Chapter 2 Quiz
BNF
Cardiovascular System
Questions:
1. Which of the following beta-blockers has a long duration of action?
A. Sotalol
B. Metoprolol
C. Acebutol
D. Nadolol
2. Which of the following is an example of a thiazide-like diuretic?
A. Bendroflumethiazide
B. Bumetanide
C. Metolazone
D. Triamterene
3. Mr F Ruty, has come into practice to visit you today for his annual poly pharmacy medication
review. You take this time to remind Mr F Ruty about important interactions with certain
medications he is taking.
Which of the following medications below would you remind Mr F Ruty to avoid
drinking grapefruit juice?
A.
B.
C.
D.
4.
Apixaban
Bisoprolol
Simvastatin
Warfarin
Mr P just been discharged after a successful hip replacement operation. He has been
discharged with Rivaroxaban 10mg 1 OD for prophylaxis of VTE.
How long would you expect Mr P to take the Rivaroxaban for?
A.
B.
C.
D.
14 days
21 days
28 days
35 days
5. Normal BP lies within which range?
A. 100/80
B. 120/100
C. 120/80
D. 140/100
6. Upon asking Ms O when she last used her GTN tablets, she informed you it was about 1
month ago when she overdone it in the garden but didn’t think they worked as well as when
she first opened the bottle and used some 3 months ago. She proudly tells you that she
carries them around with her all the time and shows you. Looking at the label on the opened
bottle you can see that this was dispensed on the 19/12/19. You take this opportunity to
remind Ms O how important it is to discard GTN SL after a period of time once they have
been opened.
When should the GTN SL tablets be discarded once they are in use?
A. 1 week
Chapter 2 Quiz
BNF
Cardiovascular System
B. 2 weeks
C. 4 weeks
D. 8 weeks
7. Mr P has come into the pharmacy to hand in a prescription for Isosorbide Mononitrate 40mg
1 BD. He mentions that he was a bit confused as when best to take them. The doctor
advised that they should be taken a little differently to normal twice daily medications and
asks if you could clarify on when best to take them.
When should the second dose of Isosorbide Mononitrate be taken?
A.
B.
C.
D.
After 4 hours
After 6 hours
After 8 hours
After 12 hours
8. What electrolyte disturbance would be most likely to occur with co-administration of
Candesartan and Spironolactone?
A.
B.
C.
D.
Hypokalaemia
Hyperkalaemia
Hyponatraemia
Hypermagnesaemia
9. Which of the following is classed as a “Loop Diuretic”?
A.
B.
C.
D.
Bumetanide
Amiloride
Metolazone
Bendroflumethiazide
10. You are carrying out an annual polypharmacy medication review with Ms O. You note from
the system that she has been diagnosed with stable angina, hypertension and
hypothyroidism. Below is a list of medications, when they have last been issued and issues
remaining.
Drug
Ramipril 10mg caps – 1 OD
Atorvastatin 20mg tabs – 1 OD
Levothyroxine 100mcg tabs – 1 OD
Bisoprolol 5mg tabs – 1 OD
Aspirin 75mg Disp tabs – 1 OD
GTN SL 500mcg tabs – 1 PRN
Last Issues
02,03,04/2020
02,03,04/2020
02,03,04/2020
02,03,04/2020
02,03,04/2020
Dec 2019
Issues Remaining
12/12
12/12
12/12
12/12
12/12
1/12
Upon asking Ms O when she last used her GTN tablets, she informed you it was about 1
month ago when she overdone it in the garden but didn’t think they worked as well as when
she first opened the bottle and used some 3 months ago. She proudly tells you that she
carries them around with her all the time and shows you. Looking at the label on the opened
bottle you can see that this was dispensed on the 19/12/19. You take this opportunity to
remind Ms O how important it is to discard GTN SL after a period of time once they have
been opened.
When should the GTN SL tablets be discarded once they are in use?
Chapter 2 Quiz
A.
B.
C.
D.
BNF
Cardiovascular System
1 week
2 weeks
4 weeks
8 weeks
11. Mrs L has been in cold temperatures due to the winter season. She works as a lawyer and is
also currently under a lot of stress. Due to this, it’s causing her blood vessels to go into
spasm and is restricting blood flow to her fingers.
What drug can be used to treat her symptoms?
A.
B.
C.
D.
Aspirin
Simvastatin
Nifedipine
Bisoprolol
12. Mr B comes in to collect his usual monthly prescription. Upon talking to him, he mentions that
he has noticed that his urine appears to be of a blue colour sometimes. He wonders if it is
related to that new water tablet he was started on.
Which of the following drugs below could blue urine be associated with?
A.
B.
C.
D.
Metolazone
Xipamide
Amiloride
Triamterene
13. Some beta-blockers are classed as “Cardio-selective”. These beta-blockers predominantly
work on the B1 receptors in the heart.
Which of the following beta-blockers is not classed as “cardio-selective”?
A.
B.
C.
D.
Atenolol
Metoprolol
Nebivolol
Propranolol
14. You are discussing with the nursing team the number of patients who are coming into the
surgery to get their INR tested due to being on warfarin. As part of a measure to try and
reduce this you identify a cohort of patients who are eligible and willing to switch over to a
DOAC.
One of the nurses asks what a patients INR should ideally be if they are to switch over
to Apixaban from Warfarin straight away?
A.
B.
C.
D.
<2
<2.5
Between 2-3
>2.5
15. You are discussing a patient at a MDT meeting. This particular patient has been classed as
having resistant hypertension and is currently on 3 different anti-hypertensives as listed
below.
Chapter 2 Quiz
Perindopril 8mg 1 OD
BNF
Amlodipine 10mg 1 OD
Cardiovascular System
Indapamide 2.5mg 1 OD
Despite treatment with 3 antihypertensives, the patients BP is still not adequately controlled
and within target. You suggest trialling low dose spironolactone, as a 4th agent.
What particular electrolyte should be monitored when initiating spironolactone,
especially in combination with Perindopril?
A.
B.
C.
D.
Sodium
Potassium
Calcium
Magnesium
16. Mr Q has been admitted to hospital due to having blackouts and heart palpitations. An ECG
was conducted, and Mr Q was found to have a prolonged QT interval. Upon reviewing his
medication, you see that he is taking Sotalol.
Which of the following drugs below can cause an increased risk of QT prolongation
when taken alongside Sotalol?
A.
B.
C.
D.
Citalopram
Naproxen
Digoxin
Methotrexate
17. Which of the drugs below, used for the treatment of stable angina can cause serious skin,
mucosal and eye ulceration, including gastrointestinal ulcers?
