Question 1

Prostaglandins are hormones that trigger pain response from central nociceptors.

Accepted Answer

A) True 
 B)False  False

Question 2

Match the following trade names with their generic name.
-Feldene

Accepted Answer

A) Ketorolac 
B) Oxycodone 
C) Piroxicam 
D) Fentanyl 
E) Hydromorphone 
A) Ketorolac 
B) Oxycodone 
C) Piroxicam 
D) Fentanyl 
E) Hydromorphone C

Question 3

_____ can be administered for management of drug dependence.

Accepted Answer

A) Buprenorphine 
B) Methocarbamol 
C) Norepinephrine 
D) Morphine 
A) Buprenorphine 
B) Methocarbamol 
C) Norepinephrine 
D) Morphine A

Question 4

Chronic pain may persist for years and can be adequately controlled in all pain patients by pharmaceuticals.

Accepted Answer

A) True 
 B)False

Question 5

Why is a multimodal approach to pain management recommended?

Accepted Answer

A) Pain cannot always be pinpointed;therefore,it is better to treat neuropathic and nociceptive pain at the same time. 
B) Pain medications cause many side effects,so other drug therapies are necessary to treat the side effects in order to treat the pain. 
C) Untreated pain may affect other systems in the body,so other treatment may be necessary as a supportive measure. 
D) Some pain may be exaggerated by patients,so counseling should be sought out to determine if the pain is as bad as they think it is. 
A) Pain cannot always be pinpointed;therefore,it is better to treat neuropathic and nociceptive pain at the same time. 
B) Pain medications cause many side effects,so other drug therapies are necessary to treat the side effects in order to treat the pain. 
C) Untreated pain may affect other systems in the body,so other treatment may be necessary as a supportive measure. 
D) Some pain may be exaggerated by patients,so counseling should be sought out to determine if the pain is as bad as they think it is.

Question 6

Match the following trade names with their generic name.
-Dilaudid

Accepted Answer

A) Ketorolac 
B) Oxycodone 
C) Piroxicam 
D) Fentanyl 
E) Hydromorphone 
A) Ketorolac 
B) Oxycodone 
C) Piroxicam 
D) Fentanyl 
E) Hydromorphone

Question 7

Opioids are made to act like _____.

Accepted Answer

A) heroin 
B) cocaine 
C) morphine 
D) codeine 
A) heroin 
B) cocaine 
C) morphine 
D) codeine

Question 8

Which of the following will indomethacin not treat?

Accepted Answer

A) Fever 
B) Neuropathic pain 
C) Inflammation 
D) Back pain 
A) Fever 
B) Neuropathic pain 
C) Inflammation 
D) Back pain

Question 9

Why would opioids not be a good choice or a first line of therapy for neuralgic pain?

Accepted Answer

A) Opioid receptors are not found on nerve endings. 
B) Most neuralgic pain cannot be pinpointed,so trying to treat it with opioids increases the chance of dependence. 
C) Opioids do not treat pain due to inflammation caused by neuralgic pain. 
D) A higher dose is necessary to treat neuralgic pain,and opioids create an opportunity for tolerance and dependence. 
A) Opioid receptors are not found on nerve endings. 
B) Most neuralgic pain cannot be pinpointed,so trying to treat it with opioids increases the chance of dependence. 
C) Opioids do not treat pain due to inflammation caused by neuralgic pain. 
D) A higher dose is necessary to treat neuralgic pain,and opioids create an opportunity for tolerance and dependence.

Question 10

Match the following trade names with their generic name.
-Toradol

Accepted Answer

A) Ketorolac 
B) Oxycodone 
C) Piroxicam 
D) Fentanyl 
E) Hydromorphone 
A) Ketorolac 
B) Oxycodone 
C) Piroxicam 
D) Fentanyl 
E) Hydromorphone

Question 11

Nondrug treatments for pain include the following except _____.

Accepted Answer

A) behavioral therapy 
B) low-salt diet 
C) acupuncture 
D) transcutaneous electrical stimulation (TENS) 
A) behavioral therapy 
B) low-salt diet 
C) acupuncture 
D) transcutaneous electrical stimulation (TENS)

Question 12

Why may gastrointestinal (GI)bleeding and ulcers occur from taking aspirin or NSAIDs?

