Wk 4: How to Treat Cardiovascular Disease

Description

Lecture Topic: How to Treat Cardiovascular Disease
Julie Lam
Quiz by Julie Lam, updated more than 1 year ago
Julie Lam
Created by Julie Lam over 9 years ago
12
1

Resource summary

Question 1

Question
Which of the following will cause an increase in blood pressure?
Answer
  • Increased parasympathetic nerve system activity at the sinoatrial node
  • Vasodilatation of the peripheral arterioles
  • A decrease in circulating blood volume
  • Increased activation of cardiac B1 (beta 1) adrenoreceptors

Question 2

Question
Which of the following statements about the renin-angiotensin system is incorrect?
Answer
  • Angiotensin II is the major bioactive peptide
  • Renin is released from the kidney in response to an increase in blood pressure
  • Activation of the system can increase aldosterone production and Na+ retention
  • Increased activity of ACE can lead to enhanced peripheral vasoconstriction

Question 3

Question
Which of the following statements about hypertension is incorrect?
Answer
  • Hypertension is a graded condition
  • Hypertension is a major risk for heart failure and stroke
  • Hypertension is usually due to a specific underlying pathology
  • Hypertension is influenced by both genetic and lifestyle factors

Question 4

Question
ACE inhibitors such as Catopril act by:
Answer
  • Competitively antagonising AT1 receptors
  • Decreasing the formation of angiotensinogen
  • Increasing the activity of renin
  • Reducing the conversion of angiotensin I into angiotensin II

Question 5

Question
Potential adverse effects (AEs) of calcium ion channel blockers such as Amlodopine do NOT include:
Answer
  • Tachycardia
  • Ankle swelling
  • Flushing
  • Orthostatic hypotension

Question 6

Question
Which of the following statements about anti-hypertensive drugs is INCORRECT?
Answer
  • Atenolol will oppose the increases in heart rate and contractility caused by SNS activation
  • Hydrochlorothiazides act in the distal tubule to increase Na+ reabsoprtion
  • Irbesartan antagnoises AT1 receptors to reduce vasoconstriction
  • Prazosin reduces blood pressure by antagonising adrenoreceptors in the vasculature

Question 7

Question
Eplerenone:
Answer
  • Increases Na+ reabsorption in the collecting duct
  • Produces a large diuresis
  • Reduces K+ excretion
  • Is a positive inotrope

Question 8

Question
Which of the following does NOT contribute to the mechanism of action of Digoxin?
Answer
  • An increase in intracellular Na+ concentrations
  • Inhibition of the Na+-K+-ATPase
  • An increase in cytoplasmic Ca2+
  • Increase activity of the Na+-Ca2+ exchanger

Question 9

Question
Organic nitraties such as Glyceryl Trinitrate do all of the following except:
Answer
  • Cause vasodilation
  • Increase cardiac contractility
  • Reduce preload
  • Lower blood pressure

Question 10

Question
Cholesterol:
Answer
  • Is obtained exclusively from dietary sources
  • Can be transported from peripheral tissues to the liver by HDL
  • Circulates independently in the bloodstream
  • Can be synthesised in the adipose tissue

Question 11

Question
Which of the following is NOT part of the mechanism of action for Statins?
Answer
  • Increased uptake of LDL from plasma into hepatocytes
  • Inhibition of HMA coA-reductase
  • Reduction in endogenous cholesterol synthesis
  • Down regulation of LDL receptors

Question 12

Question
In low doses, Asprin reduces platelet activation by:
Answer
  • Reducing prostacyclin (PGl2) production
  • Selectively inhibiting cyclooxygenase in endothelial cells
  • Preventing the release of ADP
  • Acetylating COX1 in platelets
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