MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient with pulmonary hypertension has a positive vasoreactivity test. Which medication will the nurse administer to the patient as prescribed?
A
Calcium channel blockers
B
Angiotensin-converting enzyme inhibitor
C
Beta-blockers
D
Angiotensin receptor blockers
Explanation: 

Detailed explanation-1: -Patients with a positive vasoreactivity test should be given a trial of calcium channel blocker (CCB) therapy. In those with a negative vasoreactivity test, advanced therapy should be considered. Combination advanced therapy should be considered for refractory cases.

Detailed explanation-2: -Diltiazem and nifedipine are the most commonly prescribed in PH. These are a group of medicines used for a range of different uses, including angina and high blood pressure. Some CCBs are also prescribed for Raynauds Phenomenon. CCBs are vasodilators, hence they open up blood vessels.

Detailed explanation-3: -They include amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension improve while taking them.

Detailed explanation-4: -Calcium channel blockers are drugs which can relax the pulmonary arteries and decrease resistance and pressure of these vessels; this may benefit patients with pulmonary hypertension.

Detailed explanation-5: -VASODILATOR & ANTI-PROLIFERATIVE AGENTS. Epoprostenol (Flolan) Epoprostenol (Veletri) Treprostinil (Remodulin) Iloprost (Ventavis) Treprostinil (Tyvaso) Bosentan (Tracleer) Ambrisentan (Letairis) More items

There is 1 question to complete.