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Pain Management

Beschreibung

Quiz am Pain Management, erstellt von Maggie Throckmorton am 04/12/2017.
Maggie Throckmorton
Quiz von Maggie Throckmorton, aktualisiert more than 1 year ago
Maggie Throckmorton
Erstellt von Maggie Throckmorton vor mehr als 6 Jahre
40
0
0

Zusammenfassung der Ressource

Frage 1

Frage
Neuropathic pain is abnormal signal processes in the CNS and can be peripheral and [blank_start]central[blank_end]
Antworten
  • central

Frage 2

Frage
Examples of peripheral neuropathic pain include (select all that apply):
Antworten
  • Lumbar radiculopathy
  • Peripheral neuropathy with DM
  • Postherpetic Neuralgia

Frage 3

Frage
A example of central neuropathic pain is fibromyalgia.
Antworten
  • True
  • False

Frage 4

Frage
Opioid therapy is not a [blank_start]1st[blank_end] line treatment for neuropathic pain.
Antworten
  • 1st

Frage 5

Frage
An example of nociceptive pain is tissue [blank_start]damage[blank_end].
Antworten
  • damage

Frage 6

Frage
There are two types of nociceptive pain, [blank_start]somatic[blank_end] which includes muscle, skin and bones and [blank_start]visceral[blank_end] which includes organs.
Antworten
  • somatic
  • visceral

Frage 7

Frage
Acute pain is defined as (select all that apply):
Antworten
  • Sudden, usually an identifiable cause, less than 3 months in duration
  • Usually a response to injury
  • Usually nociceptive in nature

Frage 8

Frage
Chronic pain (select all that apply):
Antworten
  • lasts longer than 3 months
  • is non-cancer pain
  • Is cancer pain
  • is breakthrough pain

Frage 9

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T or F. The WHO analgesic ladder recommends non-opioids in the treatment of mild pain.
Antworten
  • True
  • False

Frage 10

Frage
The WHO analgesic ladder recommends the use of opioids along with non-opioid and adjuvant treatments in treating [blank_start]mild[blank_end] to [blank_start]moderate[blank_end] pain.
Antworten
  • mild
  • moderate

Frage 11

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The 1st line treatment for mild to [blank_start]moderate[blank_end] pain is Acetaminophen and NSAIDS.
Antworten
  • moderate

Frage 12

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T or F. Use the max dose of acetiminophen or NSAIDS before proceeding to analgesics.
Antworten
  • True
  • False

Frage 13

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T or F. Acetaminophen generally has a favorable side effect profile.
Antworten
  • True
  • False

Frage 14

Frage
Two considerations in using NSAIDS are patients with a history of CV disease and [blank_start]GI[blank_end] bleeding.
Antworten
  • GI

Frage 15

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Acetaminophen is best for patients with non-inflammatory [blank_start]pain[blank_end] like Osteoarthritis and chronic low back pain.
Antworten
  • pain

Frage 16

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T or F. Acetaminophen does not alter platelet functioning.
Antworten
  • True
  • False

Frage 17

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Acetaminophen is known to be hepatoxic and can impact [blank_start]liver[blank_end] function.
Antworten
  • liver

Frage 18

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There is caution in using acetaminophen in patients with a history of ETOH abuse and hepatic dysfunction.
Antworten
  • True
  • False

Frage 19

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Acetaminophen interacts with warfarin/coumadin and prolongs [blank_start]INR[blank_end].
Antworten
  • INR

Frage 20

Frage
Acetaminophen is the drug of choice as an analgesic and antypyretic in (select all that apply):
Antworten
  • Pregnant women
  • Lactating women

Frage 21

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NSAIDS have [blank_start]anti-inflammatory[blank_end] and analgesic properties.
Antworten
  • anti-inflammatory

Frage 22

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Prescription examples of NSAIDS like Naprosyn has a more [blank_start]rapid[blank_end] onset and Meloxicam has a [blank_start]longer[blank_end] duration of action.
Antworten
  • rapid
  • longer

Frage 23

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T or F. NSAIDS are effective treatment for acute and chronic pain and inflammatory conditions.
Antworten
  • True
  • False

Frage 24

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GI concerns with the [blank_start]use[blank_end] of NSAIDS includes dyspepsia, ulceration and bleeding.
Antworten
  • use

Frage 25

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T or F. Selective COX 2 inhibitors have less GI Risk.
Antworten
  • True
  • False

Frage 26

Frage
Safety concerns and considerations with NSAID with CV disease or thrombotic events include (select all that apply):
Antworten
  • Nonselective NSAIDs reversibly inhibit platelet function.
  • NSAIDS interfere with the cardioprotective effect of aspirin
  • Naproxen may have less CV toxicity than comparable doses of other NSAIDS.

