If controlling the rate in regular narrow complex tachycardia fails with IV adenosine, which drug class should be utilised?
When would digoxin be considered first line for atrial fibrillation RATE control?
When atrial fibrillation is coexistent with heart failure
Lignocaine belongs to which class of antiarrhythmic drugs?
What is the third line treatment for hypertension?
ACE inhibitor + calcium channel blocker + thiazide diuretic
What are the treatments for Wolff-Parkinson-White syndrome?
Diltiazem blocks which type of ion channel and whereis it located?
L-type calcium channel
Heart and vasculature
Digoxin blocks which membrane protein?
How does warfarin function?
Blocks gamma carboxylation of factors II, VII, IX and X
According to STEMI and NSTEMI guidlines, what treatment should all patients get regardless of the type of MI?
MONA + C
When a patient has an irregular broad complex tachycardia which treatment is best?
IV magnesium sulphate
Which treatments may be considered if a patient's chronic heart failure is poorly managed by second line treatments?
Potentially ivabradine is the symptoms are still severe
Name a class IC antiarrhythmic drug
When a patient has a regular broad complex tachycardia, which treatment should considered?
When is digoxin strongly indicated for heart failure?
When heart failure coexists with atrial fibrillation
In atrial fibrillation which drug should be given to prevent clotting?
Name a thiazide diuretic
If a person has Wolff-Parkinson-White syndrome they can be treated with sotalol, but not when they have which co-existant condition?
Which loop diuretic may be used to treat fluid build-up from various causes?
What is the acute treatment for a supra-ventricular tachycardia in a patient with asthma?
When morphine is administered which anti-emetic is also given?
When treating the RHYTHM in atrial fibrillation which drugs may be used?
When a patient who has both diabetes and hypertension, what is the first line treatment if they are from African or Caribbean origin?
ACE inhibitor and Calcium channel blocker
Which of the following drugs is an organic nitrate?
- Isosorbide mononitrate
Which type of drug class does nicorandil belong?
Potassium channel agonist
In poorly controlled hypertension, after third line treatment, what are the remaining options and indications for when each may be used?
- Spironolactone (aldosterone antagonist) - when K+ <= 4.5mmol/l
- Increased thiazide diuretic dose - when K+ >= 4.5mmol/l
- Alpha or beta blocker - when diuretics are not tolerated or ineffective
Name a renin inhibitor
Ivabradine is an antagonist of which channel?
(for funny current)
What is the long term treatment for supra-ventricular tachycardia?
What is the first line treatment for a caucasian patient > 55 years old with hypertension?
Calcium channel blocker
What is rivaroxiban?
Factor Xa inhibitor