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RCIS- Pharmacology Exam Questions & Answers (Grade A+).docx

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RCIS- Pharmacology Exam Questions
& Answers (Grade A+)
In the cath lab, what medications when combined with routine
nitroglycerine can lead to severe hypotension?


a. NPH insulin
b. ARBs (losartan, candesartan)
c. NSAIDs (ibuprofen, naproxen)
d. Sildenafil (viagra) and vardenafil (levitra) -
correct answer ✅d. Sildenafil (viagra) and vardenafil (levitra)


For patients in atrial fibrillation, the therapeutic range of Coumadin
is an INR of:


a. 0.8-1.5
b. 2.0-3.0
c. 12-15 sec
d. 200-300 sec -
correct answer ✅b. 2.0-3.0


At the beginning of a complex PTCA/stent case on a 200lb man,
10,000 units of unfractionated heparin were administered. One

,RCIS- Pharmacology Exam Questions
& Answers (Grade A+)
hour into the procedure the ACT is measured at 285 sec. The
physician will probably order:


a. no more anticoagulant
b. 5000 units Heparin IV
c. 10,000 units Heparin IV
d. 10mg Protamine IV -
correct answer ✅a. no more anticoagulant


Your 55kg patient comes to the cath lab premedicated with 300mg
Clopidogrel (Plavix) for a PCI. The physician orders 2000 units of
unfractionated Heparin IV. To check for the proper level of
anticoagulation draw the first ACT:


a. just before the heparin is given
b. 5 min after the heparin is given
c. 1 hour after the heparin is given
d. at end of case, prior to pulling the sheath -
correct answer ✅b. 5 min after the heparin is given


What platelet receptor site does abciximab (ReoPro) block?

,RCIS- Pharmacology Exam Questions
& Answers (Grade A+)

a. plasminogen (t-PA)
b. alpha 2-antiplasmin
c. glycoprotein IIb/IIIa
d. thromboxane TXA2 -
correct answer ✅c. glycoprotein IIb/IIIa


All the following are GPIIb/IIIa receptor inhibitors EXCEPT:


a. abciximab (ReoPro)
b. clopidogrel (plavix)
c. eptifibatide (integrilin)
d. tirofiban (aggrastat) -
correct answer ✅b. clopidogrel (plavix)


Which of the following is NOT an anti-platelet drug?


a. ticlopidine (ticlid)
b. clopidogrel (plavix)
c. warfarin (coumadin)

, RCIS- Pharmacology Exam Questions
& Answers (Grade A+)
d. acetylsalicylic acid (aspirin) -
correct answer ✅c. warfarin (coumadin)


Aspirin works in blood because it interferes with:


a. ADP receptors
b. angiotensine II receptors
c. binding of thrombin to fibrinogen
d. conversion of fibrinogen to fibrin
e. prostaglandin synthesis of thromboxane A2 -
correct answer ✅e. prostaglandin synthesis of thromboxane A2


IV Heparin administration to patients with myocardial infarction:


a. lyes clots
b. dissolves clots
c. prevents thrombin formation
d. prevents platelet aggregation -
correct answer ✅c. prevents thrombin formation

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