Ch 24 Drugs Treating Mild To Moderate Pain, Fever, Inflammation, And Migrane

35 Questions | Total Attempts: 172

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Inflammation Quizzes & Trivia

Quiz for Pharmacology, Fall 2009Ch 24 Drugs treating Mild to Moderate Pain, Fever, Inflammation, and Migraine Headache


Questions and Answers
  • 1. 
    Which of the following is not an action of aspirin?
    • A. 

      Analgestic

    • B. 

      Anti-inflammatory

    • C. 

      Antipyretic

    • D. 

      Antihistamine

  • 2. 
    In which of the following patients would aspirin be contradicted?
    • A. 

      Mary with hypertensions

    • B. 

      Judy with migraine headaches

    • C. 

      Constance with peptic ulcer disease

    • D. 

      Clair with chronic constipation

  • 3. 
    What is the usual dosage of aspirin?
    • A. 

      325 mg q 8 h

    • B. 

      650 mg q 4 to 6 h

    • C. 

      325 mg q 4 h

    • D. 

      650 mg q 12 h

  • 4. 
    Salicylate poisoning may occur in adults with a dose of   
    • A. 

      5 - 8 g

    • B. 

      10 - 30 g

    • C. 

      50 - 100 g

    • D. 

      40 - 60 g

  • 5. 
    Salicyclism is a form of mild aspirin toxicity with symptoms such as 
    • A. 

      Headache, tinnitus, and GI distress

    • B. 

      Resp stimulation, constipation, GI distress

    • C. 

      GI distress, diarrhea, and resp depression

    • D. 

      Headache, hypervigilance, and confusion

  • 6. 
    The most common adverse effects to most NSAIDs are _________ in nature
    • A. 

      CNS

    • B. 

      Respiratory

    • C. 

      GI

    • D. 

      Cardiovascular

  • 7. 
    Analgestic effects of ibuprofen occur within 
    • A. 

      30 min

    • B. 

      24 h

    • C. 

      2 to 4 h

    • D. 

      12 h

  • 8. 
    Which of the following statements concerning NSAIDs is accurate?
    • A. 

      If one medication does not work, none will

    • B. 

      A benefit of NSAIDs therapy is a longer duration of action than that provided by salicyclates

    • C. 

      There is a cross-sensitivity among all NSAIDs

    • D. 

      Unlike salicyclates, NSAIDs do not have antiplatelet actvitiy

  • 9. 
    Which of the following NSAIDs has both oral and IM administration?
    • A. 

      Ketoprofen

    • B. 

      Mefenamic acid

    • C. 

      Naproxen

    • D. 

      Ketorolac

  • 10. 
    Which of the following NSAIDs has a decreased incidence of GI adverse effects?
    • A. 

      Naproxen

    • B. 

      Diclofenac sodium

    • C. 

      Celecoxib

    • D. 

      Mefenamic acid

  • 11. 
    Which of the following statements concerning celecoxib is correct?
    • A. 

      It does not have antiplatelet activity

    • B. 

      It has increased antiplatelet activity

    • C. 

      It has an increased risk for CNS depression

    • D. 

      It has a decreased risk of CNS depression

  • 12. 
    Which of the following effects occur with acetaminophen therapy?
    • A. 

      Analgestic and anti-inflammatory

    • B. 

      Antipyretic and antiplatelet

    • C. 

      Antiplatelet and anti-inflammatory

    • D. 

      Analgestic and antipyretic

  • 13. 
    Which of the following adverse effects is associated with acetaminophen therapy?
    • A. 

      Pulmonary edema

    • B. 

      Urinary retention

    • C. 

      Hepatoxicity

    • D. 

      Ototoxicity

  • 14. 
    Which of the following patients should not take acetaminophen?
    • A. 

      Kelly, age 30, who is pregnant

    • B. 

      Helen, age 16, who has history of seizure disorder

    • C. 

      Mark, age 55, with history of hepatitis

    • D. 

      John, age 40, who is an alcoholic

  • 15. 
    Sumatriptan works by
    • A. 

