MCQ on antiarrhythmic agents: Page-7

Select the actions of adenosine from the following

(A) P,R,S

(B) P,Q,R

(C) Q,S

(D) R,S

Adenosine acts by opening of potassium channels leading to vasodilatation, inhibition of heart resulting in bradycardia. At lungs, it mainly acts by increasing the release of histamine resulting in bronchoconstriction.

Acute ventricular tachycardia is treated by

(A) Digoxin

(B) Lidocaine

(C) Verapamil

(D) Amiodarone

Lidocaine IV can be given to terminate acute ventricular tachycardia.

Which of the following statement is CORRECT

(A) Digoxin increases action of Quinidine due to inhibition of its excretion

(B) Digoxin increases action of Quinidine due to increasing its metabolism

(C) Quinidine increases action of Digoxin due to inhibition of its excretion

(D) Quinidine decreases action of Digoxin due to increasing its metabolism

Quinidine is a P-glycoprotein pump inhibitor at renal tubules. Normally this pump is responsible for renal tubular secretion and hence increases the excretion of drugs like digoxin. Quinidine inhibits this pump thereby decreases the excretion of the digoxin leading to increase in its action which may lead to toxicity. Therefore in presence of quinidine the dose of digoxin should be decreased.

Which of the following statement is WRONG

(A) Amiodarone produces slate-grey-blue discoloration

(B) L-form of sotalol has beta blocker activity

(C) Class Ib drugs has fast association and dissociation kinetics

(D) Statins combined with fibrates are drug of choice in hyperlipidaemia

Statins should not be combined with fibrates due to rhabdomyolysis

Choose the WRONG combination of disorder and drug of choice

(A) Congestive heart failure, digoxin

(B) Wolf-Parkinson-white syndrome, amiodarone

(C) Type II hypercholesterolemia, statins

(D) Supraventricular tachycardia, Phenytoin

For supraventricular tachycardia, adenosine is the drug of choice.