Frage 27

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In patients with or at risk for CV disease, NSAIDS should be [blank_start]avoided[blank_end], or, if benefits outweigh risks, use at the [blank_start]lowest[blank_end] effective dose, for the [blank_start]shortest[blank_end] duration necessary.
Antworten
  • avoided
  • lowest
  • shortest

Frage 28

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T or F. NSAIDS should be avoided in older adults and in pregnancy.
Antworten
  • True
  • False

Frage 29

Frage
NSAIDS monitoring should include (select all that apply):
Antworten
  • Renal function
  • Edema
  • Blood pressure
  • Hgb and Hct

Frage 30

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In some psych patients, NSAIDS may [blank_start]increase[blank_end] lithium levels.
Antworten
  • increase

Frage 31

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NSAIDS should also be avoided in patients with a history of (select all that apply):
Antworten
  • Uncontrolled HTN
  • Renal insufficiency
  • GI Bleed
  • Platelet dysfunction
  • Reduced cardiac output
  • Cirrhosis
  • History of Venous Thrombosis

Frage 32

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T or F. NSAIDS may cause or worsen renal impairment.
Antworten
  • True
  • False

Frage 33

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Indomethacin (Indocin) is an NSAID that is used in the treatment of acute [blank_start]gout[blank_end] and specific types of headaches.
Antworten
  • gout

Frage 34

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T or F. The MOA for Indomethacin is a potent inhibitory effect on renal prostaglandin synthesis.
Antworten
  • True
  • False

Frage 35

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Indomethacin has more frequent [blank_start]CNS[blank_end] side effects and has a higher risk of renal and CV toxicities.
Antworten
  • CNS

Frage 36

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T or F. Sulindac (Clinoril) is an NSAID which cause more frequent hepatic inflammation, can contribute to the formation of renal calculi and the prescribing of this drug should be limited to specialists.
Antworten
  • True
  • False

Frage 37

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Ketorolac is used for moderate pain, comes in tablets or injection and carries a BBW for short term use, less than [blank_start]five[blank_end] days in adults.
Antworten
  • five

Frage 38

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Contraindications and cautions in the use of Ketorolac include (select all that apply):
Antworten
  • GI
  • CV
  • Renal
  • Bleeding
  • Labor and Delivery

Frage 39

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T or F. Oral Ketorolac is not indicated in pediatrics.
Antworten
  • True
  • False

Frage 40

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Topical NSAIDS have a [blank_start]lower[blank_end] risk for systemic effects.
Antworten
  • lower

Frage 41

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T or F. Diclofenac (Voltaren) gel is helpful in the relief of OA pain.
Antworten
  • True
  • False

Frage 42

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Flector, an NSAID patch is helpful in [blank_start]acute[blank_end] pain due to minor strains, sprains and contusions.
Antworten
  • acute

Frage 43

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The MOA of topical lidocaine for pain is blocking the initiation and conduction of [blank_start]nerve[blank_end] impulses.
Antworten
  • nerve

Frage 44

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T or F. Topical lidocaine is best for neuropathic, local and OA pain.
Antworten
  • True
  • False

Frage 45

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Adverse effects of topical lidocaine include local [blank_start]skin[blank_end] irritation.
Antworten
  • skin

Frage 46

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T or F. There is a low risk for systemic side effects if topical lidocaine is used properly.
Antworten
  • True
  • False

Frage 47

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The following is true of steroid therapy for pain (select all that apply):
Antworten
  • Has anti-inflammatory properties
  • Evidence shows little to no benefit
  • Are not generally 1st line
  • Can be considered short term if refractory to NSAIDS.