      Inhibiting prostaglandin synthesis

    • B. 

      Vasoconstriction and inhibiting the release of proinflammatory neuropeptides

    • C. 

      Enhancing the release of proinflammatory neuropeptides

    • D. 

      Stimulating prostaglandin synthesis

  • 16. 
    Sumatriptan should not be given to patients with pre-existing __________ disorders
    • A. 

      Hematologic

    • B. 

      Intergumentary

    • C. 

      Cardiovascular

    • D. 

      Respiratory

  • 17. 
    The most frequently occurring adverse effects to sumatriptan most commonly affect the _______ system
    • A. 

      Cardiovascular

    • B. 

      Integumentary

    • C. 

      Respiratory

    • D. 

      Immune

  • 18. 
    Which of the following should be included in patient teaching for the patient receiving sumatriptan?
    • A. 

      "Be sure to increase the intake of your fluids"

    • B. 

      "Do not take sumatriptan for ordinary headaches"

    • C. 

      "You can take as many as 3 tablets in an hour for a really bad headache"

    • D. 

      "Drink a caffeine product if your headache is not relieved in an hour"

  • 19. 
    Your patient has arthritis. This patient smokes one pack of cigarettes a day and drinks at least six beers each evening. Which of the following statements would be most appropriate during teaching for this patient?
    • A. 

      "Take the aspirin at least 4 times a day. If there is no relief, take another dose"

    • B. 

      "Because of your age, you should limit your aspirin intake to only 6 per day"

    • C. 

      "You have three predisposing factors for an increased risk to develop an ulcer with aspirin therapy. Let's start with trying to quit smoking"

    • D. 

      "You just can't take these pills because of your lifestyle. Get used to the discomfort"

  • 20. 
    Your patient takes aspirin for chronic arthritis pain. The patient is currently hospitalized for treatment of a deep vein thrombosis and is prescribes warfarin. Which of the following interventions should be done with this patient?
    • A. 

      Daily PT/INR

    • B. 

      Urine output

    • C. 

      Resp rate

    • D. 

      CBC every other day

  • 21. 
    Your patient is a steroid-dependent asthmatic. The patient also takes aspirin for burstis. You would anticipate this patient's aspirin dose may
    • A. 

      Need to be increased

    • B. 

      Need to be decreased

    • C. 

      Remain unchanged

  • 22. 
    Your patient has nasal polyps and asthma. Because of this health status history, the patient has an increased risk for aspirin-induced _________ with aspirin therapy
    • A. 

      Ototoxicity

    • B. 

      CHF

    • C. 

      GI bleeding

    • D. 

      Bronchospasm

  • 23. 
    Your 54-year old patient takes propranolol for hypertension. The patient has chronic tendonitis from playing tennis. Which of the following interventions should be done for this patient while the patient receives NSAIDs for tendonitis?
    • A. 

      Monitor renal output

    • B. 

      Monitor for CHF

    • C. 

      Monitor for lost of hypertension control

    • D. 

      Monitor for constipation

  • 24. 
    Your 55 year old patient has bipolar disorder and takes lithium. The patient also has arthritis and the provider has prescribed ibuprofen. The patient states, "I am not sure I should be taking other drugs with my lithium". Which is the most appropriate statement?
    • A. 

      "Taking these drugs together is not a problem"

    • B. 

      "We will monitor your lithium level closely and make any adjustments necessary"

    • C. 

      "Call us if you have any adverse reactions. You should be OK"

    • D. 

      "I'm not sure why your provider prescribed this. It's pretty dangerous"

  • 25. 
    Your patient was prescribed ibuprofen for burstis 1 week ago. The patient calls the clinic and states "I just don't feel any better". Which of the following statements is most appropriate?
    • A. 

      "It may take up to 2 weeks to feel the benefit of this medication"

    • B. 

      "I guess you should make an appt and get something else"

    • C. 

      "Your burstis is obviously resistant to NSAIDs"

    • D. 

      "It might work better if you double the dose for a few days"

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