Antiarrhythmic agents
32 Questions
2 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which phase of the Cardiac Action Potential is characterized by slow calcium influx through L-type Ca++ channels?

  • Phase 1: Partial repolarisation
  • Phase 0: Depolarisation phase
  • Phase 3: Repolarisation phase
  • Phase 2: Plateau phase (correct)

What causes the partial repolarization during Phase 1 of the Cardiac Action Potential?

  • Efflux of potassium
  • Inactivation of sodium channels (correct)
  • Fast sodium entry
  • Slow calcium influx

Which phase of the Cardiac Action Potential is characterized by the resting state for non-nodal cells?

  • Phase 0: Depolarisation phase
  • Phase 2: Plateau phase
  • Phase 1: Partial repolarisation
  • Phase 4: Resting state (correct)

What is the main cause of repolarization during Phase 3 of the Cardiac Action Potential?

<p>Efflux of K+ (C)</p> Signup and view all the answers

Which cells experience repolarization during Phase 3 of the Cardiac Action Potential?

<p>Both nodal and non-nodal cells (D)</p> Signup and view all the answers

What is the main cause of depolarization during Phase 0 of the Cardiac Action Potential for nodal cells?

<p>Slow calcium entry (C)</p> Signup and view all the answers

Which phase of the Cardiac Action Potential is characterized by spontaneous diastolic drift due to Na+ and Ca++ entry in nodal cells?

<p>Phase 4 (C)</p> Signup and view all the answers

Which medication enhances vagal tone and reduces sinoatrial rate and conduction velocity through AV nodes?

<p>Digoxin (C)</p> Signup and view all the answers

Which medication is an agonist at cardiac A1 receptors and activates K+ channels, resulting in negative dromotropic and chronotropic effects?

<p>Adenosine (A)</p> Signup and view all the answers

Which medication is nature's physiologic calcium blocker and can inhibit or enhance intracellular calcium by regulating Mg2+ levels?

<p>Magnesium sulfate (A)</p> Signup and view all the answers

Which medication is commonly used for the control of ventricular rate in atrial fibrillation and the treatment of supraventricular arrhythmias?

<p>Digoxin (D)</p> Signup and view all the answers

Which medication is used for the diagnosis and termination of supraventricular arrhythmias, replacing Verapamil?

<p>Adenosine (C)</p> Signup and view all the answers

Which medication is commonly used for the treatment of cardiac arrhythmias caused by hypomagnesemia, such as VT/VF?

<p>Magnesium sulfate (A)</p> Signup and view all the answers

Which medication is associated with adverse effects such as GI discomfort and diarrhea?

<p>Magnesium sulfate (B)</p> Signup and view all the answers

Which medication is associated with adverse effects such as dyspnea, facial flushing, and chest pain?

<p>Adenosine (C)</p> Signup and view all the answers

Which medication is associated with adverse effects such as nausea, vomiting, diarrhea, visual disturbances, gynecomastia, and CNS effects?

<p>Digoxin (C)</p> Signup and view all the answers

Which antiarrhythmic agent is the first-line treatment for symptomatic sinus bradycardia or AV block?

<p>Atropine (D)</p> Signup and view all the answers

Which antiarrhythmic agent is a beta-1/2 adrenoceptor agonist and is used to treat AV block and bradycardia?

<p>Isoproterenol (A)</p> Signup and view all the answers

Which class of antiarrhythmic drugs blocks fast sodium channels in non-nodal cells, inhibiting or slowing Phase 0 depolarization and Phase 4 Na+ currents?

<p>Class I (A)</p> Signup and view all the answers

Which of the following is NOT a class III antiarrhythmic drug is associated with adverse effects such as thyroid disturbances, pulmonary fibrosis, and peripheral neuropathy?

<p>Procainamide (D)</p> Signup and view all the answers

Which class IV antiarrhythmic drug blocks calcium influx via L-type Ca channels and is used to control ventricular rate in atrial fibrillation?

<p>Verapamil (A)</p> Signup and view all the answers

Which calcium channel blocker is associated with adverse effects such as headache, fatigue, and heart block?

<p>Diltiazem (A)</p> Signup and view all the answers

Which class of antiarrhythmic agent is the first-line drug for ventricular fibrillation and recurrent ventricular tachycardia?

<p>Class III (C)</p> Signup and view all the answers

Which class II antiarrhythmic drug reduces heart rate and contractility, prolongs AV refractory period, and decreases phase 4 automaticity?

<p>Beta blockers (A)</p> Signup and view all the answers

Which class III antiarrhythmic drug blocks K+ channels, prolongs APD and ERP, and is effective for ventricular and supraventricular arrhythmias?

<p>Amiodarone (C)</p> Signup and view all the answers

Which class I antiarrhythmic drug is associated with adverse effects such as diarrhea, rashes, and fever?

<p>Quinidine (D)</p> Signup and view all the answers

Which ion channels are the target sites for anti-arrhythmic drugs?

<p>Na, K, &amp; Ca (D)</p> Signup and view all the answers

Which of the following drugs slows conduction through the AV node and has its primary action directly on L-type calcium channels?

<p>Diltiazem (C)</p> Signup and view all the answers

Which of the following drugs would improve symptoms of a patient with sinus bradycardia?

<p>Atropine (D)</p> Signup and view all the answers

What is the main method of emergency treatment for serious dysrhythmias?

<p>Physical means such as pacing or electrical cardioversion (B)</p> Signup and view all the answers

What are the classification categories of drugs for tachyarrhythmias according to Vaughan Williams?

<p>Class I - Na channel blockers, Class II - Beta blockers, Class III - K channel blockers, Class IV - Ca channel blockers, Class V - unclassified (B)</p> Signup and view all the answers

How are bradyarrhythmias usually treated?

<p>Antimuscarinic agents, beta 1 agonists, and pacemaker (A)</p> Signup and view all the answers

More Like This

Use Quizgecko on...
Browser
Browser