Ques. What is the most important recommendation that should be provided to decrease risk of deep vein thrombosis?

A) Avoid taking flights

B) Increase mobility of legs

C) Avoid physical activity

D) Avoid vitamin K intake

E) Avoid dark green vegetables

Answer: (b)

 

Ques. Patient is hospitalized. Drs initiated heparin infusion. What is incorrect about heparin

A) Heparin dose is based on body weight

B) Loading dose is 80 units/kg and maintenance dose is 15 to 25 units/kg/hr.

C) Heparin is slower onset than LMWH

D) LMWH have longer half life

E) LMWH have predictable response thus not monitored

Answer: (c)

 

Ques. If a doctor initiated dalteparin, which of the following is NOT required to monitor?

A) Bleeding

B) aPTT

C) Rash

D) INR

E) Bruise

Answer: (b and d)

 

Ques. A 60 years old patient having systolic CHF. His LVEF is ≤ 40%. He is intolerant to ß-blocker. His doctor should Rx for him:

I) CCB

II) Only ACEI

III) ACEI + ARBs

(A) I only

(B) III only

(C) I and II only

(D) II and III only

(E) I, II, III

Answer: (b)

 

 

Ques. In the above scenario if persistent symptoms i.e. if there is no improvement in LVEF, then:

I) Discontinue ACEI and ARBs and give Spironolactone

II) Discontinue ACEI and ARBs and give Hydralazine/Isosorbide dinitrate

III) Add Digoxin to the above regimen

(A) I only

(B) III only

(C) I and II only

(D) II and III only

(E) I, II, III

Answer: (b)

 

Ques. Which of the following is NOT used in CHF?

A) Spironolactone

B) Verapamil

C) amlodipine

D) Ethacrinic acid

E) carvedilol

Answer: (b)