Question 1

Which of the following drugs can be used to treat heroin addiction?

Accepted Answer

A) Hydromorphone 
B) Methadone 
C) Naltrexone 
D) Both A and C 
E) Both B and C 
A) Hydromorphone 
B) Methadone 
C) Naltrexone 
D) Both A and C 
E) Both B and C E

Question 2

Which of the following choices is the drug of choice to treat a patient who has taken an overdose of an opioid?

Accepted Answer

A) 2-pralidoxime 
B) Naloxone 
C) N-acetylcysteine 
D) Activated charcoal 
E) Methadone 
A) 2-pralidoxime 
B) Naloxone 
C) N-acetylcysteine 
D) Activated charcoal 
E) Methadone B

Question 3

Which opioid agonist provides a strength of analgesic action between codeine and morphine?

Accepted Answer

A) Acetaminophen 
B) Aspirin 
C) Oxycodone (in Percodan,Percocet) 
D) Dihydrocodone (in Synalgos-D
C)  
A) Acetaminophen 
B) Aspirin 
C) Oxycodone (in Percodan,Percocet) 
D) Dihydrocodone (in Synalgos-D
C)  C

Question 4

Which one of the following conditions can be managed or treated with opioids?

Accepted Answer

A) Diarrhea 
B) Depression 
C) Infections 
D) Hypertension 
A) Diarrhea 
B) Depression 
C) Infections 
D) Hypertension

Question 5

Which of the following types of pain medications is the best choice for management of most dental pain?

Accepted Answer

A) Antidepressants 
B) Nonsteroidal antiinflammatory drugs (NSAIDs) 
C) Aspirin 
D) Acetaminophen 
A) Antidepressants 
B) Nonsteroidal antiinflammatory drugs (NSAIDs) 
C) Aspirin 
D) Acetaminophen

Question 6

The following are conditions for which opioid analgesics should be used with extreme caution or not at all except which one?

Accepted Answer

A) Head injury 
B) Nausea 
C) Respiratory disease 
D) Hypertension 
E) Near-term pregnancy 
A) Head injury 
B) Nausea 
C) Respiratory disease 
D) Hypertension 
E) Near-term pregnancy

Question 7

Combining an opioid with a nonopioid analgesic produces an additive analgesic effect with fewer adverse reactions.

Accepted Answer

A) True 
 B)False

Question 8

A patient who feels nauseated after taking codeine is allergic to it.

Accepted Answer

A) True 
 B)False

Question 9

A patient presents with itching and urticaria after codeine administration.This response most likely represents a

Accepted Answer

A) pharmacologic action of codeine. 
B) hypersensitivity reaction to codeine. 
C) placebo effect from receiving codeine. 
D) reaction unrelated to codeine administration. 
A) pharmacologic action of codeine. 
B) hypersensitivity reaction to codeine. 
C) placebo effect from receiving codeine. 
D) reaction unrelated to codeine administration.

Question 10

Which of the following conditions is an adverse reaction to the opioids?

Accepted Answer

A) Diarrhea 
B) Miosis 
C) CNS excitation 
D) Hepatotoxicity 
A) Diarrhea 
B) Miosis 
C) CNS excitation 
D) Hepatotoxicity

Question 11

Oral bioavailability of opioids is primarily limited by

Accepted Answer

A) incomplete absorption. 
B) first-pass metabolism. 
C) side effects of nausea and vomiting. 
D) enterohepatic circulation. 
E) rapid renal excretion. 
A) incomplete absorption. 
B) first-pass metabolism. 
C) side effects of nausea and vomiting. 
D) enterohepatic circulation. 
E) rapid renal excretion.

Question 12

Which is an advantage of the nonsteroidal antiinflammatory drugs (NSAIDs)over the opioids for the management of dental pain in an opioid addict?

Accepted Answer

A) They are not addictive. 
B) They are antitussive. 
C) They are all useful if the patient is pregnant. 
D) They cause less fluid retention (edema). 
A) They are not addictive. 
B) They are antitussive. 
C) They are all useful if the patient is pregnant. 
D) They cause less fluid retention (edema).

Question 13

Dentists prescribed about _____% of all opioids prescribed in the United States.

Accepted Answer

A) 2 
B) 12 
C) 22 
D) 32 
E) 42 
A) 2 
B) 12 
C) 22 
D) 32 
E) 42

Question 14

Which opioid analgesic is most likely to produce dysphoria?

Accepted Answer

A) Meperidine 
B) Codeine 
C) Pentazocine 
D) Oxycodone 
E) Hydrocodone 
A) Meperidine 
B) Codeine 
C) Pentazocine 
D) Oxycodone 
E) Hydrocodone

Question 15

Which of the following opioids is used primarily in the treatment of opioid addiction?

