Pharmacology- Analgesics

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Pharmacology- Analgesics

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?


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. 
    • 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. 

      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