Tick the drug for cestodosis (tapeworm invasion) treatment:

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Peter Attia Drugs Cardiovascular Questions

Question 1 of 5

Tick the drug for cestodosis (tapeworm invasion) treatment:

Correct Answer: B

Rationale: Certainly! The correct answer is B: Praziquantel. Praziquantel is the drug of choice for treating cestodosis due to its high efficacy against tapeworms. It works by causing paralysis in the worms, leading to their detachment from the intestinal wall and subsequent expulsion from the body. Piperazine (A) is used for roundworm infections, not cestodosis. Pyrantel (C) is effective against intestinal nematode infections, not tapeworms. Ivermectin (D) is mainly used for treating parasitic infections caused by roundworms and mites, but it is not the first-line treatment for cestodosis.

Question 2 of 5

Which of the following actions most likely mediated the therapeutic effect of both drugs in the patient's disease?

Correct Answer: D

Rationale: The correct answer is D: Upregulation of hepatic low-density lipoprotein (LDL) receptors. This action is most likely to mediate the therapeutic effect of both drugs in the patient's disease because it would increase the clearance of LDL cholesterol from the bloodstream, leading to decreased cholesterol levels. By upregulating LDL receptors on hepatocytes, more LDL particles are taken up by the liver, reducing circulating LDL levels and lowering the risk of cardiovascular disease. Choices A, B, and C are incorrect because they do not directly address the mechanism of action of the drugs in lowering cholesterol levels. Decreased intestinal reabsorption of bile acids (Choice A) may affect cholesterol absorption but is not the primary mechanism of action for most cholesterol-lowering drugs. Decreased conversion of cholesterol to bile acids (Choice B) and decreased synthesis of cholesterol by the liver (Choice C) do not target the clearance of LDL cholesterol from the bloodstream, which is the key therapeutic goal in managing hyperchole

Question 3 of 5

Relationship between arterial blood pressure (BP), cardiac outpur (CO) and peripheral vascular resistance (PVR) can be described as

Correct Answer: A

Rationale: In understanding the relationship between arterial blood pressure (BP), cardiac output (CO), and peripheral vascular resistance (PVR), it is crucial to grasp the physiological principles governing these parameters. The correct relationship is expressed as BP = CO x PVR. The rationale behind this correct answer lies in the fundamental equation relating blood pressure to cardiac output and peripheral vascular resistance. Blood pressure is the product of cardiac output (the volume of blood pumped by the heart per unit time) and peripheral vascular resistance (the resistance encountered by blood flow in the blood vessels). Therefore, an increase in either cardiac output or peripheral vascular resistance will lead to a rise in blood pressure. Explaining why the other options are incorrect: - Option B (BP = CO / PVR) is incorrect because blood pressure is not inversely proportional to peripheral vascular resistance. - Option C (BP = PVR / CO) is incorrect as it does not account for the combined effect of cardiac output and peripheral vascular resistance on blood pressure. - Option D (None of the above) is incorrect as there is a well-established relationship between BP, CO, and PVR in physiological terms. Educational context: Understanding the interplay between cardiac output, peripheral vascular resistance, and blood pressure is essential in cardiovascular physiology. This knowledge is crucial in diagnosing and managing conditions such as hypertension, heart failure, and shock. By grasping these relationships, healthcare professionals can make informed decisions regarding treatment strategies and patient care.

Question 4 of 5

A patient to be commenced on oral anticoagulant therapy for DVT would be treated with

Correct Answer: A

Rationale: In the management of deep vein thrombosis (DVT), oral anticoagulant therapy plays a crucial role in preventing further clot formation and potential complications like pulmonary embolism. The correct answer, option A, suggests initiating oral anticoagulant therapy with warfarin aiming for a target international normalized ratio (INR) of 2-3. This range is widely accepted for the treatment of DVT as it provides effective anticoagulation while minimizing the risk of bleeding complications. Option B, which suggests a higher INR range of 2.5-3.5, is not typically recommended for initial DVT treatment as it increases the risk of bleeding without significantly improving efficacy. Option C, using aspirin for DVT treatment, is not appropriate as aspirin is an antiplatelet agent and not as effective as anticoagulants in preventing clot propagation in DVT. Educationally, understanding the rationale behind selecting the appropriate anticoagulant therapy and target INR range is vital for healthcare providers managing patients with DVT. It highlights the balance between efficacy and safety in anticoagulation therapy, emphasizing the importance of individualized treatment based on patient factors and guidelines to optimize outcomes while minimizing risks.

Question 5 of 5

The normal therapeutic plasma concentration of digitalis is

Correct Answer: A

Rationale: The correct answer is A) 0.5 to 1.5 ng/ml and toxicity appears above 3 mg/ml. Digitalis, a medication used in cardiovascular conditions like heart failure, has a narrow therapeutic range. Maintaining plasma concentrations within this range is crucial for efficacy and avoiding toxicity. Options B and C provide concentrations that are too high for therapeutic use and would likely lead to toxicity. Option D suggests a concentration range higher than what is considered safe and effective for digitalis therapy. In an educational context, understanding the therapeutic range of medications like digitalis is essential for healthcare professionals to ensure safe and effective treatment for patients. Knowledge of appropriate dosing and monitoring parameters can prevent adverse drug reactions and optimize patient outcomes. This question highlights the importance of precision in medication management and the potential consequences of exceeding therapeutic limits.

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