Accepted Answer

A) Propoxyphene 
B) Meperidine 
C) Hydromorphone 
D) Methadone 
A) Propoxyphene 
B) Meperidine 
C) Hydromorphone 
D) Methadone

Question 16

Tylenol #3 contains _____ mg of codeine.

Accepted Answer

A) 7.5 
B) 15 
C) 30 
D) 60 
A) 7.5 
B) 15 
C) 30 
D) 60

Question 17

Which is the major symptom of opioid overdose?

Accepted Answer

A) Miosis 
B) Mydriasis 
C) Urticaria 
D) Respiratory depression 
A) Miosis 
B) Mydriasis 
C) Urticaria 
D) Respiratory depression

Question 18

What do aspirin,acetaminophen,ibuprofen,and codeine have in common?

Accepted Answer

A) They are all antiinflammatory. 
B) They are all analgesic. 
C) They all inhibit platelet aggregation. 
D) They are all antipyretic. 
A) They are all antiinflammatory. 
B) They are all analgesic. 
C) They all inhibit platelet aggregation. 
D) They are all antipyretic.

Question 19

Each of the following contains naltrexone except one.Which is the exception?

Accepted Answer

A) Embeda 
B) Targiniq ER 
C) Xtampza 
D) Troxyca 
A) Embeda 
B) Targiniq ER 
C) Xtampza 
D) Troxyca

Question 20

Which of the following statements is true concerning the pharmacokinetics of opioid analgesics?

Accepted Answer

A) Absorption may occur through mucous membranes of the nose but is not possible through intact skin. 
B) The opioids are bound to plasma proteins to varying degrees and distributed throughout the body. 
C) Given orally,opioids have vastly different durations of action for analgesia,ranging from 1 to almost 12 hours. 
D) Metabolized opioids are excreted in urine;however,the unchanged drug is not. 
A) Absorption may occur through mucous membranes of the nose but is not possible through intact skin. 
B) The opioids are bound to plasma proteins to varying degrees and distributed throughout the body. 
C) Given orally,opioids have vastly different durations of action for analgesia,ranging from 1 to almost 12 hours. 
D) Metabolized opioids are excreted in urine;however,the unchanged drug is not.

Exam 6: Opioid Narcoticanalgesics and Antagonists

Which of the following drugs can be used to treat heroin addiction?

Which of the following choices is the drug of choice to treat a patient who has taken an overdose of an opioid?

Which opioid agonist provides a strength of analgesic action between codeine and morphine?

Which one of the following conditions can be managed or treated with opioids?

Which of the following types of pain medications is the best choice for management of most dental pain?

The following are conditions for which opioid analgesics should be used with extreme caution or not at all except which one?

Combining an opioid with a nonopioid analgesic produces an additive analgesic effect with fewer adverse reactions.

A patient who feels nauseated after taking codeine is allergic to it.

A patient presents with itching and urticaria after codeine administration.This response most likely represents a

Which of the following conditions is an adverse reaction to the opioids?

Oral bioavailability of opioids is primarily limited by

Which is an advantage of the nonsteroidal antiinflammatory drugs (NSAIDs)over the opioids for the management of dental pain in an opioid addict?

Dentists prescribed about _____% of all opioids prescribed in the United States.

Which opioid analgesic is most likely to produce dysphoria?

Which of the following opioids is used primarily in the treatment of opioid addiction?

Tylenol #3 contains _____ mg of codeine.

Which is the major symptom of opioid overdose?

What do aspirin,acetaminophen,ibuprofen,and codeine have in common?

Each of the following contains naltrexone except one.Which is the exception?

Which of the following statements is true concerning the pharmacokinetics of opioid analgesics?

Information Sources, Regulatory Agencies, Drug Legislation, and Prescription Writing

Drug Action and Handling

Adverse Reactions

Autonomic Drugs

Nonopioid Non-Narcoticanalgesics

Antiinfective Agents

Antifungal and Antiviral Agents

Local Anesthetics

General Anesthetics

Antianxiety Agents

Drugs for the Treatment of Cardiovascular Disease

Drugs for the Treatment of Gastrointestinal Diseases

Drugs for the Treatment of Seizure Disorders

Drugs for the Treatment of Central Nervous System Disorders

Adrenocorticosteroids

Drugs for the Treatment of Respiratory Disorders and Allergic Rhinitis

Drugs for the Treatment of Diabetes Mellitus

Drugs for the Treatment of Other Endocrine Disorders

Antineoplastic Drugs

Emergency Drugs

Pregnancy and Breast Feeding

Substance Use Disorders

Naturalherbal Products and Dietary Supplements

Oral Conditions and Their Treatment

Hygiene-Related Oral Disorders

Filters