UPDATED ACTUAL Exam Questions and
CORRECT Answers
How do ACE inhibitors work - CORRECT ANSWER - It inhibits angiotensin 1 from
converting to angiotensin 2 which inhibits vasoconstriction
What are ACE inhibitors usually given with - CORRECT ANSWER - preload reducers(
thiazide diuretics), rhythm control meds( digoxin)
ACE inhibitor SE - CORRECT ANSWER - Hypotension( BP #1 PRIORITY)
Dizziness
rash
cough
Example of ace inhibitors - CORRECT ANSWER - PRIL- Catopril, Lisinopril, Enalapril,
Ramipril
Purpose of anticoagulants - CORRECT ANSWER - prevent thrombus formation
Anticoagulant SE - CORRECT ANSWER - bleeding
Example of Anticoagulants - CORRECT ANSWER - Coumadin ( Warfarin),Heparin
Anti-platelet aggregator - CORRECT ANSWER - Plavix- prevents platelets from clumping
What do you monitor in Coumadin (Warfarin) ? - CORRECT ANSWER - Pt-INR(this is only
for Coumadin) should be 2-2 1/2 baseline
,What do you monitor in heparin - CORRECT ANSWER - PTT
antidote for heparin - CORRECT ANSWER - protamine sulfate
Antidote for Coumadin (Warfarin) - CORRECT ANSWER - Vitamin K give if INR 5<
Who would a pt be on Coumadin & Heparin at the same time - CORRECT ANSWER -
Coumadin takes a while to reach therapeutic affect heparin works fast
How do angiotensin receptor (ARBS) blockers work - CORRECT ANSWER - prevents
angiotensin from binding with its receptor rendering it ineffective and preventing
vasoconstriction
ARBs SE - CORRECT ANSWER - hypotension ( BP #1 priority) , dizziness
Example of ARBS - CORRECT ANSWER - "SARTAN"
Losartan
Valsartan
What do beta 1 receptors do? - CORRECT ANSWER - ^ HR & contractility in heart
What do beta 2 receptors do? - CORRECT ANSWER - dilate bronchioles, and dilate the
vessels of the skeletal muscles so they can receive the increased blood flow
How do beta blockers work - CORRECT ANSWER - prevents beta 1 & 2 from binding with
their receptors which prevents normal SNS response ( decreases HR, force of contraction, rate of
conduction, Co)
, Why do diabetics need to monitor their blood sugar more often when on beta blockers -
CORRECT ANSWER - can mask hypoglycemic episode due to SNS not being able to
respond
What conditions are really good to use beta blockers with - CORRECT ANSWER - ischemic
heart ( due to decreased O2 need)
ischemic ventricular dysrhythmias, also anxiety
A inotropic medication affects - CORRECT ANSWER - contractility
A Chronotropic medication affects - CORRECT ANSWER - heart rate & conduction
SE for BB'S - CORRECT ANSWER - Hypotension, bradycardia, fatigue, weakness, sexual
dysfunction
Do not give propranolol to a patient with - CORRECT ANSWER - asthma due to decreased
bronchodiolation
Examples of BB's - CORRECT ANSWER - Propranolol, Nadolol, Metoprolol, Atenolol
How do calcium channel blockers work - CORRECT ANSWER - blocks calcium from
crossing cell membrane which will decrease HR & contractility (Monitor HR & BP)
CCB are good to use with what valvular condition - CORRECT ANSWER - aortic & mitral
stenosis
Do not give CCB to a patient with what valvular condition - CORRECT ANSWER - aortic
regurgitation due to decrease in ventricular contractility & potential for bradycardia
SE of CCB - CORRECT ANSWER - bradycardia