Pharmacology- Analgesics

35 Questions | By Chinedua | Last updated: May 2, 2019

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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?

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Questions and Answers

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?

Discuss
- 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?

Discuss
- A.
  
  Acetaminophen (tylenol) + Meperidine (Demerol)
- B.
  
  (Acetylcalicylic Acid)Aspirin + Ibuprofen (Motrin)
- C.
  
  Meperidine (Demerol) + Misoprostol (Cytotec)
- D.
  
  (Acetylcalicylic Acid)Aspirin + Misoprostol (Cytotec)
26.

Etodolac (Lodine) , tolmetin (tolectin) and Diclofenac sodium (Voltaren) are what class of drugs?
- A.
  
  Carboxylic acids (salicylates)
- B.
  
  Acetic acids
- C.
  
  Non-acidic compounds
- D.
  
  Natural opioids
27.

Which of the following is a carboxylic acid?
- A.
  
  Indomethacin (indocin)
- B.
  
  Etodolac (Lodine)
- C.
  
  Sulindac (Clinoril)
- D.
  
  Acetylsalicylic acid (aspirin) (ASA)
28.

Reye's syndrome is associated with which of the following drugs?
- A.
  
  Sulindac (Clinoril)
- B.
  
  (Acetylsalicylic acid) Aspirin
- C.
  
  Indomethacin (indocin)
- D.
  
  Diclofenac sodium (voltaren)
29.

Which of the following is not a part of Samter's triad?
- A.
  
  Asthma
- B.
  
  Tinnitus
- C.
  
  Aspirin allergy
- D.
  
  Nasal polyps
30.

Fenoprofen (Nalfon), Ketoprofen (Orudis) and Naproxen (Naprosyn) are which class of drugs?
- A.
  
  Opioid antagonists
- B.
  
  Salycilic acids
- C.
  
  Non-acidic compounds
- D.
  
  Propionic acids
31.

All NSAIDs are acidic compounds
- A.
  
  True
- B.
  
  False
32.

Which of the following non-acidic compounds is not a COX-2 inhibitor?
- A.
  
  Rofecoxib (Vioxx)
- B.
  
  Nabumetone (relafen)
- C.
  
  Celecoxib (Celebrex)
- D.
  
  Valdecoxib (Bextra)
33.

Inhibition of COX-1 would cause which of the following results?
- A.
  
  Gastric irritation
- B.
  
  Increased renal blood flow
- C.
  
  Bleeding
- D.
  
  A & C
- E.
  
  All of the above
34.

Piroxicam (feldene) is not an NSAID but is prescribed with NSAIDs to protect GI mucosa/prevent GI bleeds.
- A.
  
  True
- B.
  
  False
35.

Salicylate toxicity involves which of the following
- A.
  
  Serum levels above 300ug/ml
- B.
  
  Metabolic acidosis
- C.
  
  Respiratory alkalosis
- D.
  
  All of the above

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