QUESTIONS AND
VERIFIED ANSWERS
LATEST UPDATE 2023
Which of the following anesthetic agents has the shortest duration of action?
Sublimaze( fentanyl), Ativan (loreazepam), Diprivan (Proprofol), Sufenta (sufentanyl)? -
ANSWER Propofol (Diprivan)
Which of the following drugs increases the tolerance of the brain to global ischemia
when administered prior to ischemic episode? Dextrose 50%, Dilantin (phenytoin),
Mannitol, Pentothal (thiopenthal)? - ANSWER Pentothal (thiopenthal)
RAAS antagonist are also know as? - ANSWER Ace inhibitors
What do Ace inhibitors cause? - ANSWER block Ang l to Ang ll conversion and thus
increased UOP: They increase preload and decrease afterload
Ace inhibitors names end in? name some - ANSWER "pril", Benzepril, Captopril,
Enalapril, Quinipril
How do phosphodiesterase inhibitors work? - ANSWER blocks the breakdown of
cAMP. cAMP builds up and causes oncreased Ca++ uptake. Increase in contractility,
increases stroke volume, increases ejection fraction, increases sinus rate. Dercreases
peripheral vascular resistance. DECREASES PRELOAD and DECREASES
AFTERLOAD.
Name some Phosphodiesterase inhibitors. - ANSWER Amrinone ( Inocor) and
Milrinone (Primacor)
, Which phosphodiesterase inhibitor is more potent? - ANSWER Milrinone is 20X more
amrinone
How do cardiac glycosides work? - ANSWER inhibit the Na+/K+ ATPase pump and
increase inward current of Ca++. INCREASES CONTRACTION, INCREASE CO.
DECREASES HEART SIZE, DECREASES VENOUS RETURN, DECREASES BLOOD
VOLUME BY INCREASE DIURESIS AND INCREASED RENAL BLOOD FLOW.
Cardiac gycosides are used to treat what? - ANSWER CHF: ↓ HR and ↑ Contraction:
Slows ventricular rate during atrial flutter by increasing sensitivity of AV node. Increases
peripheral vascular resistance.
Name some cardiac glycosides. - ANSWER Digoxin (Lanoxin), Adenosine
How many classes of anti-arrhythmics are there? - ANSWER 5, Na+ channel
antagonist, Beta blockers, K_+ channel blockers, Ca++ channel blockers, cardiac
gycosides
Class l anti-arrhythmics work by what mechanism? - ANSWER Na+ channel blocker:
↓conduction velocity in atrias and His-Pukinje cells. ↑refractory period throughout heart
except nodes
Name some class l anti-arrhythmics? - ANSWER Lidocaine (Xylocaine),
Procaineamide (Pronestyl), Quinidine, Disopyramide (Norpace)
What is the normal does of Lidocaine? - ANSWER 1 mg/kg
Class II anti-arrhythmics work by? - ANSWER antagonize adrenergic receptors (beta-
blockers): ↓ HR, ↓contractility, ↓automaticity: ↑ A-V conduction time and refractory time
Name some class II antiarrhythmics - ANSWER Esmolol and Propranolol
Treats HTN
Name the selective B-blockers - ANSWER ABEAM: Atenol, bisoprolol, esmolol,
ecebutolol, metoprolol.
Treats HTN
Name some non-selective B-blockers - ANSWER Nadolol, Pindolol, Sotalol,
PROPRANOLOL, Timolol:
Treats HTN
Name some mixed alpha and beta antagonist (blockers) - ANSWER Labetolol
(trandate) and Cardvedilol (Coreg): used to treat HTN