Muscoloskeletal Mnemonic flash cards
Question 17. Name six nonsteroidal anti-inflammatory drugs, NSAIDs.
NSAIDS
N_____________________
S_____________________
A_____________________
I_____________________
D_____________________
S_____________________
Naproxen (Aleve, Naprosyn)
Sulindac (Clinoril)
Aspirin (Ecotrin)
Ibuprofen (Motrin, Advil)
Diclofenac (Voltaren)
Salsalate (Disalcid)
Question 18. Name the hormone-like compound NSAIDs affect, the three
OTC NSAIDs in order of half-life, nine prescription-only NSAIDs, which
NSAID is COX-2 specific, and which NSAID comes as an injectable.
PAINN MEDS KICK IN
P____________________ (hormone-like compound)
A____________________ (over-the-counter NSAID)
I_____________________ (over-the-counter NSAID)
N____________________ (over-the-counter NSAID)
N_____________________
M_____________________
E_____________________
D_____________________
S_____________________
K_____________________
I_____________________
C_____________________ (COX-2 specific)
K_____________________ (injectable)
In_____________________ (dosage form)
Prostaglandins
Aspirin (Ecotrin)
Ibuprofen (Motrin)
Naproxen (Aleve, Naprosyn)
Nabumetone (Relafen)
Meloxicam (Mobic)
Etodolac (Lodine)
Diclofenac (Voltaren)
Sulindac (Clinoril)
Ketoprofen (Orudis)
Indomethacin (Indocin)
Celecoxib (Celebrex)
Ketorolac (Toradol)
Injectable form is ketorolac
Question 19. Name three acetaminophen-containing analgesics or analgesic
combinations and explain the role of each ingredient. To which organ does
acetaminophen cause toxicity?
ABATE HEADACHE
A_____________________ (non-narcotic analgesic)
B_____________ A________________ C_____________
(barbiturate / non-narcotic analgesic / stimulant)
A_____________ A________________ C____________
(NSAID / non-narcotic analgesic / stimulant)
Toxic to L______________ (organ)
E
Acetaminophen [APAP] (Tylenol)
Butalbital / Acetaminophen / Caffeine
(Fioricet)
Aspirin / Acetaminophen / Caffeine (ExcedrinMigraine)
Toxic to liver
E
Question 20. Name eight DEA Schedule II opioids or opioid combinations.
MY MY MY FREAKING HEAD HURTS OUCH OUCH
M________________________ (opioid)
M________________________ (opioid)
M________________________ (opioid)
F_________________________ (opioid)
H__________ / A___________ (opioid / analgesic)
H__________ / I____________ (opioid / NSAID)
O_________________________ (opioid)
O__________ / A___________ (opioid / analgesic)
Morphine (Kadian, MS Contin)
Meperidine (Demerol)
Methadone (Dolophine)
Fentanyl (Duragesic, Sublimaze)
Hydrocodone / acetaminophen (Vicodin, Norco)
Hydrocodone / Ibuprofen (Vicoprofen)
Oxycodone (OxyIR, OxyContin)
Oxycodone / acetaminophen (Percocet
Question 21. Name the primary receptor we associate with opioid effects and
seven possible opioid side-effects.
MORPHINE
M_____ (Receptor)
Possible opioid side-effects
O___________________ S_______________________
R___________________ D_______________________
P____________ P________________ (M______________)
H___________________ , O______________________
I___________________ / C_______________________
N__________________ / E_______________________
E__________________
Mu receptor
Opioid sedation
Respiratory depression
Pinpoint pupils (miosis)
Hypotension, orthostatic
Impaction / constipation
Nausea / emesis
Euphoria
Question 22. Name one combination DEA Schedule III analgesic with
acetaminophen and two DEA Schedule IV analgesics or combinations
containing tramadol.
A/C TRAM WRECK
Acetaminophen w/ C_____________________ (Schedule III)
T________________ (Schedule IV)
T________________ with A_________________ (Schedule IV)
DEA Schedule III
Acetaminophen /
Codeine (Tylenol #3)
DEA Schedule IV
Tramadol (Ultram)
Tramadol / acetaminophen (Ultracet)
Question 23. Name two opioid antagonist medications and the receptor they
affect.
