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Pharmocology > Pain Part 1 (Opioids) Supplemental.ppt > Flashcards

Pain Part 1 (Opioids) Supplemental.ppt Flashcards

1
Q

Which are Pure Opioid Agonists for Pain?

a. Morphine Prototypes
b. Non-morphine Prototypes
c. Anti-diarrheal Opioids
d. Mixed/Partial Agonist

A

a. Morphine Prototypes

b. Non-morphine Prototypes

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2
Q

Morphine Prototypes

a. Loperamide,
b. Morphine
c. Fentanyl
d. Hydromorphone
e. Methadone
f. Codeine
g. Meperidine
h. Tramadol
i. Oxycodone
j. diphenoxylate-atropine
k. Hydrocodone

A

b. Morphine
d. Hydromorphone
f. Codeine
i. Oxycodone
k. Hydrocodone

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3
Q

Non-morphine Prototypes

a. Loperamide,
b. Morphine
c. Fentanyl
d. Hydromorphone
e. Methadone
f. Codeine
g. Meperidine
h. Tramadol
i. Oxycodone
j. diphenoxylate-atropine
k. Hydrocodone

A

c. Fentanyl
e. Methadone
g. Meperidine
h. Tramadol

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4
Q

Anti-diarrheal Opioids

a. Loperamide,
b. Morphine
c. Fentanyl
d. Hydromorphone
e. Methadone
f. Codeine
g. Meperidine
h. Tramadol
i. Oxycodone
j. diphenoxylate-atropine
k. Hydrocodone

A

a. Loperamide,

j. diphenoxylate-atropine

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5
Q

Mixed Opioid Agonists

a. Naloxone
b. Buprenorphine
c. Nalbuphine,
d. Methylnaltrexone
e. Butorphanol
f. Pentazocine

A

b. Buprenorphine
c. Nalbuphine,
e. Butorphanol
f. Pentazocine

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6
Q

Opioid Antagonist (Antidote)

a. Naloxone
b. Buprenorphine
c. Nalbuphine,
d. Methylnaltrexone
e. Butorphanol
f. Pentazocine

A

a. Naloxone

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7
Q

Opioid Antagonist for Opioid Induced Constipation

a. Naloxone
b. Buprenorphine
c. Nalbuphine,
d. Methylnaltrexone
e. Butorphanol
f. Pentazocine

A

d. Methylnaltrexone

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8
Q

Pain is ?

Subjective or Objective?

A

Subjective

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9
Q

Pain is the “ ? Vital Sign”

Fourth or Fifth

A

Fifth

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10
Q

Numeric rating scale of 0-10

ADULTS or PEDIATRICS

A

ADULTS

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11
Q

Faces of Pain Scale

ADULTS or PEDIATRICS

A

PEDIATRICS

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12
Q

Medications that relieve pain without causing loss of consciousness

Anesthesia or Analgesic

A

Analgesic

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13
Q

Which can be Opioid or Non-opioids/Adjuvant drugs

Anesthesia or Analgesic

A

Analgesic

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14
Q

MILD pain

a. Weak opioid- hydrocodone + acetaminophen combo drug (Vicodin® or Norco®)
b. Non-opioids- like acetaminophen
c. Strong opioid- Morphine
d. Score of 4-6
e. Score of 1-3
f. Score of 7-10

A

b. Non-opioids- like acetaminophen

e. Score of 1-3

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15
Q

MODERATE TO SEVERE

a. Weak opioid- hydrocodone + acetaminophen combo drug (Vicodin® or Norco®)
b. Non-opioids- like acetaminophen
c. Strong opioid- Morphine
d. Score of 4-6
e. Score of 1-3
f. Score of 7-10

A

a. Weak opioid- hydrocodone + acetaminophen combo drug (Vicodin® or Norco®)
d. Score of 4-6

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16
Q

SEVERE pain

a. Weak opioid- hydrocodone + acetaminophen combo drug (Vicodin® or Norco®)
b. Non-opioids- like acetaminophen
c. Strong opioid- Morphine
d. Score of 4-6
e. Score of 1-3
f. Score of 7-10

A

c. Strong opioid- Morphine

f. Score of 7-10

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17
Q

Which of the following are adjuvants for relieving pain?

a. Antidepressants
b. Anticonvulsants
c. Corticosteroids
d. Lidocaine patches

A

All

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18
Q

? can help suppress the “INFLAMMATORY SOUP?