Frage 48

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A taper is required if steroids like Prednisone or Medrol dose pack are used for more than [blank_start]two[blank_end] weeks.
Antworten
  • two

Frage 49

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T or F. Cortisone can be given as an IM injection and has a short-acting duration of 2-3 days.
Antworten
  • True
  • False

Frage 50

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Triamcinolone(Kenalog) [blank_start]and[blank_end] Methylprednisolone (Depo-Medrol) have an intermediate potency and duration.
Antworten
  • and

Frage 51

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Dexamethasone/Decadron has a [blank_start]high[blank_end] potency and long-acting duration up to about [blank_start]ten[blank_end] days.
Antworten
  • high
  • ten

Frage 52

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T or F. Steroid injections in joints for pain, must be done by a trained provider.
Antworten
  • True
  • False

Frage 53

Frage
Major side effects associated with the use of systemic glucocorticoids is often [blank_start]dose[blank_end] -dependent and more likely to occur with [blank_start]long[blank_end]-term use.
Antworten
  • dose
  • long

Frage 54

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Systemic glucocorticoids can cause elevated [blank_start]blood[blank_end] pressure, mood disorders, psychosis, insomnia, and impact blood sugar by causing hyerglycemia.
Antworten
  • blood

Frage 55

Frage
Additional major side effects associated with the use of systemic glucocorticoids includes (select all that apply):
Antworten
  • Gastritis
  • Ulcer formation
  • GI Bleeding
  • Bone loss
  • Heightened risk of typical infections

Frage 56

Frage
Muscle relaxants used for pain are to be used short-term for less than [blank_start]two[blank_end] weeks, and should be avoided in patients older than [blank_start]65[blank_end] years.
Antworten
  • two
  • 65

Frage 57

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The main adverse effect of muscle relaxants for pain is [blank_start]sedation[blank_end].
Antworten
  • sedation

Frage 58

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T or F. Antispasmodic skeletal muscle relaxants are indicated in the treatment of acute cervical or lumbar pain.
Antworten
  • True
  • False

Frage 59

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Cyclobenzaprine (Flexeril) is not [blank_start]controlled[blank_end] and can be dosed up to [blank_start]three[blank_end] times a day if needed.
Antworten
  • controlled
  • three

Frage 60

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T or F. Tizanidine (Zanaflex) is an Alpha 2 adrenergic agonist.
Antworten
  • True
  • False

Frage 61

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Carisoprodol (Soma) is a [blank_start]controlled[blank_end] substance that can cause respiratory [blank_start]depression[blank_end] and physical and psycholgic [blank_start]dependence[blank_end].
Antworten
  • controlled
  • dependence
  • depression

Frage 62

Frage
Treatment options for chronic pain include (select all that apply):
Antworten
  • Pharmacologic
  • Physical medicine like PT and massage
  • Behavioral medicine (CBT and biofeedback)
  • Neuromodulation (TENS and spinal cord stimulation)
  • Interventional (Percutaneous injections of glucocorticoid and/or local anesthetic
  • Surgery (spinal fusion for example)

Frage 63

Frage
Treatment of chronic pain should be a multidisciplinary effort, using multiple approaches and collaborative care models to improve pain management and patient [blank_start]outcomes[blank_end].
Antworten
  • outcomes

Frage 64

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[blank_start]Medication[blank_end] should not be the sole focus of treatment, but should be used when according to evidence-ased recommendations to meet treatment goals and in conjunction with other treatment modalities.
Antworten
  • Medication

Frage 65

Frage
T or F. Adjuvants for chronic pain include anticonvulsants and antidepressants; they enhance analgesia and manage other symptoms associated with pain like depression and anxiety.
Antworten
  • True
  • False

Frage 66

Frage
Gabapentin (Neurontin) and pregablin (Lyrica) have proven efficacy versus placebo in several neuropathic [blank_start]pain[blank_end] conditions.
Antworten
  • pain

Frage 67

Frage
Adverse effects of anticonvulsants like gabapentin and pregabalin for pain include [blank_start]dizziness[blank_end] and sedation.
Antworten
  • dizziness

Frage 68

Frage
T or F. When using anticonvulsants as an adjuvant in pain management, start it with a low dose with gradual increases until pain relief.
Antworten
  • True
  • False

