Thera2-AFDrugs Quiz Stats

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Hint Answer % Correct
Diltiazem's side effects include: dizziness, headache, and ___ block.AV
100%
T or F: When taking Amiodarone, an ocular exam should be performed for a baseline and then if symptoms occur.T
92.3%
T or F: Dabigatran's therapeutic uses include: anticoagulant, A. fib, DVT, PE prophylaxis, and stroke prophylaxis.T
92.3%
T or F: Dabigitran has drug interactions with: amiodarone, rifampin, and other thrombolytic agents.T
92.3%
Sotalol V-W Classification: Type____III
84.6%
Flecainide V-W Classification: Type____1c
84.6%
Type III V-W drugs block ____ channels.K
84.6%
Amiodarone should only be used for _____ control in patients unresponsive to other treatments.rate
84.6%
Sympatholytics work by _____ conduction velocity and automaticity.decreasing
84.6%
Sotalol is contraindicated in asthma and renal impairment (CrCl < ___ mL/min)40
84.6%
In pregnant women with AF, ___, CCB, or digoxin is recommended for rate control.BB
84.6%
Phase where potassium efflux is the major movement.three
84.6%
Propafenone V-W Classification: Type____Ic
76.9%
Dofetilide V-W Classification: Type____III
76.9%
Antidote for Digoxin toxicity.Digibind
76.9%
Which drug not classified in the V-W system is good for rate control?Digoxin
76.9%
Type II V-W drugs are ________ and have some calcium channel blockade.sympatholytics
76.9%
Type IV V-W drugs block ____ channels.Ca
76.9%
T or F: Amiodarone's rhythm control use pertains to pharmacologic cardio conversion.T
76.9%
T or F: Amiodarone's risk of bradycardia and AV is DECREASED when used concurrently with CCBs or beta-blockers.F
76.9%
T or F: Amiodarone is contraindicated in pts with a QTc >440msec.T
76.9%
T or F: Amiodarone decreases the concentrations of warfarin, digoxin, class 1a agents, flecainide, phenytoin, and cyclosporine.F
76.9%
T or F: Patients with HF do worse on Dronedarone than Amiodarone.T
76.9%
T or F: Dronedarone is used for rate control.F
76.9%
T or F: Sotalol is considered a 'mixed agent' and possesses some beta-blocking properties.T
76.9%
T or F: Flecainide's adverse effects include: aggravation of HF, blurred vision, hypotension, and VT.T
76.9%
T or F: Dofetilide dosing needs to be adjusted for renal impairment.T
76.9%
T or F: Dofetilide is contradindicated if QTc > 440msecT
76.9%
T or F: Anticoagulation therapy is NOT recommended throughout pregnancy for all patients.F
76.9%
Digoxin works by slowing conduction through the AV node and also has a _____ inotropic effect.+
76.9%
T or F: Digoxin's therapeutic uses include being used in combo with amiodarone in patients with HF.True
76.9%
T or F: Digoxin is NOT used in pregnancy.F
76.9%
T or F: Adenosine should be used with caution in patients with bronchoconstrictive or bronchospastic disease.T
76.9%
Phase where sodium influx is major movement.zero
76.9%
Phase where calcium influx is major movement.one
76.9%
What is the most common symptom of atrial fibrillation?palpitations
76.9%
Brand Name DronedaroneMultaq
69.2%
Ibutilide V-W Classification: Type____III
69.2%
Verapamil V-W Classification: Type____IV
69.2%
Which V-W classes are attributed to rhythm control? (enter answer as ___,____,___, and ____)Ia,Ib,Ic, and III
69.2%
Type I V-W drugs block ____ channels.Na
69.2%
T or F: Amiodarone can be used for both rhythm control AND rate control.T
69.2%
When taking Amiodarone, GI tract and TSH & T4 should be monitored with a baseline and then every __ months.six
69.2%
T or F: Type 1c drugs extinguish the impulse to eliminate re-entryT
69.2%
Which of the following is NOT an adverse effect of Propafenone: (a) bronchospasm (b) hypotension (c) VT (d) dizziness (e) fatiguee
