drugs act by
Responda
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a. Increasing the glomerular filtration rate
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b. Decreasing the renal reabsorption of sodium
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c. Decreasing the renal excretion of chloride
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d. Increasing the renal reabsorption of potassium
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e. Increasing the secretion of antidiuretic hormone
Questão 24
Questão
Which of the following drugs act by inhibiting renal reabsorption of sodium?
Responda
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a. Urea
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b. Chlorothiazide
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c. Theophylline
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d. digitalis glycosides
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e. Procainamide
Questão 25
Questão
Digoxin exerts its positive inotropic effect by
Responda
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a. Activation of adenylcyclase
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b. Inhibition of phosphodiesterase
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c. An agonist effect of beta-receptors
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d. Inhibition of Na+, K+ ATPASE leading to increased calcium influx
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e. Decreasing the amount of calcium available for excitationcontraction coupling
Questão 26
Questão
Digitoxin is effective in the treatment of cardiac failure because it
Responda
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a. Is primarily a diuretic
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b. Reduces the ventricular rate
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c. Decreases abnormal cardiac rhythms
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d. Produces peripheral vasoconstriction
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e. Has a positive cardiac inotropic action
Questão 27
Questão
The primary action of therapeutic doses of digitalis on cardiac muscle is an increase in
Responda
-
a. Force of contraction
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b. Ventricular excitability
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c. Refractory period of the atrial muscle
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d. Refractory period of the ventricular muscle
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e. Rate of conduction of impulse to the muscle
Questão 28
Questão
The beneficial effects of digitalis in congestive heart failure result in part from the fact that digitalis causes
a. A decrease in end-diastolic volume
b. A decrease in end-diastolic pressure
c. An increase in stroke volume and cardiac output
d. A decrease in central venous pressure
e. A decrease in rate of the hear where tachycardia exists
Responda
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a) (a), (b) and (c)
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b) (a) and (c) only
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c) (c) and (d)
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d) (e) only
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e) All of the above
Questão 29
Questão
The cardiac glycosides will increase the concentration of which ion in an active heart muscle?
Responda
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a. Sodium
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b. Bromide
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c. Calcium
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d. Chloride
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e. Potassium
Questão 30
Questão
Which of the following ions augments the inotropic effect of digitalis?
Responda
-
a. Sodium
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b. Lithium
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c. Calcium
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d. Chloride
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e. Magnesium
Questão 31
Questão
In the treatment of congestive heart failure, digitalis glycosides generally decrease all of the following EXCEPT
Questão 32
Questão
The mechanism of action of prazosin, an antihypertensive agent is to
Responda
-
a. Block beta-adrenergic receptors
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b. Inhibit formation of angiotensin II
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c. Inhibit nerve-induced release of norepinephrine
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d. Stimulate central inhibitory alpha-adrenergic receptors
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e. Inhibit the postsynaptic of norepinephrine on vascular smooth muscle
Questão 33
Questão
Which of the following owes a significant amount of its antihypertensive effect to a central action?
Responda
-
a. Methyldopa
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b. Metoprolol
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c. Hydralazine
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d. Propranolol
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e. Guanethidine
Questão 34
Questão
Which of the following drugs is thought to reduce arterial blood pressure by activating alpha receptors in the vasomotor center of the medulla?
Responda
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a. Prazosin
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b. Clonidine
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c. Propranolol
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d. Guanethidine
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e. Chlorothiazide
Questão 35
Questão
Propranolol (Inderal) can be useful in the treatment of hypertension because it blocks
Responda
-
a) (a) and (b)
-
b) (a) and (d)
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c) (b), (c) and (d)
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d) (c), (d) and (e)
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e) (c) and (e) only
Questão 36
Questão
One of the proposed mechanisms of the antihypertensive effect of beta-adrenergic receptor blocking agents is
Questão 37
Questão
Selective beta-1 adrenergic agonists will produce which of the following effects?
Responda
-
a. Glycogenolysis
-
b. Increased cardiac output
-
c. Decreased diastolic pressure
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d. Decreased peripheral resistance
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e. Relaxation of bronchial smooth muscle
Questão 38
Questão
Ototoxicity with deafness may encountered occasionally in patients taking which of the following diuretic agents?
Responda
-
a. Osmotic
-
b. Thiazide
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c. Mercurial
-
d. High-ceiling
Questão 39
Questão
Ototoxicity with deafness may encountered occasionally in patients taking which of the following diuretic agents?
Responda
-
a. Osmotic
-
b. Thiazide
-
c. Mercurial
-
d. High-ceiling
Questão 40
Questão
Symptoms of digitalis toxicity include all of the following EXCEPT
Responda
-
a. Extrasystoles
-
b. Nausea and vomiting
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c. Yellow-green vision
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d. A-V conduction block
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d. Chlorothiazide
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e. Acetylsalicylic acid