Opioids or NSAIDS/Corticosteroids

A

NSAIDS/Corticosteroids

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19
Q

? can help suppress the Pain Pathway of the spine?

Opioids or NSAIDS/Corticosteroids

A

Opioids

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20
Q

Which helps you forget you pain?

Opioids or NSAIDS/Corticosteroids

A

Opioids

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21
Q

Which of the options are Acute Pain

a. Sudden onset
b. Often difficult to treat
b. Usually subsides once treated
c. Persistent or recurring
d. Lasts 3 to 6 months
e. Usually subsides once treated
f. Tolerance
g. Physical dependence

A

a. Sudden onset

e. Usually subsides once treated

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22
Q

Which of the options are Chronic Pain

a. Sudden onset
b. Often difficult to treat
c. Persistent or recurring
d. Lasts 3 to 6 months
e. Usually subsides once treated
f. Tolerance
g. Physical dependence

A

b. Often difficult to treat
c. Persistent or recurring
d. Lasts 3 to 6 months
f. Tolerance
g. Physical dependence

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23
Q

What the Two main opioid receptors

a. Delta
b. Mu
c. Beta
d. Kappa

A

b. Mu

d. Kappa

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24
Q 
Match Locations of Receptors 
Respiratory Center- slow or stop breathing
a. Brain Stem 
b. Brain
c. Peripheral Neurons
d. Spinal Cord 
e. GI Tract
A

a. Brain Stem

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25
Q 
Locations of Receptors 
Reward Pathway- Euphoria, Addiction
a. Brain Stem 
b. Brain
c. Peripheral Neurons
d. Spinal Cord 
e. GI Tract
A

b. Brain

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26
Q 
Locations of Receptors 
side effects like constipation/urinary retention)
a. Brain Stem 
b. Brain
c. Peripheral Neurons
d. Spinal Cord 
e. GI Tract
A

e. GI Tract

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27
Q 
Locations of Receptors 
(pain relief)
a. Brain Stem 
b. Brain
c. Peripheral Neurons
d. Spinal Cord 
e. GI Tract
A

c. Peripheral Neurons

d. Spinal Cord

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28
Q

the inability to feel pain?

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
e. Miosis
f. Decreased gi motility
g. analgesia

A

g. analgesia

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29
Q

When nerves or muscles in any portion of the digestive tract do not function with their normal strength and coordination?

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
e. Miosis
f. Decreased gi motility
g. analgesia

A

f. Decreased gi motility

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30
Q

excessive constriction of the pupil of the eye.

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
e. Miosis
f. Decreased gi motility
g. analgesia

A

e. Miosis

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31
Q

? is the experience (or affect) of pleasure or excitement and intense feelings of well-being and happiness?

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
e. Miosis
f. Decreased gi motility
g. analgesia

A

d. Euphoria

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32
Q

A condition in which a person takes a drug over time, and unpleasant physical symptoms occur if the drug is suddenly stopped or taken in smaller doses.

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
e. Miosis
f. Decreased gi motility
g. analgesia

A

c. physical dependence

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33
Q

? is a breathing disorder characterized by slow and ineffective breathing? - hypoventilation

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
e. Miosis
f. Decreased gi motility
g. analgesia

A

b. Respiratory depression

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34
Q

?the administering of a sedative drug to produce a state of calm or sleep?

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
e. Miosis
f. Decreased gi motility
g. analgesia

A

a. Sedation

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35
Q

Mu receptors have

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
e. Miosis
f. Decreased gi motility
g. analgesia

A

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
f. Decreased gi motility
g. analgesia

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36
Q

Kappa receptors have

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
e. Miosis
f. Decreased gi motility
g. analgesia

A

a. Sedation
e. Miosis
f. Decreased gi motility
g. analgesia

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37
Q

Kappa and Mu both have?

