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MISSIONS

© 20XX GENIALLY ESCAPE GAMES

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HI-SCORE

1 SPACE

2 PUZZLE

3 STICK

4 FROG

PASSWORD

Pass the missions to obtainthe password numbers

Which of the following medications is most likely to cause reflex tachycardia?

OF 5

LEVEL 1

1

Amlodipine

Diltiazem

Chlorthalidone

2

3

X

Which of the following is the most appropriate strategy to manage his BP?

OF 5

LEVEL 2

1

Increase HCTZ

Add amlodipine

Add lisinopril

2

3

X

Which of the following medications is associated with drug-induced lupus?

OF 5

LEVEL 3

1

Hydralazine

Aliskiren

Irbesartan

2

3

X

Which of the following is the safest antihypertensive medication to use in pregnancy?

OF 5

LEVEL 4

1

Candesartan

Methyldopa

Spironolactone

2

3

X

Which of the following statements is correct regarding propranolol?

OF 5

LEVEL 5

1

It causes peripheral vasodilation

It is beta 1 selective

It can cause bronchoconstriction

2

3

X

THE NUMBER OF THIS MISSION IS 1

CONGRATULATIONS!

X

CONTINUE?

GAME OVER

X

YES

NO

All of the following are advantages of LMWH compared to UFH in treating a VTE, EXCEPT:

OF 5

LEVEL 1

1

LMWH can be given subcutaneously at home

LMWH can be safely used in end-stage renal disease

LMWH has a lower risk of HIT

2

3

X

NEXT

Which of the following is an antagonist for the P2Y12 receptor?

OF 5

LEVEL 2

1

Dipyrimadole

Aspirin

Prasugrel

2

3

X

NEXT

Which of the following heart valves would require warfarin with an INR goal of 2.5-3.5?

OF 5

LEVEL 3

1

A mechanical mitral valve

A bioprosthetic mitral valve

A transcatheter aortic valve replacement (TAVR)

2

3

X

NEXT

Which of the following medications could reduce the INR when taken with warfarin?

OF 5

LEVEL 4

1

Rifampin

Levofloxacin

Metronidazole

2

3

X

NEXT

Andexxa is the antidote for which of the following medications?

OF 5

LEVEL 5

1

Pradaxa

Eliquis

Lovenox

2

3

X

NEXT

THE NUMBER OF THIS MISSION IS 9

CONGRATULATIONS!

X

CONTINUE?

GAME OVER

X

YES

NO

Which of the following is the most appropriate recommendation for this patient's lipids?

OF 5

LEVEL 1

1

Fenofibrate 160 mg daily

Lipitor 80 mg daily

Vascepa 2000 mg BID

2

3

X

Which of the following inhibits the absorption of cholesterol from the small intestine?

OF 5

LEVEL 2

1

Zetia

Pravastatin

Praluent

2

3

X

Which of the following medications has the highest risk of rhabdomyolysis when added to a statin?

OF 5

LEVEL 3

1

Fenofibrate

Gemfibrozil

Ezetimibe

2

3

X

Which lab is most appropriate to confirm rhabdomyolysis?

OF 5

LEVEL 4

1

Creatine kinase (CK)

BNP

Troponin

2

3

X

In which of the following scenarios would calculating a 10-year ASCVD risk be useful in determining lipid-lowering therapy?

OF 5

LEVEL 5

1

A 58-year-old female with HTN and tobacco abuse and LDL of 144 mg/dL.

A 68-year-old female with a recent history of MI and LDL of 88 mg/dL.

A 38-year-old male with heterozygous familial hypercholesterolemia and LDL of 206 mg/dL.

2

3

X

THE NUMBER OF THIS MISSION IS 8

CONGRATULATIONS!

X

CONTINUE?

GAME OVER

X

YES

NO

Which of the following statements is true regarding Entresto?

OF 3

LEVEL 1

1

It requires a 24 hour wash out from the last dose of an ACEi

It is contraindicated in patients with history of angioedema associated with ACEi

It can lead to hypokalemia

2

3

X

In a patient with atrial fibrillation and heart failure, which medication below would be the preferred rhythm control agent?

OF 3

LEVEL 2

1

Amiodarone

Flecainide

Diltiazem

2

3

X

Which antithrombotic is preferred in preventing stroke in a patient with atrial fibrillation?

OF 3

LEVEL 3

1

Xarelto

Warfarin

Aspirin plus dipyridamole

2

3

X

THE NUMBER OF THIS MISSION IS 9

CONGRATULATIONS!

X

CONTINUE?

GAME OVER

X

YES

NO

CONGRATULATIONS

THANKS FOR PLAYING

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Heartbeat Adventures: A Cardiac Quest