EXAM 91 QUESTION AND ANSWERS WITH
RATIONALES RATED A+ GRADE.
What is the mechanism of action of Naloxone? - Correct answerPure opioid
antagonist that competes and displaces opioids receptor sites.
What medications treat opioid disorder? - Correct answerMethadone;
Buprenorphine, buprenorphine + Naloxone
What medication for opioid use disorder is used with comorbid pain? - Correct
answerBuprenorphine + Naloxone
Inappropriate use of what substance may be due to uncontrolled pain? - Correct
answerOpioids
What are the Naltrexone delivery methods? - Correct answerTablet;
Injectable;
Implant
What is one form of Naltrexone delivery method limited to inpatient use? - Correct
answerImplant
What is the mechanism of action buprenorphine? - Correct answerMu receptor
partial agonist for opioid withdrawal
What medication taken too soon after last opioid use increases the chances of intense
withdrawal that comes on very quickly (precipitated withdrawal)? - Correct
answerBuprenorphine
What are symptoms of opioid intoxication? - Correct answerNausea and vomiting;
Respiratory depression;
Constipation;
Itching;
Mioisis (small pupil);
Euphoria; and
Sedation
What withdrawal symptoms of opioids? - Correct answerNausea and vomiting;
Diarrhea;
, Dehydration;
Irritability;
Restlessness;
Yawning;
Twitching;
Increased heart rate and blood pressure;
Chills;
Increased temperature;
Rhinorrhea;
Lacrimation;
Dilated pupils
What medication is given for opioid intoxication during cardiac or respiratory depression
is a concern? - Correct answerNaloxone
What are symptoms of cocaine intoxication? - Correct answerDilated pupils;
Headache;
Tremor;
Hyper-reflexia;
Twitching;
MI;
Nausea and vomiting;
Incontinence/ARF;
Rhabdomyolysis
What is the treatment for cocaine intoxication? - Correct answerBenzodiazepines;
Antipsychotics;
Management of medical problems that include hypertension, stroke, cardiac
arrhythmias, hyperthermia, and seizures
What would not be the treatment for chest pain and MI from cocaine? - Correct
answerBeta blockers are to be avoided due to unopposed a-adrenergic stimulation.
What are the symptoms for alcohol intoxication? - Correct answerBlood levels;
Decreased reaction time;
Muscle incoordination;
Ataxia;
Dysarthria;
Respiratory failure;
Coma
What are the treatments for severe alcohol intoxication? - Correct
answerCardiopulmonary function maintenance;
Thiamine;
Haloperidol PRN for agitation