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|MainCategory=Pharmacology
|MainCategory=Pharmacology
|SubCategory=Cardiology, Vascular
|SubCategory=Cardiology, Vascular
|MainCategory=Pharmacology
|MainCategory=Pharmacology
|MainCategory=Pharmacology
|MainCategory=Pharmacology
|MainCategory=Pharmacology
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|Prompt=A novel drug is being developed by a group of basic science researchers. The drug is being studied under animal models using specific cardiovascular receptors. The research team measures the drug’s effects on the ventricular membrane potential.  They determine that the drug increases the action potential duration (APD) by increasing the effective refractory period (ERP).  Detail molecular studies determine that the drug works by blocking the potassium channels. Which of the following drugs is an analogue of the novel drug?
|Prompt=A novel drug is being developed by a group of basic science researchers. The drug is being studied under animal models using specific cardiovascular receptors. The research team measures the drug’s effects on the ventricular membrane potential.  They determine that the drug increases the action potential duration (APD) by increasing the effective refractory period (ERP).  Detail molecular studies determine that the drug works by blocking the potassium channels. Which of the following drugs is an analogue of the novel drug?
|Explanation=The anti-arrhythmic classification is commonly tested on USMLE. The classification is as follows  
|Explanation=The anti-arrhythmic classification is commonly tested on USMLE. The classification is as follows  
[[File:Anti-arrhytmic.png|center|600px]]
[[File:WBR401.png|center|1000px]]
<br>
 
<font color="MediumBlue"><font size="4">'''Educational Objective:''' </font></font>
Sotalol is a potasium channel blocker (class III) anti-arrhythmic.
<br>
{{See also|Antiarrhythmic_agent}}
|AnswerA=Sotalol
|AnswerA=Sotalol
|AnswerAExp=<font color="Green">'''Correct.'''</font> Sotalol is a potasium channel blocker
|AnswerAExp=Sotalol is a potasium channel blocker
|AnswerB=Metoprolol
|AnswerB=Metoprolol
|AnswerBExp=<font color="red">'''Incorrect.'''</font> Metoprolol is a beta-blocker (class II) anti-arrhythmic.
|AnswerBExp=Metoprolol is a beta-blocker (class II) anti-arrhythmic.
|AnswerC=Lidocaine
|AnswerC=Lidocaine
|AnswerCExp=<font color="red">'''Incorrect.'''</font> Lidocaine is a sodium channel blocker, which is a class IA anti-arrhythmic.
|AnswerCExp=Lidocaine is a sodium channel blocker, which is a class IA anti-arrhythmic.
|AnswerD=Verapamil
|AnswerD=Verapamil
|AnswerDExp=<font color="red">'''Incorrect.'''</font> Verapamil is a calcium channel blocker, which is a class IV anti-arrhythmic.
|AnswerDExp=Verapamil is a calcium channel blocker, which is a class IV anti-arrhythmic.
|AnswerE=Mexiletine
|AnswerE=Mexiletine
|AnswerEExp=<font color="red">'''Incorrect.'''</font>Mexiletine is a sodium channel blocker, which belongs to the class IB anti-arrhythmic drugs.
|AnswerEExp=Mexiletine is a sodium channel blocker, which belongs to the class IB anti-arrhythmic drugs.
|EducationalObjectives=Sotalol is a potasium channel blocker (class III) anti-arrhythmic.
|RightAnswer=A
|RightAnswer=A
|Approved=Yes
|Approved=Yes
}}
}}

Revision as of 18:15, 3 August 2014

 
Author [[PageAuthor::Gonzalo A. Romero, M.D. [1]]]
Exam Type ExamType::USMLE Step 1
Main Category MainCategory::Pharmacology
Sub Category SubCategory::Cardiology, SubCategory::Vascular
Prompt [[Prompt::A novel drug is being developed by a group of basic science researchers. The drug is being studied under animal models using specific cardiovascular receptors. The research team measures the drug’s effects on the ventricular membrane potential. They determine that the drug increases the action potential duration (APD) by increasing the effective refractory period (ERP). Detail molecular studies determine that the drug works by blocking the potassium channels. Which of the following drugs is an analogue of the novel drug?]]
Answer A AnswerA::Sotalol
Answer A Explanation AnswerAExp::Sotalol is a potasium channel blocker
Answer B AnswerB::Metoprolol
Answer B Explanation AnswerBExp::Metoprolol is a beta-blocker (class II) anti-arrhythmic.
Answer C AnswerC::Lidocaine
Answer C Explanation AnswerCExp::Lidocaine is a sodium channel blocker, which is a class IA anti-arrhythmic.
Answer D AnswerD::Verapamil
Answer D Explanation AnswerDExp::Verapamil is a calcium channel blocker, which is a class IV anti-arrhythmic.
Answer E AnswerE::Mexiletine
Answer E Explanation AnswerEExp::Mexiletine is a sodium channel blocker, which belongs to the class IB anti-arrhythmic drugs.
Right Answer RightAnswer::A
Explanation [[Explanation::The anti-arrhythmic classification is commonly tested on USMLE. The classification is as follows

Educational Objective: Sotalol is a potasium channel blocker (class III) anti-arrhythmic.
References: ]]

Approved Approved::Yes
Keyword
Linked Question Linked::
Order in Linked Questions LinkedOrder::