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Pharmacology · Cardiovascular: nimodipine
Sample itemAfter subarachnoid haemorrhage, which calcium channel blocker is given to reduce delayed ischaemic deficit from vasospasm?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Nimodipine
Nimodipine is lipophilic, with relatively selective cerebral vasodilator action, and improves outcome after subarachnoid haemorrhage. Blood pressure must be monitored since hypotension can worsen cerebral perfusion.
Option by option
A. Verapamil
Verapamil is used in arrhythmias and angina.
B. Diltiazem
Diltiazem is used in angina and arrhythmias.
C. Nimodipine (correct)
Correct. Nimodipine is the agent shown to improve outcome in this setting.
D. Felodipine
Felodipine is used for hypertension.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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