quiz 3

Question 1

Sharp localized pain fibers?

Answer 1

A delta

Question 2

dull pain fibers?

Answer 2

C fibers

Question 3

what neurotransmitters are released from the dorsal horn?

Answer 3

Substance P
Glutamine
Calcitonin related peptides

Question 4

how long is definition of chronic pain?

Answer 4

> 3 months or longer than normal tissue healing

Question 5

which receptor effects urinary symptoms?

Answer 5

Kappa

Question 6

how does morphine affect the receptor?

Answer 6

mu agonist in inhibitory way

inhibits ATP to cAMP

Question 7

which of the opiates are natural?

Answer 7

Morphine

Question 8

what in the structure of morphine give its effects?

Answer 8

S. Antiomer

Question 9

what type of pain does morphine relieve the best?

Answer 9

continuous dull pain

Question 10

who is at higher risk of morphine related respiratory side effects?

Answer 10

women

Question 11

what does glucagon do to counteract morphine?

Answer 11

increases cAMP

Question 12

good choice drug for renal failure?

Answer 12

dilaudid (no active metabolites)

Question 13

how does fentanyl differ from morphine?

Answer 13

no histamine release or active metabolite

Question 14

potency of fentanyls from least to most

Answer 14

Alfentanyl < fentanyl < sufentanyl < remifentanyl

Question 15

whats the issue with sufentanyl

Answer 15

longer duration of action -> higher risk of accumulation

Question 16

The “fentanyls” half lifes shortest to longest

Answer 16

Alfentanyl < sufentanyl < fentanyl

Question 17

important for sufentanyl?

Answer 17

need normal kidney function

Question 18

“fentanyls” with quickest onset?

Answer 18

Alfentanyl

Remifentanyl

Question 19

important for alfentanyl?

Answer 19

normal liver function

Question 20

what is remifentanyl good for

Answer 20

quick on and off for neuro cases