A.
B.
C.
D.
Atenolol
Bisoprolol
Nicorandil
Verapamil
18. Ms G has been diagnosed as having Angina. You are counselling her on the use of the GTN
spray which has been prescribed. If Ms G is experiencing symptoms of angina and uses the
GTN spray.
How long after administering the first dose should Ms G wait before administering a
second dose if required?
A.
B.
C.
D.
1 minute
2 minutes
3 minutes
5 minutes
19. Mrs P, presents to you a prescription for Perindopril 4mg tablets. She informs you; she has
just been diagnosed with having hypertension and has been put onto these tablets.
What is the most accurate counselling advice to give to Mrs P, regarding Perindopril
tablets?
A. Take with or just after food, or a meal
B. Take this medicine when your stomach is empty. This means an hour before food or 2
hours after food
C. Take 30 to 60 minutes before food
Chapter 2 Quiz
BNF
Cardiovascular System
D. The first dose should preferably be given in the morning
20. Aspirin should not be given to children under the age of 16 due to the risk of developing
Reye’s syndrome.
Which ONE of the following signs and symptoms is least likely to occur?
A.
B.
C.
D.
E.
Vomiting
Seizures
Muscle aches
Raised white cell count
Delirium
21. Mrs R who develops tachycardia whilst recovering from her operation. Her pulse is 100 beats
per minute. Doctors wish to control the rate whilst they investigate the cause of the atrial
fibrillation.
Which ONE of the agents listed should be used as first line treatment to obtain rate
control?
A.
B.
C.
D.
E.
Amiodarone
Amlodipine
Digoxin
Bisoprolol
Verapamil
22. Mr W requires a 1-week course of H. Pylori eradication therapy previously diagnosed by their
GP. He is allergic to penicillin (urticarial rash). His other medications include:
Clopidogrel 75mg once a day
Aspirin 75mg once a day
Bisoprolol 2.5mg once a day
Ramipril 5mg once a day
Which of the following regimes is most appropriate for Mr W’s eradication therapy?
A. Esomeprazole 20mg twice a day, Clarithromycin 250mg twice a day, Metronidazole
400mg twice a day
B. Lansoprazole 30mg twice a day, Clarithromycin 250mg twice a day, Metronidazole
400mg twice a day
C. Omeprazole 20mg twice a day, Clarithromycin 250mg twice a day, Metronidazole 400mg
twice a day
D. Pantoprazole 40mg twice a day, Amoxicillin 1g twice a day, Clarithromycin 500mg twice
a day
23. Mr C who has been admitted to the hospital for emergency surgery. He normally takes
dabigatran for atrial fibrillation. Surgeons need to quickly reverse the effects of his
anticoagulant before operating. Mr C also takes candesartan and levothyroxine for
hypertension and hypothyroidism.
Which one of the following agents is most suitable to use for reversal of the effects of
dabigatran?
A.
B.
C.
D.
E.
Idarucizumab
Flumazenil
Naloxone
Phytomeniadone
Protamine
24. Post-operatively, Mr C is returned to the ward with an epidural catheter in situ for his pain
relief. In the evening, as Mr C is eating and drinking, he is prescribed all of his usual
medications, as well as the post-operative medications, as per below.
Chapter 2 Quiz
BNF
Cardiovascular System
Which ONE of the following drugs should be omitted in order to have the greatest
reduction in risk of complications associated with the insertion of an epidural
catheter?
A.
B.
C.
D.
E.
Candesartan
Levothyroxine
Dabigatran
Gliclazide
Dalteparin
25. You have recently qualified as an independent prescribing pharmacist and your competency
is in acute stroke and transient ischaemic attacks.
Which of the following is the most appropriate use of aspirin?
A. Prevention of cardiovascular events in a healthy 25-year-old made with a strong history
of early-onset heart disease
B. Prevention of cardiovascular events in a COPD patient who has previously had a
myocardial infarction
C. Prevention of cardiovascular events in a diabetic patient who has not already had a
cardiovascular event
D. As an enteric coated tablet in patients with a history of gastric ulcer
26. Mr ARB is a 47-year-old, Afro-Caribbean man who has just had his blood pressure
measured. The machine read 177/97 mmHg. He has no other medical conditions and takes
no medication.
Which of the following lifestyle advice is the most appropriate to be given to Mr ARB
to help reduce his blood pressure?
A.
B.
C.
D.
E.
Stop smoking, as there is a direct link between smoking and hypertension
Restrict salt intake to no more than 9g per day
Partake in aerobic exercise every day for 50 mins
Alcohol consumption should be more than 4 units each day
Encourage a healthy diet consisting of an intake of at least five fruit or vegetables per
day
27. Mr ARB is a 47-year-old, Afro-Caribbean man who has had ambulatory blood pressure
monitoring with an average of 155/95 mmHg.
Which of the following medicine should be initiated for the treatment of his
hypertension.
A.
B.
C.
D.
Losartan 50mg daily
Nifedipine 60mg daily
Amlodipine 10mg daily
Perindopril 8mg daily
28. Mrs Jones has been prescribed a parenteral anti-coagulant for prevention of venous
thromboembolism. The doctor has decided to prescribe the low molecular weight heparin,
tinzaparin.
What is the rationale for prescribing a low molecular weight heparin (LMWH) in
preference to unfractionated heparin?
A.
B.
C.
D.
LMWH have a lower risk of heparin-induced thrombocytopenia
LMWH allow people to have regular INR monitoring to ensure safety
LMWH are more effective at preventing thromboembolism
LMWH have a higher risk of heparin-induced thrombocytopenia
Chapter 2 Quiz
BNF
Cardiovascular System
29. Mr INR is a 62-year-old man who has been prescribed warfarin to treat myocardial infarction.
Whilst working in a community pharmacy, you check his warfarin prescription and ask to see
his yellow book.
What is the most appropriate target INR for Mr INR?
A.
B.
C.
D.
E.
1.5
2.0
2.5
3.0
4.5
30. Mr INR is a 62-year-old man who has been prescribed warfarin to treat myocardial infarction.
He has been admitted into hospital with an INR of 10.4 with minor bleeding.
Which of the following is the most appropriate course of action?