69.2%
Ibutilide's contraindications are 'relative' regarding cardiac arrhythmias and ___ prolongation.QT
69.2%
Hint Answer % Correct
T or F: Sotalol's class III effects are best seen at a low dose.F
69.2%
Sotalol's side effects include all of the following except: (a) hypotension (b) fatigue (c) bronchospasm (d) torsades de pointesa
69.2%
Dabigatran's side effects include GI issues and increased risk of ______.bleeding
69.2%
Flecainide is indicated for use in only _______ AF/AFL.paroxysmal
69.2%
T or F: Dofetilide must be started in the hospital.T
69.2%
Phase where calcium influx is the major movement and is also the 'plateau phase'two
69.2%
Phase where sodium and potassium exchange is the major movement.four
69.2%
Term for A. Fib w/ an onset within 48 hours. acute
69.2%
Esmolol V-W Classification: Type____II
61.5%
Dronedarone V-W Classification: Type____III
61.5%
Metoprolol V-W Classification: Type____II
61.5%
Dabigatran is a ______ inhibitor.thrombin
61.5%
Brand Name Dofetilide Tikosyn
61.5%
Which V-W classes are attributed to rate control? (enter as '___ and ___')II & IV
61.5%
T or F: Amiodarone is mostly Type III, but has properties of all V-W class types.T
61.5%
When taking Amiodarone, skin and CNS should be checked at _____ visit. every
61.5%
Heart related side effects of Amiodarone include: __________ and AV block; it also may be considered proarrhythmia.bradycardia
61.5%
T or F: Beta-blockers indirectly work on Ca channels to prevent re-entry into the cell.T
61.5%
T or F: Sympatholytics used to be recommended in all patients undergoing cardiac surgery to prevent AF.T
61.5%
T or F: Beta-blockers are only useful in ventricular arrhythmias.F
61.5%
T or F: Dabigatran works by preventing thrombin-induced platelet aggregation and development of a thrombus by inhibiting conversion of fibrinogen to fibrin.T
61.5%
T or F: Dofetilide prolongs refractoriness in atrial and ventricular tissue.T
61.5%
CCBs major contraindication is ____ heart failure.systolic
61.5%
Digoxin's adverse effects include all of the following except: (a) edema (b) diarrhea (c) N/V (d) visual disturbancesa
61.5%
Adenosine's is contraindicated in all of the following except: (a) AF (b) atrial flutter (c) VT (d) QTc > 440msecd
61.5%
Term for A. Fib that has 2+ episodes.recurrent
61.5%
Term for A. Fib that lasts > 7 days; no termination.persistent
61.5%
Term for A. Fib that has no termination despite attempts.permanent
61.5%
Amiodarone V-W Classification: Type____III
53.8%
Brand Name Metoprolol (regular release)Lopressor
53.8%
Brand Name DabigatranPradaxa
53.8%
Brand Name DiltiazemCardizem
53.8%
Diltiazem V-W Classification: Type____IV
53.8%
Adenosine V-W Classification: Type____IV
53.8%
T or F: Amiodarone does NOT require much monitoring.F
53.8%
Dronedarone is contraindicated in patients with a QTc > ____ msec440
53.8%
Adverse effects of verapamil include: ____ and hypotension.edema
53.8%
Term for A. Fib that terminates spontaneously in < 7 days.paroxysmal
53.8%
Brand Name AmiodaroneCordarone
46.2%
Amiodarone's MOA includes ______ refractory period and delaying repolarization by blocking K channels.increasing
46.2%
Amiodarone's conversion from IV to PO: if on IV < ___ week, load with oral followed by maintenance.one
46.2%
When taking Amiodarone, a chest x-ray and ECG should be monitored with a baseline and then ______.annually
46.2%
Ibutilide's main therapeutic use is ________.cardioversion
46.2%
Dabigatran's contraindications include: __________.bleeding
46.2%
Flecainide is contraindicated in chronic sustained AF and ____ _____.heart disease
46.2%
In pregnancy, ____ is recommended in women who become hemodynamically unstable.DCC
