Deck 39: Opioid Analgesics

Question 1

Somatic pain is defined as:

A) pain of sudden onset and short duration.
B) pain associated with the musculoskeletal system.
C) a reaction that avoids further tissue damage.
D) pain induced through remodelling of neural connections.

Answer 1

pain associated with the musculoskeletal system.

Question 2

The opioid tramadol should be avoided in clients with:

A) epilepsy.
B) a heart condition.
C) asthma.
D) liver disease.

Answer 2

epilepsy.

Question 3

Which of the following is NOT a characteristic of oxycodone?

A) It has less of a hepatic first pass than morphine.
B) It has a shorter half-life than morphine.
C) It comes as a suppository formulation, which is useful for overnight analgesia.
D) It comes as a scored tablet formulation, which can be crushed and given with water to clients who have difficulties in swallowing tablets whole.

Answer 3

It has a shorter half-life than morphine.

Question 4

Which of the following pain medicines produce a constipating effect?

A) Pethidine
B) Aspirin
C) Morphine
D) Paracetamol

Question 5

Which of the following narcotics has a prolonged duration of action?

A) Pethidine
B) Methadone
C) Codeine
D) Fentanyl

Question 6

When administering tramadol,it should not be given with drugs that:

A) affect coagulation.
B) affect blood vessel vasculature.
C) are largely metabolised renally.
D) increase seizure tendencies.

Question 7

What is the equivalent dose of pethidine when compared with 10 mg of morphine?

A) 25-50 mg of pethidine
B) 50-75 mg of pethidine
C) 75-100 mg of pethidine
D) 100-125 mg of pethidine

Question 8

The reason that methadone is used to help wean people off heroin is that:

A) methadone has a long half-life, which contributes to weak withdrawal symptoms.
B) methadone is administered orally, reducing syringe use.
C) methadone binds to opioid receptors, leaving few receptors available for a heroin 'high'.
D) all of the above.

Question 9

The opioid receptors most involved in mediating analgesia are:

A) delta and epsilon.
B) kappa and delta.
C) mu and epsilon.
D) mu and kappa.