A. Stop warfarin; give phytomenadione (vitamin K1) by slow IV injection; give dried
prothrombin 25-50 units/kg
B. Stop warfarin; give phytomenadione (vitamin K1) by slow IV injection; repeat dose of
phytomenadione if INR still too high after 24 hours; restart warfarin when INR <5.0
C. Stop warfarin; give phytomenadione (vitamin K1) by mouth using the IV preparation
orally; repeat dose of phytomenadione if INR still too high after24 hours; restart warfarin
when INR <5.0
D. Stop warfarin; give phytomenadione (vitamin K1) by slow IV injection; restart warfarin
when INR <5.0
E. Withhold 1 or 2 doses of warfarin and reduce subsequent maintenance
31. Mr DVT has been experiencing recurrent deep-vein thrombosis. He has been taking warfarin
for several months. His last three INR readings have been stable at 2.4.
What should his INR target be?
A.
B.
C.
D.
E.
2
2.5
3
3.5
4.5
32. Mrs P comes into the pharmacy to speak to you about her warfarin. She states she is trying
to have a baby. She confirms she is not pregnant yet.
What is the most appropriate advice for Mrs P regarding her warfarin and pregnancy?
A. She should speak to the anticoagulant clinic so they can monitor her INR closely during
pregnancy
B. She should speak to the anticoagulant clinic as soon as possible to let them know she is
trying for a baby so her treatment can be reviewed
C. She must stop taking the warfarin straight away if she becomes pregnant, as it is unsafe
D. She should carry on taking warfarin as it does no harm to a baby
E. She does not need further advice and should continue to take her warfarin as directed
33. Mr GTN has been complaining of chest pain and has been diagnosed with angina. He has a
previous diagnosis of type 2 diabetes mellitus. Mr GTN has been complaining of severe
headaches, which he has not experienced before.
Which one of the following medicines is most likely to be causing the headaches?
A.
B.
C.
D.
Aspirin
Enalapril
Rosuvastatin
Gliclazide
Chapter 2 Quiz
BNF
Cardiovascular System
E. Isosorbide mononitrate
34. Mr Y is a 54-year-old man who was admitted to hospital 3 days ago with a diagnosis of heart
failure. The medical team decide to start him on digoxin and after an oral loading dose he is
maintained on 125 micrograms daily. Mr Y requires a blood test to assess his plasma digoxin
concentration.
When is the most appropriate time to sample Mr Y’s blood to monitor his digoxin
levels?
A.
B.
C.
D.
E.
At least 8 hours after an oral dose has been administered
Between 2-3 hours after an oral dose has been administered
At least 6 hours after an oral dose has been administered
Immediately after an oral dose has been administered
Thirty minutes after an oral dose has been administered
35. A student technician asks you to explain the difference between generic and branded
medicines. He asks why the prescription sometimes states the brand rather than the generic
and vice versa.
You explain that sometimes patients require a particular brand. Which one of the
following does this apply to?
A.
B.
C.
D.
E.
Amlodipine 5mg tablets
Diltiazem 90mg M/R capsules
Felodipine 2.5mg M/R tablets
Nifedipine 5mg capsules
Verapimil 40mg tablets
36. Mrs SF who suffers from heart failure has recently been admitted to hospital due to poor
symptom control. Her recent U&Es are as follows:
Potassium
Urea
Creatinine
Sodium
3.6 mmol/L (3.5-5.3)
9.2 mmol/L (2.5-7.8)
150 mmol/L (44-80)
145 mmol/L (133-146)
On the ward, she complains to you of nausea and her vision is a little blurred. Looking at the
observation chart you note her BP is 120/68 and pulse rate of 54.
Which of the following drugs she is prescribed is the most likely to be contributing to this
clinical picture?
A.
B.
C.
D.
E.
Bumetanide 2mg OM
Bisoprolol 1.25mg OD
Digoxin 125mcg OD
Ramipril 5mg OD
Spironolactone 12.5mg OD
37. Mr VF has been commenced on amiodarone in hospital for ventricular fibrillation. He comes
to your community pharmacy 2 weeks after discharge to get a further supply. He complains
that he is feeling tired and that his stools have changed from a dark brown to clay-coloured
and wonders if this could be caused by the amiodarone.
What is the most appropriate advice for this patient?
A.
B.
C.
D.
E.
The symptoms described are not known to be caused by amiodarone
Stop taking the amiodarone immediately and see the GP as soon as possible
He should see the GP as the dose of amiodarone may need to be increased
He should see the GP as the dose of amiodarone may need to be decreased
He is experiencing a side effect of amiodarone but may want to speak to the GP about an
alternative but keep taking the amiodarone until then
Chapter 2 Quiz
BNF
Cardiovascular System
38. A 10-year-old weighing 32kg is prescribed heparin 250 units/kg BD SC adjusted according to
their APTT.
Which of the following statements regarding the above prescription is incorrect?
A. The specified dose is a licensed/indication for the treatment of thromboembolic disorders
in children
B. The actions of heparin can be reversed by protamine sulphate
C. The child should be monitored for heparin induced thrombocytopenia
D. The increase in clotting time will last for approximately 8 hours after administration
E. Heparin can be administered by intramuscular, intravenous and subcutaneous injection
39. Mr P is an 80-year-old man with a past medical history of atrial fibrillation and stroke. He has
been on warfarin for approximately 3 years and is on a stable dose. Last month he suffered a
seizure and was admitted to hospital where he was prescribed an anti-epileptic drug. Today
his INR is 1.6 (target 2.5).
Which of the following drugs is most likely to be responsible for the decrease in his
INR?
A.
B.
C.
D.
E.
Phenytoin
Clobazam
Gabapentin
Pregabalin
Sodium Valproate
40. Mrs W is an 81-year-old lady who is being treated for chronic heart failure. She has recently
been prescribed new medication following a medication review with her heart failure nurse at
the hospital. She tells you that ever since starting the medication, her hands and feet are
feeling very cold, especially her fingers and toes. This happens especially at night and she
can’t seem to keep them warm.
Which of the following medication could be causing these symptoms?
A.
B.
C.
D.
E.
Carvedilol
Verapamil
Diltiazem
Amlodipine
Bendroflumethiazide
41. Mr KV has suffered from a pulmonary embolism, which is suggested to be as a result of deep
vein thrombosis. He has been prescribed Warfarin for the treatment of this pulmonary
embolism.
What is the most appropriate target INR level for the warfarin therapy?
A.
B.
C.
D.
E.
2.0
2.5
3.0
3.5
4.0
42. Mrs H is a 65-year-old lady who suffers from hypertension. She asks you to check her blood
pressure, as she is concerned that it may be too high. She suffers from kidney disease also.
