HC and Medical THC Flashcards
T or F: Hydrocodone in combination with acetaminophen was the most-prescribed drug in the United States until restrictions to prescribing were initiated
True
Which statement is most correct?
A) The vast majority of overdose deaths are caused by illegal drugs rather than by prescription drugs
B) About 75% of overdose deaths are caused by opioids
C) The majority of prescribers believe that prescription drug abuse is a minor problem
D) All of the above are most correct
B
In 1981 Beaver and colleagues published a head to head trial of mild to moderate opioid analgesics in the management of post-operative pain. Which statement below is most correct?
A) Acetaminophen alone was less efficacious than hydrocodone alone, or than oxycodone alone
B) Acetaminophen alone had similar efficacy to hydrocodone alone, and to oxycodone alone
C) Chang 2014 and 2015 found that hydrocodone plus acetaminophen was a superior analgesic when compared to codeine plus acetaminophen
D) Hydrocodone is a safer analgesic than codeine, or oxycodone
B
Compared to hydrocodone, codeine is:
A) Less efficacious
B) Less likely to be subject to drug interactions
C) Shorter acting in the management of post op pain
D) A closer match to the onset and duration of acetaminophen
C
What was the effect of moving hydrocodone containing products from DEA Classification III to DEA Class II?
A) Drug abuse in the US was reduced
B) Drug abuse of opioid analgesic was reduced
C) Prescriptions for the leading hydrocodone containing product were reduced by about 30% but only over the short term
D) Patients receiving hydrocodone analgesics were switched to medial marijuana
C
Which statement is correct about medical marijuana?
A) Has always been illegal in the US
B) There is no evidence supporting the efficacy of oral dose forms of the active ingredient
C) When taken orally the peak effect of THC is delayed for 1-3 hours when compared to inhaled marijuana
D) There is strong evidence supporting the efficacy of marijuana for medical indications
E) There is no need for further study of medical marijuana
C
- List the medical conditions that have credible evidence to support the use of medical marijuana.
- List the other qualifying indications.
- The use of medical marijuana is supported in conditions such as: chemo induced N/V, anorexia associated with illnesses such as AIDS, neuropathic and chronic pain, or MS associated symptoms.
- Other indications for medical associated uses of marijuana include failing first and second line therapies for conditions (such as cancer), not having an active substance abuse disorder, legalizing medical marijuana and failing specific medications for chemotherapies.
Which of the following cannabinoids produces euphoria?
A) Delta-9-tetrahydrocannabinol (THC)
B) Cannabidiol (CBD)
C) Neither CBD nor THC
A – THC, not CBD, is the main psychoactive constituent of cannabis. Unfortunately in a study of 84 CBD containing oils, tinctures, and vaporization liquids that were purchased online, 18 were found to have potentially intoxicating levels of THC
Adverse effects of cannabis include:
A) Agitation
B) Hypotension
C) Tachycardia
D) All are correct
D-Cardiovascular effects such as hypotension, hypertension, syncope, or tachycardia can occur with both cannabis and synthetic cannabinoids.
Anxiety, agitation, and confusion are common with cannabis, especially in older patients, and driving ability may be impaired.
Prolonged use of high doses of cannabis can result in cannabinoid hyperemesis syndrome
