Your-Doctor
Multiple Choice Questions (MCQ)

Quiz Categories Click to expand

Category: Cardiology--->Pharmacology
Page: 11

Question 51#Print Question

Y. J. is a 67-year-old African American man with HF who has been treated with lisinopril 20 mg daily, metoprolol succinate 25 mg daily, furosemide 40 mg twice daily, and spironolactone 12.5 mg daily. Despite his current therapy, he still complains of shortness of breath while conducting usual daily activities. What is the most appropriate change that should be made to his regimen?

A. Increase spironolactone
B. Start hydralazine
C. Initiate isosorbide dinitrate and hydralazine
D. Increase lisinopril


Question 52#Print Question

Which of the following statements is true?

A. Serum levels are used to guide the selection of the dose of digoxin
B. Because spironolactone was found to have mortality benefit in the Randomized Aldactone Evaluation Study (RALES), the addition of spironolactone should be considered for all HF patients
C. The benefit of long-term IV inotropic therapy may outweigh the increased mortality risk in refractory patients unable to be weaned from IV inotropic support
D. Digoxin exhibits both symptomatic and mortality benefit in patients with HF


Question 53#Print Question

One month ago, a 37-year-old woman with sinus infection responded well to a 14-day course of amoxicillin/clavulanate 875/125 mg twice daily. She is scheduled for a root canal in 1 week. In the past, her dentist had prescribed one dose of clindamycin 600 mg, 1 hour prior to any dental work, for endocarditis prophylaxis because of her history of mitral valve prolapse. Realizing she has not received her prescription, the patient calls the dentist’s office for an antibiotic. What prophylaxis is indicated for this patient? 

A. Amoxicillin 2 g PO 1 hour before the procedure
B. Clindamycin 600 mg PO 1 hour before the procedure
C. Azithromycin 500 mg PO 1 hour before the procedure
D. No prophylaxis recommended in this patient


Question 54#Print Question

S. C. is a 59-year-old woman diagnosed with enterococcal endocarditis. She has no known drug allergies. Which of the following would exhibit standard therapy?

A. Penicillin G, 5 million units IV every 4 hours for 4 to 6 weeks, plus gentamicin, 2.5 mg/kg IV every 8 hours for 4 to 6 weeks
B. Ampicillin, 2 g IV every 4 hours for 4 to 6 weeks, plus gentamicin, 1 mg/kg IV every 8 hours for 4 to 6 weeks
C. Ampicillin, 2 g IV every 4 hours for 4 to 6 weeks, plus gentamicin, 1 mg/kg IV every 8 hours for 3 to 5 days
D. Vancomycin, 30 mg/kg per 24 hours in two equally divided doses for 4 to 6 weeks




Category: Cardiology--->Pharmacology
Page: 11 of 11