COMPREHENSIVE STUDY GUIDE 2026/2027
In the treatment of atrial fibrillation, what is the preferred method for improving ventricular
pumping? - correct answer ✔✔Use of a calcium channel blocker
A patient with stable angina managed by ranolazine experiences worsening chest pain despite
taking his medication regularly. What is the most likely reason this patient is experiencing
worsening chest pain despite taking ranolazine regularly? - correct answer ✔✔Progression of
underlying coronary artery disease
A 65-year-old patient with a history of heart failure is prescribed hydrochlorothiazide. The
patient has a creatinine clearance of 24 mL/min. What is the correct statement regarding the
use of thiazide diuretics in this patient? - correct answer ✔✔Thiazides are ineffective due to low
creatinine clearance
A patient with a history of type 2 diabetes and asthma is being considered for beta blocker
therapy to manage their hypertension. What should the provider be most concerned about
when prescribing a non-selective beta blocker to this patient? - correct answer
✔✔Bronchoconstriction and masking of hypoglycemia
A patient with heart failure is prescribed captopril, an angiotensin-converting enzyme inhibitor
(ACEI). What is the primary action of this medication? - correct answer ✔✔Promoting fluid loss
A patient with a 12% 10-year cardiovascular disease (CVD) risk, controlled hypertension, and no
history of gastrointestinal bleeding asks about aspirin therapy. What is the most appropriate
recommendation? - correct answer ✔✔Initiate low-dose aspirin (81 mg/day) due to his
elevated CVD risk and low bleeding risk
What is a significant adverse effect associated with gemfibrozil's impact on warfarin? - correct
answer ✔✔Increased anticoagulant effects