TCDHA Pharm Midterm UPDATED Exam
Questions and CORRECT Answers
Patients with chronic pain should be managed with? - Correct Answer- nonopioids and
referred to appropriate specialists
Tramadol (Ultram) - Correct Answer- An orally administered nonopioid with weak analgesic
activity
naloxone (Narcan) - Correct Answer- block the therapeutic and toxic actions of opioids
pentazocine (Talwin) - Correct Answer- The only mixed opioid available for oral use. most
likely to produce dysphoric reaction
Fentanyl Family - Correct Answer- short-acting, parenterally administered agonist opioid
analgesic that is used perioperatively or during general anesthesia
what opoid is primarily to treat any opioid addicts (eg. Heroin addicts) - Correct Answer-
Methadone
Codeine - Correct Answer- Most commonly used opioid in dentistry and is often combined
with acetaminophen (Tylenol #3) for oral administration
A patient with a true allergy to codeine should NOT be given an analgesic in that group. this
includes - Correct Answer- oxycodone, hydromorphone, hydrocodone, and dihydrocodone.
Treatment for overdose - Correct Answer- naloxone
what should be used to control dental pain in addicts? - Correct Answer- NSAIDs
what is an advantage of NSAIDs - Correct Answer- not addictive, tollerance does not
develop, no withdrawal syndrome.
, an addict will develop tolerance to the effect of opioids, except? - Correct Answer- Miosis
and constipation
Use of opioids is NOT contraindicated in - Correct Answer- hypertensive pts
cause of death with overdose? - Correct Answer- Respiratory depression
Combining an opioid with a nonopioid analgesic produces an additive analgesic effect with
fewer adverse reactions? - Correct Answer- True
What do aspirin, acetaminophen, ibuprofen, and codeine have in common? - Correct Answer-
analgesic
opoid agonist by which all others are measured? - Correct Answer- Morphine
metabolized opioids and unchanged drug are excreted where? - Correct Answer- urine
what is the duration of action for analgesia? - Correct Answer- 4-6 hr
3 groups of endogenous substances - Correct Answer- enkephalins, endorphins, dynorphins
opioids mechanism of action - Correct Answer- bind to receptors in CNS and spinal cord,
producing altered perception of reaction to pain
where do nonopioids act? - Correct Answer- peripheral nerve endings
what drugs are used to prevent gout attack - Correct Answer- Allopurinol and Probenecid
what drug is used to treat acute attacks of gout - Correct Answer- Colchicine
when should you use Acetaminophen - Correct Answer- when hypersensitivity to aspirin or
for pt experiencing aspirin-gastric induced irritation.
Questions and CORRECT Answers
Patients with chronic pain should be managed with? - Correct Answer- nonopioids and
referred to appropriate specialists
Tramadol (Ultram) - Correct Answer- An orally administered nonopioid with weak analgesic
activity
naloxone (Narcan) - Correct Answer- block the therapeutic and toxic actions of opioids
pentazocine (Talwin) - Correct Answer- The only mixed opioid available for oral use. most
likely to produce dysphoric reaction
Fentanyl Family - Correct Answer- short-acting, parenterally administered agonist opioid
analgesic that is used perioperatively or during general anesthesia
what opoid is primarily to treat any opioid addicts (eg. Heroin addicts) - Correct Answer-
Methadone
Codeine - Correct Answer- Most commonly used opioid in dentistry and is often combined
with acetaminophen (Tylenol #3) for oral administration
A patient with a true allergy to codeine should NOT be given an analgesic in that group. this
includes - Correct Answer- oxycodone, hydromorphone, hydrocodone, and dihydrocodone.
Treatment for overdose - Correct Answer- naloxone
what should be used to control dental pain in addicts? - Correct Answer- NSAIDs
what is an advantage of NSAIDs - Correct Answer- not addictive, tollerance does not
develop, no withdrawal syndrome.
, an addict will develop tolerance to the effect of opioids, except? - Correct Answer- Miosis
and constipation
Use of opioids is NOT contraindicated in - Correct Answer- hypertensive pts
cause of death with overdose? - Correct Answer- Respiratory depression
Combining an opioid with a nonopioid analgesic produces an additive analgesic effect with
fewer adverse reactions? - Correct Answer- True
What do aspirin, acetaminophen, ibuprofen, and codeine have in common? - Correct Answer-
analgesic
opoid agonist by which all others are measured? - Correct Answer- Morphine
metabolized opioids and unchanged drug are excreted where? - Correct Answer- urine
what is the duration of action for analgesia? - Correct Answer- 4-6 hr
3 groups of endogenous substances - Correct Answer- enkephalins, endorphins, dynorphins
opioids mechanism of action - Correct Answer- bind to receptors in CNS and spinal cord,
producing altered perception of reaction to pain
where do nonopioids act? - Correct Answer- peripheral nerve endings
what drugs are used to prevent gout attack - Correct Answer- Allopurinol and Probenecid
what drug is used to treat acute attacks of gout - Correct Answer- Colchicine
when should you use Acetaminophen - Correct Answer- when hypersensitivity to aspirin or
for pt experiencing aspirin-gastric induced irritation.
