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PHARMA PLUS TRAINING CENTER💊

Channel's geo and language: Ethiopia, Amharic

Category: Education

Pharma Plus Training Centre
Official resource hub for Ethiopian pharmacy students and graduates. Access lecture slides, Exit Exam & COC practice questions, and study guides.
💬 Discussion Group: @PharmaPlusTutorial
📩 Contact: @AbukiRx

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PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

?

Poll

A. Milrinone can interact with her β-blocker therapy due to its β-agonist mechanism
B. Effects begin to wear off after 72 hours due to tolerance
C. Dose needs to be adjusted in renal dysfunction
D. Milrinone is not appropriate to use in subset IV
E. a and c

135 votes

170 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

10. A 68-year-old woman is admitted for decompensated heart failure, hemodynamic subset IV. Her current medication regimen includes enalapril 10 mg BID, digoxin 0.125 mg Qday, carvedilol 12.5 mg BID, furosemide 80 mg BID, and potassium chloride (K-Dur) 40 mEq (40 mmol) BID. Which of the following is TRUE regarding using milrinone therapy in this patient?

168 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

?

Poll

A. Supervised exercise is recommended including aerobic activity and weight lifting
B.Contact health care provider if weight increases by more than 1.4 kg in a day or 2.3 kg in a week
C. Lower dietary sodium intake to no more than 2 grams per day
D. Maintain alcohol intake if diagnosed with alcohol-induced cardiomyopathy
E. Weight should be kept at 15% above ideal body weight to maintain adequate nutrition absorption

142 votes

155 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

9, Which of the following statements is most appropriate for patient counseling on nonpharmacologic management of heart failure?

129 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

?

Poll

A. Fluids, inotropes
B. Diuretics, vasodilators
C. Fluids, inotropes, vasodilators
D. Diuretics, fluids, inotropes
E. Diuretics, inotropes, vasodilators

135 votes

141 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

8, A 68-year-old African American woman is admitted to the hospital for new onset acute decompensated heart failure. Her current medications include felodipine 2.5 mg Qday and atorvastatin 20 mg Qday. Hemodynamic readings include a PCWP of 16 (2.1 kPa) and a CI of 1.8 L/min/m2 . Which of the following is the MOST appropriate treatment plan?

133 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

?

Poll

A. I
B. II
C. III
D. IV
E. II and IV

127 votes

138 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

7, A 76-year-old man is admitted to the hospital presenting with peripheral and pulmonary edema, decreased urinary output, hypotension, and altered mental status. Pertinent values: PCWP = 32 mm Hg (4.3 kPa), Cardiac index (CI) = 1.8 L/min/m2 . Based on his presentation, what hemodynamic subset is he in?

109 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

6, Mineralocorticoid receptor antagonists (or aldosterone receptor antagonists) have been shown to reduce mortality in patients with heart failure. Which of the following is TRUE about MRAs?

Poll

A. Spironolactone leads more frequently to gynaecomastia compared to eplerenone
B. Associated with hypokalemia
C. Can only be used in NYHA functional class IV
D. Used after maximizing ACE inhibitors, β-blockers, and digoxin

140 votes

109 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

?

Poll

A. Metolazone
B. Hydralazine and isosorbide
C. Spironolactone
D. Hydrochlorothiazide
E. Valsartan

136 votes

98 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

5, A 74-year-old woman presents to clinic for heart failure follow-up. She is classified as NYHA FC II. Her blood pressure is 144/82 mm Hg, and most recent EF is 26% (0.26). Her current medication regimen includes lisinopril 20 mg Qday, carvedilol 25 mg BID, digoxin 0.125 mg Qday, and furosemide 20 mg BID. Which of the following would be the BEST choice to add at this time?

100 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

Which of the following is the MOST appropriate ACUTE treatment plan for the patient’s heart failure?

Poll

A. Add HCTZ 12.5 mg Qday, since creatinine clearance is above 30 mL/min (0.5 mL/s)
B. Add HCTZ 25 mg Qday, increase dose of diltiazem to 240 mg Qday
C. Add furosemide 20 mg BID and nesiritide infusion since BNP is elevated
D. Add furosemide 20 mg BID and lisinopril 10 mg Qday, discontinue diltiazem
E. Add furosemide 20 mg BID, and carvedilol 3.125 mg twice daily, discontinue diltiazem

126 votes

103 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

3, Which of the following is TRUE regarding the patient’s current NYHA functional class and stage of heart failure?

