15799667
Descrição
Quiz por Kelly Kinsinger, atualizado more than 1 year ago
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Criado por Kelly Kinsinger
mais de 5 anos atrás
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|
Questão 1
Questão
The term “fourth vital sign” refers to:
Responda
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temperature
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pulse
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respiration
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pain
Questão 2
Questão
Aversive sensory and emotional experience that elicits protective motor actions, results in learned avoidance, and may modify species-specific behavior traits, including social behavior, is best known as:
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modulation
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distress
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pain
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nociception
Questão 3
Questão
Known as “ouch” pain, which of the following protective sensations of pain occurs when there is a possibility of or actual tissue injury?
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nociception
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physiologic pain
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adaptive pain
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pathologic pain
Questão 4
Questão
Chemical mediators, such as prostaglandin and histamine, are responsible for:
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inflammatory pain
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neuropathic pain
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idiopathic pain
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pathologic pain
Questão 5
Questão
Pain originating from the musculoskeletal system is best described as:
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visceral pain
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somatic pain
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pathologic pain
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chronic pain
Questão 6
Questão
A common class of drugs utilized to treat and target specific receptors in the pain pathway includes:
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antibiotics.
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antihistamines.
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nonsteroidal antiinflammatory drugs.
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anthelmintics.
Questão 7
Questão
The concept of utilization of pain management therapies to target two or more receptors is:
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primary hyperalgesia.
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mediators.
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secondary hyperalgesia
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multimodal therapy.
Questão 8
Questão
Of the following, which is not typically associated with neuroendocrine changes that occur in response to pain?
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Release of ACTH
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Increased norepinephrine
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Increased insulin
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Adrenocorticotropic hormone release
Questão 9
Questão
The use of preemptive analgesia is likely to:
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cause anthropomorphization.
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prevent “windup.”
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include the “five freedoms.”
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lead to increased morbidity and/or mortality.
Questão 10
Questão
The differentiating factor(s) between emergence delirium and pain is(are):
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duration and response to sedation.
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response to analgesic administration.
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response to analgesic administration and pain.
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response to analgesic administration and duration.
Questão 11
Questão
Patients that are suffering from pain are likely to experience noticeable alterations in their:
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facial expressions, appearance, and attitude.
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facial expressions, appearance, and sleep patterns.
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bodily movements, appearance, and attitude.
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bodily movements, sleep patterns, and attitude.
Questão 12
Questão
Patients that have undergone major surgery should have their pain assessed how frequently?:
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Every 60 seconds
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Every 2 minutes
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Every 60 minutes
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At shift changes
Questão 13
Questão
Perioperative analgesia is the concurrent use of:
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preemptive analgesia and pain assessment.
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pain assessment and multimodal therapy.
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pharmacologic analgesia therapy and pain assessment.
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preemptive analgesia and multimodal therapy.
Questão 14
Questão
Of the following, which is not an anticipated benefit of multimodal analgesic therapy?
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Increased individual drug dose
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Decreased overall anesthetic drug requirements
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Increased healing time
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Decreased risk of adverse effects
Questão 15
Questão
Opioid agonist drugs act in which of the following ways?
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Peripherally: in the spinal cord and joints
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Centrally: to inhibit perception in the brain and sensitization in the spinal cord
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Centrally: to increase perception in the brain and spinal cord
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Peripherally: in the brain and spinal cord on the opioid receptors
Questão 16
Questão
A patient requires the selection of an opioid with the most potent analgesic effects. Which of the following would most accurately fit this criteria?
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Partial mu agonists
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Agonist–antagonists
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Antihistamines
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Mu receptor agonists
Questão 17
Questão
Caution should be taken with rapid intravenous injection of morphine in canine patients due to the potential for:
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histamine release.
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locomotor activity.
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dysphoria.
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restlessness.
Questão 18
Questão
The most common adverse side effect secondary to morphine administration is likely to be:
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histamine release.
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gastrointestinal upset.
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respiratory depression.
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excitement.
Questão 19
Questão
This paradoxical response in canine patients after the administration of oxymorphone can make which of the following procedures difficult?
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Blood pressure analysis
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Intravenous catheter placement
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Thoracic radiography
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Application of a CRI
Questão 20
Questão
The drug that is most similar to oxymorphone in duration and effect is:
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morphine.
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buprenorphine.
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butorphanol.
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hydromorphone.
Questão 21
Questão
Of the synthetic opioids, which is known to also act as an antagonist at the NMDA receptor?
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Methadone
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Hydromorphone
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Oxymorphone
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Fentanyl
Questão 22
Questão
In contrast to other pure opioid agonists, the duration of action achieved with intravenous fentanyl administration is:
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20 to 30 seconds
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2 to 3 minutes.
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20 to 30 minutes.
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2 to 3 hours.
Questão 23
Questão
The synthetic opioid pethidine is also more commonly known as:
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buprenorphine.
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meperidine.
