Antithrombotics and such
Quiz by Yana Labinov
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21 questions
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- Q1Which of the following is a reversible P2Y12 antagonist?PrasugrelBivalirudinTicagrelorClopidogrel120s
- Q2For the treatment of an acute venous thromboembolism, initial parenteral anticoagulants are not needed for therapy with:Dabigatran or RivaroxabanA parenteral anticoagulant is always needed for at least the first weekRivaroxaban and apixabanApixaban or Edoxaban120s
- Q3Which of the following is a fibrin-specific thrombolytic?UrokinaseStreptokinaseAlteplaseFuncokinase120s
- Q4Which of the following is an oral direct thrombin inhibitor?BivalirudinDalteparinDabigatranArgatroban120s
- Q5Which of the following is a non-specific, indirect factor Xa inhibitor?fondaparinuxdalteparinedoxabanwarfarin120s
- Q6Which of the following statements is true regarding UFH?It cannot be used in the treatment of DVT due to its unpredictable pharmacokinetics.It requires renal dose adjustments.It binds to factor Xa:IIa in a 1:1 ratio.It has a prolonged half-life and cab be dosed twice daily.120s
- Q7Which of the following DOES NOT have a reversal agent?rivaroxabanheparinwarfarinenoxaparin120s
- Q8Which of the following patients would benefit from monitoring of anti-Xa levels?Patient on warfarin.67 kg patient being bridged with enoxaparin to warfarin for treatment of DVT.72 yo obese patient on chronic dalteparin for treatment of recurrent DVT85 yo patient on a heparin gtt being treated for a PE.120s
- Q9A 72 yo male with a PMH of HTN and DM presents to the ED with chest pain. He's had this type of pain on and off for the last few days so he took an ASA 81 mg and one dose of SL NTG before coming to the ED this morninng. Labs reveal a troponin of 4.5 and he is diagnosed with NSTEMI. What is this patient's TIMI risk score?3425120s
- Q10In the management of NSTEMI, the two types of treatment strategies are:non-invasive or ischemia directedInvasive or ischemia directedinvasive or thrombolysisthrombolysis or ischemia directed120s
- Q11JR is a 58 year old male who presents to the ER with chest pain concerning for ACS. Labs reveal an elevated troponin of 0.8 ng/mL. An EKG shows significant depression of the ST segment in leads V1-V6. Which of the following is the most likely diagnosis for this patient?NSTEMInon cardiac chest painunstable anginaSTEMI120s
- Q12In the absence of a contraindication, which of the following patients should receive dual antiplatelet therapy for 12 months?A patient with an ACS event who received a bare metal stentA patient with an ACS event who did not receive a stent during catheterizationA patient with an ACS event who received a drug-eluting stentAll of the above patients should receive dual antiplatelet therapy for 12 months (or more in some cases)120s
- Q13Which of the following DOES NOT require binding to antithrombin III in order to exert its anticoagulant effect?FondaparinuxBivalirudinEnoxaparinHeparin120s
- Q14AG presents with severe chest pain, radiating to his left arm and jaw. He is extremely diaphoretic. He is diagnosed with a high risk STEMI and is started on a heparin bolus + continuous infusion. He is taken to angiography and will undergo PCI. Is it appropriate to administer a GPI?Yes, because he has an allergy to heparin.No, GPI should never be given in combination with UFHYes, this is a high risk patient who's received UFH so we can use abciximab, eptifibatide or tirofiban.They are not indicated in STEMI120s
- Q15Without any contraindications, which of the following medications should a patient with NSTEMI receive prior to discharge?ASA 325 mg and ticagrelor 80 mg po dailyenoxaparin 1 mg/kg SC BIDSimvastatin 40 mg and amlodipine 10Atorvastatin 80 mg and SL NTG120s