She is on the following medication:
Ramipril 10mg capsules
Amlodipine 5mg tablets
Metformin 500mg tablets
Aspirin 75mg tablets
Gliclazide 80mg tablets
Chapter 2 Quiz
BNF
Cardiovascular System
What the guideline aims for her blood pressure?
A.
B.
C.
D.
E.
140/90 mmHg
140/80 mmHg
120/80 mmHg
130/80 mmHg
130/90 mmHg
43. Mrs T is in her 25th week gestation and has been diagnosed with gestational hypertension.
She has just been seen by the obstetrician at the hospital who has prescribed an
antihypertensive for her.
Which of the following is most likely to have been prescribed?
A.
B.
C.
D.
Enalapril
Bendroflumethiazide
Felodipine
Labetalol
44. A 67-year-old is currently taking Ramipril 10mg once daily. Following a recent review by the
GP practice pharmacist, her renal function test showed his eGFR to be 43mL/minute/1.73m2.
The pharmacist wants to alter the dose.
Taking into account the patient’s eGFR, which of the following would be the most
appropriate dose of Ramipril?
A.
B.
C.
D.
E.
2.5mg daily
5mg daily
7.5mg daily
10mg daily
Ramipril is contraindicated
45. Mr U has come into the pharmacy with a prescription for Bumetanide 2mg BD. When asking
the patient how he’s been getting on with the medication and if he has been taking the
medication as prescribed, he states that he’s been taking Bumetanide 2md OM for the past 4
months.
Which of the following is the most appropriate action to take?
A.
B.
C.
D.
E.
Counsel Mr U to take the doses at 8am and 8pm
Counsel Mr U to take the doses at 8am and 2pm
Contact the prescriber as this is a prescribing error
Contact the prescriber as bumetanide should be given once daily
Ask Mr U to go back to his GP for a new prescription
46. Mrs IH is 78 years old and has minor visual impairment but struggles to read. She is
prescribed warfarin and wants to know what the correct colours for each of her warfarin
tablets are.
Which of the following are the correct colours for the different strength warfarin
tablets?
A.
B.
C.
D.
E.
1mg brown, 3mg pink and 5mg blue
1mg blue, 3mg pink and 5mg brown
1mg brown, 3mg blue and 5mg pink
1mg pink, 3mg blue and 5mg brown
1mg blue, 3mg brown and 5mg pink
47. One of your regular patients presents to the community pharmacy with a prescription. She
has recently been diagnosed with hypertension and the GP is commencing and
antihypertensive. She is 42 years of age and originates from the Caribbean.
Chapter 2 Quiz
BNF
Cardiovascular System
According to NICE guidelines in managing hypertension in adults, which of the
following is the most appropriate first-line option for the patient?
A.
B.
C.
D.
E.
Atenolol 25mg tablets
Bendroflumethiazide 2.5mg tablets
Furosemide 20mg tablets
Lercanidipine 10mg tablets
Ramipril 2.5mg capsules
48. Mrs D comes into the pharmacy asking about her sore leg. You ask her if you can take a look
in the consultation room. You see that it is inflamed and red. Mrs D states that it is stiff and
hot to touch she also states she has recently been to Malaysia for a holiday. She also takes
the combined oral contraceptive pill.
Which of the following is the most appropriate advice to give?
A. Mrs D should take aspirin 300mg
B. Mrs D should take a regular anti-inflammatory such as ibuprofen 400mg to help with the
inflammation
C. Mrs D should make a non-urgent GP appointment
D. Mrs D should rest and keep her leg elevated to help reduce the inflammation
E. Mrs D should seek immediate medical attention
49. Mrs R is a 75-year-old patient with a past medical history of atrial fibrillation and stroke. She
has been on warfarin for about 2 years and has been on a stable dose. Last month, however,
she suffered a seizure and was admitted to hospital where she was prescribed an
antiepileptic. Today her INR is 1.6 (target 2.5)
Which of the following drugs is most likely to be responsible for the decrease in her
INR?
A.
B.
C.
D.
E.
Carbamazepine
Diazepam
Gabapentin
Pregabalin
Valproate
50. Mr S is a 71-year-old patient with hypertension and chronic heart failure. His current
medication is as follows:
 Digoxin 125mcg daily
 Ramipril 5mg daily
 Bisoprolol 2.5mg daily
 Bumetanide 2mg daily
 Atorvastatin 80mg at NIGHT
 Vitamin D3 1000 units daily
Which of his medications listed above is most likely to predispose Mr S to digoxin
toxicity?
A.
B.
C.
D.
E.
Ramipril 10mg
Bumetanide 2mg
Bisoprolol 2.5mg
Atorvastatin 40mg
Vitamin D3 1000 units
51. You receive a telephone call from a local GP asking which statin to prescribe for the primary
prevention of cardiovascular disease (CVD). They have just used the QRISK2 assessment
tool.
Which of the following is recommended for the primary prevention of CVD for people
who have a 10% or greater 10-year risk of developing CVD?
Chapter 2 Quiz
A.
B.
C.
D.
E.
BNF
Cardiovascular System
Simvastatin 20mg daily
Rosuvastatin 5mg daily
Atorvastatin 10mg daily
Simvastatin 80mg daily
Atorvastatin 20mg daily
52. Warfarin can be used for various thrombotic conditions for variable lengths of time.
Which of the following statements is CORRECT?
A. A patient with a prosthetic heart valve requires warfarin for 12 weeks
B. A patient with isolated calf-vein deep-vein thrombosis requires warfarin for 12 weeks
C. A patient who’s acquired a venous thromboembolism from surgery requires warfarin for 1
month
D. A patient who has an unprovoked proximal deep vein thrombosis requires warfarin for at
least 3 months
E. A patient who has atrial fibrillation requires warfarin for 1 month
53. A woman with previous diagnosis of STEMI was admitted to hospital with chest pain. Her
regular medication included aspirin and Clopidogrel. She was subsequently diagnosed with
atrial fibrillation and requires long-term anticoagulation therapy.
Which of the following combinations is NOT a licensed treatment, for this patient?
A.
B.
C.
D.
E.
Aspirin, Ticagrelor, and low-dose rivaroxaban
Aspirin, Clopidogrel and warfarin
Aspirin and low-dose rivaroxaban
Aspirin, Clopidogrel and low-dose rivaroxaban
Aspirin and warfarin
54. A 57-year-old man weighs 83kg and has a creatinine clearance of 55mL/min. he has been
diagnosed with atrial fibrillation. He has been recently prescribed warfarin and would like to
know if there are any dietary restrictions when taking warfarin.
Which of the following would be the most appropriate advice?
A.
B.
C.
D.
E.
