Description : Procainamide differs from quinidine in the following respect (a) It does not cause paradoxical tachycardia (b) It has no alfa adrenergic blocking activity (c) It has little antivagal action (d) Both (b ... a) Pacemaker function (b) Resting potential (c) Action potential duration (d) All of the above
Last Answer : Ans: D
Description : The action of digitalis is enhanced by (a) Sodium (b) Calcium (c) Magnesium (d) Potassium (e) Chloride
Last Answer : Ans: B
Description : In cardiac cells, adenosine (a) Causes shortening of action potential duration (b) Depolarization (c) Increase in normal automaticity (d) All of the above
Last Answer : Ans: A
Description : Fexofenadine differs from terfenadine in that: A. It undergoes high first pass metabolism in liver B. It is a prodrug C. It does not block cardiac delayed rectifier K+ channels D. It has high affinity for central H1 receptors
Last Answer : C. It does not block cardiac delayed rectifier K+ channels
Description : Lidocaine is the preferred antiarrhythmic for emergency control of cardiac arrhythmias following acute myocardial infarction because (a) It has a rapidly developing and titratable antiarrhythmic action (b) It casues ... efficacy in atrial as well as ventricular arrhythmias (d) Both (a) and (b)
Description : The dihydropyridines block the following type of calcium channels. (a) L-type voltage sensitive channels (b) T-type voltage sensitive channels (c) N-type voltage sensitive channels (d) Receptor operated calcium channels
Description : Following statement is true about lidocaine (a) Reduce the slope of Phase 4 (b) Threshold excitability is not altered (c) Action potential is not affected (d) All of the above
Description : Regarding verapamil, which one of the following statements is false? (a) Angina pectoris is an important indication for the use of verapamil (b) Contraindicated in the asthmatic patient (c) ... phase of the action potential in AV nodal cells (e) Used in management of supraventricular tachycardias
Description : Though nitrates and calcium channel blockers are both vasodilators, they are used concurrently in angina pectoris because (a) They antagonize each other's side effects (b) Nitrates primarily reduce preload while calcium ... load (c) Nitrates increase coronary flow while calcium (d) Both (b) and (c)
Description : Which of the following drugs is a potassium channel opener ? (a) Pinacidil (b) Hydralazine (c) Glibenclamide (d) Amiloride
Description : The action of quinidine differs from that of digitalis in (a) Decreasing irritability of cardiac muscle (b) Preventing passage of impulses to the ventricle (c) Increasing irritability of heart muscle (d) Reducing conductivity (e) None of the above
Description : Following potassium sparing diuretic inhibits action of aldosterone (a) Amiloride (b) Triamterene (c) Spironolactone (d) All of the above
Last Answer : Ans: C
Description : Digoxin given for cardiac failure is extremely valuable in patients of (a) Thyrotoxicosis (b) Beriberi (c) Cor pulmonale (d) Atrial fibrillation
Description : Therapeutic dose of digoxin in a normal individual has the following effects, except (a) Increase in the speed of myocardial contractility (b) No significant change in cardiac output (c) Relaxation of peripheral vascular bed (d) Increase in the force of myocardial contractility
Description : Cardiac glycosides are obtained from following plant source. (a) Rauwolfia serpentina (b) Strophanthus gratus (c) Ricinus commounts. (d) Atropa belladonna
Description : Enhanced automaticity in cardiac cells may occur because of (a) ß-adrenergic stimulation (b) Hypokalemia (c) Mechanical stretch of cardiac muscles (d) All of the above
Description : The primary mechanism of beneficial effect of glyceryl trinitrate in classical angina pectoris is (a) Increase in total coronary blood flow (b) Redistribution of coronary blood flow (c) Reduction of cardiac preload (d) Reduction of cardiac after load
Description : The chief use of levoarterenol is to treat (a) Shock (b) Diabetes (c) Hypertension (d) Cardiac arrhythmias (e) Iron deficiencies
Description : Acute renal failure (ARF) may be caused by all of the following except (a) Acute tubular necrosis (ATN) due to drug therapy (e.g., aminoglycosides, contrast media) (b) Severe hypotension ... (c) Decreased cardiac output, as from congestive heart failure (d) Hemolysis, myoglobinuria (e) Hyperkalemia