Frage 69

Frage
Pregabalin is controlled , reported to cause [blank_start]euphoria[blank_end] and is a Schedule [blank_start]V[blank_end].
Antworten
  • euphoria
  • V

Frage 70

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T or F. There are some reports of misuse with gabapentin.
Antworten
  • True
  • False

Frage 71

Frage
Venlafaxine (Effexor) and Duloxetine (Cymbalta) are [blank_start]SNRI's[blank_end] that may provide [blank_start]pain[blank_end] relief separate from their anti-depressant effect.
Antworten
  • SNRI's
  • pain

Frage 72

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T or F. The analgesic effects of SNRI's appear to occure early and at lower doses.
Antworten
  • True
  • False

Frage 73

Frage
SNRI's are helpful treating pain from [blank_start]diabetic[blank_end] neuropathy, fibromyalgia and chronic musculoskeletal pain.
Antworten
  • diabetic

Frage 74

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T or F. SNRI's would have to be tapered gradually to avoid withdrawal symptoms.
Antworten
  • True
  • False

Frage 75

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[blank_start]TCA's[blank_end] like amitriptyline (Elavil) are associated with multiple side-effects and do not carry a indication for [blank_start]pain[blank_end] management.
Antworten
  • TCA's
  • pain

Frage 76

Frage
In patients with chronic kidney disease and the elderly avoid [blank_start]NSAIDS[blank_end] and COX 2 inhibitors like Celebrex.
Antworten
  • NSAIDS

Frage 77

Frage
T or F. Avoid NSAIDS with peptic ulcer disease and glucocorticoid use.
Antworten
  • True
  • False

Frage 78

Frage
In patients with cardiovascular disease or risk, use the lowest effective dose of NSAIDS; in patients who require treatment consider [blank_start]naproxen[blank_end].
Antworten
  • naproxen

Frage 79

Frage
Opioids are indicated for moderate to [blank_start]severe[blank_end] pain, are controlled drugs and powerful analgesics.
Antworten
  • severe

Frage 80

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T or F. When combined with acetaminophen and ibuprofen, opioids provide better pain control than if they are used alone.
Antworten
  • True
  • False

Frage 81

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Opioids are [blank_start]Mu[blank_end] receptor agonists.
Antworten
  • Mu

Frage 82

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Mu1 [blank_start]receptors[blank_end] correlate to supraspinal analgesia, bradycardia and sedation.
Antworten
  • receptors

Frage 83

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Mu2 [blank_start]receptors[blank_end] correlate to respiratory depression, euphoria and physical dependence
Antworten
  • receptors

Frage 84

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Delta [blank_start]receptors[blank_end] correlate to spinal analgesia and respiratory depression.
Antworten
  • receptors

Frage 85

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Kappa [blank_start]receptors[blank_end] correlate to spinal analgesia, respiratory depression and sedation.
Antworten
  • receptors

Frage 86

Frage
Higher potency opioids like morphine, hydromorphone and fentanyl are reserved for [blank_start]severe[blank_end] pain.
Antworten
  • severe

Frage 87

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Literature suggests opioids should only be used on a chronic basis in patients (select all that apply):
Antworten
  • Have persistent pain despite trials of non-opioid analgesics and other options
  • Are at low risk for substance abuse
  • Should be referred to a pain management specialist.

Frage 88

Frage
Tramadol (Ultram) is a centrally acting weak [blank_start]agonist[blank_end] of opioid receptors which also inhibits the reuptake of norepinephrine and causes [blank_start]serotonin[blank_end] release.
Antworten
  • agonist
  • serotonin

Frage 89

Frage
T or F. Ultram is a Schedule IV controlled substance and has a higher risk for drug interaction due to hepatic metabolism due to CYP-450.
Antworten
  • True
  • False

Frage 90

Frage
Adverse effects of tramadol (Ultram) include (select all that apply):
Antworten
  • Sedation
  • Seizures
  • Serotonin Syndrome
  • Increased risk for suicide in patients with mental health disorders

