Chapter 29. Angina
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Angina is produced by an imbalance between myocardial oxygen supply (MOS) and demand
(MOD) in the myocardium. Which of the following drugs help to correct this imbalance by
increasing MOS?
1. Calcium channel blockers
2. Beta blockers
3. Angiotensin-converting-enzyme (ACE) inhibitors
4. Aspirin
2. Not all chest pain is caused by myocardial ischemia. Noncardiac causes of chest pain include:
1. Pulmonary embolism
2. Pneumonia
3. Gastroesophageal reflux
4. All of the above
3. The New York Heart Association and the Canadian Cardiovascular Society have described grading
criteria for levels of angina. Angina that occurs with unusually strenuous activity or on walking or
climbing stair after meals is class:
1. I
2. II
3. III
4. IV
4. Patients at high risk for developing significant coronary heart disease are those with:
, 1. LDL values between 100 and 130
2. Systolic blood pressure between 120 and 130
3. Class III angina
4. Obesity
5. To reduce mortality, all patients with angina, regardless of class, should be on:
1. Aspirin 81 to 325 mg/d
2. Nitroglycerin sublingually for chest pain
3. ACE inhibitors or angiotensin receptor blockers
4. Digoxin
6. Patients who have angina, regardless of class, who are also diabetic, should be on:
1. Nitrates
2. Beta blockers
3. ACE inhibitors
4. Calcium channel blockers
7. Management of all types and grades of angina includes the use of lifestyle modification to reduce
risk factors. Which of these modifications are appropriate for which reason? Both the modification
and the reason for it must be true for the answer to be correct.
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Angina is produced by an imbalance between myocardial oxygen supply (MOS) and demand
(MOD) in the myocardium. Which of the following drugs help to correct this imbalance by
increasing MOS?
1. Calcium channel blockers
2. Beta blockers
3. Angiotensin-converting-enzyme (ACE) inhibitors
4. Aspirin
2. Not all chest pain is caused by myocardial ischemia. Noncardiac causes of chest pain include:
1. Pulmonary embolism
2. Pneumonia
3. Gastroesophageal reflux
4. All of the above
3. The New York Heart Association and the Canadian Cardiovascular Society have described grading
criteria for levels of angina. Angina that occurs with unusually strenuous activity or on walking or
climbing stair after meals is class:
1. I
2. II
3. III
4. IV
4. Patients at high risk for developing significant coronary heart disease are those with:
, 1. LDL values between 100 and 130
2. Systolic blood pressure between 120 and 130
3. Class III angina
4. Obesity
5. To reduce mortality, all patients with angina, regardless of class, should be on:
1. Aspirin 81 to 325 mg/d
2. Nitroglycerin sublingually for chest pain
3. ACE inhibitors or angiotensin receptor blockers
4. Digoxin
6. Patients who have angina, regardless of class, who are also diabetic, should be on:
1. Nitrates
2. Beta blockers
3. ACE inhibitors
4. Calcium channel blockers
7. Management of all types and grades of angina includes the use of lifestyle modification to reduce
risk factors. Which of these modifications are appropriate for which reason? Both the modification
and the reason for it must be true for the answer to be correct.
