Pain Medications

19 Questions | Total Attempts: 32

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Pain Medications

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Questions and Answers
  • 1. 
    Somatic pain is described as 
    • A. 

      Pain in muscle, bone or joint

    • B. 

      Pain that is less than 3 months old

    • C. 

      Pain that has a definitive cause

    • D. 

      Colicky, crampy, sharp or burning

  • 2. 
    What is the goal of pain management?
    • A. 

      Restore the patient's function as soon as possible

    • B. 

      Give the patient opioids

    • C. 

      Use the lowest dose possible for pain management

    • D. 

      Educate the patient that opioid use is not addictive and can cure their pain

  • 3. 
    A 64 year old male patient comes to your clinic with a blood pressure of 160/90, heart palpitations and a blood sugar of 320. He is a known diabetic who has come today to discuss new onset burning, tingling pain in his right foot. How would you best categorize this pain 
    • A. 

      Neuropathic pain

    • B. 

      Somatic pain

    • C. 

      Visceral pain

    • D. 

      Psychosomatic pain

  • 4. 
    A woman in the parking lot near you accidentally slams her hand in the door. As she screams for help, you quickly mentally note her pain is categorized as 
    • A. 

      Nocioceptive

    • B. 

      Neuropathic

    • C. 

      Chronic

    • D. 

      Malignant

  • 5. 
    Someone comes to your clinic and says they read on WebMD that Gabapentin is used for diabetic neuropathy, even though it is supposed to be for seizures. You tell him this is true and use which word to best prove you spent a lot of time and money in school? 
    • A. 

      Adjuvent medication

    • B. 

      Polypharmacy

    • C. 

      Comorbid medication

    • D. 

      Mimicry medication

  • 6. 
    A receive a patient in the ED with intense headaches, dizziness, nausea, vomiting and ringing in her ears. After a patient history and physical, you learn this patient is a marathon runner who had a hard track day yesterday. She is stressed at her 7 figure job and her part time work of raising show dogs. She has been taking Aspirin because she heard it was better on her gut than ibuprofen. You decide the best treatment for her right now is? 
    • A. 

      Activated charcoal

    • B. 

      Milk ingestion

    • C. 

      Narcan

    • D. 

      Epinephrine 1mL

  • 7. 
    A 76 year old male patient with diverticulosis comes to you for recurrent knee pain. He asks for something to help relieve his pain. He has no known allergies, no heart, liver or kidney disorders. Which drug best meets his needs?
    • A. 

      Celecoxib

    • B. 

      Ibuprofen

    • C. 

      Tramadol

    • D. 

      Codeine

  • 8. 
    A 27 year old woman with low back pain comes to see you. She is 34 weeks pregnant with her first child and is having a hard time getting through her work day because of this pain. She is currently taking a prenatal vitamin and has no other remarkable medical history. She once had, what she describes as a bad reaction to Bactrim in the hospital but it was ages ago. You have several drugs in OmniDispensor to choose from. Which is the best choice for her?
    • A. 

      Aceteminophen

    • B. 

      Celecoxib

    • C. 

      Ibuprofen

    • D. 

      Naproxen Sodium

  • 9. 
    For the fourth time this month, a 19 year old lacrosse player from UW is left on the ED doorstep by teammates from a heroin overdose. You recognize the patient, his signs and symptoms and confirm the heroin toxicity. Your medication of choice is
    • A. 

      Naloxone

    • B. 

      Suboxone

    • C. 

      Methodone

    • D. 

      Morphine

  • 10. 
    A long time patient of yours comes to see you about pain. She has been well controlled with oxycodone in low dose for a number of years. Recently, her dose of oxycodone does not seem to cover her pain and she is concerned. She has vital signs within normal limits, no kidney, liver or heart conditions, does not smoke or use IV drugs. She has a history of past cervical cancer, which was treated with radiation. She has been cancer free for 5 years. She discussed trying to cut back on her alcohol consumption at the last visit because her mother is concerned she might drink too much. Which of these options seems like the best plan right now?
    • A. 

      Discuss drawing labs and pelvic ultrasound to make sure the cancer has not returned

    • B. 

      Tell her if she is apt to face judgment from other practitioners if she stays on the oxycodone and consider changing to acetaminophen, which is safer

    • C. 

      Encourage her to change drugs from oxycodone to morphine because it is a stronger medication

    • D. 

      Increase her dose of oxycodone because she has likely become tolerant to the dose after such a long time on the drug

  • 11. 
    Which of these is a known potential side effect of Methadone?
    • A. 

      Torsades de Pointes

    • B. 

      Hyperactivity

    • C. 

      Shortened QT waves on ECG

    • D. 

      Fetal birth defects if taken during pregnancy

  • 12. 
    The most commonly discussed side effect of opioid pain medications is
    • A. 

      Constipation

    • B. 

      Nausea

    • C. 

      Emesis

    • D. 

      Headache

  • 13. 
    Fentanyl is
    • A. 

      Long acting in transdermal patch form

    • B. 

      Is used for OA

    • C. 

      Is first line treatment for chronic stable pain

    • D. 

      A mu antagonist

  • 14. 
    Which is a possible mechanism for opioid mediated flushing and warming of the skin?
    • A. 

      Central effects

    • B. 

      Adenosine receptor blockers

    • C. 

      Nitric oxide synthesis inhibition

    • D. 

      Alpha 1 receptor activation

  • 15. 
    Which of the following is a pure narcotic antagonist
    • A. 

      Naloxone

    • B. 

      Tramadol

    • C. 

      Fentanyl

    • D. 

      Morphine

  • 16. 
    Which of the following medications in a patient medication list would give you pause when considering a morphine prescription for chronic stable pain
    • A. 

      Wellbutrin

    • B. 

      Aspirin

    • C. 

      Acetaminophen

    • D. 

      Sildenafil