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ketoprofen.
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acepromazine.
Questão 24
Questão
Due to the pH of the feline mucosa, which injectable narcotic can be administered orally for analgesia?
Responda
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Morphine
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Oxymorphone
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Hydromorphone
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Buprenorphine
Questão 25
Questão
General duration of action for buprenorphine following intramuscular injection is thought to be:
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6 to 12 hours.
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60 to 120 minutes.
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60 to 120 seconds.
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18 to 24 hours.
Questão 26
Questão
The first use of butorphanol in veterinary medicine was to act as a(n):
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antihistamine.
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cough suppressant.
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anesthetic.
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analgesic.
Questão 27
Questão
Use of butorphanol in which of the following routes can potentially lead to a toxicity?
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IV
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IM
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SQ
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Epidural
Questão 28
Questão
Butorphanol can be used as an antagonist to partially reverse respiratory depression/sedation secondary to the use of:
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kappa antagonist opioids.
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mu antagonist opioids.
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kappa agonist opioids.
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mu agonist opioids.
Questão 29
Questão
In the United States, which of the following is the only injectable opioid that is not classified as a controlled drug?
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Acepromazine
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Buprenorphine
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Nalbuphine
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Meperidine
Questão 30
Questão
Patients considered “high risk” for use with opioids include all of the following except:
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hypotension.
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hepatic disease.
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neurologic disorders.
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normovolemic.
Questão 31
Questão
The use of morphine administered through an epidural route is most likely to illicit which adverse effect?
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Urine retention
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Sedation
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Excitement
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Respiratory depression
Questão 32
Questão
When considering transdermal use of fentanyl in feline patients, application should take place at least how many hours prior to the start of the procedure?
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1 hour
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4 hours
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6 hours
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12 hours
Questão 33
Questão
Which opioid should not be administered concurrently with the use of transdermal fentanyl due to risk of partial blockage of opioid receptors and reduced analgesic effect?
Responda
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Morphine
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Buprenorphine
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Hydromorphone
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Oxymorphone
Questão 34
Questão
The NSAID that acts as a potent analgesic for both somatic and visceral pain is:
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carprofen.
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acetylsalicylic acid.
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butorphanol.
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tramadol.
Questão 35
Questão
Clinical effects of NSAIDs are due to their inhibition of what chemical synthesis within the body?
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ACTH
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Insulin
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Prostaglandin
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Acetaminophen
Questão 36
Questão
Which of the following systems is not responsible for the elimination and metabolism of NSAIDs?
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Hepatic
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Renal
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Biliary
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Lymph
Questão 37
Questão
Most NSAIDs prevent pain and inflammation by inactivating which enzyme?
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EPO
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ACE
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COX
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T4
Questão 38
Questão
All of the following aspects about the COX-2 isoenzyme are true except:
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it is inducible.
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it is found in the CNS, kidney, and eyes.
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it is linked to analgesic effects.
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it is present in most tissues.
Questão 39
Questão
The use of NSAIDs that results in renal toxicity is most likely due to the blockage of:
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PGE-2
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COX-1
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COX-2
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misoprostol
Questão 40
Questão
The use of NSAIDs is considered “high risk” in all of the following conditions except:
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hypotension.
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hyperthyroidism.
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congestive heart failure.
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hemostatic disorders.
Questão 41
Questão
Opioids are effective in the nociceptive pathway in all areas except:
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perception.
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modulation.
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transmission.
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transduction.
Questão 42
Questão
Local anesthetics are effective in the nociceptive pathway in all areas except:
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perception
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modulation
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transmission
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transduction
Questão 43
Questão
Corticosteroids are ineffective in the nociceptive pathway in all areas except:
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transduction
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transmission
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modulation
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perception
Questão 44
Questão
In order to properly administer tramadol it must be given:
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SQ
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PO
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IV
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IM
Questão 45
Questão
Absence of pain sensation is best known as:
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allodynia.
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distress.
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analgesia.
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stress
Questão 46
Questão
During nociception all of the following occurs except:
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transduction
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transmission
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modulation
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conjugation
Questão 47
Questão
The concurrent use of NSAIDs and corticosteroids is contraindicated due to which adverse side effect?
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Gastric ulceration
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Coagulopathy
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Renal insufficiency
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Hepatic insufficiency
Questão 48
Questão
Nonpharmacologic analgesic therapies that can be used to manage both acute and chronic pain include:
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massage therapy.
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topical anesthetics.
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NSAIDs.
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NMDA agonists.
Questão 49
Questão
Perception of pain takes place in the:
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spinal cord.
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cerebral cortex.
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sensory nerves.
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nociceptors.
Questão 50
Questão
Transmission of pain takes place in the:
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spinal cord.
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cerebral cortex.
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sensory nerves.
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nociceptors.
Questão 51
Questão
Modulation of pain takes place in the:
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spinal cord.
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cerebral cortex.
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sensory nerves.
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nociceptors.
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