Step 2 Drugs (mult. choice)
Should always be given to a patient with stable angina who also has hypertension Correct Answer: beta-
blocker
Given to *all* patients with coronary artery disease. Decreases morbidity and reduces risk of MI Correct
Answer: aspirin
Low molecular weight heparin Correct Answer: enoxaparin
Best drug for a young adult female with chest pain waking her up at night Correct Answer: diltiazem
Proven to reduce ventricular remodeling in myocardial infarction Correct Answer: ACE inhibitor
Best drug for treating "flash" pulmonary edema in an MI patient Correct Answer: furosemide
The combination of this and a diuretic is first-line treatment in CHF Correct Answer: ACE inhibitor
Give this for low ejection fraction in CHF Correct Answer: digitalis
Treatment for unstable afib Correct Answer: cardioversion
Treatment for narrow-complex tachycardias Correct Answer: adenosine
Treatment for wide-complex tachycardias Correct Answer: amiodarone
Antiarrythmic for which pulmonary fibrosis is a side effect Correct Answer: amiodarone
First-line treatment for rate control in afib Correct Answer: amlodipine
Best drug for WPW syndrome (until radiofrequency ablation can be performed) Correct Answer:
Procainamide
Best drug for a patient with tricyclic antidepressant toxicity who develops the characteristic arrhythmia
Correct Answer: magnesium
Usually second-degree Mobitz Type 1 heart block (Wenkebach) does not need treatment, but if the
patient is unstable, give: Correct Answer: atropine
Aside from treating the underlying cause, give this for acute pericarditis Correct Answer: NSAIDs
Inhaled anticholinergic drug given after albuterol (with which it has a synergistic effect) for COPD
Correct Answer: ipratropium
, Controversial drug (due to side effects) that may improve mucus clearance in COPD Correct Answer:
theophylline
COPD treatment (not first-line) that has serious toxicity with ciprofloxacin or erythromycin Correct
Answer: theophylline
Given for asthma prophylaxis (i.e. before exercise) mainly in children and hardly ever in adults Correct
Answer: cromolyn/nedocromil sodium
This can be injected directly into the SMA to alleviate the effects of a clot by causing vasodilation Correct
Answer: papaverine
First-line therapy for bleeding esophageal varices. Causes splanchnic vasoconstriction, reducing portal
pressure Correct Answer: octreotide
Given for hepatic encephalopathy because it prevents absorption of ammonia in GI tract, enabling its
excretion Correct Answer: laculose
Given for hepatic encaphalopathy because it kills bowel flora, thus decreasing ammonia production
Correct Answer: neomycin
Copper chelator given for Wilson's disease (hepatolenticular degeneration) Correct Answer:
penicillamine
In addition to a copper chelator, this may also be given for Wilson's disease (hepatolenticular
degeneration) because it inhibits uptake of dietary copper Correct Answer: zinc
Treatment for hemochromatosis Correct Answer: repeated phlebotomy
Best drug for a middle-aged woman with pruritis, jaundice, xanthalesma, RUQ pain, and positive
antimitochondrial antibodies (at least until liver transplantation can be performed) Correct Answer:
Ursodeoxycholic acid
Can be given to reduce the risk of ulcer formation in patients on chronic NSAID therapy Correct Answer:
misoprostol
Reduces the risk of NSAID-induced stomach ulcers but female patients must not get pregnant while on it
because it stimulates uterine contractions which can lead to spont. abortion Correct Answer:
misoprostol
First-line maintenance treatment for ulcerative colitis Correct Answer: Sulfasalazine (5-ASA)
Given for hyperthyroidism (Inhibits thyroid hormone synthesis) Correct Answer: thionamides
(methimazole)
Given for hyperthyroidism (inhibits formation of T3 from T4) Correct Answer: Propylthiouracil (PTU)
Should always be given to a patient with stable angina who also has hypertension Correct Answer: beta-
blocker
Given to *all* patients with coronary artery disease. Decreases morbidity and reduces risk of MI Correct
Answer: aspirin
Low molecular weight heparin Correct Answer: enoxaparin
Best drug for a young adult female with chest pain waking her up at night Correct Answer: diltiazem
Proven to reduce ventricular remodeling in myocardial infarction Correct Answer: ACE inhibitor
Best drug for treating "flash" pulmonary edema in an MI patient Correct Answer: furosemide
The combination of this and a diuretic is first-line treatment in CHF Correct Answer: ACE inhibitor
Give this for low ejection fraction in CHF Correct Answer: digitalis
Treatment for unstable afib Correct Answer: cardioversion
Treatment for narrow-complex tachycardias Correct Answer: adenosine
Treatment for wide-complex tachycardias Correct Answer: amiodarone
Antiarrythmic for which pulmonary fibrosis is a side effect Correct Answer: amiodarone
First-line treatment for rate control in afib Correct Answer: amlodipine
Best drug for WPW syndrome (until radiofrequency ablation can be performed) Correct Answer:
Procainamide
Best drug for a patient with tricyclic antidepressant toxicity who develops the characteristic arrhythmia
Correct Answer: magnesium
Usually second-degree Mobitz Type 1 heart block (Wenkebach) does not need treatment, but if the
patient is unstable, give: Correct Answer: atropine
Aside from treating the underlying cause, give this for acute pericarditis Correct Answer: NSAIDs
Inhaled anticholinergic drug given after albuterol (with which it has a synergistic effect) for COPD
Correct Answer: ipratropium
, Controversial drug (due to side effects) that may improve mucus clearance in COPD Correct Answer:
theophylline
COPD treatment (not first-line) that has serious toxicity with ciprofloxacin or erythromycin Correct
Answer: theophylline
Given for asthma prophylaxis (i.e. before exercise) mainly in children and hardly ever in adults Correct
Answer: cromolyn/nedocromil sodium
This can be injected directly into the SMA to alleviate the effects of a clot by causing vasodilation Correct
Answer: papaverine
First-line therapy for bleeding esophageal varices. Causes splanchnic vasoconstriction, reducing portal
pressure Correct Answer: octreotide
Given for hepatic encephalopathy because it prevents absorption of ammonia in GI tract, enabling its
excretion Correct Answer: laculose
Given for hepatic encaphalopathy because it kills bowel flora, thus decreasing ammonia production
Correct Answer: neomycin
Copper chelator given for Wilson's disease (hepatolenticular degeneration) Correct Answer:
penicillamine
In addition to a copper chelator, this may also be given for Wilson's disease (hepatolenticular
degeneration) because it inhibits uptake of dietary copper Correct Answer: zinc
Treatment for hemochromatosis Correct Answer: repeated phlebotomy
Best drug for a middle-aged woman with pruritis, jaundice, xanthalesma, RUQ pain, and positive
antimitochondrial antibodies (at least until liver transplantation can be performed) Correct Answer:
Ursodeoxycholic acid
Can be given to reduce the risk of ulcer formation in patients on chronic NSAID therapy Correct Answer:
misoprostol
Reduces the risk of NSAID-induced stomach ulcers but female patients must not get pregnant while on it
because it stimulates uterine contractions which can lead to spont. abortion Correct Answer:
misoprostol
First-line maintenance treatment for ulcerative colitis Correct Answer: Sulfasalazine (5-ASA)
Given for hyperthyroidism (Inhibits thyroid hormone synthesis) Correct Answer: thionamides
(methimazole)
Given for hyperthyroidism (inhibits formation of T3 from T4) Correct Answer: Propylthiouracil (PTU)
