Pharmacology- Analgesics
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In the study of pharmacology, an analgesic is a term given to any member of the group of drugs used to relieve pain. We refer to them most commonly as painkillers. What do you know about them?
- 1.Which of the following would be phantom pain?
- A.
Caused by a tumor
- B.
From somewhere else
- C.
Previous amputation
- D.
Organs of body
- 2.Which of the following is important in successful pain management?
- A.
Dosing appropriately
- B.
One time measurement of pain status
- C.
Treating all cases in the same way
- D.
Use the strongest drugs available
- 3.The greater the number of C fibers, the greater the sensation of pain
- A.
True
- B.
False
- 4.Which of the following are natural opioids?
- A.
Morphine
- B.
Oxycodone
- C.
Codeine
- D.
A & C
- E.
All of the above
- 5.Which of the following is a synthetic opioid?
- A.
Hydrocodone
- B.
Methadone
- C.
Oxycodone
- D.
A & C
- 6.Which of the following results can be expected from an opioid agonist?
- A.
Increased GI motility
- B.
Pupil dilation
- C.
Arousal
- D.
Analgesis
- 7.A pt. presents to the ER in acute pain. You have suspicion that they are a "seeker: which of the following drugs would you give?
- A.
Meperidine (Demerol) IM
- B.
Morphine Sulfate PO
- C.
Fentanyl Topical
- D.
Any of the above
- 8.Hydromorphone (dilaudid) is notable for which of the following?
- A.
Adjunct in pulmonary edema
- B.
Antiinflammatory and analgesic properties
- C.
Increased risk of addiciton
- D.
Good choice for "seekers"
- 9.Which of the following drugs is useful for analgesis, anxiolysis and peripheral vasodilation?
- A.
Hydrocodone/APAP (Vicodin)
- B.
Morphine sulfate
- C.
Naloxone (Narcan)
- D.
Naltrexone (revia)
- 10.Which of the following has no medical use?
- A.
Fentanyl
- B.
Diacetylmorphine (heroin)
- C.
Oxycodone (Oxycontin)
- D.
None of the above
- 11.Which of the following may be used to treat a recovering drug addict?
- A.
Buprenorphine/Naloxone (suboxone)
- B.
Naltrexone long acting (Vivitrol)
- C.
Methadone (Dolophine)
- D.
All of the above
- 12.Which of the following is an appropriate prescription for codeine?
- A.
30 codeine 1-2 tabs PO q 6 hrs
- B.
300 APAP/30 codeine (Tylenol #3) 1-2 tabs PO q 4-6 hrs
- C.
30 APAP/ 300 codeine (Tylenol #3) 1-2 tabs PO q4hrs
- D.
300 APAP 1-2 tabs PO q 4-6 hrs
- 13.Which of the following is true about Hydrocone?
- A.
Contraindicated with ibuprofen
- B.
Commonly in cough preparations
- C.
Sever adverse effects with APAP
- D.
Lower abuse potential than tylenol #3
- 14.Robitussin-AC almost always sufficient for treating coughs
- A.
True
- B.
False
- 15.Hydrocodone/APAP would be prescribed in which of the following ways?
- A.
Hydrocodone 500mg/APAP 5mg (Vicodin)1-2 TabsPO q4-6hrs
- B.
Hydrocodone 5mg/APAP 500mg (Vicodin)1-2 TabsPO q4-6hrs
- C.
Hydrocodone 500mg/APAP 500mg (Vicodin)1-2 TabsPO q4-6hrs
- D.
Hydrocodone 5mg/APAP 5mg (Vicodin)1-2 TabsPO q4-6hrs
- 16.Which of the following is the most significant adverse effect of opioid agonists and a hallmark of toxicity?
- A.
Hallucination
- B.
Urinary retention
- C.
Respiratory depression
- D.
Addiction
- 17.Naloxone (Narcan) and Naltrexone (Revia) are what class of drugs?
- A.
NSAIDS
- B.
Mixed agonist/antagonists
- C.
Opioid agonists
- D.
Opioid antagonists
- 18.A patient on which of the following drugs may need to be placed on suicide watch?
- A.
Oxycodone (Oxycontin)
- B.
Vivitrol
- C.
Tramadol (ultram)
- D.
Clonidine (Catapres)
- 19.A Patient presents with history of GI irritation and bleeding, which of the following should you avoid prescribing?
- A.
Methadone (dolophine)
- B.
Aspirin
- C.
Morphine sulfate
- D.
Fentanyl
- 20.Which of the following drugs has no anti-inflammatory properties and blocks transmission of pain impulses peripherally?
- A.
Acetaminophen (Tylenol)
- B.
Clonidine (Catapres)
- C.
Tramadol (ultram)
- D.
All of the above
- 21.A patient presents for surgery a day after delivery a healthy newborn. Which of the following drugs would have a black box warning for prescribing to this patient?
- A.
Tramadol (ultram)
- B.
Aspirin
- C.
Clonidine (catapres)
- D.
Tapatendol (Nucynta)
- 22.Tramadol (Ultram) and tapatendol (Nucynta) are what class of drugs?
- A.
Partial agonists
- B.
Opioid antagonists
- C.
Non-steroidal anti-inflammatory drugs
- D.
Non-conventional opioid agonists
- 23.The 3 major properties of NSAIDs include which of the following?
- A.
Analgesis, sedation, antipyretic
- B.
Analgesis, antipyretic, antiinflammatory
- C.
Analgesis, anxiolysis, peripheral vasodilation
- D.
Analgesis, anxiolysis, peripheral vasoconstriction
- 24.The four classic signs of inflammation are pain, swelling, redness and warmth
- A.
True
- B.
False
- 25.A 25y/o female patient presents with acute pain and inflammation of the left ankle. Her vital signs on arrival are BP 120/80 R -16 P 80 T- 101.2 and pain 6/10. Which of the following would be the best drug combination to prescribe?
- A.
Acetaminophen (tylenol) + Meperidine (Demerol)
- B.
(Acetylcalicylic Acid)Aspirin + Ibuprofen (Motrin)
- C.
Meperidine (Demerol) + Misoprostol (Cytotec)
- D.
(Acetylcalicylic Acid)Aspirin + Misoprostol (Cytotec)
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