BNF Prescribing Practice for Medical Students Question of the
Day
Test your prescribing knowledge with our question of the
day.
Theme:Cardiac Failure
| A | ACE –Inhibitor |
|---|
| B | Thiazide diuretic |
|---|
| C | Spironolactone |
|---|
| D | Bisoprolol |
|---|
| E | Angiotensin-II receptor antagonist |
|---|
| F | Digoxin |
|---|
Select the single most likely answer from the options listed for
each of the following scenarios. Each option may be used once, more
than once, or not at all.
For further information, click on:
A patient with known heart failure develops palpitations, her electrocardiogram shows tall tented T-waves with a potassium of 6.5 mmol/l. She takes co-amilofruse and started a new medication for her heart failure 3 days ago. Which new drug was she started on?
A patient is admitted with nausea and vomiting, general malaise and yellowing of her vision. Her electrocardiogram shows 1st degree heart block. Her urea is 10.1 µmol/l and her creatinine is 200 µmol/l. One of her medications is causing her toxicity, which is most likely?
A 64-year-old man presents in clinic with worsening heart failure. He is on perindopril, carvedilol and furosemide. What is the next best drug to add into his medication?
You are asked to see a patient who has recently had a laparotomy. His urine output is 20mls/hr, blood pressure 120/70mmHg, pulse is 90 beats per minute. You review his drug chart and notice he is on bisoprolol, captopril, diltiazem and digoxin. Which drug class should you consider stopping?
A patient in outpatients recently started a cardiac medication and is complaining that her fingers and toes are always cold since starting it. Which drug is causing this side-effect?