Deck 10: Treatment of Pain and Migraine Headache

Question 1

MATCHING
Match the following drugs with their drug classes.
a.Buprenorphine
b.Naltrexone
c.Meperidine
d.Aspirin
e.Naproxen
Opioid antagonists

Answer 1

B

Question 2

_____ can be administered for management of drug dependence.

A)Buprenorphine
B)Methocarbamol
C)Norepinephrine
D)Morphine

Answer 2

Buprenorphine

Question 3

MATCHING
Match the following drugs with their drug classes.
a.Buprenorphine
b.Naltrexone
c.Meperidine
d.Aspirin
e.Naproxen
Mixed agonists/antagonists

Answer 3

A

Question 4

MATCHING
Match the following drugs with their drug classes.
a.Buprenorphine
b.Naltrexone
c.Meperidine
d.Aspirin
e.Naproxen
Salicylates

Question 5

MATCHING
Match the following drugs with their drug classes.
a.Buprenorphine
b.Naltrexone
c.Meperidine
d.Aspirin
e.Naproxen
NSAIDs

Question 6

Why may gastrointestinal (GI)bleeding and ulcers occur from taking aspirin or NSAIDs?

A)The drugs are metabolized in the stomach causing additional acid in the stomach and potentially creating an ulcer and then bleeding.
B)Because cyclooxygenase is an important part of the immune system,the blockade created inhibits the body from defending itself.
C)Platelet aggregation is reduced due to cyclooxygenase blockade,which increases bleeding in the body.
D)The GI lining loses some of its protection because aspirin and NSAIDs inhibit cyclooxygenase action,thereby decreasing prostaglandin synthesis.

Question 7

Which of the following will indomethacin not treat?

A)Fever
B)Neuropathic pain
C)Inflammation
D)Back pain

Question 8

Which of the following acts as a natural painkiller?

A)Histamine
B)Enkephalin
C)Substance P
D)Glutamate

Question 9

What is one of the most common types of pain?

A)Low back pain
B)Trigeminal neuralgia
C)Neuropathic pain
D)Osteoarthritic pain

Question 10

Which of the following antiseizure drugs would be used to treat diabetic neuropathic pain?

A)Lamotrigine
B)Ethosuximide
C)Oxcarbazepine
D)Pregabalin

Question 11

_____ is an example of pain from a nociceptive origin.

A)Trigeminal neuralgia
B)Phantom limb
C)Shingles
D)Sprained ankle

Question 12

By which route of administration are triptans not available?

A)Sublingual
B)Subcutaneous
C)Intranasal
D)Oral

Question 13

Why is a multimodal approach to pain management recommended?

A)Pain cannot always be pinpointed;therefore,it is better to treat neuropathic and nociceptive pain at the same time.
B)Pain medications cause many side effects,so other drug therapies are necessary to treat the side effects in order to treat the pain.
C)Untreated pain may affect other systems in the body,so other treatment may be necessary as a supportive measure.
D)Some pain may be exaggerated by patients,so counseling should be sought out to determine if the pain is as bad as they think it is.

Question 14

Which of the following proteins is released as a response to injury and produces pain-causing inflammation?

A)Bradykinin
B)Cytokines
C)Cyclooxygenase
D)Prostaglandins

Question 15

Opioids are made to act like _____.

A)heroin
B)cocaine
C)morphine
D)codeine

Question 16

Nondrug treatments for pain include the following except _____.

A)behavioral therapy
B)low-salt diet
C)acupuncture
D)transcutaneous electrical stimulation (TENS)

Question 17

What would be the first drug choice for treatment of neuropathic pain?

A)Lidocaine
B)Codeine
C)Amitriptyline
D)Ibuprofen

Question 18

MATCHING
Match the following drugs with their drug classes.
a.Buprenorphine
b.Naltrexone
c.Meperidine
d.Aspirin
e.Naproxen
Opioid agonists

Question 19

Which of the following classes of drugs is most prescribed to treat migraine headaches?

A)Valproates
B)Beta blockers
C)Triptans
D)Opioid agonists

Question 20

Why would opioids not be a good choice or a first line of therapy for neuralgic pain?

A)Opioid receptors are not found on nerve endings.
B)Most neuralgic pain cannot be pinpointed,so trying to treat it with opioids increases the chance of dependence.
C)Opioids do not treat pain due to inflammation caused by neuralgic pain.
D)A higher dose is necessary to treat neuralgic pain,and opioids create an opportunity for tolerance and dependence.

Question 21

Match the following trade names with their generic name.
a.Ketorolac
b.Oxycodone
c.Piroxicam
d.Fentanyl
e.Hydromorphone
Dilaudid

Question 22

Match the following trade names with their generic name.
a.Ketorolac
b.Oxycodone
c.Piroxicam
d.Fentanyl
e.Hydromorphone
OxyContin

Question 23

Match the following trade names with their generic name.
a.Ketorolac
b.Oxycodone
c.Piroxicam
d.Fentanyl
e.Hydromorphone
Duragesic

Question 24

A patient using a patient-controlled analgesic (PCA)device can get any amount of medication they need to control their pain.

Question 25

Opioid agonists activate a receptor,and opioid antagonists do not activate a receptor.

Question 26

Match the following trade names with their generic name.
a.Ketorolac
b.Oxycodone
c.Piroxicam
d.Fentanyl
e.Hydromorphone
Toradol

Question 27

Match the following trade names with their generic name.
a.Ketorolac
b.Oxycodone
c.Piroxicam
d.Fentanyl
e.Hydromorphone
Feldene

Question 28

A tension headache may last up to 7 days when left untreated.

Question 29

Prostaglandins are hormones that trigger pain response from central nociceptors.

Question 30

Chronic pain may persist for years and can be adequately controlled in all pain patients by pharmaceuticals.