Question

1-Samah is a 62 year old woman comes to her doctor with severe chest pain when she walks up her house on the third floor. The pain vanishes when she is at rest. After evaluation of management options, a choice was made to manage her with nitroglycerin.

Which of these is a usual effect of nitroglycerin?

Reduced venous capacitance

Higher cardiac force

Augmented afterload

Augmented diastolic myocardial fiber tension

Reduced heart rate

2-Few months later, the patient comes back with a problem; her nitroglycerin gives good results when she takes it for an acute attack but that she is currently having more recurrent attacks and wants something to avoid them. Beneficial drugs for the prevention of effort angina comprise

Verapamil

Sublingual nitroglycerin

Sublingual isosorbide dinitrate

Amyl nitrite

IV Esmolol

3-In informing the client about the side effects she might get, you mention that nitroglycerin frequently causes some symptoms. Which of these effects may happen due to the mechanism mentioned?

Headache caused by intracerebral vasodilation

Constipation

Hypertension because of reflex tachycardia

Urine ejection due to sympathetic discharge

Vertigo due to reduced cardiac force of contraction

Answer 1

ANSWER.

1.

C). Augmented afterload.

In this condition use of nitroglycerin leads to increase vascular resistance by aortic valve stenosis and ventricular dilation that leads to increase after load.

2.

B). Sublingual nitroglycerin.

This helps to treat episodes of angina , sublingual Nitroglycerin can take before activity which cause angina this medication prevents angina, and this is fast acting method.

3.

A). Headache caused by intracerebral.

Most common symptoms in nitroglycerin use is headache and opening up of blood vessels in brain cause headache.