CORRECT Answers
1. Jayla is a nine-year-old who has been diagnosed with C. Prescribe propranolol
migraines for almost two years. She is missing up to a (Inderal) to be taken daily
week of school each month. Her headache diary con- for at least three months.
firms she averages four or five migraines per month.
Which of the following would be appropriate?
A. Prescribe amitriptyline (Elavil) daily, start at a low
dose and increase the dose slowly every two weeks
until effective in eliminating migraines.
B. Encourage her mother to give her Excedrin Migraine
(aspirin, acetaminophen, and caffeine) at the first sign
of a headache to abort the headache.
C. Prescribe propranolol (Inderal) to be taken daily for
at least three months.
D. Explain that it is rare for a nine-year-old to get mi-
graines and that she needs an MRI to rule out a brain
tumor.
2. When prescribed an opioid analgesic such as aceta- D. All the given options are
minophen and codeine (Tylenol #3), which of the fol- correct
lowing instructions should the patient follow?
A. The medication may cause sedation, so the patient
should not drive.
B. Constipation is a common side effect, so the patient
should increase fluids and fiber.
C. The patient should not take any other aceta-
minophen-containing medications at the same time.
D. All the given options are correct.
3. Patients whose total dose of prednisone exceed 1
gram will most likely need a second prescription for
, . B. omeprazole, a proton
pump inhibitor to prevent
A. metformin, a biguanide to prevent diabetes peptic ulcer disease
B. omeprazole, a proton pump inhibitor to prevent
peptic ulcer disease
C. naproxen, an NSAID to treat joint pain
D. furosemide, a diuretic to treat fluid retention
4. The chemicals that promote the spread of pain locally D. neurokinin A
include .
A. serotonin
B. norepinephrine
C. enkephalin
D. neurokinin A
5. Different areas of the brain are involved in specific C. the motivational aspects
aspects of pain. The reticular and limbic systems in the of pain
brain influence .
A. the sensory aspects of pain
B. the discriminative aspects of pain
C. the motivational aspects of pain
D. the cognitive aspects of pain
6. Kasey fractured his ankle in two places and is asking B. acetaminophen with hy-
for pain medication. The appropriate first-line medica- drocodone (Vicodin)
tion would be .
A. ibuprofen (Advil)
B. acetaminophen with hydrocodone (Vicodin)
C. oxycodone (OxyContin)
D. oral morphine ((Roxanol)
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