Pharm Opioids- Nagelhout Solved Exam
Questions and Answers (Complete
Practice Papers)
What are the 3 naturally occurring phenanthrenes? - Correct
Answers ✅1) Morphine --> HISTAMINE
2) Codeine ---> HISTAMINE
3) Thebaine
What are the 5 semisynthetic phenanthrenes? - Correct
Answers ✅1) heroin
2) vicodin (Hydrocodone)
3) dialudid (hydromorphone)
4) oxycodone (oxycontin)
5) oxymorphone
What are the 7 synthetic phenanthrenes? - Correct Answers
✅1) levorphanol
2) butorphanol
3) nalbuphine
4) pentazocine
5) naloxone
6) naltrexone
7) nalmefene
,Pharm Opioids- Nagelhout Solved Exam
Questions and Answers (Complete
Practice Papers)
What are the two mixed opioids? (synthetic phenanthrenes) -
Correct Answers ✅1) nalbuphine - can antagonize
respiratory depression and pruritus, but maintain analgesia
2) butorphanol
MU antagonists, Kappa partial agonists, and Delta agonists
What are the 6 piperidines? (all are referred to as
phenylpiperidines even though this isn't technically correct) -
Correct Answers ✅1) meperidine --> HISTAMINE
2) loperamide
3) Fentanyl
4) Sufentanil
5) Alfentanil
6) Remifentanil
What is the only diphenylheptane? - Correct Answers
✅methadone
Which are the 3 specific drugs that are MOST likely to
stimulate histamine release? - Correct Answers ✅1)
codeine
2) morphine
3) meperidine
-general rule = phenanthrines and demerol
, Pharm Opioids- Nagelhout Solved Exam
Questions and Answers (Complete
Practice Papers)
Are there cross allergies between classes? - Correct
Answers ✅NO
-just AMONG classes
1) If someone is allergic to Vicodin can they have oxycodone?
2) If someone is allergic to morphine can they have dilaudid?
3) If someone is allergic to codeine can they have demerol?
4) If someone is allergic to fentanyl can they have morphine?
- Correct Answers ✅1) NO
2) NO
3) YES
4) YES
Why do opioids cause analgesia? - Correct Answers ✅-
suppress release of pain chemicals
-PRESYNAPTIC AGONISTS THAT CAUSE INHIBITION OF
RELEASE OF SUBSTANCE P and other neurotransmitters
What class includes the drugs of choice for asthmatics? -
Correct Answers ✅-phenylpiperidines EXCEPT demerol
-ex: FENTANYL is safe
Questions and Answers (Complete
Practice Papers)
What are the 3 naturally occurring phenanthrenes? - Correct
Answers ✅1) Morphine --> HISTAMINE
2) Codeine ---> HISTAMINE
3) Thebaine
What are the 5 semisynthetic phenanthrenes? - Correct
Answers ✅1) heroin
2) vicodin (Hydrocodone)
3) dialudid (hydromorphone)
4) oxycodone (oxycontin)
5) oxymorphone
What are the 7 synthetic phenanthrenes? - Correct Answers
✅1) levorphanol
2) butorphanol
3) nalbuphine
4) pentazocine
5) naloxone
6) naltrexone
7) nalmefene
,Pharm Opioids- Nagelhout Solved Exam
Questions and Answers (Complete
Practice Papers)
What are the two mixed opioids? (synthetic phenanthrenes) -
Correct Answers ✅1) nalbuphine - can antagonize
respiratory depression and pruritus, but maintain analgesia
2) butorphanol
MU antagonists, Kappa partial agonists, and Delta agonists
What are the 6 piperidines? (all are referred to as
phenylpiperidines even though this isn't technically correct) -
Correct Answers ✅1) meperidine --> HISTAMINE
2) loperamide
3) Fentanyl
4) Sufentanil
5) Alfentanil
6) Remifentanil
What is the only diphenylheptane? - Correct Answers
✅methadone
Which are the 3 specific drugs that are MOST likely to
stimulate histamine release? - Correct Answers ✅1)
codeine
2) morphine
3) meperidine
-general rule = phenanthrines and demerol
, Pharm Opioids- Nagelhout Solved Exam
Questions and Answers (Complete
Practice Papers)
Are there cross allergies between classes? - Correct
Answers ✅NO
-just AMONG classes
1) If someone is allergic to Vicodin can they have oxycodone?
2) If someone is allergic to morphine can they have dilaudid?
3) If someone is allergic to codeine can they have demerol?
4) If someone is allergic to fentanyl can they have morphine?
- Correct Answers ✅1) NO
2) NO
3) YES
4) YES
Why do opioids cause analgesia? - Correct Answers ✅-
suppress release of pain chemicals
-PRESYNAPTIC AGONISTS THAT CAUSE INHIBITION OF
RELEASE OF SUBSTANCE P and other neurotransmitters
What class includes the drugs of choice for asthmatics? -
Correct Answers ✅-phenylpiperidines EXCEPT demerol
-ex: FENTANYL is safe
