MCQs and Quizzes - Multiple Choice Questions with Answers

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Which of the following is NOT an indication for beta-blockers?

  • A. Mitral valve prolapse
  • B. Migraine prophylaxis
  • C. Asthmatic crisis
  • D. Essential tremor
  • Correct Answer: Option C

Which of the following beta-blockers has a long half-life and therefore can be administered once daily, is used in the prevention of re-bleeding in the setting of bleeding secondary to portal hypertension, and is used for glaucoma?

  • A. Metoprolol
  • B. Nadolol, Carteolol, Atenolol, Betaxolol, Bisoprolol
  • C. Pindolol, Acebutolol, Penbutolol
  • D. Labetalol, Carvedilol
  • Correct Answer: Option B

Which of the following beta-blockers has combined alpha and beta blocking activity and thus is useful in treating the hypertension of pheochromocytoma and hypertensive emergencies, such as lowering blood pressure in stroke prior to giving tPA?

  • A. Metoprolol
  • B. Nadolol, Carteolol, Atenolol, Betaxolol, Bisoprolol
  • C. Pindolol, Acebutolol, Penbutolol
  • D. Labetalol, Carvedilol
  • Correct Answer: Option D

Which of the following beta-blocker has cardiac selectivity that may be advantageous in treating hypertensive patients who also suffer from asthma, diabetes, or peripheral vascular disease?

  • A. Metoprolol
  • B. Nadolol, Carteolol, Atenolol, Betaxolol, Bisoprolol
  • C. Pindolol, Acebutolol, Penbutolol
  • D. Labetalol, Carvedilol
  • Correct Answer: Option A

Which of the following beta-blockers is particularly beneficial for patients with bradyarrhythmias, peripheral vascular disease, or intrinsic sympathomimetic activity (ISA)?

  • A. Metoprolol
  • B. Nadolol, Carteolol, Atenolol, Betaxolol, Bisoprolol
  • C. Pindolol, Acebutolol, Penbutolol
  • D. Labetalol, Carvedilol
  • Correct Answer: Option C

Which of the following beta-blockers is used for management of intraoperative and postoperative hypertension, and sometimes for hypertensive emergencies, particularly when hypertension is associated with tachycardia?

  • A. Nadolol, Carteolol, Atenolol, Betaxolol, Bisoprolol
  • B. Pindolol, Acebutolol, Penbutolol
  • C. Labetalol, Carvedilol
  • D. Esmolol
  • Correct Answer: Option D

Which of the following is a typical use for the non-selective beta-blocker propranolol (Inderal)?

  • A. To increase heart rate in bradycardic patients
  • B. For hypertension in patients with heart failure
  • C. For hypertension in patients with AV nodal block
  • D. For hypertension in patients with pulmonary stenosis
  • Correct Answer: Option B

*Due to its effects on depleting norepinephrine, dopamine, and serotonin, the drug reserpine (Harmonyl) is contraindicated in patients with gastric ulcers or who have:

  • A. Diabetes
  • B. Hypertension
  • C. Depression
  • D. Heart failure
  • Correct Answer: Option C

What is the major reason that guanethidine is rarely used as a drug of choice?

  • A. It causes postural hypotension
  • B. It impairs ejaculation
  • C. It is too polar to enter the CNS
  • D. Better medications have been developed
  • Correct Answer: Option D

Which of the following side-effects (sympathoplegic and parasympathoplegic) is the reason why ganglion blocking agents have been almost completely abandoned for the treatment of hypertension?

  • A. Sexual dysfunction
  • B. Urinary retention
  • C. Glaucoma and blurred vision
  • D. All of the above
  • Correct Answer: Option D