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
e. Miosis
f. Decreased gi motility
g. analgesia

A

a. Sedation
f. Decreased gi motility
g. analgesia

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38
Q

Which does Kappa have vs Mu

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
e. Miosis
f. Decreased gi motility
g. analgesia

A

e. Miosis

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39
Q

Which does Mu not have vs Kappa

a. Sedation
b. Respiratory depression
c. physical dependence
d. Euphoria
e. Miosis
f. Decreased gi motility
g. analgesia

A

b. Respiratory depression
c. physical dependence
d. Euphoria

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40
Q

Moderate to Severe Pain, Severe Pain

a. Loperamide,
b. Morphine
c. Fentanyl
d. Hydromorphone
e. Methadone
f. Codeine
g. Meperidine
h. Tramadol
i. Oxycodone
j. diphenoxylate-atropine
k. Hydrocodone

A

b. Morphine
d. Hydromorphone
f. Codeine
i. Oxycodone
k. Hydrocodone

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41
Q

Pure Opiods agonist are ? Morphine , Codiene

a. Mu
b. Kappa
c. Neither
d. Both

A

d. Both

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42
Q 
Mixed Opiods agonist are ? - Butorphanol
pentazocine
a. Mu
b. Kappa
c. Neither
d. Both
A

b. Kappa

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43
Q

Mixed Opiods agonist are? -Buprenorphine

a. Mu
b. Kappa
c. Neither
d. Both

A

a. Mu

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44
Q

Pure opiods antagonist ? Naloxone

a. Mu
b. Kappa
c. Neither
d. Both

A

c. Neither

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45
Q

Which means an itch is defined as an unpleasant sensation of the skin that provokes the urge to scratch.?

a. Miosis
b. Pruritus
c. Emesis

A

b. Pruritus

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46
Q

Which of the following mean vomitting?

a. Miosis
b. Pruritus
c. Emesis

A

c. Emesis

47
Q 
What are MORPHINE Prototypes adverse side effects?
M-
O-
R-
P-
H-
I-
N-
E-

Do not give with head

A 
M- Miosis
O- Sedation
R-  Respiratory depression
P- Pruritus
H- Hypotension (Dizzy) and Do not give with head injuries
I- Constipation & Urine retention 
N- Nasua 
E- Emesis

No

48
Q

Can you can give Morphine Prototypes with Head injuries?

T/F if not why?

A

False b/c you can not.

49
Q

Which you Do NOT GIVE IN BILIARY COLIC, do NOT give in Paralytic Ileus.

a. morphine
b. codeine
c. hydromorphone
d. oxycodone
e. hydrocodone)

A

All because they are Morphine protypes

50
Q 
Which is the following: 
a medicinal drug taken to reduce tension or anxiety?
a. Alcohol
b. Antihistamines
c. Tranquilizers
d. Barbiturates
e. Benzodiazepines
A

c. Tranquilizers

51
Q 
Which of the following:
are a type of medication known as tranquilizers?
a. Alcohol
b. Antihistamines
c. Tranquilizers
d. Barbiturates
e. Benzodiazepines
A

e. Benzodiazepines

52
Q 
Which of the following:
any of a class of sedative and sleep-inducing drugs?
a. Alcohol
b. Antihistamines
c. Tranquilizers
d. Barbiturates
e. Benzodiazepines
A

d. Barbiturates

53
Q 
Which of the following:
are drugs which treat allergic rhinitis and other allergies.>
a. Alcohol
b. Antihistamines
c. Tranquilizers
d. Barbiturates
e. Benzodiazepines
A

b. Antihistamines

54
Q

Which of the following can not be giving during respiratory depression with Morphine Prototypes?

a. Alcohol
b. Antihistamines
c. Tranquilizers
d. Barbiturates
e. Benzodiazepines

A

All

55
Q

Which of the following you need to look out for with opiods?

a. Drug allergy
b. CNS Depressant Drugs
c. Severe Asthma/COPD
d. Respiratory insufficiency
e. Elevated intracranial pressure
f. Morbid obesity or sleep apnea
g. Paralytic ileus
h. Pregnancy and Breastfeeding

A

All

56
Q

With opiod what are the drug that cause problems with pregnant woman b/c it can cross to her baby?

a. Antihistamines
b. Codeine
c. Tranquilizers
d. Barbiturates
e. Tramadol
f. Benzodiazepines