Frage 91

Frage
Tramadol (Ultram) should be avoided in patients with a history of [blank_start]addiction[blank_end] or substance abuse and is not FDA approved for [blank_start]pediatric[blank_end] use.
Antworten
  • addiction
  • pediatric

Frage 92

Frage
T or F. Tramadol (Ultram) would need to be tapered if discontinuing after prolonged use.
Antworten
  • True
  • False

Frage 93

Frage
Current evidence supports the role of opioid therapy in more severe forms of [blank_start]acute[blank_end] pain and in [blank_start]cancer[blank_end] pain.
Antworten
  • acute
  • cancer

Frage 94

Frage
There is limited evidence for effectiveness of [blank_start]long[blank_end]-term opioid therapy for pain relief and improved functional outcomes.
Antworten
  • long

Frage 95

Frage
T or F. Opioid administration in chronic non-cancer pain remains controversial.
Antworten
  • True
  • False

Frage 96

Frage
Adverse effects of opioids include sedation and the highest risk for respiratory depression is in opioid [blank_start]naive[blank_end] patients.
Antworten
  • naive

Frage 97

Frage
There is a higher risk for [blank_start]respiratory[blank_end] depression in the elderly, COPD and severe asthma.
Antworten
  • respiratory

Frage 98

Frage
Additional adverse effects of opioids includes (select all that apply):
Antworten
  • Euphoria/Dysphoria
  • Dyspepsia
  • Itching due to histamine release
  • Urinary retention
  • Constipation
  • Hyperalgesia-nociceptive sensitization (increased pain)
  • Decreased libido (increase prolactin, decreased cortisol, LH, FSH, estrogen and testosterone)

Frage 99

Frage
Opioid overdose [blank_start]risk[blank_end] increases with increased dosing.
Antworten
  • risk

Frage 100

Frage
The most common opioids involved in overdose deaths include (select all that appy):
Antworten
  • Hydrocodone (Vicodin)
  • Oxycodone (Oxycontin)
  • Oxymorphone (Opana)
  • Methadone

Frage 101

Frage
Benzodiazepines and opioids should [blank_start]not[blank_end] be co-prescribed.
Antworten
  • not

Frage 102

Frage
T or F. Between 1999-2003, adults ages 25-54 had the highest overdose rates.
Antworten
  • True
  • False

Frage 103

Frage
Opioid naive patients have the [blank_start]highest[blank_end] risk for overdose death in the first two weeks of treatment and are defined as patients who have not received opioids for one week or longer at doses defined by the FDA for tolerance.
Antworten
  • highest

Frage 104

Frage
According to the FDA, patients who are opioid-tolerant have been taking opioids for a 1 [blank_start]week[blank_end] or longer in the following doses: at least 60mg of oral morphine QD, 25 mcg of transdermal fentanyl per hour, 30 mg oral oxycodone QD, 8 mg hydromorphone QD, 25 mg of oxymorphone QD or an equianalgesic dose of another opioid.
Antworten
  • week

Frage 105

Frage
Equianlagesic dosing is defined as the dose in [blank_start]steady[blank_end] state providing the same analgesic response also know as morphine equivalent dosing.
Antworten
  • steady

Frage 106

Frage
T or F. Morphine is the gold standard for comparison of all pain relieving meds and serves as a reference point for analgesic potency.
Antworten
  • True
  • False

Frage 107

Frage
T or F. Morphine 30mg PO is equivalent to hydromorphone 7.5 mg PO.
Antworten
  • True
  • False

Frage 108

Frage
There is substantial interpatient variability in relative potency of different opioid [blank_start]drugs[blank_end].
Antworten
  • drugs

Frage 109

Frage
When changing from one opioid to another, it is preferable to consider initially underestimating requirements and provide rescue medication as needed to [blank_start]avoid[blank_end] potentially fatal overdose.
Antworten
  • avoid

Frage 110

Frage
T or F. The elderly are more susceptible to the adverse effects of opioids and the NP should consider starting at 1/2 the typical starting dose.
Antworten
  • True
  • False

Frage 111

Frage
Opioids should not be prescribed in [blank_start]pregnancy[blank_end].
Antworten
  • pregnancy

