Sacubitril


Sacubitril is a


[A] Antedrug
[B] Prodrug
[C] Metabolite
[D] Active drug



Sacubitril is a pro-drug that, upon activation, acts as a


[A] Angiotensin I receptor blocker
[B] Angiotensin II receptor blocker
[C] ACE inhibitor
[D] Neprilysin inhibitor



ALL of the following are TRUE for Neprilysin inhibition EXCEPT


[A] Increase bradykinin
[B] With an ACEi increased risk of angioedema
[C] Decrease angiotensin II levels
[D] Neprilysin inhibitor cannot be used alone



What is the washout period when switching from an ACEi to sacubitril-valsartan


[A] 12 hours
[B] 24 hours
[C] 36 hours
[D] 48 hours



All of the following are TRUE about prescribing Sacubitril-valsartan EXCEPT


[A] 36-hour washout period when switching from an ACEi 
[B] Patients must be able to tolerate an ACEi or an ARB before being started on sacubitril-valsartan
[C] Not recommended for patients with hepatic impairment (Child-Pugh class C)
[D] Hypokalemia is a common side effect



Natriuretic peptides are broken down by an enzyme called


[A] Sacubitril
[B] Angiotensin II receptor blocker
[C] ACE
[D] Neprilysin



ALL are TRUE regarding activated natriuretic peptide system EXCEPT


[A] decreases blood pressure
[B] lowers sympathetic tone
[C] reduces aldosterone levels
[D] functions synergistically with RAAS



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