A

b. Codeine

e. Tramadol

57
Q 
Which mean the following:
It works by changing how your brain senses pain and is similar to opiods?
 a. Antihistamines
b. Codeine
c. Tranquilizers
d. Barbiturates
e. Tramadol
f. Benzodiazepines
A

e. Tramadol

58
Q 
Which mean the following:
a sleep-inducing and analgesic drug derived from morphine.
a. Antihistamines
b. Codeine
c. Tranquilizers
d. Barbiturates
e. Tramadol
f. Benzodiazepines
A

b. Codeine

59
Q

Which can not be given to pediatrics:

a. Antihistamines
b. Codeine
c. Tranquilizers
d. Barbiturates
e. Tramadol
f. Benzodiazepines

A

b. Codeine

60
Q

Which cannot be given during Breastfeeding and Pregnancy?

a. Antihistamines
b. Codeine
c. Tranquilizers
d. Barbiturates
e. Tramadol
f. Benzodiazepines

A

b. Codeine

e. Tramadol

61
Q

Do you (increase or decrease) the dosages of opiods you give to a Geriatrict patient?

A

decrease

62
Q

With opiods can there be an histamine release that is not a allergic reaction?

A

Yes

63
Q

Which means , temporary reddening of the skin, usually of the face?

a. Flushing
b. Throat Itching
c. Tongue/Lip/EyelidSwelling (Angioedema)
d. Throat Swelling
e. Difficulty Breathing
f. Hallucinations
g. Hives
h. Rash*
i. Nausea/Vomiting

A

a. Flushing

64
Q 
Which of the following are true allergy concerns?
General Itching
a. Flushing
b. Throat Itching 
c. Tongue/Lip/EyelidSwelling (Angioedema)
d. Throat Swelling
e. Difficulty Breathing
f. Hallucinations
g. Hives
h. Rash* 
i. Nausea/Vomiting
A

b. Throat Itching
c. Tongue/Lip/EyelidSwelling (Angioedema)
d. Throat Swelling
e. Difficulty Breathing
g. Hives

65
Q

Opiods (do or do not) cause GI imobility?

A

Do

66
Q

Since opiods cause GI imobility should you give a patient a ? for constipation ? in opiod treatment

a. should not receive a stimulant
b. should receive a stimulant
c. Early
d. Late

A

b.
c.

ll mush, no push”, recommend a drug BEFORE they get constipated (prophylaxis!)

67
Q

Which is true for all opiod groups?
a. You do not need to asses I/O for urine retention
b. Instruct that it is okay for patients use highly machinery
c. Can be taken with food to help with nausea and emesis
d. Orthostatic hypotension can occur, so change
positions slowly, be aware of fall risk

A

c. Can be taken with food to help with nausea and emesis
d. Orthostatic hypotension can occur, so change
positions slowly, be aware of fall risk

68
Q 
With opiods the following:
assess pain level – treat according to pain scale!
Take vital signs -> Respiratory Rate
a. Before opiod treatment
b. After opiod treatment
A

a. Before opiod treatment

69
Q

What is the respiration rate number that means you should had opiod meditations?

A

12 and lower

70
Q

Due to Opiod Epidemic (REM ) opiod drugs are written
given in ? dose possible for outpatients?
a. Highest
b. Lowest

A

b. Lowest

71
Q

What means the strength of a drug?

a. Equianalgesia
b. Potency
c. Physical Dependence
d. Efficacy
e. Opioid Tolerance
f. Psychological Dependence

A

b. Potency

72
Q

Which means the effectiveness of a drug?

a. Equianalgesia
b. Potency
c. Physical Dependence
d. Efficacy
e. Opioid Tolerance
f. Psychological Dependence

A

d. Efficacy

73
Q

Which means A dose of one form of analgesic drug equivalent in pain-relieving effect to another analgesic

a. Equianalgesia
b. Potency
c. Physical Dependence
d. Efficacy
e. Opioid Tolerance
f. Psychological Dependence

A

a. Equianalgesia

74
Q

? is characterized by a reduced responsiveness to an opioid agonist such as morphine and is usually manifest by the need to use increasing doses to achieve the desired effect.

a. Equianalgesia
b. Potency
c. Physical Dependence
d. Efficacy
e. Opioid Tolerance
f. Psychological Dependence

A

e. Opioid Tolerance

75
Q

? is a state that involves emotional–motivational withdrawal symptoms?

