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?

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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