KROK 1 2015 – Question 111 · KROK (Medicine) · Pharmacology

When treating a patient with chronic cardiac failure a doctor detected bradycardia and deterioration of the patient’s general state. Such condition is caused by cumulative effect of a drug. Which drug of those listed below has cumulative action?

  1. A. Hydrochlorothiazide
  2. B. Retinol acetate
  3. C. Diphenhydramine (Dimedrol)
  4. D. Isosorbide
  5. E. Digoxin
Hint

Ask which drug in a heart-failure regimen is eliminated so slowly, and has such a narrow safety margin, that repeated doses build up and produce toxic effects on the heart.

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