SIHD Practice Questions - Dr.
Rogers with 100% correct
answers(download to pass)
67 yo man with HTN, DM, PAD, and CAD received a DES 3 months
ago complains of exertional chest pain. BP 150/88; HR 78, LDL 125.
Meds: ASA 81 QD, clopidogrel 75 mg QD, amlodipine 10 mg QD,
rosuvastatin 10 mg QD.
Which is the most appropriate therapy for this patient?
A) Carvedilol 12.5mg BID
B) Imdur30 mg daily
C) Ranolazine 500mg BID
D) Lisinopril 10 mg daily - answer A) Carvedilol 12.5mg BID
BB will address BP angina the most
67 yo man with HTN, DM, PAD, and CAD received a DES 3 months
ago after an AMI. BP 145-150/70-88; HR 68, LDL 100. Meds: ASA 81
QD, clopidogrel 75mg QD, amlodipine 10 mg QD, lovastatin 40mg
QD. Which of the following is best to reduce mortality in this
patient?
A) Nicotine gum
B) Change lovastatin to atorvastatin 20 mg daily
C) Ranolazine 500 mg BID
D) Lisinopril 5 mg daily - answer D) Lisinopril 5mg daily
, A is just wrong, B no advantage both moderate, C does not affect
mortality
A 72 yo female with CAD, s/p CABG 1 year ago, multiple DES 3 years
ago, HF with reduced EF (EF 30%), HTN, and HLD, and atrial
fibrillation. BP ranges 130-145/70-80 mmHg; HR 70-88 bpm. Meds:
ASA 325 mg daily; metoprolol tartrate 25 mg BID; dofetilide 125
mcg BID; ramipril 10 mg daily; warfarin 5 mg daily; digoxin 0.25 mg
daily. LDL 130 mg/dL; other labs WNL
Which would be the most appropriate to treat this patient's angina?
A) Change metoprolol succinate 100 mg daily
B) Ranolazine 500 mg BID
C) Add Atorvastatin 80 mg daily
D) Add clopidogrel 75 mg daily - answer A) Change metoprolol
succinate 100mg daily
C & D dont affect angina. B is CI with dofetilide and doesnt help
BP/HR. ALSO, wrong metoprolol for HFrEF
A 68 year old male with a positive stress test is referred for a
cardiac catheterization and receives a DES. PMH includes chronic
stable angina, DM, HTN, and HLD
In addition to Aspirin 81mg daily, what is the most appropriate
recommendation for DAPT in this patient?
A) Ticagrelor 90 mg BID for 1 months
B) Clopidogrel 75 mg QD for 6 months
C) Ticagrelor 90 mg BID for 3 month
Rogers with 100% correct
answers(download to pass)
67 yo man with HTN, DM, PAD, and CAD received a DES 3 months
ago complains of exertional chest pain. BP 150/88; HR 78, LDL 125.
Meds: ASA 81 QD, clopidogrel 75 mg QD, amlodipine 10 mg QD,
rosuvastatin 10 mg QD.
Which is the most appropriate therapy for this patient?
A) Carvedilol 12.5mg BID
B) Imdur30 mg daily
C) Ranolazine 500mg BID
D) Lisinopril 10 mg daily - answer A) Carvedilol 12.5mg BID
BB will address BP angina the most
67 yo man with HTN, DM, PAD, and CAD received a DES 3 months
ago after an AMI. BP 145-150/70-88; HR 68, LDL 100. Meds: ASA 81
QD, clopidogrel 75mg QD, amlodipine 10 mg QD, lovastatin 40mg
QD. Which of the following is best to reduce mortality in this
patient?
A) Nicotine gum
B) Change lovastatin to atorvastatin 20 mg daily
C) Ranolazine 500 mg BID
D) Lisinopril 5 mg daily - answer D) Lisinopril 5mg daily
, A is just wrong, B no advantage both moderate, C does not affect
mortality
A 72 yo female with CAD, s/p CABG 1 year ago, multiple DES 3 years
ago, HF with reduced EF (EF 30%), HTN, and HLD, and atrial
fibrillation. BP ranges 130-145/70-80 mmHg; HR 70-88 bpm. Meds:
ASA 325 mg daily; metoprolol tartrate 25 mg BID; dofetilide 125
mcg BID; ramipril 10 mg daily; warfarin 5 mg daily; digoxin 0.25 mg
daily. LDL 130 mg/dL; other labs WNL
Which would be the most appropriate to treat this patient's angina?
A) Change metoprolol succinate 100 mg daily
B) Ranolazine 500 mg BID
C) Add Atorvastatin 80 mg daily
D) Add clopidogrel 75 mg daily - answer A) Change metoprolol
succinate 100mg daily
C & D dont affect angina. B is CI with dofetilide and doesnt help
BP/HR. ALSO, wrong metoprolol for HFrEF
A 68 year old male with a positive stress test is referred for a
cardiac catheterization and receives a DES. PMH includes chronic
stable angina, DM, HTN, and HLD
In addition to Aspirin 81mg daily, what is the most appropriate
recommendation for DAPT in this patient?
A) Ticagrelor 90 mg BID for 1 months
B) Clopidogrel 75 mg QD for 6 months
C) Ticagrelor 90 mg BID for 3 month
