Deck 20: Analgesic Drugs

Question 1

Which of the following is NOT of the different types of opioid receptors that are stimulated by narcotic analgesic drugs?

A) mu
B) kappa
C) schedule
D) delta

Answer 1

schedule

Question 2

The mechanism by which acetaminophen relieves pain is ________.

A) by blocking dopamine receptors
B) by inhibiting prostaglandins
C) by affecting the hypothalamus of the brain
D) by inhibiting the enzymes COX-1 and COX-2

Answer 2

by inhibiting the enzymes COX-1 and COX-2

Question 3

The ideal analgesic drug would ________.

A) cause no dependence or addiction
B) provide maximum pain relief
C) produce no side effects
D) all of the above

Answer 3

all of the above

Question 4

In preventing or treating migraine headaches,ergotamine drugs stimulate all of the following receptors,EXCEPT ________.

A) dopamine
B) epinephrine
C) norepinephrine
D) serotonin

Question 5

NSAIDs have an analgesic effect because they inhibit ________.

A) opiate receptors
B) endorphins
C) prostaglandins
D) serotonin

Question 6

NSAID drugs have ________.

A) a greater tendency than salicylate drugs to cause stomach irritation and ulcers
B) less of a tendency than salicylate drugs to cause stomach irritation and ulcers
C) the same tendency as salicylate drugs to cause stomach irritation and ulcers
D) no tendency to cause stomach irritation and ulcers

Question 7

Which of the following combination analgesic drugs does NOT contain an antacid?

A) Bufferin
B) Ascriptin
C) Alka-Seltzer with Aspirin
D) Tylenol w/ Codeine No. 3

Question 8

All of the following are good reasons to use a nonnarcotic analgesic drug as the first step in pain control,EXCEPT ________.

A) these drugs are available over-the-counter and can be purchased without a prescription.
B) these drugs can control severe pain.
C) these drugs are inexpensive and can be purchased without a prescription.
D) these drugs are not addictive

Question 9

Ergotamine drugs ________.

A) are used to prevent and treat migraine headaches
B) constrict the arteries in the brain
C) are derived from a fungus
D) all of the above

Question 10

The word salicylate refers to ________ drugs,which were originally derived from the bark of the willow (the Latin word salix means willow).

A) aspirin
B) narcotic
C) analgesic
D) prostaglandins

Question 11

The two distinct therapeutic effects of acetaminophen are ________.

A) analgesic and anti-inflammatory
B) analgesic and antipyretic
C) anti-inflammatory and anticoagulant
D) antipyretic and anti-inflammatory

Question 12

Which generic narcotic drug is often included in a combination drug with a non-narcotic drug?

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

Question 13

Nonnarcotic drugs are only effective for ________.

A) mild pain
B) mild-to-moderate pain
C) moderately severe pain
D) severe pain

Question 14

Ibuprofen belongs to what category of drugs?

A) nonnarcotic analgesic drugs
B) ergotamine drugs
C) narcotic analgesic drugs
D) nonsteroidal anti-inflammatory drugs

Question 15

Acetaminophen is categorized as a ________.

A) narcotic drug
B) nonsalicylate analgesic drug
C) NSAID
D) salicylate drug

Question 16

Which of the following is NOT a therapeutic effect associated with all salicylate drugs?

A) analgesic
B) anticoagulant
C) anti-inflammatory
D) antipyretic

Question 17

Which of the following is a common side effect of narcotic drugs?

A) decreased white blood count
B) sedation
C) stomach ulcer
D) constipation

Question 18

________ is a beta-blocker drug approved for preventing migraine headaches.

A) atenolol (Tenormin)
B) metoprolol (Lopressor, Toprol)
C) propranolol (Inderal)
D) all of the above

Question 19

The origin of the word morphine comes from the Greek word ________.

A) morphology, meaning the structure of the drug
B) Morpheus, the mythical Greek god of dreams
C) amorphous, an adjective meaning without form
D) none of the above

Question 20

Which of the following is a COX-2 inhibitor drug?

A) Darvon
B) Demerol
C) Celebrex
D) Tylenol

Question 21

Which of the following drugs is derived from the venom of the cone snail that lives in the coral reefs around the Philippines?

A) oxycodone (OxyContin)
B) celecoxib (Celebrex)
C) ziconotide (Prialt)
D) meperidine (Demerol)

Question 22

The combination drug Cafergot used to treat migraine headaches contains ________.

