Drugs for Atherosclerosis Prevention
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Questions and Answers

What is the primary mechanism of action for statins in cholesterol synthesis?

  • Block cholesterol absorption in the intestine
  • Inhibit HMG-CoA reductase (correct)
  • Increase bile acid production
  • Enhance triglyceride breakdown
  • Which adverse effect is commonly associated with the use of statins?

  • Hyperkalemia
  • Rashes
  • Myopathy (correct)
  • Bloating
  • What is the role of bile acid binding agents in cholesterol management?

  • Bind bile acids to lower LDL (correct)
  • Reduce VLDL levels
  • Increase cholesterol absorption
  • Increase LDL levels
  • Which drug class is primarily used to treat hypertriglyceridemia?

    <p>Fibric Acid Derivatives</p> Signup and view all the answers

    Which of the following drugs is an example of a Sterol Absorption Inhibitor?

    <p>Ezetimibe</p> Signup and view all the answers

    What is a common effect of Fibric Acid Derivatives on triglycerides?

    <p>Decrease VLDL levels</p> Signup and view all the answers

    Which therapeutic effect is NOT typical for statins?

    <p>Increasing liver cholesterol levels</p> Signup and view all the answers

    Which adverse effect is associated with the use of Gemfibrozil?

    <p>Myopathy</p> Signup and view all the answers

    What type of drug mechanism is responsible for the adverse effect of rashes?

    <p>Statins</p> Signup and view all the answers

    Which of the following accurately describes the function of Sterol Absorption Inhibitors?

    <p>Reduce plasma cholesterol levels</p> Signup and view all the answers

    What is the primary action of statins in cholesterol management?

    <p>Inhibit HMG-CoA, a rate-limiting step in cholesterol biosynthesis.</p> Signup and view all the answers

    Which of the following describes the effect of sterol absorption inhibitors?

    <p>Decrease the absorption of cholesterol and bile.</p> Signup and view all the answers

    How do fibrate acid derivatives affect triglycerides?

    <p>They promote the breakdown of triglycerides in adipose tissue.</p> Signup and view all the answers

    What does the PSCE9 inhibitor aim to achieve in the liver?

    <p>Enhance the liver's ability to remove cholesterol from blood.</p> Signup and view all the answers

    Which medication is associated with decreasing VLDL secretion?

    <p>Fibrate acid derivatives</p> Signup and view all the answers

    What is a common effect of statins on liver function?

    <p>They inhibit HMG-CoA, reducing cholesterol production.</p> Signup and view all the answers

    What is the mechanism of action for sterol absorption inhibitors?

    <p>They decrease the absorption of cholesterol in the intestine.</p> Signup and view all the answers

    What is the effect of bile acid binding agents like Cholestyramine?

    <p>They inhibit the reabsorption of bile acids.</p> Signup and view all the answers

    How do monoclonal antibodies like Alirocumab affect LDL-cholesterol levels?

    <p>They decrease LDL-cholesterol by 60-70%.</p> Signup and view all the answers

    What is a limitation of using certain LDL-lowering drugs?

    <p>They may not be effective due to patient-specific factors.</p> Signup and view all the answers

    Which of the following is a condition that these drugs may not effectively treat?

    <p>Upper respiratory tract infections.</p> Signup and view all the answers

    What is one mechanism by which bile acid binding agents reduce cholesterol levels?

    <p>By enhancing cholesterol excretion.</p> Signup and view all the answers

    Which of the following side effects is associated with the use of monoclonal antibodies for lowering LDL-cholesterol?

    <p>Skin reactions.</p> Signup and view all the answers

    What role do bile acids play in cholesterol metabolism?

    <p>They enhance the excretion of cholesterol.</p> Signup and view all the answers

    What is a potential consequence of prolonged bile acid binding treatment?

    <p>Reduction in bowel movement frequency.</p> Signup and view all the answers

    Study Notes

    Drugs for Atherosclerosis Prevention

    • Statins: Inhibit HMG-CoA reductase, a rate-limiting step in cholesterol synthesis. Lower LDL cholesterol and cholesterol levels. Adverse effects include muscle pain (myopathy) and liver dysfunction. Typically used with statins.

    • Sterol Absorption Inhibitors (e.g., Ezetimibe): Inhibit cholesterol absorption in the gut, further lowering LDL cholesterol levels.

    • Fibric Acid Derivatives (e.g., Gemfibrozil): Reduce VLDL levels by increasing the breakdown of triglycerides and decreasing the secretion of VLDL from the liver, resulting in lower VLDL and triglycerides. Adverse effects include GI upset, myopathy, and hyperkalemia.

    • Bile Acid Binding Resins (e.g., Cholestyramine): Bind bile acids in the intestines, preventing their reabsorption and increasing their excretion. This increases cholesterol excretion and lowers LDL levels. Adverse effects are bloating and constipation.

    • PCSK9 Inhibitors (e.g., Alirocumab, Evolocumab): Inhibit PCSK9, a protein that reduces the liver's ability to remove cholesterol from the body. This leads to higher LDL removal. Adverse affects include mild skin rash and upper respiratory infections. Lowering LDL cholesterol when other drugs do not work. Used as a last resort when other drugs do not work. More expensive than the other classes. Difficult issues with compliances or infections.

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    Description

    This quiz covers various classes of drugs used to prevent atherosclerosis, including their mechanisms of action, benefits, and potential side effects. Key topics include statins, sterol absorption inhibitors, fibric acid derivatives, and bile acid binding resins. Test your knowledge on how these medications impact cholesterol levels and cardiovascular health.

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