Accepted Answer

A) The drugs are metabolized in the stomach causing additional acid in the stomach and potentially creating an ulcer and then bleeding. 
B) Because cyclooxygenase is an important part of the immune system,the blockade created inhibits the body from defending itself. 
C) Platelet aggregation is reduced due to cyclooxygenase blockade,which increases bleeding in the body. 
D) The GI lining loses some of its protection because aspirin and NSAIDs inhibit cyclooxygenase action,thereby decreasing prostaglandin synthesis. 
A) The drugs are metabolized in the stomach causing additional acid in the stomach and potentially creating an ulcer and then bleeding. 
B) Because cyclooxygenase is an important part of the immune system,the blockade created inhibits the body from defending itself. 
C) Platelet aggregation is reduced due to cyclooxygenase blockade,which increases bleeding in the body. 
D) The GI lining loses some of its protection because aspirin and NSAIDs inhibit cyclooxygenase action,thereby decreasing prostaglandin synthesis.

Question 13

What would be the first drug choice for treatment of neuropathic pain?

Accepted Answer

A) Lidocaine 
B) Codeine 
C) Amitriptyline 
D) Ibuprofen 
A) Lidocaine 
B) Codeine 
C) Amitriptyline 
D) Ibuprofen

Question 14

Which of the following acts as a natural painkiller?

Accepted Answer

A) Histamine 
B) Enkephalin 
C) Substance P 
D) Glutamate 
A) Histamine 
B) Enkephalin 
C) Substance P 
D) Glutamate

Question 15

_____ is an example of pain from a nociceptive origin.

Accepted Answer

A) Trigeminal neuralgia 
B) Phantom limb 
C) Shingles 
D) Sprained ankle 
A) Trigeminal neuralgia 
B) Phantom limb 
C) Shingles 
D) Sprained ankle

Question 16

MATCHING
Match the following drugs with their drug classes.
-Opioid antagonists

Accepted Answer

A) Buprenorphine 
B) Naltrexone 
C) Meperidine 
D) Aspirin 
E) Naproxen 
A) Buprenorphine 
B) Naltrexone 
C) Meperidine 
D) Aspirin 
E) Naproxen

Question 17

MATCHING
Match the following drugs with their drug classes.
-Mixed agonists/antagonists

Accepted Answer

A) Buprenorphine 
B) Naltrexone 
C) Meperidine 
D) Aspirin 
E) Naproxen 
A) Buprenorphine 
B) Naltrexone 
C) Meperidine 
D) Aspirin 
E) Naproxen

Question 18

Match the following trade names with their generic name.
-OxyContin

Accepted Answer

A) Ketorolac 
B) Oxycodone 
C) Piroxicam 
D) Fentanyl 
E) Hydromorphone 
A) Ketorolac 
B) Oxycodone 
C) Piroxicam 
D) Fentanyl 
E) Hydromorphone

Question 19

What is one of the most common types of pain?

Accepted Answer

A) Low back pain 
B) Trigeminal neuralgia 
C) Neuropathic pain 
D) Osteoarthritic pain 
A) Low back pain 
B) Trigeminal neuralgia 
C) Neuropathic pain 
D) Osteoarthritic pain

Question 20

By which route of administration are triptans not available?

Accepted Answer

A) Sublingual 
B) Subcutaneous 
C) Intranasal 
D) Oral 
A) Sublingual 
B) Subcutaneous 
C) Intranasal 
D) Oral

Exam 10: Treatment of Pain and Migraine Headache

Prostaglandins are hormones that trigger pain response from central nociceptors.

Match the following trade names with their generic name. -Feldene

_____ can be administered for management of drug dependence.

Chronic pain may persist for years and can be adequately controlled in all pain patients by pharmaceuticals.

Why is a multimodal approach to pain management recommended?

Match the following trade names with their generic name. -Dilaudid

Opioids are made to act like _____.

Which of the following will indomethacin not treat?

Why would opioids not be a good choice or a first line of therapy for neuralgic pain?

Match the following trade names with their generic name. -Toradol

Nondrug treatments for pain include the following except _____.

Why may gastrointestinal (GI)bleeding and ulcers occur from taking aspirin or NSAIDs?

What would be the first drug choice for treatment of neuropathic pain?

Which of the following acts as a natural painkiller?

_____ is an example of pain from a nociceptive origin.

MATCHING Match the following drugs with their drug classes. -Opioid antagonists

MATCHING Match the following drugs with their drug classes. -Mixed agonists/antagonists

Match the following trade names with their generic name. -OxyContin

What is one of the most common types of pain?

By which route of administration are triptans not available?

Fundamentals of Pharmacology

Principles of Pharmacology

Pharmacodynamics

Drug Interactions and Medication Errors

Treatment of Anxiety

Treatment of Depression

Treatment of Schizophrenia and Psychoses

Treatment of Parkinsons Disease and Huntingtons Disease

Treatment of Seizure Disorders

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Neuromuscular Blockade

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