Exam 11: The Opioids

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The peptide nociceptin/orphanin FQ (N/OFQ)

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Himmelsbach's classic model of opiate dependence as a disruption of homeostasis was confirmed physiologically by studying

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How were the endogenous ligands for the opiate receptors discovered? Name the four propeptides and give their approximate location. What is unique about the endomorphins?

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Methadone is an effective treatment for opiate drug abuse because it

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Which of the following is a larger propeptide that is broken down into smaller active opioids?

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CDC federal guidelines for pain control

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The nociceptin/orphanin FQ receptor (NOP-R)

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Distinguish between tolerance, cross-tolerance, and sensitization. What physiological mechanism best explains opiate tolerance?

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When you stub your toe on a hard object, the lingering ache you feel after the initial sharp pain has worn off is caused by

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The most important descending pathways for modulation of spinal cord transmission of pain originate in the

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Describe the symptoms, time course, and seriousness of opiate withdrawal. What parts of the brain appear to be involved in the abstinence syndrome?

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Distinguish between the following treatments for opiate abuse: detoxification, maintenance, use of antagonists, and counseling. Mention therapeutic drugs, when relevant.

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What is the significance of the finding that a traditional acupuncture session produces the same effect as a fake session (no needles penetrating the skin)?

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What are the factors that may help clinicians identify individuals who are vulnerable to potential opiate abuse and overdose and minimize that risk?

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Which of the following is not one of the ways Pert and Snyder confirmed that they had in fact located and labeled opiate receptors?

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Opiates are dangerous at high doses due mostly to

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Which anti-diarrheal drug do some opioid-addicted individuals use to reduce vomiting and muscle ache associated with opioid withdrawal?

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All of the following are effects of the class of drugs called narcotic analgesics except

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Which statement about additional forms of pain control is true?

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Which statement about POMC is false?

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