a. Equianalgesia
b. Potency
c. Physical Dependence
d. Efficacy
e. Opioid Tolerance
f. Psychological Dependence

A

f. Psychological Dependence

76
Q

? A condition in which a person takes a drug over time, and unpleasant physical symptoms occur if the drug is suddenly stopped or taken in smaller doses.

a. Equianalgesia
b. Potency
c. Physical Dependence
d. Efficacy
e. Opioid Tolerance
f. Psychological Dependence

A

c. Physical Dependence

77
Q 
7mg of Morphine = 1 mg or Hydromorphone 
What example is this?
a. Equianalgesia
b. Potency
c. Physical Dependence
d. Efficacy
e. Opioid Tolerance
f. Psychological Dependence
A

a. Equianalgesia

78
Q 
Non Morphine opiods
This medication can lower the seizure threshold (SEIZURE RISK!)
a. Methadone
b. Tramadol
c. meperidine 
d. Fentanyl
A

b. Tramadol

79
Q

Increases Serotonin- watch out for SEROTONIN SYNDROME

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

b. Tramadol

80
Q

Do NOT use in breastfeeding (similar concern to Codeine)

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

b. Tramadol

81
Q

SPECIAL USE: SUBSTANCE USE DISORDERS

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

a. Methadone

82
Q

Which prolong the QT interval (dysrhythmia risk)

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

a. Methadone

83
Q

Is EKG needed for patients taking methadone?

Yes or No

A

Yes

84
Q

Which is the MOST POTENT OPIOID ?

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

d. Fentanyl

85
Q

Which comes as an IV pushes?

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

d. Fentanyl

86
Q

Which comes as a Lozenge/Lollipops?

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

d. Fentanyl

87
Q

Which comes as Transdermal Patch?

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

d. Fentanyl

88
Q

Does Fentanyl Transdermal Patch treat ? pain
a. Chronic
B. Acute

A

a. Chronic

89
Q

Select all that apply for Fentanyl

a. PROPER DISPOSAL is important!
b. AVOID HEATING PADS!
c. SLOW TO KICK IN- NEVER FOR ACUTE PAIN! (can take 12 hours)
d. FAST TO KICK IN- NEVER FOR CHRONIC PAIN! (can take 1 hours)
e. NEVER FOR OPIOID NAÏVE!-
f. USE FOR OPIOID NAÏVE!-

A

a. PROPER DISPOSAL is important!
b. AVOID HEATING PADS!
c. SLOW TO KICK IN- NEVER FOR ACUTE PAIN! (can take 12 hours)
e. NEVER FOR OPIOID NAÏVE!-

90
Q

Which Can be used for SHIVERING in the OR ?

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

c. meperidine

91
Q

Which drug you should never use first as a treatment?

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

d. Fentanyl

92
Q

Which CANNOT be given with MAO-I drugs

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

c. meperidine

93
Q

Which CAN be given short term

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

c. meperidine

94
Q

Which Has a CNS toxic metabolite called NORMEPERIDINE that can cause seizures

a. Methadone
b. Tramadol
c. meperidine
d. Fentanyl

A

c. meperidine

95
Q

These are used to treat diarrhea

a. Pentazocine
b. Loperamide
c. Methylnaltrexone
d. Diphenoxylate
e. Naloxone
g. Atropine

A

b. Loperamide

d. Diphenoxylate

96
Q

Bowel obstruction & Constipation!

a. Pentazocine
b. Loperamide
c. Methylnaltrexone
d. Diphenoxylate
e. Naloxone
g. Atropine

A

b. Loperamide

d. Diphenoxylate

97
Q

Which is added to Loperamide & Diphenoxylate to help aide or prevent bowel obstruction?

a. Pentazocine
b. Loperamide
c. Methylnaltrexone
d. Diphenoxylate
e. Naloxone
g. Atropine

A

g. Atropine

98
Q

Which you need to Limit use of anti-diarrheals

a. Pentazocine
b. Loperamide
c. Methylnaltrexone
d. Diphenoxylate
e. Naloxone
g. Atropine

A

b. Loperamide

d. Diphenoxylate

99
Q

Which you need to culture poop for infections such as C.Diff- can cause toxic megacolon

a. Pentazocine
b. Loperamide
c. Methylnaltrexone
d. Diphenoxylate
e. Naloxone
g. Atropine