He should seek medical advice before undertaking any major changes in diet
He should avoid eating green leafy vegetables
He should avoid drinking orange juice
He should avoid products which contain dairy
He should avoid eating chicken.
55. Mrs CVS has just been diagnosed with heart failure. She is prescribed several new
medications before being discharged from hospital.
Which of the following would she not have been prescribed?
A.
B.
C.
D.
E.
Ramipril
Bisoprolol
Warfarin
Atorvastatin 40mg
Spironolactone
56. Mrs M, a 75-year-old female, calls the pharmacy and complains of feeling dizzy and offbalance. She has also noticed a yellow tint in her vision. She mentions that she started a
new tablet not long ago. You check the PMR and see the following:
 Evacal D3 tablet – ONE twice a day
 Digoxin 125 mcg tablets – ONE daily
 Bumetanide 1mg tablets – HALF ONCE a day
Which of the following is the most likely to cause for Mrs M’s visual disturbance?
Chapter 2 Quiz
A.
B.
C.
D.
E.
BNF
Cardiovascular System
Hypokalaemia
Hyperkalaemia
Hypernatraemia
Hypercalcaemia
Hyponatraemia
57. A patient is starting on Ticagrelor 90g tablets for acute coronary syndrome. The GP asks you
to provide counselling on the medicine.
Which one of the following points would be least appropriate?
A.
B.
C.
D.
E.
Common side effects include constipation, diarrhoea, dizziness, dyspepsia and dyspnoea
Advise the patient to discard the tablets twelve weeks after opening
Let your doctor know if you get pregnant
Visit your doctor after one month to monitor your renal function
Take two tablets initially, then 90mg twice daily for up to 12 months
58. A sexually active woman has been prescribed tranexamic acid to manage her symptoms of
menorrhagia. She comes into your pharmacy to discuss whether tranexamic acid is safe to
take alongside her other medicines.
Which of the following drugs is most likely to interact with tranexamic acid?
A.
B.
C.
D.
E.
Combined hormonal contraceptive
Ciclosporin
Amoxicillin
Phenytoin
Warfarin
59. A patient was admitted as an emergency for gastrointestinal surgery. The patient was stable
on warfarin prior to the accident. His INR target was 2.5 and he was always within target
range. Enoxaparin was given during the hospital stay. The patient is due to be discharged
back after 2 days in hospital and warfarin is to be restarted.
Which of the following is the most suitable way of restarting the warfarin?
A. Enoxaparin can be given on discharge and the GP can restart the warfarin
B. Enoxaparin should be stopped and then warfarin started the following day
C. Warfarin should be restarted at the original dose and then enoxaparin stopped once the
INR is over 2
D. Warfarin should be started at the original dose and then enoxaparin stopped the day
afterwards
E. Enoxaparin should be stopped and the warfarin should be prescribed as if the patient is
taking for the first time.
60. Mr B comes in to collect his usual monthly prescription. Upon talking to him, he mentions that
he has noticed that his urine appears to be of a blue colour sometimes. He wonders if it is
related to that new water tablet he was started on.
Which of the following drugs below could blue urine be associated with?
A.
B.
C.
D.
Metolazone
Indapamide
Bendroflumethiazide
Triamterene
61. Mr AF has just been commenced on a new medication from his cardiologist. He has been
informed that he will need to attend his GP every 6 months so that his TFTs can be checked.
Which drug below is this monitoring requirement most likely be applicable too?
Chapter 2 Quiz
A.
B.
C.
D.
BNF
Cardiovascular System
Digoxin
Sotalol
Valsartan
Amiodarone
62. Mr BP 45-years-old, brings in a prescription for a new medication. This medication has been
prescribed to help control Mr BPs blood pressure. Upon handing out this medication, you
advise Mr BP that he should take the first dose of this drug at night-time, as it may cause
“first-dose hypotension”.
Which of the drugs below would this advice be most suitable for?
A.
B.
C.
D.
Doxazosin
Amlodipine
Verapamil
Bendroflumethiazide
63. Mrs O Mron 42-years-old, has recently had an antenatal appointment, as she has found out
she is pregnant. The midwife believes that Mrs O Mron is at high risk of developing preeclampsia and writes to the GP advising if they can prescribe Aspirin 150mg to be taken.
From what week during the pregnancy would you expect Mrs O Mron to commence a
daily dose of 150mg Aspirin?
A.
B.
C.
D.
Week 1
Week 9
Week 12
Week 36
64. Which of the drugs below, used for the treatment of stable angina can cause serious skin,
mucosal and eye ulceration, including gastrointestinal ulcers?
A.
B.
C.
D.
Atenolol
Bisoprolol
Nicorandil
Verapamil
65. What electrolyte disturbance would be most likely to occur with co-administration of Ramipril
and Spironolactone?
A.
B.
C.
D.
Hypokalaemia
Hyperkalaemia
Hyponatraemia
Hypermagnesia
66. Which one of the following diuretics is associated with gynecomastia?
A.
B.
C.
D.
Furosemide
Bumetanide
Bendroflumethiazide
Eplerenone
67. Mr Q has been admitted to hospital due to having blackouts and heart palpitations. An ECG
was conducted, and Mr Q was found to have a prolonged QT interval. Upon reviewing his
medication, you see that he is taking Sotalol.
Which of the following drugs below can cause an increased risk of QT prolongation
when taken alongside Sotalol?
A. Haloperidol
Chapter 2 Quiz
BNF
Cardiovascular System
B. Naproxen
C. Digoxin
D. Methotrexate
68. Which of the following drugs has a potential interaction with cranberry juice?
A.
B.
C.
D.
Apixaban
Clopidogrel
Warfarin
Amiodarone
69. Mr F Ruty, has come into practice to visit you today for his annual poly pharmacy medication
review. You take this time to remind Mr F Ruty about important interactions with certain
medications he is taking.
Which ONE of the following medications below would prompt you to advise Mr F Ruty
to avoid drinking grapefruit juice, due to an interaction?
A.
B.
C.
D.
Apixaban
Aspirin
Warfarin
Simvastatin
70. Mr H a 47-year-old patient has recently been diagnosed with GORD. He is currently taking
Aspirin 75mg OD, Atorvastatin 80mg OD, Ramipril 5mg OD, Bisoprolol 5mg OD and
Clopidogrel 75mg OD. Which of the drugs below would be least suitable for Mr H?
A.
B.
C.
D.
Omeprazole
Rabeprazole
Pantoprazole
Ranitidine
71. Which one of the following diuretics is associated with gynecomastia?
A.
