Variant Angina and Antianginal Drugs Quiz
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Questions and Answers

What triggers muscle contraction by binding to actin to form a cross-bridge?

  • Myosin (correct)
  • Actin
  • MLC phosphatase
  • Ca2+

What is the approximate percentage of total cardiac output supplied by the left and right coronary arteries?

  • 15%
  • 5% (correct)
  • 20%
  • 11%

How is the balance between oxygen supply and demand in a normal heart affected during exercise?

  • O2 supply increases, O2 demand decreases
  • O2 supply and demand both decrease
  • O2 supply and demand both increase (correct)
  • O2 supply decreases, O2 demand increases

Which condition results from a complete block in a coronary artery?

<p>Myocardial Infarction (MI) (B)</p> Signup and view all the answers

What characterizes Unstable Angina compared to Stable Angina?

<p>Platelet aggregation + thrombus formation (C)</p> Signup and view all the answers

In Ischemic Heart Disease, what leads to the occurrence of Angina Pectoris?

<p>Partial blockage in a coronary artery (D)</p> Signup and view all the answers

What is the duration of action of nitroglycerin?

<p>3-5 minutes (D)</p> Signup and view all the answers

Which formulation of nitroglycerin is most suitable for long-term prophylaxis of anginal attacks?

<p>Oral formulation (B)</p> Signup and view all the answers

How does the translingual spray formulation of nitroglycerin bypass liver inactivation?

<p>By directly entering the bloodstream (C)</p> Signup and view all the answers

Which condition is effectively treated with intravenous (IV) nitroglycerin?

<p>Heart attack (B)</p> Signup and view all the answers

Why is the sublingual formulation of nitroglycerin preferred for terminating an ongoing anginal attack?

<p>It rapidly absorbs and bypasses liver metabolism (D)</p> Signup and view all the answers

What is the goal of therapies for variant angina (Prinzmetal's angina)?

<p>To restore the balance of vasodilators and nitrates (A)</p> Signup and view all the answers

Which drug class can lead to vasospasm in patients with variant angina?

<p>Organic nitrites &amp; nitrates (D)</p> Signup and view all the answers

What is the mechanism of action of organic nitrites & nitrates in treating angina?

<p>Releasing nitric oxide (C)</p> Signup and view all the answers

Why should organic nitrites & nitrates not be used together with Sildenafil (PDE5 inhibitor)?

<p>Risk of severe hypotension (C)</p> Signup and view all the answers

Which of the following is a side effect associated with Amyl Nitrite inhalation?

<p>Decreased blood pressure (C)</p> Signup and view all the answers

What is the main mechanism of antianginal action for organic nitrites and nitrates?

<p>Dilation of coronary arteries (D)</p> Signup and view all the answers

Which adverse effect is commonly associated with excessive vasodilation from nitrites and nitrates?

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

How is tolerance to nitrates typically prevented?

<p>Allowing at least 8 drug-free hours per day (D)</p> Signup and view all the answers

Which enzyme involved in the mechanism of antianginal action is inactivated by oxygen free radicals?

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

Which class of calcium channel blockers is associated with drugs ending in -dipine?

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

What is the approximate half-life of Amlodipine, a calcium channel blocker from the Dihydropyridine class?

<p>40 hours (C)</p> Signup and view all the answers

What is the primary mechanism of action of Ivabradine in treating stable angina?

<p>Inhibits the funny current (If) in pacemaker cells (C)</p> Signup and view all the answers

Why are β blockers not used in variant angina treatment?

<p>They have direct effects on coronary arteries (B)</p> Signup and view all the answers

What is the adverse effect of blocking β2 receptors in smooth muscle?

<p>Bronchoconstriction in the lung airway tract (A)</p> Signup and view all the answers

How does Ranolazine primarily reduce O2 demand in heart muscle?

<p>By inhibiting late Na+ current in cardiomyocytes (A)</p> Signup and view all the answers

Which drug selectively reduces heart rate and is used for heart failure and stable angina?

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

What is the main mechanism of action of β blockers like Propranolol in angina treatment?

<p>Blocks β2 receptors in smooth muscle (C)</p> Signup and view all the answers

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