A

b. Loperamide

d. Diphenoxylate

100
Q

Can Loperamide & Diphenoxylate be used short term or Long term/

A

Short term

101
Q

Which of the following Mixed/Partial Agonists: are Addiction management (Substance Use Disorders) ?

a. Buprenorphine
b. Butorphanol
c. Nalbuphine
d. Pentazocine

A

a. Buprenorphine

102
Q

Less abuse potential (not as strong- less risk for euphoria)

a. Naloxone
b. Buprenorphine
c. Nalbuphine,
d. Methylnaltrexone
e. Butorphanol
f. Pentazocine

A

b. Buprenorphine
c. Nalbuphine,
e. Butorphanol
f. Pentazocine

103
Q

Less Respiratory Depression (Ceiling effect)

a. Naloxone
b. Buprenorphine
c. Nalbuphine,
d. Methylnaltrexone
e. Butorphanol
f. Pentazocine

A

b. Buprenorphine
c. Nalbuphine,
e. Butorphanol
f. Pentazocine

104
Q

Less Analgesic Effect (Ceiling effect)

a. Naloxone
b. Buprenorphine
c. Nalbuphine,
d. Methylnaltrexone
e. Butorphanol
f. Pentazocine

A

b. Buprenorphine
c. Nalbuphine,
e. Butorphanol
f. Pentazocine

105
Q

Which have higher affinity than of all?

a. Morphine Prototypes
b. Non-morphine Prototypes
c. Anti-diarrheal Opioids
d. Mixed/Partial Agonist

A

d. Mixed/Partial Agonist

106
Q 
Which are symptoms of overdose rather than withdrawal from opioids?
a. Agitation, 
b. Anxiety,
c. insomnia,
d. Respiratory Depression
e. Flu‑like opioid cravings
f. Rhinorrhea, 
g. Pinpoint pupils (miosis) 
h. Yawning, 
I. Sweating (diaphoresis), 
k. Pilo-erection (goose bumps), 
m. Abdominal cramping, and diarrhea.  
n. Hypertension, tachycardia
l. Suicidal ideation
o. Coma
A

d. Respiratory Depression
g. Pinpoint pupils (miosis)
o. Coma

107
Q

What is the primary antidote for opioids?

a. Naloxone
b. Buprenorphine
c. Nalbuphine,
d. Methylnaltrexone
e. Butorphanol
f. Pentazocine

A

a. Naloxone

108
Q

Which is opioid antagonist?

a. Naloxone
b. Buprenorphine
c. Nalbuphine,
d. Methylnaltrexone
e. Butorphanol
f. Pentazocine

A

a. Naloxone

109
Q

Which Fast acting, can reverse pain relief!

a. Naloxone
b. Buprenorphine
c. Nalbuphine,
d. Methylnaltrexone
e. Butorphanol

A

a. Naloxone

110
Q

If you have given Naloxone and the pain hasn’t reversed what does this means?

A

The pateint isn’t having an opioid overdose

111
Q

Which of the following is true about Naloxone

a. Assess and monitor Respiratory Rate
b. Does not have short half life, so patients will not need need a continuous IV drip
c. Does have short half life-, so patients may need a continuous IV drip
d. Patients pain will reverse
e. Patients pain will not be reversed

A

a. Assess and monitor Respiratory Rate
c. Does have short half life-, so patients may need a continuous IV drip
d. Patients pain will reverse

112
Q

Which treats opioid Induced Constipation (OIC)

a. Naloxone
b. Buprenorphine
c. Nalbuphine,
d. Methylnaltrexone
e. Butorphanol

A

d. Methylnaltrexone

113
Q

Competitive antagonist at opioid receptors (has an extremely high affinity) only for the GI TRACT

a. Naloxone
b. Buprenorphine
c. Nalbuphine,
d. Methylnaltrexone
e. Butorphanol

A

d. Methylnaltrexone

114
Q

Bowel obstruction, but treats Constipation!

a. Naloxone
b. Buprenorphine
c. Nalbuphine,
d. Methylnaltrexone
e. Butorphanol

A

d. Methylnaltrexone

Pharmocology (36 decks)

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