B.
C.
D.
Spironolactone
Bendroflumethiazide
Furosemide
Bumetanide
72. What electrolyte disturbance would be most likely to occur with co-administration of
Candesartan and Spironolactone?
A.
B.
C.
D.
Hypokalaemia
Hyperkalaemia
Hyponatraemia
Hypermagnesia
73. Which of the drugs below is associated with causing gynecomastia?
A.
B.
C.
D.
Spironolactone
Bendroflumethiazide
Furosemide
Chlortalidone
74. You are discussing a patient at a MDT meeting. This particular patient has been classed as
having resistant hypertension and is currently on 3 different anti-hypertensives as listed
below:
Perindopril 8mg 1 OD
Chapter 2 Quiz
BNF
Cardiovascular System
Amlodipine 10mg 1 OD
Indapamide 2.5mg 1 OD
Despite treatment with 3 antihypertensives, the patients BP is still not adequately controlled
and within target. You suggest trialling low dose spironolactone, as a 4th agent.
What particular electrolyte should be monitored when initiating spironolactone,
especially in combination with Perindopril?
A.
B.
C.
D.
Sodium
Potassium
Calcium
Magnesium
75. Upon asking Ms Anne Gina when she last used her GTN tablets, she informed you it was
about 1 month ago when she overdone it in the garden, but didn’t think they worked as well
as when she first opened the bottle and used some 3 months ago. She proudly tells you that
she carries them around with her all the time and shows you. Looking at the label on the
opened bottle you can see that this was dispensed on the 19/12/2019. You take this
opportunity to remind Ms O how important it is to discard GTN SL after a period of time once
they have been opened.
When should the GTN SL tablets be discarded once they are in use?
A.
B.
C.
D.
After 1 week
After 4 weeks
After 8 weeks
After 12 weeks
76. You are counselling Mr N Trout on a new medication. This new medication is a
cardiovascular medicine which should be administered twice daily as per prescription.
However, to avoid a build-up of “tolerance” to the drug, it is important that the second dose is
taken around 8 hours after the first dose instead of 12 hours.
Which medication below is this counselling likely to be related to?
A.
B.
C.
D.
Isosorbide Mononitrate
Ramipril
Apixaban
Nifedipine
77. Whilst working at the practice, a GP asks you for some advice. A patient is struggling to
remember their night-time medications and often misses them. To help aid compliance the
GP has asked you to do a meds review to see which of the drugs taken at night-time could
possibly be switched to the morning. One of the drugs include a statin.
Which of the following statins below would be most appropriate to be administered in
the morning?
A. Fluvastatin
B. Pravastatin
C. Atorvastatin
D. Simvastatin
78. 6 monthly monitoring of TFTs should usually be conducted in patients taking which od the
drugs below?
A.
B.
C.
D.
Digoxin
Amiodarone
Sotalol
Valsartan
Chapter 2 Quiz
BNF
Cardiovascular System
79. Mr P has just been discharged after a successful hip replacement operation. He has been
discharged with Rivaroxaban 10mg 1 OD for prophylaxis of VTE.
How long would you expect Mr P to take the Rivaroxaban for?
A.
B.
C.
D.
14 days
21 days
28 days
35 days
80. Mrs G Estation is 37-year-old and is pregnant. She has pre-existing hypertension in which
she takes Ramipril to control. The GP has referred Mrs G Estation to the specialist for
management of this during her pregnancy, but in the interim, has decided to stop the
Ramipril and switch it to another anti-hypertensive agent which is more suitable in
pregnancy.
From which of the following dugs below, would most be suitable to be used as an antihypertensive in pregnancy?
A.
B.
C.
D.
Propranolol
Bisoprolol
Labetalol
Pindolol
81. You are discussing with the nursing team the number of patients who are coming into the
surgery to get their INR tested due to being on warfarin. As part of a measure to try and
reduce this you identify a cohort of patients who are eligible and willing to switch over to a
DOAC.
One of the nurses asks what a patients INR should ideally be if they are to switch over
to Apixaban from Warfarin straight away?
A.
B.
C.
D.
<2
<2.5
Between 2-3
>2.5
82. Mr I Pertenshun 53-years-old, has come back to see you in your hypertension clinic at the
practice. After a discussion with Mr I Pertenshun, you commence him on Ramipril to help
reduce and control his blood pressure, after initial lifestyle and diet interventions failed to
reduce it down to target levels.
How long should be allowed to determine a response to Ramipril?
A.
B.
C.
D.
At least 1 week
At least 2 weeks
At least 4 weeks
At least 8 weeks
83. Mr Knight-Driver brings in a prescription for Amiodarone. From your PMR you can see that
he hasn’t had this item dispensed from you before, and ascertain it is a new medicine. Mr.
Knight-Driver asks you about side effects related to the medication.
Which of the following below is not recognised as a side effect of Amiodarone?
A.
B.
C.
D.
Vomiting
Thyroid Disorders
Yellow Vision
Corneal Microdeposits
84. Mrs Ange Gina has come into the pharmacy to hand in a prescription for Isosorbide
Mononitrate 40mg 1BD. She mentions that he was a bit confused as when best to take them.
Chapter 2 Quiz
BNF
Cardiovascular System
The doctor advised that they should be taken a little differently to normal twice daily
medications and asks if you could clarify on when best to take them.
When should the second dose of Isosorbide Mononitrate be taken?
A.
B.
C.
D.
After 4 hours
After 6 hours
After 8 hours
After 12 hours
85. Mr A Tia 67-years-old has just been commenced on medication to take in conjunction with
Aspirin for the secondary prevention of TIA. This is the first time Mr A Tia is taking this
medication, and you proceed to counsel him on the medication. Whilst talking you advise him
that this particular medication should always be kept in its original container, and any
capsules should be discarded 6 weeks after opening.
Which drug from below is this information most related to?
A.
B.
C.
D.
GTN S/L tablets
Dipyridamole M/R capsules
Apixaban
Digoxin
86. Stage 1 hypertension is classified as?
A. Clinic BP: 140/90 mmHg – 159/99 mmHg + ABPM/HBPM average BP: 135/85 mmHg –
149/94 mmHg
B. Clinic BP: 130/80 mmHg – 149/89 mmHg + HBPM average BP: 135/85 mmHg – 149/94
mmHg
C. Clinic BP: 140/80 mmHg – 159/99 mmHg + ABPM/HBPM average BP: 135/85 mmHg –
149/94 mmHg
D. Clinic BP: 160/100 mmHg – 180/120 mmHg + ABPM/HBPM average BP: 135/85 mmHg
– 149/94 mmHg
87. Mr P has been diagnosed with having stable angina. He has been discharged from the
cardiology team. You are processing the discharge letter and updating the list of medications
which are to be commenced for Mr P. Some of the drugs prescribed are to prevent CVD
events from occurring again.