46.2%
Hint Answer % Correct
Adenosine works by producing a ____ AV block therefore breaking the re-entrant circuit.transient
46.2%
Brand Name PropafenoneRhythmol
38.5%
Brand Name VerapamilCalan
38.5%
Clinically important side effects of beta blockers include: bradycardia and ________.fatigue
38.5%
Propafenone is contraindicated in patients with heart disease and should be used with caution in patients with _______asthma
38.5%
Ibutilide's adverse effects include: torsades de pointes and ________.hypotension
38.5%
Dabigatran's dosing is: ___mg PO BID.150
38.5%
Flecainide's 'pill in pocket' dosing is: ___-___mg PO x 1 dose for cardioconversion. (enter answer as # - #)200-300
38.5%
Adenosine's dosing is: __mg x 1 dose; can follow with 12mg IV if lower dose ineffective.6
38.5%
Brand Name IbutilideCorvert
30.8%
Brand Name Metoprolol (extended release)Toprol XR
30.8%
Brand Name DigoxinDigitek
30.8%
Amiodarone's conversion from IV to PO: if on IV > 1 week, start on _______ dose.maintenance
30.8%
An important side effect of Amiodarone is __________ pneumonitishypersensitivity
30.8%
Sympatholytic's MOA includes _____ ventricular rate in response to atrial tachycardia.slowing
30.8%
Propafenone's 'pill in pocket' dose is ____mg PO x 1 dose for cardioconversion.600
30.8%
Metorpolol's PO dosing is: ___-___mg BID. (enter answer as # - #)25-100
30.8%
Diltiazem's IV dosing is: load ___mg over 2 min, then 5-15mg/hr.25
30.8%
Verapamil's PO dosing of regular release formulation is: ___-___mg TID (enter as # - #)40-120
30.8%
Brand Name FlecainideTambocor
23.1%
Brand Name AdenosineAdenocard
23.1%
A beta-blocker is most helpful in tachycardias resulting from abnormal _________.automaticity
23.1%
Ibutilide's dosing is: load __mg IV; may repeat in 10 min.one
23.1%
Dofetilide's main adverse effect is _______.torsades de pointes
23.1%
Diltiazem's PO dosing is: ___-___mg TID or QID for regular release. (enter as # - #)60-90
23.1%
Diltiazem's PO dosing is: ___ - ___mg daily for sustained release. (enter as # - #)180-360
23.1%
Verapamil's IV dosing is: load ___-___mg over 2 min then 5-10mg/hr. (enter as # - #)5-10
23.1%
Digoxin's IV or PO loading dose is: ___mg every 2 hours up to a max of 1.5mg.0.25
23.1%
Digoxin's IV or PO maintenance dose is: ____ - ____mg daily. (enter as # - #)0.125-0.25
23.1%
Amiodarone's oral dosing is _____mg/day for 1 week, then 400mg/day for 1 month, then 200mg/day for maintenance.800
15.4%
Esmolol's dosing is ______mcg/kg bolus, then ____mcg/kg/min and titrate to effect. (enter answer as # , #)500,50
15.4%
Propafenone's PO dose is: ___-___mg/day. (enter as # - #)450-900
15.4%
Sotalol's dosing is: ___-___mg/day PO (enter answer as # - #)160-320
15.4%
Metoprolol's IV dosing is: ___mg at 1mg/min x 6 hours.5mg
15.4%
Verapamil's PO dosing of SR formulation is: ___-___mg daily (enter as # - #)120-480
15.4%
Brand Name SotalolBetapace
7.7%
Amiodarone's IV dosing is ____-_____mg IV bolus (10min), 1mg/min x 6 hrs, then 0.5mg/min thereafter. (enter answer as # - #)150-300
7.7%
Type 1c drugs' MOA includes decreasing conduction velocity and _______.automaticity
7.7%
Propafenone's IV dose is: ___-___ mg/kg IV over 10-20 minutes. (enter as # - #)1.5-2
7.7%
Dofetilide's main drug interaction is with _____.HCTZ
7.7%
Dofetilide's dosing for cardioconversion is ___mcg PO BID, which may be reduced to ___mcg PO BID if QTc prolongs. (enter as # , #)500,250
7.7%
Brand Name EsmololBrevibloc
0%
Dabigatran's monitoring parameters are: ____.sCr
0%
Flecainide's IV dosing is: ___-___mg/kg IV over 10-20 minutes. (enter as # - #)1.5-3
0%

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