Frage 112

Frage
Neonatal abstinence syndrome presents as irritability, hyperactivity, abnormal sleep patterns, high pitched [blank_start]cry[blank_end], tremor, vomiting, diarrhea and failure to gain weight.
Antworten
  • cry

Frage 113

Frage
T or F. Pregnant women who are dependent on opioids should be referred to a specialist who will likely place them on methadone or buprenorphine.
Antworten
  • True
  • False

Frage 114

Frage
Dependence is the emergence of withdrawal symptoms when the drug is abruptly discontinued or the dose is rapidly decreased, and usually occurs after taking the drug for [blank_start]one[blank_end] month or longer.
Antworten
  • one

Frage 115

Frage
T or F. Dependence is a component of addiction, but not all patients with dependence are addicts.
Antworten
  • True
  • False

Frage 116

Frage
Opioid withdrawal signs and symptoms include (select all that apply)
Antworten
  • Diaphoresis
  • HTN
  • Tachycarida
  • Lacrimation
  • Shivering
  • Piloerection
  • N/V/D
  • Rhinorrhea
  • Sleeplessness
  • Restlessness

Frage 117

Frage
T or F. Additional symptoms of opioid withdrawal include tremors, dysphoria, anxiety, mood volatility, abdominal cramping, bone pains and diffuse muscle aches, as well as strong drug cravings.
Antworten
  • True
  • False

Frage 118

Frage
Tolerance is defined as increasing amounts of opioid [blank_start]are[blank_end] required to produce an equivalent level of efficacy.
Antworten
  • are

Frage 119

Frage
T or F. Tolerance typically does not develop in patient with cancer who are treated for pain.
Antworten
  • True
  • False

Frage 120

Frage
Addiction is characterized as a psychological and behavioral syndrome, with extreme behavior patterns that are associated with procuring and consuming the [blank_start]drug[blank_end].
Antworten
  • drug

Frage 121

Frage
Features of opioid addiction include (select all that apply):
Antworten
  • Drug craving
  • Compulsive use
  • Strong tendency to relapse after withdrawal

Frage 122

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Maladaptive behavior associated with addiction include (select all that apply):
Antworten
  • Adverse consequences due to drug use
  • Loss of control over drug use
  • Preoccupation with obtaining opioids

Frage 123

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Prescription drug [blank_start]misuse[blank_end] is using the prescribed drug outside of the intent for which it was prescribed and includes using to "get high". having multiple prescribers or non-prescribed sources for the medication, and concurrent use of alcohol, illicit substances or non-prescribed opioid controlled medications.
Antworten
  • misuse

Frage 124

Frage
Risk factors associated with increased risk for opioid misuse include (select all that apply):
Antworten
  • Personal or family history of substance use disorder
  • Mental health disorder, to include depression or PTSD
  • History of legal problems or incarceration
  • Age less than 40-45 years old

Frage 125

Frage
Aberrant behaviors associated with addiction include (select all that apply):
Antworten
  • Doctor shopping
  • Diversion
  • Failure to comply with dosing instructions
  • Use of other illicit drugs or controlled substances that are not prescribed.

Frage 126

Frage
The DSM-5 definition of Opioid Use Disorder is a problematic pattern of opioid use leading to clinically significant impairment of distress, as manifested by at least [blank_start]2[blank_end] specific behaviors in a [blank_start]12[blank_end] month period: larger amounts/longer period; persistent desire for opioid; spending excessive time to obtain, use or recover from the effects of opioids.
Antworten
  • 2
  • 12

Frage 127

Frage
[blank_start]Medication[blank_end] Assisted Treatment or MAT, may be used to treat opioid use disorder and includes naltrexone (mild d./o). buprenorphine and methadone (moderate to severe) and naloxone (mild, moderate, severe)
Antworten
  • Medication

Frage 128

Frage
Indications for tapering in chronic opioid therapy include (select all that apply):
Antworten
  • Violation of pain contract/abberant drug related behaviors
  • Lack of progress toward therapeutic goals
  • Intolerable adverse effects

Frage 129

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When tapering opioids, it is recommended to reduce the dose by [blank_start]10[blank_end]% each week.
Antworten
  • 10

Frage 130

Frage
T or F. Clonidine can be used to treat the diarrhea and muscle pain associated with opiate withdrawal and Zolpidem or Doxepin for sleep issues.
Antworten
  • True
  • False