Last Answer : Ans: E
Description : Because of proven beneficial effects on “cardiac remodeling”, these agents are now indicated as first line therapy in CHF patients. Which of the following is representative of this group of drugs? (a) Hydrochlorothiazide (b) Enalapril (c) Furosemide (d) Carvedilol (e) Bumetanide
Description : The term ischemic heart disease (IHD) is used to designate all of the following conditions except (a) Angina pectoris (b) Sudden cardiac death (c) Congestive heart failur (CHF) (d) Arrhythmias
Description : Which of the following is the drug of choice for management of cardiac arrhythmias that occur in digitalis toxicity? (a) Amiodarone (b) Lidocaine (c) Propranolol (d) Sotalol (e) Prazosin
Description : Which one of the following drugs predictably prolongs the PR interval and increases cardiac contractility? (a) Digoxin (b) Lidocaine (c) Propranolol (d) Quinidine (e) Verapamil
Description : Relationship between arterial blood pressure (BP), cardiac outpur (CO) and peripheral vascular resistance (PVR) can be described as (a) BP = COxPVR (b) BP = CO/PVR (c) BP = PVR/CO (d) None of the above
Description : Which of the following statements is not correct? (a) An action potential in an axon does not move backward because the segment behind is in a refractory phase. (b) Depolarisation of hair cells ... d) In the knee-jerk reflex, stimulus is the stretching of muscle and response is its contraction.
Last Answer : (c) Rods are very sensitive and contribute to daylight vision.
Description : Following potassium sparing diuretic is a mineralocorticoid receptor antagonist (a) Amiloride (b) Triamterene (c) Spironolactone (d) All of the above
Description : A 55-year-old patient currently receiving other drugs for another condition is to be started on diuretic therapy for mild heart failure. Thiazides are known to reduce the excretion of (a) Diazepam (b) Fluoxetine (c) Imipramine (d) Lithium (e) Potassium
Description : Which of the following cyclotron produced radiopharmaceuticals is used for assessing regional myocardial perfusion as part of an exercise stress test? (a) Thallous chloride 201TI USP (b) Sodium iodide 123I (c) Gallium citrate 67Ga USP (d) Indium 111In pentetate (e) Cobalt 57Co cyanocobalamin
Description : The normal serum value for potassium is a) 3.5-5.5 mEq/L. Serum potassium must be within normal limits to prevent cardiac dysrhythmias. b) 135-145 mEq/L. Normal serum sodium is 135-145 mEq/L. c) 96-106 mEq/L. ... is 96-106 mEq/L. d) 8.5-10.5 mg/dL. Normal total serum calcium is 8.5-10.5mg/dL.
Last Answer : a) 3.5-5.5 mEq/L. Serum potassium must be within normal limits to prevent cardiac dysrhythmias.
Description : The following are true about the synaptic potential: a. the Na+ and K+ currents occurs simultaneously b. is a graded potential c. the channel is ligand-gated d. the post-synaptic potential is inhibitory when depolarizing
Last Answer : the Na+ and K+ currents occurs simultaneously
Description : The antihypertensive action of calcium channel blockers is characterized by the following except: A. Delayed onset; blood pressure starts falling after 1–2 weeks therapy B. Lack of central side effects C. No compromise of male sexual function D. Safety in peripheral vascular diseases
Last Answer : A. Delayed onset; blood pressure starts falling after 1–2 weeks therapy
Description : Aspirin in small doses (50 to 150 mg per day) (a) Is of benefit in patients of unstable angina (b) Has thrombolytic action (c) PREFerentially inhibits prostacyclin synthetase enzyme (d) MAY Alleviate need for Verapamil in variant angina
Description : Choose the correct statement about the action of nitrates on coronary vessels (a) They mitigate angina pectoris by increasing total coronary flow (b) They preferentially dilate conducting ... the larger arteries (d) They increase subepicardial blood flow without affecting subendocardial blood flow
Description : The mechanism of action of cyclosporine involves (a) Activation of calcineurin (b) Binding to cyclophilin to cause inhibition of a cytoplasmic phosphatase (c) Blockade of interleukin – 2- receptors (d) Inhibition of phospholipase A2 (e) Suppression of bone marrow progenitors
