Exam 2 pain, GI, Asthma Flashcards
Match the description of pain to the correct term:
a. Somatic
b. Visceral
Described as dull, aching, throbbing
Referred or well-localized
Well-localized
a
b
a
Which of the following statements are true regarding Simple Analgesics? SATA
a. Ceiling effect to pain relief
b. Have physiological dependence
c. Don’t have tolerance or physiological dependence
d. Majority can be purchased over-the-counter
e. For moderate to severe pain.
a,c,d
Which of the following doses of aspirin should be given for analgesic effect?
a. 100-500 mg/day
b. 650-4000 mg/day
c. 4000-8000 mg/day
d. 75-81 mg
b antipyretic + analgesic
c antiinflammatory
d antiplatelet
All of the following are true about aspirin except for:
a. May cause Stomach ulcers
b. Risk for blood clots
c. Risk for Salicylism
d. Avoid use in children
e. May impair kidney function
b
Which of the following opioids results in less respiratory depression and may cause withdrawal in patients who have developed tolerance to opioids? SATA
a. Pentazocine
b. Oxycodone
c. Naltrexone
d. Buprenorphine
e. Meperidine
a, d
Match the following drugs to the correct description.
a. Morphine
b. Oxycodone
c. Meperidine
d. Fentanyl
e. Methadone
__ Caution with renal impairment
__ Has the longest duration of action
__ Only available orally
__ First line for moderate/severe pain
__ Most potent opioid
c
e
b
a
d
Which of the following are true regarding Naloxone? SATA
a. Full agonist
b. Rapidly reverses respiratory depression
c. Can treat opioid-induced pruritus
d. Affinity for most opioid receptors
e. May need to be given multiple times
b,c,e
Which of the following statements are true regarding opioid ADRs? SATA
a. Drowsiness and sedation will resolve in a few days
b. Itching is most common when an opioid is taken orally
c. Respiratory depression is the most serious ADR
d. Constipation is the most common ADR but most people will develop tolerance to
it within a week
a,c
Which of the following agents causes less respiratory depression than a natural opioid
and is classified as a schedule IV 4 controlled substance?
a. Dantrolene
b. Gabapentin
c. Naltrexone
d. Tramadol
d
Match the following muscle relaxants to the correct description.
a. Dantrolene
b. Baclofen
c. Cyclobenzaprine
d. Tizanidine
__ Used for muscle spasms and alcoholism
__ Works in CNS to decrease muscle spasm activity and may cause seizures and
arrhythmias
__ Used for back spasms, MS and anticonvulsant
__ May cause liver failure, hypotension, and increased spasms
b
c
d
a
Match the following muscle relaxants to the correct description.
a. Dantrolene
b. Baclofen
c. Cyclobenzaprine
d. Tizanidine
__ Interferes with Ca release
__ May experience visual/auditory hallucinations, delusions, agitation and
seizures
__ Used for muscle spasms and malignant hyperthermia
a
b
a
Acetaminophen
a) action
b) use for?
a) inhibits only central COX
b) Analgesic
Antipyretic
Which opioid available for PO?
Oxycodone
Meperidine
Methadone
Match the following terms to the correct description.
a. H. Pylori
b. Misoprostol
c. Antacids
d. Alginic acid
e. H2RA
f. PPI
g. Sucralfate
h. Simethicone
__ Neutralize gastric acid, have a short DOA and work immediately on contact
__ Basically turn off gastric acid production, take before first major meal
__ Relieves intestinal gas by preventing large gas bubbles
__ Forms a foam that floats on top of liquid in stomach, upright position required
c classification
f
h
d medication name
Gaviscon
Match the following terms to the correct description.
a. H. Pylori
b. Misoprostol
c. Antacids
d. Alginic acid
e. H2RA
f. PPI
g. Sucralfate
h. Simethicone
__ Increases mucosal protection, induces uterine contractions, cervical ripening
__ Forms a protective barrier at the ulcer site
__ Decrease histamine-mediated release of acid
__ Eradicating this is the main mode of treating ulcers
b ulcer NSAIDS
g classification ulcer
e
a
Match the following drugs to the correct adverse reactions.
a. Amphojel
b. Pantoprazole
c. Alka-Seltzer
d. Cimetidine
e. Mag-Ox
f. Tums
_ Milk-alkali syndrome
__ Constipation, phosphate depletion
__ Pneumonia, osteoporosis
__ Diarrhea, hypokalemia
__ Hormonal effects
__ Systemic alkalosis
f
a
b
e
d
c
Match the use to the correct classification.
a. Post Op N/V
b. Chemo-induced N/V
c. Simple nausea
d. Motion sickness
e. Acute N/V
f. General purpose
g. Mild/moderate nausea with minimal vomiting
___ Anticholinergics
___ Serotonin Antagonists
___ Dopamine Antagonists
c,d
e
f
Match the use to the correct classification.
a. Post Op N/V
b. Chemo-induced N/V
c. Simple nausea
d. Motion sickness
e. Acute N/V
f. General purpose
g. Mild/moderate nausea with minimal vomiting
___ Cannabinoids
___ Corticosteroids
___ Neurokinin Antagonists
g
a
b
Which of the following are red flag symptoms in a patient with constipation? SATA:
a. Blood in stools
b. Painful defecation
c. Palpable mass
d. Fever
e. Anorexia
f. Weight gain
g. Nausea and vomiting
a,d,e,g
a. Coats feces easing passage of stool
b. Wetting agent used to soften stool mass
c. Increase peristalsis by irritating nerves in colon
d. Absorbs water to increase bulk, distends bowel to initiate reflex activity
e. Increase water content of bowel to stimulate peristalsis; acts as a “water magnet”
___ Bulk Forming laxatives
___ Stool softeners
___ Stimulants
___ Osmotic Laxatives
___ Lubricants
d
b
c
e
a
Match the drugs used for diarrhea to their mechanism of action:
a. Absorbs excess fluid in the intestine, stabilizes stool mass
b. Prevents secretions into the bowel
c. Prolongs intestinal transit time
__ Anti-peristaltic
__ Adsorbents
__ Antisecretory
c
a
b
Which of the lower GI agents has a black box warning for ischemic colitis?
a. Lubiprostone
b. Dicyclomine
c. Alosetron
d. Bisacodyl
c
Which class of medications has a risk for laxative dependency?
a. Bulk-forming laxatives
b. Lubricants
c. Stimulants
d. Osmotic laxatives
c
.Which of the following is true regarding Misoprostol? (SATA)
a. Can be taken by pregnant women
b. Only taken once a day
c. Has Diarrhea as a side effect
d. Is as effective as a PPI
e. Decreases gastric acid secretion
c
e
