1.
A 52-year-old man recently diagnosed with stage 1 essential hypertension started a treatment with thiazide diuretics. After 2 months of taking the medication regularly, patient complains that his blood pressure was not controlled. The patient is a smoker and finds it difficult to quit smoking. What could be the physician advice in this patient?
2.
A 45-year-old man has been recently diagnosed with variant angina. Which of the following drugs has no therapeutic effect in this disease?
3.
A 52-year-old man recently diagnosed with stage 1 essential hypertension started a treatment with thiazide diuretics. After 2 months of taking the medication regularly, patient complains that his blood pressure was not controlled despite following life-style modifications. What could be the physician advice in this patient?
4.
A 48-year-old man having a history of stage C heart failure was admitted to the hospital with complains of extreme dyspnea, and restlessness. Lab investigations confirmed the diagnosis of pulmonary edema. Which of the following drugs must be given along with an intravenous infusion of nitroglycerin for maximum therapeutic effect in this patient?
5.
A 43-year-old man with a history of type 2 diabetes for 5 years diagnosed now with stage 1 essential hypertension. The patient is taking insulin along with oral hypoglycemic agents for diabetes. Which of the following drugs would be most appropriate to treat the patient condition?
6.
A 52-year-old man diagnosed with stage 2 essential hypertension and was on treatment with thiazide diuretics and angiotensin receptor blockers (ARBs), informs his physician about frequent urination at night for the past 1 week. Lab investigations confirmed the diagnosis of prostatic hyperplasia. What could be the physician advice in this patient?
7.
A 43-year-old man diagnosed with stage 1 essential hypertension has been receiving thiazide diuretics for several months. Now the patient has been diagnosed with variant angina. Which of the following drugs would be most appropriate to treat the patient condition?
8.
A 45-year-old man was admitted to the emergency department of the hospital with complains of severe headache. His family members informed that the person suddenly collapsed at home and regained consciousness after sometime. CT scan confirmed the diagnosis of subarachnoid hemorrhage. Which of the following drugs is effective in reducing morbidity and mortality in this condition?
9.
A 57-year-old man suffering from diabetes mellitus and was receiving insulin treatment, informs his physician about chest pain on exertion for the past 2 days. Lab investigations confirmed the diagnosis of exertional angina. Which of the following antianginal drugs is relatively contraindicated in this patient?
10.
A 52-year-old man recently diagnosed with stage 2 essential hypertension started a treatment with thiazide diuretics and angiotensin receptor blockers (ARBs). After 2 months of taking the medication regularly, patient complains that his blood pressure was poorly controlled. What could be the physician advice in this patient?
11.
A 46-year-old man recently diagnosed with exertional angina complains to his physician of insomnia, nightmares, fatigue, and diminished libido. He has been taking an antianginal drug for 1 month. Which of the following drugs most likely caused the patient’s symptoms?
12.
A 63-year-old woman recently diagnosed with stage C systolic heart failure complained to her physician about a frequent dry, nonproductive cough for the past 3 days. The patient is taking medication for heart failure regularly. Which of the following drugs given in stage C systolic heart failure is responsible for the patient adverse effect?
13.
A 52-year-old man diagnosed with stage 1 essential hypertension and is on regular treatment complains to his physician of acute pain at the base of his right big toe for the past 2 days. Lab tests confirmed the diagnosis of acute gout. Which of the following antihypertensive drugs should not be given in this patient?
14.
A 63-year-old man complained to his physician of shortness of breath, feeling tired and swollen legs. On examination, mild pitting edema was seen on the legs. His physician diagnosed the condition as stage C heart failure. Which of the following drugs is considered as the last option in managing the condition?
15.
A 56-year-old man with a history of hypertrophic cardiomyopathy was recently diagnosed with exertional angina. All the following drugs are contraindicated in this patient, EXCEPT
16.
A 43-year-old woman presented to the clinic because of chest pain on exertion for the past 2 days. Lab investigations confirmed the diagnosis of exertional angina. Which of the following drugs form an ideal treatment regimen for this patient?
17.
A 52-year-old man diagnosed with stage 1 essential hypertension. He has no other comorbidities. Which of the following antihypertensive drugs should be the initial choice in this patient?
18.
A 28-year-old woman was diagnosed with stage 1 hypertension and ventricular tachycardia. She was recently married, and the couple wanted to have children. Which of the following drugs is ideal to start in this patient?
19.
A 64-year-old man with stage C heart failure informs his physician about dyspnea and swelling of legs despite taking the prescribed medication that include captopril, metoprolol, furosemide, and digoxin regularly. The physician decided to add a drug to the patient’s therapy. Which of the following drugs would be appropriate for the patient at this time?
20.
A 49-year-old man with a history of chronic obstructive pulmonary disease was recently diagnosed with exertional angina. Which of the following antianginal drugs is relatively contraindicated in this patient?
21.
A 52-year-old man recently diagnosed with stage 2 essential hypertension started a treatment with thiazide diuretics and angiotensin converting enzyme inhibitors (ACEIs). After 1 week of taking the medication regularly, patient complains of dry, irritating cough at night disturbing his sleep. What could be the physician advice in this patient?
22.
A 28-year-old woman was diagnosed with stage 1 hypertension in the first trimester of her pregnancy. Which of the following antihypertensive drugs is ideal to start in this patient?
