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MCQ on antianginal agents: Page-4

The drug that can be used in cyanide poisoning is cyanide poisoning

(A) P

(B) Q

(C) R,S

(D) P,Q

Amyl nitrite or sodium nitrite followed by sodium thiosulphate can be used for treating cyanide poisoning. Amylnitrite or sodium nitrite will increase the binding of cyanide by converting hemoglobin to methemoglobin to which cyanide binds strongly. On the other hand, sodium thiosulphate converts cyanide into sodium thiocyanate which is less toxic than cyanide.

Ivabradine acts by inhibition of

(A) Calcium channels

(B) Potassium channels

(C) Na+-K+ channel

(D) Na+/K+-ATPase pump

Ivabradine is a new drug that blocks sodium-potassium channels in pacemaker potential thereby decreases automaticity. Hence it can be used instead of betablockers.

Choose the WRONG statement regarding organic nitrates

(A) Nitroglycerine is short acting with duration as 30 min

(B) Nitroglycerine is not given by oral route

(C) Organic nitrates show tolerance due to receptor down regulation

(D) Orthostatic hypotension is the main side effect

Organic nitrates are not acting on receptors. They act by release of nitric oxide by interacting with thiol groups in enzymes. This released nitric oxide increases activity of cGMP leading to vasodilatation. Hence any modification of these leads to tolerance. Decreased release of NO, depletion of thiol groups and alteration of cGMP activity.

Choose the WRONG statement

(A) Amlodipine is smooth muscle selective and produces ankle swelling

(B) Verapamil produces bradycardia

(C) Verapamil is drug of choice in Wolf-Parkinson-White syndrome

(D) Nifedipine is not used as anti-anginal

Verapamil decreases refractory period hence contraindicated in re-entry type arrhythmias like WPW.

The duration of action of sublingual nitroglycerine is

(A) 10 min

(B) 30 min

(C) 60 min

(D) 120 min

Nitroglycerine sublingual tablets has fast onPage of like 2 min but short acting with duration as 30 min. Hence they can be used for symptomatic relief. Nitroglycerine sustained release tablets are given orally and they can act for 4 to 8 hr producing long term action.