Poll

A. Class III, Stage B
B. Class III, Stage C
C. Class II, Stage B
D. Class II, Stage C

144 votes

102 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

2, Which of the patient’s medications can exacerbate systolic dysfunction heart failure?

Poll

A. Glipizide
B. Diltiazem
C. Acetaminophen
D. b and c

159 votes

104 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

Use the following to answer questions 2–4:

A 58-year-old man presents to the clinic today with complaints of increasing shortness of breath while dressing and carrying groceries and a 10 lb (4.5 kg) weight gain. A few months
prior, he noticed episodes of waking in the middle of the night with shortness of breath, difficulty breathing after walking two flights of stairs, as well as ankle edema. The patient has a history of osteoarthritis × 10 years, hypertension × 4 years, diabetes mellitus × 5 years, dyslipidemia, and is status post myocardial infarction 2 years ago.
Physical exam reveals the following: BP 148/96 mmHg, pulse 98 beats/min, Ht: 5’11’’ (180
cm), Wt: 189 lb (86 kg; usual = 178 lb [81 kg]), BMI: 26.4 kg/m2
(+) JVD, (−) HJR or hepatomegaly
(+) S3, (+) S4
ECG: regular rate/rhythm, evidence of old infarct
ECHO: EF 33% (0.33)
CXR: Crackles bilaterally and cardiomegaly (enlarged heart)
Labs:
Sodium: 142 mE/L (142 mmol/L)
Potassium: 3.7 mEq/L (3.7 mmol/L)
Magnesium: 1.8 mEq/L (0.90 mmol/L)
BUN: 22 mg/dL (7.9 mmol/L)
SCr: 1.3 mg/dL (115 µmol/L)
BNP: 322 pg/mL (322 ng/L; 93 pmol/L)
Current medications:
Aspirin 81 mg daily
Diltiazem 180 mg daily
Glipizide 10 mg twice daily for diabetes
Simvastatin 20 mg nightly at bedtime
Acetaminophen 500 mg twice daily

117 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

?

Poll

A
B
C
D

120 votes

119 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

125 0 0

PHARMA PLUS TRAINING CENTER💊

4 Oct, 22:18

Forward from: PHARMA PLUS TRAINING CENTER💊

Heart failure, Self-Assessment Questions👇👇👇👇👍

128 0 0

PHARMA PLUS TRAINING CENTER💊

3 Oct, 22:43

📢 ለፋርማሲ ቀጣሪዎች (የፋርማሲ ባለቤቶች፣ የሆስፒታል እና የመድሃኒት አስመጪ ድርጅቶች) በሙሉ!

ለድርጅትዎ የሚያስፈልጉዎትን የፋርማሲ ባለሙያዎች በቀላሉ እንዲያገኙ ክፍት የስራ ቦታዎችን በግሩፓችን ማስለቀቅ ይችላሉ።

📋 የሚከተሉትን መረጃዎች አሟልተው በውስጥ @AbukiRx ላይ ይላኩልን፦

🕹 መሟላት ያለባቸው መረጃዎች፦
1. የድርጅቱ ስም፦
2. የስራ መደብ ወይም አይነት ፦
3. የትምህርት ዝግጂት፦
4. የስራ ቦታ (Location)፦
5. የስራ ልምድ፦
6. ደሞዝ/ክፍያ፦ (የተወሰነ መጠን ወይም "በስምምነት")
7. የማመልከቻ ማብቂያ ቀን፦
8. ማመልከቻ የሚላክበት አድራሻ፦ (ስልክ ቁጥር ወይም ኢሜይል)

⚠️ ማሳሰቢያ፦ ከፋርማሲ ሙያ ውጭ ያሉ ማስታወቂያዎችን አናስተናግድም።

✈️ አሁኑኑ በውስጥ ያነጋግሩን፦
✈️ @AbukiRx
📞 0919190524

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PHARMA PLUS TRAINING CENTER💊

3 Oct, 20:39

🔴 LIVE SESSION — TOMORROW (SUNDAY)!
⏰ Time: 3:00 PM
📍 Telegram Live

Don’t miss this important session!
Join us on time and learn with us! 📖

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✏️ ለመመዝገብ 👉 @abukiRx

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