EXAM QUESTIONS AND ANSWERS
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Jaylamismamnine-year-
oldmwhomhasmbeenmdiagnosedmwithmmigrainesmformalmostmtwomyears.mShemismmissingmupmtomamwe
ekmofmschoolmeachmmonth.mHermheadachemdiarymconfirmsmshemaveragesmfourmormfivemmigrainesmp
ermmonth.mWhichmofmthemfollowingmwouldmbemappropriate?
A.mPrescribemamitriptylinem(Elavil)mdaily,mstartmatmamlowmdosemandmincreasemthemdosemslowlymever
ymtwomweeksmuntilmeffectiveminmeliminatingmmigraines.
B.mEncouragemhermmothermtomgivemhermExcedrinmMigrainem(aspirin,macetaminophen,mandmcaffeine
)matmthemfirstmsignmofmamheadachemtomabortmthemheadache.
C.mPrescribempropranololm(Inderal)mtombemtakenmdailymformatmleastmthreemmonths.
D.mExplainmthatmitmismraremformamnine-year-
oldmtomgetmmigrainesmandmthatmshemneedsmanmMRImtomrulemoutmambrainmtumor.m-
mCORRECTmANSWERSmC.mPrescribempropranololm(Inderal)mtombemtakenmdailymformatmleastmthreemm
onths.
Whenmprescribedmanmopioidmanalgesicmsuchmasmacetaminophenmandmcodeinem(Tylenolm#3),mwhic
hmofmthemfollowingminstructionsmshouldmthempatientmfollow?
A.mThemmedicationmmaymcausemsedation,msomthempatientmshouldmnotmdrive.
B.mConstipationmismamcommonmsidemeffect,msomthempatientmshouldmincreasemfluidsmandmfiber.
C.mThempatientmshouldmnotmtakemanymothermacetaminophen-
containingmmedicationsmatmthemsamemtime.
D.mAllmthemgivenmoptionsmaremcorrect.m-mCORRECTmANSWERSmD.mAllmthemgivenmoptionsmaremcorrect
, Patientsmwhosemtotalmdosemofmprednisonemexceedm1mgrammwillmmostmlikelymneedmamsecondmpresc
riptionmform_________.
A.mmetformin,mambiguanidemtompreventmdiabetes
B.momeprazole,mamprotonmpumpminhibitormtompreventmpepticmulcermdisease
C.mnaproxen,manmNSAIDmtomtreatmjointmpain
D.mfurosemide,mamdiureticmtomtreatmfluidmretentionm-
mCORRECTmANSWERSmB.momeprazole,mamprotonmpumpminhibitormtompreventmpepticmulcermdisease
Themchemicalsmthatmpromotemthemspreadmofmpainmlocallymincludem_________.
A.mserotonin
B.mnorepinephrine
C.menkephalin
D.mneurokininmAm-mCORRECTmANSWERSmD.mneurokininmA
Differentmareasmofmthembrainmareminvolvedminmspecificmaspectsmofmpain.mThemreticularmandmlimbicm
systemsminmthembrainminfluencem______.
A.mthemsensorymaspectsmofmpain
B.mthemdiscriminativemaspectsmofmpain
C.mthemmotivationalmaspectsmofmpain
D.mthemcognitivemaspectsmofmpainm-mCORRECTmANSWERSmC.mthemmotivationalmaspectsmofmpain
Kaseymfracturedmhismankleminmtwomplacesmandmismaskingmformpainmmedication.mThemappropriatemfir
st-linemmedicationmwouldmbem_________.