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Pain Management

Description

Quiz on Pain Management, created by Maggie Throckmorton on 04/12/2017.
Maggie Throckmorton
Quiz by Maggie Throckmorton, updated more than 1 year ago
Maggie Throckmorton
Created by Maggie Throckmorton almost 7 years ago
40
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0

Resource summary

Question 1

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

Question 2

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

Question 3

Question
A example of central neuropathic pain is fibromyalgia.
Answer
  • True
  • False

Question 4

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

Question 5

Question
An example of nociceptive pain is tissue [blank_start]damage[blank_end].
Answer
  • damage

Question 6

Question
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.
Answer
  • somatic
  • visceral

Question 7

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

Question 8

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

Question 9

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

Question 10

Question
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.
Answer
  • mild
  • moderate

Question 11

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

Question 12

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

Question 13

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

Question 14

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

Question 15

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

Question 16

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

Question 17

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

Question 18

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

Question 19

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

Question 20

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

Question 21

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

Question 22

Question
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.
Answer
  • rapid
  • longer

Question 23

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

Question 24

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

Question 25

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

Question 26

Question
Safety concerns and considerations with NSAID with CV disease or thrombotic events include (select all that apply):
Answer
  • 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.

Question 27

Question
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.
Answer
  • avoided
  • lowest
  • shortest

Question 28

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

Question 29

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

Question 30

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

Question 31

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

Question 32

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

Question 33

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

Question 34

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

Question 35

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

Question 36

Question
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.
Answer
  • True
  • False

Question 37

Question
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.
Answer
  • five

Question 38

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

Question 39

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

Question 40

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

Question 41

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

Question 42

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

Question 43

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

Question 44

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

Question 45

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

Question 46

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

Question 47

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

Question 48

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

Question 49

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

Question 50

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

Question 51

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

Question 52

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

Question 53

Question
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.
Answer
  • dose
  • long

Question 54

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

Question 55

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

Question 56

Question
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.
Answer
  • two
  • 65

Question 57

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

Question 58

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

Question 59

Question
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.
Answer
  • controlled
  • three

Question 60

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

Question 61

Question
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].
Answer
  • controlled
  • dependence
  • depression

Question 62

Question
Treatment options for chronic pain include (select all that apply):
Answer
  • 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)

Question 63

Question
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].
Answer
  • outcomes

Question 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.
Answer
  • Medication

Question 65

Question
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.
Answer
  • True
  • False

Question 66

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

Question 67

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

Question 68

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

Question 69

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

Question 70

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

Question 71

Question
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.
Answer
  • SNRI's
  • pain

Question 72

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

Question 73

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

Question 74

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

Question 75

Question
[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.
Answer
  • TCA's
  • pain

Question 76

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

Question 77

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

Question 78

Question
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].
Answer
  • naproxen

Question 79

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

Question 80

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

Question 81

Question
Opioids are [blank_start]Mu[blank_end] receptor agonists.
Answer
  • Mu

Question 82

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

Question 83

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

Question 84

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

Question 85

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

Question 86

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

Question 87

Question
Literature suggests opioids should only be used on a chronic basis in patients (select all that apply):
Answer
  • 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.

Question 88

Question
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.
Answer
  • agonist
  • serotonin

Question 89

Question
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.
Answer
  • True
  • False

Question 90

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

Question 91

Question
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.
Answer
  • addiction
  • pediatric

Question 92

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

Question 93

Question
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.
Answer
  • acute
  • cancer

Question 94

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

Question 95

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

Question 96

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

Question 97

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

Question 98

Question
Additional adverse effects of opioids includes (select all that apply):
Answer
  • 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)

Question 99

Question
Opioid overdose [blank_start]risk[blank_end] increases with increased dosing.
Answer
  • risk

Question 100

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

Question 101

Question
Benzodiazepines and opioids should [blank_start]not[blank_end] be co-prescribed.
Answer
  • not

Question 102

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

Question 103

Question
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.
Answer
  • highest

Question 104

Question
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.
Answer
  • week

Question 105

Question
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.
Answer
  • steady

Question 106

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

Question 107

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

Question 108

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

Question 109

Question
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.
Answer
  • avoid

Question 110

Question
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.
Answer
  • True
  • False

Question 111

Question
Opioids should not be prescribed in [blank_start]pregnancy[blank_end].
Answer
  • pregnancy

Question 112

Question
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.
Answer
  • cry

Question 113

Question
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.
Answer
  • True
  • False

Question 114

Question
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.
Answer
  • one

Question 115

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

Question 116

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

Question 117

Question
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.
Answer
  • True
  • False

Question 118

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

Question 119

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

Question 120

Question
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].
Answer
  • drug

Question 121

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

Question 122

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

Question 123

Question
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.
Answer
  • misuse

Question 124

Question
Risk factors associated with increased risk for opioid misuse include (select all that apply):
Answer
  • 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

Question 125

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

Question 126

Question
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.
Answer
  • 2
  • 12

Question 127

Question
[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)
Answer
  • Medication

Question 128

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

Question 129

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

Question 130

Question
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.
Answer
  • True
  • False

Question 131

Question
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.
Answer
  • II
  • agonist

Question 132

Question
The following is true of methadone (select all that apply):
Answer
  • 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

Question 133

Question
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.
Answer
  • synthetic
  • agonist
  • III

Question 134

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

Question 135

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

Question 136

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

Question 137

Question
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.
Answer
  • True
  • False

Question 138

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

Question 139

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

Question 140

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

Question 141

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

Question 142

Question
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).
Answer
  • II
  • 30
  • verbal

Question 143

Question
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.
Answer
  • III
  • 6

Question 144

Question
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.
Answer
  • IV
  • allowed

Question 145

Question
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.
Answer
  • V

Question 146

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

Question 147

Question
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.
Answer
  • True
  • False
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