Review
NAME THAT DRUG: This organic nitrate is commonly used as an antihypertensive in obstetric
patients.
A) Nitroprusside
B) Fenoldopam
C) Hydralazine
D) Nitroglycerin - correct answer C) Hydralazine
You are transporting a patient with an AMI. Patients vital signs are BP 122/66, HR 112, RR 18,
and SpO2 99% on a NRBM. Which treatment would be most appropriate?
A) Esmolol 50 mcg/kg/min IV
B) Propranolol 10 mg PO
C) Metoprolol 5 mg IV q 5 x 3
D) Labetalol 20 mg IVP - correct answer C) Metoprolol 5 mg IV q 5 x 3
Milrinone (Primacor) is a phosphodiesterase inhibitor. Which of the following statements about
the positive effect of increasing cardiac output with milrinone is TRUE?
A) An increased dromotropic effect (increasing cardiac output) occurs without a chronotropic or
inotropic effect.
B) An increased chronotropic effect (increasing cardiac output) occurs without an inotropic or
dromotropic effect.
C) Answer An increased inotropic effect (increased cardiac output) occurs without a
dromotropic or chronotropic effect.
,D) An increased cardiac output occurs by an increased inotropic, dromotropic, and chronotropic
effect. - correct answer C) Answer An increased inotropic effect (increased cardiac output)
occurs without a dromotropic or chronotropic effect.
NAME THAT DRUG: This phosphodiesterase inhibitor is an inodilator that is used in right-sided
heart failure.
A) Isuprel
B) Dobutamine
C) Hydralazine
D) Milrinone - correct answer D) Milrinone
Which class of drug is ondansetron?
A) Phenothiazine
B) 5-HT3 Serotonin Receptor Antagonist
C) Butyrophenone
D) Dibenzodiazepines - correct answer B) 5-HT3 Serotonin Receptor Antagonist
What type of drug is milrinone?
A) alpha adrenergic agonist
B) beta adrenergic agonist
C) phosphodiesterase inhibitor
D) selective beta blocker - correct answer C) phosphodiesterase inhibitor
NAME THAT DRUG: This naturally occurring hormone causes vasoconstriction through V1
receptors in vascular smooth muscle.
A) Dobutamine
B) Norepinephrine
C) Vasopressin
,D) Epinephrine - correct answer C) Vasopressin
NAME THAT DRUG: This L-Type calcium channel blocker is a potent vasodilator that is highly
lipophilic and can be used for days without tachyphylaxis.
A) Nicardipine
B) Clevidipine
C) Diltiazem
D) Fenoldopam - correct answer B) Clevidipine
You are transporting a patient who is 32 week gestation and suddenly becomes hypertensive
with a BP of 158/90. Which would be the most appropriate first line treatment?
A) hydralazine 10-40 mg IV
B) labetalol 40 mg IV
C) esmolol 50 mg/kg/min IV
D) nitroglycerine 10 mcg/min - correct answer A) hydralazine 10-40 mg IV
Which of the following vasodilators does not require invasive BP monitoring?
A) Epoprostenol
B) Sodium nitroprusside
C) Nicardipine
D) Clevidipine - correct answer A) Epoprostenol
Which of the following blood pressures would you suspect a reduced cardiac output?
A) 140/60
B) 150/120
C) 140/118
D) 160/100 - correct answer C) 140/118
, You are treating a symptomatic hypertensive emergency in which the patient has a BP 200/100.
What is your end goal therapy pressure in the first hour?
A) MAP 63
B) MAP 133
C) MAP 107
D) MAP 92 - correct answer C) MAP 107
Which of the following statements about right heart failure is true?
A) Mitral valve regurgitation is commonly associated
B) CVP waveform will have a flat V wave
C) Positive Kussmaul Sign may be observed
D) Lower extremity edema is non-pitting - correct answer C) Positive Kussmaul Sign may be
observed
Which of the following about abdominal aortic aneurysm is false?
A) Majority of AAA patients are asymptomatic
B) Pulsating abdominal mass is indicative of a rupture
C) Allow permissive hypotension
D) Answer Majority of AAA rupture patients have a known history - correct answer D) Answer
Majority of AAA rupture patients have a known history
LAD Stenosis - correct answer Wellens syndrome
All of the following is a P2Y12 inhibitor EXCEPT:
A) Eptifibatide
B) Prasugrel
C) Clopidogrel
D) Ticagrelor - correct answer A) Eptifibatide