What statin would you expect to see prescribed for Mr P?
A.
B.
C.
D.
Atorvastatin 20mg
Simvastatin 20mg
Simvastatin 40mg
Atorvastatin 80mg
88. You are counselling Mr N Trout on a new medication. This new medication is a
cardiovascular medicine which should be administered twice daily as per prescription.
However, to avoid a build-up of “tolerance” to the drug, it is important that the second dose is
taken around 8 hours after the first dose instead of 12 hours.
Which medication below is this counselling likely to be related to?
A.
B.
C.
D.
Isosorbide Mononitrate
Ramipril
Apixaban
Nifedipine
89. Some beta-blockers are classed as “cardio-selective”. These beta-blockers predominantly
work on the B1 receptors in the heart.
Which of the following beta-blockers is not classed as “Cardio-selective”?
Chapter 2 Quiz
A.
B.
C.
D.
BNF
Cardiovascular System
Atenolol
Metoprolol
Nebivolol
Propranolol
90. Mr N.C has been complaining of a painful, swollen, red and warm big toe. After some more
investigations and questions, you diagnose Mr N.C with having gout in his big toe. You
prescribe Colchicine 500mcg QDS for 3 days. Upon looking at Mr N.C’s medical record you
note that this has become a common problem over the last year. As well as dietary and
lifestyle measures, you can see that there is a possibility to optimise and maybe switch one
of the medications Mr N.C is taking.
Which of the medications below could possibly be changed to try reduce further
attacks of gout?
A.
B.
C.
D.
Sildenafil
Furosemide
Atorvastatin
Candesartan
91. Mr Q has been admitted to hospital due to having blackouts and heart palpitations. An ECG
was conducted, and Mr Q was found to have a prolonged QT interval. Upon reviewing his
medication, you see that he is taking Sotalol.
Which of the following drugs below can cause an increased risk of QT prolongation
when taken alongside Sotalol?
A.
B.
C.
D.
Citalopram
Naproxen
Digoxin
Methotrexate
92. Mrs L I Pitor has recently been started on Atorvastatin 20mg. She had her LFTs checked
before starting treatment.
Assuming there are no signs or symptoms suggestive of hepatotoxicity, when should
she next have her LFTs checked again?
A.
B.
C.
D.
Within 3 months
Within 4 months
Within 5 months
Within 6 months
93. Mr A has just been for his annual review at the practice. As part of this review bloods are
taken to monitor his eGFR, liver function, renal function, thyroid function and a FBC is also
undertaken. The bloods have come back, and it is found that his Thyroid Function Tests
have shown abnormal results.
Which of the medicines below is most likely to have caused this change?
A.
B.
C.
D.
Amiodarone
Digoxin
Flecainide
Clopidogrel
94. Mr Night-Driver brings in a prescription for Amiodarone. From your PMR you can see that he
hasn’t had this item dispensed from you before, and ascertain it is a new medicine. Mr NightDriver asks you about side effects related to the medication.
Which of the following below is not recognised as a side effect of Amiodarone?
Chapter 2 Quiz
A.
B.
C.
D.
BNF
Cardiovascular System
Vomiting
Thyroid disorders
Yellow vision
Corneal Microdeposits
95. Mrs A 39-years-old has been booked into your hypertension clinic after having her BP
checked by the HCA. You commence her on Ramipril as per hypertension guidelines and
review her in 3 weeks. After 2 weeks Miss A rings you to tell you she has stopped taking the
Ramipril, due to developing a dry persistent cough. A few days after stopping the medication,
the cough also stopped. You offer her an alternative anti-hypertensive.
Which drug below is most likely to be offered as an alternative?
A.
B.
C.
D.
Candesartan
Perindopril
Indapamide
Amlodipine
96. Which of the beta-blockers below is not classed as water soluble?
A.
B.
C.
D.
Atenolol
Celiprolol
Nadolol
Bisoprolol
97. Which of the following drugs is a direct Xa inhibitor?
A.
B.
C.
D.
Warfarin
Aspirin
Apixaban
Dalteparin
98. Mr U Rick has been complaining of a painful, swollen, red and warm big toe. After some
more investigations and questions, you diagnose Mr U Rick with having gout in his big toe.
You prescribe Colchicine 500mcg QDS for 3 days. Upon looking at Mr U Rick medical record
you note that this has become a common problem over the last year. As well as dietary and
lifestyle measures, you can see that there is a possibility to optimise and maybe switch one
of the medications Mr U Rick is taking.
Which of the medications below could possibly be changed to try reduce further
attacks of gout?
A.
B.
C.
D.
Sildenafil
Febuxostat
Bendroflumethiazide
Amlodipine
99. Mrs L I Pitor has recently been started on Atorvastatin 20mg. She had her LFTs checked
before starting treatment.
Assuming there are no signs or symptoms suggestive of hepatotoxicity, when should
she next have her LFTs checked again?
A.
B.
C.
D.
Within 3 months
Within 4 months
Within 5 months
Within 6 months
100. Mr A has just been for his annual review at the practice. As part of this review bloods are
taken to monitor his eGFR, liver function, renal function, thyroid function and a FBC is also
Chapter 2 Quiz
BNF
Cardiovascular System
undertaken. The bloods have come back, and it is found that his Thyroid Function Tests
have shown abnormal results.
Which of the medicines below is most likely to have caused this change?
A.
B.
C.
D.
Amiodarone
Digoxin
Flecainide
Clopidogrel
101. Some beta-blockers are classed as “cardio-selective”. These beta-blockers
predominantly work on the B1 receptors in the heart.
Which of the following beta-blockers is not classed as “cardio-selective”?
A.
B.
C.
D.
Atenolol
Metoprolol
Nebivolol
Propranolol
102. Which of the drugs below, used for the treatment of stable angina can cause serious
skin, mucosa and eye ulceration, including gastrointestinal ulcers?
A.
B.
C.
D.
103.
A.
B.
C.
D.
104.
Atenolol
Bisoprolol
Nicorandil
Verapamil
Which of the following counselling points is false regarding Warfarin use?
Large amounts of green leafy vegetables should be avoided
It is present in milk, therefore should be avoided in breast feeding mothers
Patients should be advised to consult their GP if they develop a painful skin rash
Patients should make their dentist aware that they take Warfarin before undergoing
dental surgery.