OMNIBUS AGAINST OPIOIDS
O________ A______________ (drug class)
M________ R______________ (affected receptor)
N________________________ (opioid antagonist)
I
B_________________ / N_______________ (opioid partial agonist /
opioid antagonist)
U
S
Opioid antagonists
Mu receptors
Naloxone (Narcan)
I
Buprenorphine / naloxone (Suboxone)
US
Question 24. Name three medications for opioid-induced constipation.
THREE MEDICINALS
M_____________________
N_____________________
N_____________________
Methylnaltrexone (Relistor)
Naldemedine (Symproic)
Naloxegol (Movantik)
Question 25. Name seven triptans for a migraine and at least three dosage
forms.
FEARS ZIN HEADACHES
F_____________________ (5HT1 agonist)
E_____________________ (5HT1 agonist)
A_____________________ (5HT1 agonist)
R_____________________ (5HT1 agonist)
S_____________________ (5HT1 agonist)
Z_____________________ (5HT1 agonist)
I__________________, N____________ S____________,
O________________ D____________________T_______________ (three
dosage forms)
N_____________________ (5HT1 agonist)
Frovatriptan (Frova)
Eletriptan (Relpax)
Almotriptan (Axert)
Rizatriptan (Maxalt)
Sumatriptan (Imitrex)
Zolmitriptan (Zomig)
Injections, nasal sprays, and orally
disintegrating tabs (ODT) available for some
triptans
Naratriptan (Amerge)
Question 26. Name four non-biologic DMARDs.
MASH FOR JOINTS
M_____________________
A_____________________
S_____________________
H_____________________
Methotrexate (Rheumatrex)
Azathioprine (Imuran)
Sulfasalazine (Azulfidine)
Hydroxychloroquine (Plaquenil)
Question 27. Name five biologic DMARDs.
GO ADD IN A BETTER DMARD
Go_____________________
Ad_____________________
In______________________
Ab_____________________
Et______________________
GOlimumab (Simponi)
ADalimumab (Humira)
INfliximab (Remicade)
ABatacept (Orencia)
ETanercept (Enbrel)
Question 28. Name four bisphosphonates, a specific fracture concern, and
instructions for the patient’s positioning.
FRAZIL BONES
F______________________ (fracture concern)
R______________________ (bisphosphonate)
A______________________ (bisphosphonate)
Z______________________ (bisphosphonate)
I_______________________ (bisphosphonate)
L_____________________ (patient’s positioning prohibition)
Fractures, atypical of the femur
Risedronate (Actonel)
Alendronate (Fosamax)
Zoledronic acid (Reclast, Zometa)
Ibandronate (Boniva)
Lying down prohibited for 30 to 60 minutes
Question 29. Name seven muscle relaxants.
CAR MET CYCLE = BACK TO MD (MEDIC)
Car_____________________
Met_____________________
Cyc_____________________
Bac_____________________
T_____________________
Me_____________________
Di_____________________ (benzodiazepine)
Carisoprodol (Soma)
Metaxalone (Skelaxin)
Cyclobenzaprine (Flexeril)
Baclofen (Lioresal)
Tizanidine (Zanaflex)
Methocarbamol (Robaxin)
Diazepam (Valium)
Question 30. Name a uricosuric, two xanthine oxidase inhibitors, an NSAID
for gout, a second line agent for gout pain, and a gout medicine for refractory
gout treatment.
PACIFY PEG’S TOE
P_____________________ (uricosuric)
A_____________________ (xanthine oxidase inhibitor)
C_____________________ (second-line agent for gout pain)
I______________________ (NSAID)
F_____________________ (xanthine oxidase inhibitor)
Y
PEG_____________________ (refractory gout treatment)
Probenecid (Benemid)
Allopurinol (Zyloprim)
Colchicine (Colcrys)
Indomethacin (Indocin)
Febuxostat (Uloric)
Y
Pegloticase (Krystexxa)
