TCDHA PHARM MIDTERM NEWEST ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES 100% VERIFIED
Patients with chronic pain should be managed with? - ANSWER nonopioids and referred
to appropriate specialists
Tramadol (Ultram) - ANSWER An orally administered nonopioid with weak analgesic
activity
naloxone (Narcan) - ANSWER block the therapeutic and toxic actions of opioids
pentazocine (Talwin) - ANSWER The only mixed opioid available for oral use. most likely
to produce dysphoric reaction
Fentanyl Family - 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) - ANSWER
Methadone
Codeine - 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 - ANSWER oxycodone, hydromorphone, hydrocodone, and dihydrocodone.
Treatment for overdose - ANSWER naloxone
what should be used to control dental pain in addicts? - ANSWER NSAIDs
, what is an advantage of NSAIDs - ANSWER not addictive, tollerance does not develop,
no withdrawal syndrome.
an addict will develop tolerance to the effect of opioids, except? - ANSWER Miosis and
constipation
Use of opioids is NOT contraindicated in - ANSWER hypertensive pts
cause of death with overdose? - ANSWER Respiratory depression
Combining an opioid with a nonopioid analgesic produces an additive analgesic effect
with fewer adverse reactions? - ANSWER True
What do aspirin, acetaminophen, ibuprofen, and codeine have in common? - ANSWER
analgesic
opoid agonist by which all others are measured? - ANSWER Morphine
metabolized opioids and unchanged drug are excreted where? - ANSWER urine
what is the duration of action for analgesia? - ANSWER 4-6 hr
3 groups of endogenous substances - ANSWER enkephalins, endorphins, dynorphins
opioids mechanism of action - ANSWER bind to receptors in CNS and spinal cord,
producing altered perception of reaction to pain
where do nonopioids act? - ANSWER peripheral nerve endings
CORRECT DETAILED ANSWERS WITH RATIONALES 100% VERIFIED
Patients with chronic pain should be managed with? - ANSWER nonopioids and referred
to appropriate specialists
Tramadol (Ultram) - ANSWER An orally administered nonopioid with weak analgesic
activity
naloxone (Narcan) - ANSWER block the therapeutic and toxic actions of opioids
pentazocine (Talwin) - ANSWER The only mixed opioid available for oral use. most likely
to produce dysphoric reaction
Fentanyl Family - 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) - ANSWER
Methadone
Codeine - 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 - ANSWER oxycodone, hydromorphone, hydrocodone, and dihydrocodone.
Treatment for overdose - ANSWER naloxone
what should be used to control dental pain in addicts? - ANSWER NSAIDs
, what is an advantage of NSAIDs - ANSWER not addictive, tollerance does not develop,
no withdrawal syndrome.
an addict will develop tolerance to the effect of opioids, except? - ANSWER Miosis and
constipation
Use of opioids is NOT contraindicated in - ANSWER hypertensive pts
cause of death with overdose? - ANSWER Respiratory depression
Combining an opioid with a nonopioid analgesic produces an additive analgesic effect
with fewer adverse reactions? - ANSWER True
What do aspirin, acetaminophen, ibuprofen, and codeine have in common? - ANSWER
analgesic
opoid agonist by which all others are measured? - ANSWER Morphine
metabolized opioids and unchanged drug are excreted where? - ANSWER urine
what is the duration of action for analgesia? - ANSWER 4-6 hr
3 groups of endogenous substances - ANSWER enkephalins, endorphins, dynorphins
opioids mechanism of action - ANSWER bind to receptors in CNS and spinal cord,
producing altered perception of reaction to pain
where do nonopioids act? - ANSWER peripheral nerve endings
