NYU PHARMACOLOGY EXAMINATION
TEST 1 2026 COMPLETE QUESTIONS AND
SOLVED SOLUTIONS
⩥ Classic (stable) angina. Answer: Stress, exertion induced, cause
narrowing of arteries
⩥ Unstable (preinfarction) angina. Answer: Occurs frequently with
progressive severity unrelated to activity; unpredictable regarding
stress/exertion and intensity
DT artery narrowing/partial occlusion
⩥ Variant (vasospastic) angina. Answer: Occurs during rest
Caused by vessel spasm (Vasospasm)
⩥ Nitroglycerin. Answer: Indication: Angina
- subling = most comon= avoids first pass via liver = inc ABSORPTION
- max 3 doses, 5 mins apart
*TAKE DOSE 1 LAYING DOWN, CALL 911 IF PAIN PERSISTS
+5MINS*
**AVOID WEATHER EXTREMES!**
,**avoid alcohol + extreme exercise!**
*rotate patch site. PATCH OFF FOR BEDTIME!*
MOA:
- relax smooth musc + vasodilate
- dec myocardial 02 demand
-dec preload
-dec afterload
-dec peripheral vasc resistance
AE:
- headache tx w/ acetaminophen
- de BP/dizzy
-REBOUND MYOCARDIAL ISCHEMIA IF NOT TAPER!!!!
- reflex tachy if given to quickly
-circulatory collapse 911
Considerations:
-hypotension
- HOLD SBP <90!!!!
-sit/lay down esp 1st dose!!!!!
-DO NOT PLACE TOPICAL NITRO IN AREA OF
CARDIOVERTER/DEFIB PADDLE PLACEMENT!!!!!
,INTERACTIONS:
- inc hypotension if given with
* beta blockers
* Ca channel blockers
* antiHTN
* alcohol
-IV nitro dec heparin effectiveness
-CONTRAINDICATED FOR PTS WHO HAVE TAKEN SILDENAFIL
W/IN 48 HOURS!!!
⩥ Beta blockers. Answer: NONSELECTIVE: PROPANALOL (b1&b2)
SELECTIVE: METOPROLOL (b1)
indication:
- antianginal
- anidysrhythmic
-antiHTN
MOA:
- blocks beta 1 + beta 2 receptor sites
, - decrease sympathetic NS, block action of
catecholamines(epi/norephinephrine)
-DC HR+BP!!!!!!!
AE:
NON select b1/b2 propran= BRONCOSPAMS/IMPOTENCE!!!
Selective= monitor early use
CONSIDERATIONS:
- no abrupt stop. can cuase reflex tachy + recurrent angina
-DO NOT STOP PERIOP!!!!!!!
Contraindications:
- 2nd / 3rd degree av block = risk severe conduction disturbances and
DEATH
⩥ Calcium Channel Blockers. Answer: diltiazem- inpt
nifedipine- outpt
INDICATIONS:
- classic angina
-variant angina
TEST 1 2026 COMPLETE QUESTIONS AND
SOLVED SOLUTIONS
⩥ Classic (stable) angina. Answer: Stress, exertion induced, cause
narrowing of arteries
⩥ Unstable (preinfarction) angina. Answer: Occurs frequently with
progressive severity unrelated to activity; unpredictable regarding
stress/exertion and intensity
DT artery narrowing/partial occlusion
⩥ Variant (vasospastic) angina. Answer: Occurs during rest
Caused by vessel spasm (Vasospasm)
⩥ Nitroglycerin. Answer: Indication: Angina
- subling = most comon= avoids first pass via liver = inc ABSORPTION
- max 3 doses, 5 mins apart
*TAKE DOSE 1 LAYING DOWN, CALL 911 IF PAIN PERSISTS
+5MINS*
**AVOID WEATHER EXTREMES!**
,**avoid alcohol + extreme exercise!**
*rotate patch site. PATCH OFF FOR BEDTIME!*
MOA:
- relax smooth musc + vasodilate
- dec myocardial 02 demand
-dec preload
-dec afterload
-dec peripheral vasc resistance
AE:
- headache tx w/ acetaminophen
- de BP/dizzy
-REBOUND MYOCARDIAL ISCHEMIA IF NOT TAPER!!!!
- reflex tachy if given to quickly
-circulatory collapse 911
Considerations:
-hypotension
- HOLD SBP <90!!!!
-sit/lay down esp 1st dose!!!!!
-DO NOT PLACE TOPICAL NITRO IN AREA OF
CARDIOVERTER/DEFIB PADDLE PLACEMENT!!!!!
,INTERACTIONS:
- inc hypotension if given with
* beta blockers
* Ca channel blockers
* antiHTN
* alcohol
-IV nitro dec heparin effectiveness
-CONTRAINDICATED FOR PTS WHO HAVE TAKEN SILDENAFIL
W/IN 48 HOURS!!!
⩥ Beta blockers. Answer: NONSELECTIVE: PROPANALOL (b1&b2)
SELECTIVE: METOPROLOL (b1)
indication:
- antianginal
- anidysrhythmic
-antiHTN
MOA:
- blocks beta 1 + beta 2 receptor sites
, - decrease sympathetic NS, block action of
catecholamines(epi/norephinephrine)
-DC HR+BP!!!!!!!
AE:
NON select b1/b2 propran= BRONCOSPAMS/IMPOTENCE!!!
Selective= monitor early use
CONSIDERATIONS:
- no abrupt stop. can cuase reflex tachy + recurrent angina
-DO NOT STOP PERIOP!!!!!!!
Contraindications:
- 2nd / 3rd degree av block = risk severe conduction disturbances and
DEATH
⩥ Calcium Channel Blockers. Answer: diltiazem- inpt
nifedipine- outpt
INDICATIONS:
- classic angina
-variant angina