Description : Six months after beginning atorvastatin, the patient's total and LDL cholesterol concentrations remained above normal and he continued to have anginal attacks despite good adherence to his antianginal ... Increased endocytosis of HDL by the liver (e) Increased lipid hydrolysis by lipoprotein lipase
Description : The effect of noradrenaline on the heart include: a. tachycardiac b. increased duration of the cardiac action potential c. decreased potassium conductance of the membranes of pacemaker cells d. increased strength of cardiac contraction
Last Answer : increased strength of cardiac contraction
Description : The characteristic feature(s) of dihydropyridine calcium channel blockers is/are: A. They have minimal negative inotropic action on the heart B. They have no effect on A-V conduction C. They do not affect the activation-inactivation kinetics of the calcium channels D. All of the above
Last Answer : D. All of the above
Description : What drug is used to prevent embolism in the lung and during myocardial infarction? (a) Alteplase (b) Human growth hormone (c) Granulocyte–macrophage colony – stimulating factor (GM–CSF) (d) EPOGEN (EPO) (e) None of the above
Description : After being counseled about lifestyle and dietary changes, the patient was started on atorvastatin. During his treatment with atorvastatin, it is important to routinely monitor serum concentrations of (a) ... Alanine and aspartate aminotransferase (c) Platelets (d) Red blood cells (e) Uric acid
Description : Organic nitrates relax vascular smooth muscle by (a) Increasing intracellular cyclic AMP (b) Increasing intracellular cyclic GMP (c) Decreasing intracellular cyclic AMP (d) Both (b) and (c)
Description : Antianginal drugs afford the following benefit/benefits (a) Terminate anginal attacks (b) Decrease the frequency of anginal attacks (c) Retard the progression of coronary artery disease (d) Both (a) and (b)
Description : Which of the following combinations of drugs, when used together, reduce both preload and afterload? (a) Nitroglycerin and isosorbide dinitrate (b) Hydralazine and isosorbide dinitrate (c) Captopril and methyldopa (d) Prazosin and angiotension II (e) Hydralazine and methyldopa
Description : Exertion–induced angina, which is relieved by rest, nitroglycerin, or both, is referred to as (a) Prinzmetal’s angina (b) Unstable angina (c) Classic angina (d) Variant angina (e) Preinfarction angina
Description : Aldosterone release is stimulated by (a) Angiotensin I (b) Angiotensin (c) Angiotensin III (d) Both (b) and (c)
Description : Choose the correct statement(s) about dofetilide: A. It is a pure class III antiarrhythmic B. It has no adrenergic/cholinergic receptor blocking property C. It selectively depresses the rapid component of delayed rectifier K+ current in myocardial fibres D. All of the above
Description : Which of the following electrolytes is a major cation in body fluid? a) Potassium Potassium is a major cation that affects cardiac muscle functioning. b) Chloride Chloride is an anion. c) Bicarbonate Bicarbonate is an anion. d) Phosphate Phosphate is an anion.
Last Answer : a) Potassium Potassium is a major cation that affects cardiac muscle functioning.
Description : In the neurone: a. the magnitude of the action potential is dependent on the strength of the stimulus b. impulses can travel in both direction c. depolarization is accompanied by increased ... potassium ions d. during depolarization, the potential of the neurone changes from -70mV to +40mV
Last Answer : during depolarization, the potential of the neurone changes from -70mV to +40mV
Description : Major lipid class present in chylomicrons is (a) Endogenous triglycerides (b) Cholesterol esters (c) Dietary triglycerides (d) All of the above
Description : Major beneficial effect of nitrates in classical angina is due to (a) Dilation of veins more than arteries (b) Increase in total coronary blood flow (c) An increase in the end diastolic size of the heart (d) An increase in the heart rate
Description : The agent given sublingually in an acute attack of angina pectoris is (a) Glyceryl trinitrate (b) Amyl nitrite (c) Erythrital tetranitrate (d) Pentaerythritol tetranitrate