1.

Angina secondary to coronary vasospasm may be reasonably treated by all of

the following except this agent which should be used with caution.

A. ? Nitrates

B. :-) ß-adrenergic receptor blocker

C. ? Calcium channel blockers

2. ß-adrenergic receptor blocker administration to postmyocardial infarction

patients confers short but not long-term survival benefits.

A. X True

B. ? False

3. The addition of a ß-adrenergic receptor blocker to a nitrate-based regimen is

likely more effective than single therapy with either agent by itself in anginal
management.

A. :-) True

B. ? False

4. The combination of long-acting dihydropyridine calcium channel blocker

derivatives and ß-adrenergic receptor blockers appear more effective in
managing anginal symptoms then either agent alone. Furthermore, the long-
acting dihydropyridine-type drugs seem preferable in terms of avoiding
excessive bradycardia.

A. :-) True

B. ? False

5. ß-adrenergic receptor antagonists which also have intrinsic sympathomimetic

activity improve mortality following myocardial infarction since these agents
enhance myocardial contractility.

A. X True

B. ? False

6. Which one of the following contraindications is considered a relative but not

absolute contraindication to the use of ß-adrenergic receptor blockers?

A. :-) Brittle diabetes

B. X Severe bradycardia

C. X Pre-existing atrioventricular (AV) block

 D. ? Acutely decompensated congestive heart failure

7. Adverse effect(s) of ß-adrenergic blockers include which one(s) of the

following?

A. ? Impotence

B. ? Nightmares

C. ? Lethargy

D. :-) All of the above

8. Which ones() of the following statements concerning ß-adrenergic receptor

blockers is/are correct?

A. :-) Administration of ß-adrenergic receptor blockers reduce the

likelihood of recurrent myocardial infarction.

B. X Effectiveness of ß-adrenergic receptor blocker administration in

terms of therapeutic benefit is most apparent in lower risk patients.

C. X Both

D. ? Neither

9. Therapeutic benefits associated with ß-receptor blockers:

A. ? Mainly a "class" effect, with the exception of some agents that

show intrinsic sympathomimetic activity.

B. ? For patients with severe angina, maximal drug effectiveness

requires using a dose needed to achieve a heart rate of less than or
equal to 60/min at rest or 70/min at exertion.

C. :-) Both

D. ? Neither

10. Cardioprotective effects have been demonstrated following administration of

which one(s) of the following agents?

A. ? Timolol

B. ? Propranalol

C. ? Atenolol

D. ? Metoprolol

E. ? &&B
F. ? A&C

G. ? D only

H. :-) A, B, C & D