Which one of the following parenteral anticoagulants has a longer duration of action?
A. Low-molecular heparins
B. Unfractionated heparins
105. Mr Q has been admitted to hospital due to having blackouts and heart palpitations. An
ECG was conducted, and Mr Q was found to have a prolonged QT interval. Upon reviewing
his medication, you see that he is taking Sotalol.
Which of the following drugs below can cause an increased risk of QT prolongation
when taken alongside Sotalol?
A.
B.
C.
D.
Haloperidol
Naproxen
Digoxin
Methotrexate
106. What electrolyte disturbance would be most likely to occur with co-administration of
Trimethoprim and Amiloride?
A.
B.
C.
D.
Hypokalaemia
Hyperkalaemia
Hyponatraemia
Hypernatraemia
Chapter 2 Quiz
BNF
Cardiovascular System
107. Mrs F has recently been prescribed Warfarin. Your pre-reg student asks you what colour
each different strength tablet is.
Which of the following is correct?
A.
B.
C.
D.
0.5mg (Pink), 1mg (Brown), 3mg (Blue), 5mg (White)
0.5mg (White), 1mg (Pink), 3mg (Brown), 5mg (Blue)
0.5mg (Brown), 1mg (White), 3mg (Blue), 5mg (Pink)
0.5mg (White), 1mg (Brown), 3mg (Blue), 5mg (Pink)
108. Both Amiodarone and Digoxin can increase the risk of bradycardia.
What do manufacturers advise when both drugs are given together?
A.
B.
C.
D.
109.
A.
B.
C.
D.
Half the dose of Amiodarone
Half the dose of Digoxin
Quarter the dose of Amiodarone
Quarter the dose of Digoxin
Which of the following is vitamin D3?
Ergocalciferol
Calcitriol
Colecalciferol
Alfacalcidiol
110. Mrs A 39-years-old has been booked into your hypertension clinic after having her BP
checked by the HCA. You commence her on Ramipril as per hypertension guidelines and
review her in 3 weeks. After 2 weeks Miss A rings you to tell you she has stopped taking the
Ramipril, due to developing a dry persistent cough. A few days after stopping the medication,
the cough also stopped. You offer her an alternative anti-hypertensive.
Which drug below is most likely to be offered as an alternative?
A.
B.
C.
D.
Candesartan
Bisoprolol
Bendroflumethiazide
Verapamil
111. Mr F 59-years-old, brings in a prescription to the pharmacy. He informs you that he has
never taken medications in his life, and now has been diagnosed with high blood pressure
and started on these tablets. He asks if you could explain some of the side effects relating to
the drug. Upon counselling Mr F, you inform him that swollen ankles are a common side
effect, affecting >1/10 people taking the medication.
Which medication below is this side effect most likely to be related too?
A.
B.
C.
D.
Ramipril
Perindopril
Doxazosin
Felodipine
112. You are discussing a patient at a MDT meeting. This particular patient has been classed
as having resistant hypertension and is currently on 3 different anti-hypertensives as listed
below:
 Perindopril 8mg 1 OD
 Amlodipine 10mg 1 OD
 Indapamide 2.5mg 1 OD
Despite treatment with 3 antihypertensives, the patients BP is still not adequately controlled
and within target. You suggest trialling low dose spironolactone, as a 4th agent.
Chapter 2 Quiz
BNF
Cardiovascular System
What particular electrolyte should be monitored when initiating spironolactone,
especially in combination with Perindopril?
A.
B.
C.
D.
Sodium
Potassium
Calcium
Magnesium
113. Mr IP 45-years-old, brings in a prescription for a new medication. This medication has
been prescribed to help control Mr IP’s blood pressure. Upon handing out this medication,
you advise Mr IP that he should take the first dose of this drug at night-time, as it may cause
“first-dose hypotension”.
Which of the drugs below would this advice be most suitable for?
A.
B.
C.
D.
Doxazosin
Amlodipine
Verapamil
Indapamide
114. Mr AF has just been commenced on a new medication from his cardiologist. He has been
informed that he will need to attend his GP every 6 months so that his TFTs can be checked.
Which drug below is most likely to require TFTs being checked every 6 months?
A.
B.
C.
D.
Digoxin
Amiodarone
Sotalol
Valsartan
115. Mr P has come into your clinic today for his annual review. He is 59-years-old, and is
currently taking the following medication:
 Perindopril 4mg OD
 Amlodipine 10mg OD
 Metformin 500mg 2 BD
Whilst undertaking the review you calculate Mr Ps QRISK score. This has been calculated at
23%. You discuss the relevance of this score with Mr P, and offer him a primary prevention
statin. He is very keen to take this statin, however before initiating it you advise that some
base line bloods need to be carried out.
Which one of the following would not need to be carried out as baseline bloods for
initiating a statin?
A.
B.
C.
D.
Non-fasting lipid profile
CRP
Renal function
TSH
116. Mr C Ramp 63-years-old, has come into the practice to discuss a side effect from a new
medication which has been started. A few weeks ago, you had a conversation regarding
CVD risk, and commenced Mr C Ramp on Atorvastatin 20mg, for the primary prevention of
CVD as his QRISK was >10%. He has come back informing you that he has started to
experience generalised, persistent muscle pain, which has been reported to have started
after the initiation of the statin.
What blood test would be the most appropriate to carry out to investigate this muscle
pain?
A. TSH
B. Creatinine Kinase
C. HbA1C
Chapter 2 Quiz
BNF
Cardiovascular System
D. U&Es
117. Some beta-blockers are classed as “cardio-selective”. These beta-blockers
predominantly work on the B1 receptors in the heart.
Which of the following beta-blockers is not classed as “cardio-selective”?
A.
B.
C.
D.
Atenolol
Metoprolol
Nebivolol
Propranolol
118. Which of the following diuretics can be given twice daily, if needed, without risking
interfering with sleep?
A.
B.
C.
D.
119.
A.
B.
C.
D.
Metazalone
Bendroflumethiazide
Furosemide
Indapamide
Which one the following diuretics is associated with gynecomastia?
Bumetanide
Spironolactone
Furosemide
Indapamide
120. You are conducting a hypertension CPD session with the clinical team at the practice. As
part of this session you refresh knowledge regarding drugs and other substances which may
account for secondary causes of hypertension.
Which of the following drugs/substances is NOT known for causing secondary
hypertension?
A.
B.
C.
D.
Ciclosporin
Leflunomide
NSAIDs
Progesterone Only Pill