Frage 131

Frage
Methadone is a long-acting synthetic opioid [blank_start]agonist[blank_end] with dual-mechanism on the Mu and NMDA receptor, and is a Schedule [blank_start]II[blank_end] controlled substance.
Antworten
  • II
  • agonist

Frage 132

Frage
The following is true of methadone (select all that apply):
Antworten
  • Is reserved as an advanced therapy for severe pain when other conventional therapies fail
  • Is highly regulated and only available at specialized clinics
  • Is difficult to dose, potenitally lethal in overdose
  • Has many drug interactions and adverse reactions

Frage 133

Frage
Buprenorphine is a [blank_start]synthetic[blank_end] opioid, used for severe pain (just an FYI, our doctors at my hospital say it is illegal to prescribe it for pain) and opioid dependence and is considered a partial Mu-opioid [blank_start]agonist[blank_end] and is a Schedule [blank_start]III[blank_end] controlled substance.
Antworten
  • synthetic
  • agonist
  • III

Frage 134

Frage
T or F. Buprenorphine can only be prescribed by specially trained MD's and NP.
Antworten
  • True
  • False

Frage 135

Frage
T or F. Buprenorphine combined with the antagonist naloxone is called Suboxone.
Antworten
  • True
  • False

Frage 136

Frage
T or F. There are critical opioid interactions with CNS depressants and alcohol.
Antworten
  • True
  • False

Frage 137

Frage
T or F. Many drugs can inhibit or induce the metabolism of opioids and raise or lower serum opioid levels, leading to increase risk for respiratory depression or sedation, or cause the development of withdrawal symptoms.
Antworten
  • True
  • False

Frage 138

Frage
The following drugs may induce the metabolism of opioids (select all that apply)
Antworten
  • St. John's Wort
  • Phenobarbital
  • Phenytonin
  • Rifampin

Frage 139

Frage
T or F. Naloxone (Narcan) competitively binds to opioid receptors without producing analgesic response.
Antworten
  • True
  • False

Frage 140

Frage
Pain medications that are scheduled include (select all that apply):
Antworten
  • Opioids
  • Lyrica (Pregabaliin)
  • Soma (Carisoprodol)
  • Fioricet with codiene

Frage 141

Frage
Schedule [blank_start]I[blank_end] drugs have no currently accepted medical use in the US and have a high potential for abuse.
Antworten
  • I

Frage 142

Frage
Schedule [blank_start]II[blank_end] drugs have a high potential for abuse, which may lead to severe psychological or physical dependence, can only be prescribed with a max [blank_start]30[blank_end] day quantity, no refills, no [blank_start]verbal[blank_end] orders (hard copy of the Rx required).
Antworten
  • II
  • 30
  • verbal

Frage 143

Frage
Schedule [blank_start]III[blank_end] drugs have a potential for abuse less than substances in Schedules I/II, and abuse may lead to moderate or low physical depedence or high psychological dependene, can prescibe a max [blank_start]6[blank_end] month supply and verbal orders are allowed.
Antworten
  • III
  • 6

Frage 144

Frage
Schedule [blank_start]IV[blank_end] drugs have a low potential for abuse relative to the substances in Schedule III, can have a max 6 month supply, verbal orders are [blank_start]allowed[blank_end] and includes several benzodiazipines like Xanax, Kolnopin and Valium.
Antworten
  • IV
  • allowed

Frage 145

Frage
Schedule [blank_start]V[blank_end] drugs have a low potential for abuse relative to substances listed in Schedule IV and consist primarily of preparations containing limited quantities of certain narcotics, like cough preparations with codeine.
Antworten
  • V

Frage 146

Frage
The five A' s framework for follow-up of patients prescribed chronic opioids includes (select all that apply):
Antworten
  • Analgesia
  • ADL's and assessment of functional status
  • Addiction
  • Adverse effects
  • Adherence to treatment plan

Frage 147

Frage
T or F. Urine Drug Testing can be used to determine if the patient is taking the controlled substance as prescribed and/or if the patient is taking other drugs that may interfere with safe prescribing of controlled drugs.
Antworten
  • True
  • False
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