A) a beta-blocker drug and aspirin
B) ergotamine and caffeine
C) a narcotic and a nonnarcotic drug
D) morphine and an antidepressant

Question 23

Which of the following categories of drugs is NOT used to treat migraine headaches?

A) antidepressant drugs
B) beta-blocker drugs
C) nonsalicylate analgesic drugs
D) serotonin receptor agonist drugs

Question 24

In which of the following pairs of drugs do both drugs come in the form of transdermal patches?

A) oxaprozin (Daypro) and diclofenac (Flector)
B) pentazocine (Talwin) and sumatriptan (Imitrex)
C) diclofenac (Flector) and fentanyl (Duragesic)
D) celecoxib (Celebrex) and Vicodin (acetaminophen, hydrocodone)

Question 25

Methadone is used to treat recovering narcotic drug addicts because ________.

A) it prevents the addict from experiencing withdrawal symptoms
B) it does not produce euphoria like other narcotic drugs
C) it slowly decreases the addict's psychological dependence on narcotic drugs.
D) all of the above

Question 26

Serotonin receptor agonist drugs are used to prevent migraine headaches from occurring.

Question 27

Some of the similarities between aspirin and acetaminophen are that they both relieve pain,but they both can cause upset stomach and stomach irritation.

Question 28

All of these drugs are used to treat migraine headaches,EXCEPT ________.

A) methadone (Dolophine, Methadose)
B) topramate (Topamax)
C) rizatriptan (Maxalt)
D) Cafergot (ergotamine, caffeine)

Question 29

A nonnarcotic drug is often combined with a narcotic drug because ________.

A) the narcotic drug is a Schedule drug that can relieve severe pain
B) it treats the two components of pain (stimulation of nerve endings and pain heightened by anxiety)
C) The nonnarcotic drug provides a foundation of pain relief upon which the narcotic drug can build.
D) all of the above

Question 30

The first prescription analgesic skin gel approved by the FDA for treating the pain of osteoarthritis was ________.

A) Voltaren
B) Indocin
C) Bayer Aspirin
D) Empirin w/ Codeine

Question 31

Which of these combination trade name drugs contains the generic drugs acetaminophen and oxycodone?

A) Maxalt
B) Lortab
C) Vicodin
D) Percocet

Question 32

Tylenol w/ Codeine No.3 contains ________ mg of codeine.

A) 30
B) 3
C) 300
D) 3000

Question 33

Aspirin taken regularly for many years can lead to the development of ________.

A) cataracts
B) cancer
C) addiction
D) migraine headaches

Question 34

Sumatriptan (Imitrex)for migraine headaches comes in which of these drug forms?

A) a tablet
B) a liquid to be injected subcutaneously
C) a nasal spray
D) A and C

Question 35

Which of the following statements is FALSE?

A) Some narcotic drugs have a stronger potential for addiction than other narcotic drugs.
B) The symbol S on the drug label indicates that this is a Schedule drug.
C) Narcotic drugs are assigned to schedules (Schedule II to IV).
D) All narcotic drugs (except nalbuphine and tramadol) are schedule drugs.

Question 36

Because NSAIDs are structurally different than aspirin,patients who are allergic to aspirin can safely take NSAIDs.

Question 37

The phrase low-dose aspirin refers to ________.

A) the 81 mg dose of aspirin
B) the trade name drug that is only made by Bayer
C) aspirin that is taken to prevent heart attacks and strokes
D) A and C

Question 38

The narcotic drug known as the "lollipop" used to treat the pain of cancer is ________.

A) fentanyl (Actiq)
B) morphine (MS Contin)
C) Empirin w/ Codeine combination drug
D) naproxen (Aleve, Naprosyn)

Question 39

Acetaminophen is a nonsalicylate analgesic drug that is not related to aspirin or any of the other salicylate drugs.

Question 40

Aspirin and NSAIDs ________.

A) inhibit the COX-1 enzyme
B) disrupt the protective action that prostaglandins have on the stomach
C) inhibit the COX-2 enzyme
D) A and B

Question 41

Diclofenac is the only nonsteroidal anti-inflammatory drug that can be given orally,topically as a gel,or as a transdermal patch.

Question 42

The ending ________ is common to generic nonsteroidal anti-inflammatory drugs.

Question 43

The well-known generic drug ibuprofen is related to the trade names of Advil and Aleve.

Question 44

Elderly people who regularly take an NSAID or aspirin are less likely to develop Alzheimer's disease.

Question 45

Caffeine is a stimulant drug that is included in combination analgesic drugs used to treat migraine headaches.

Question 46

Calcium channel blocker drugs used to prevent migraine headaches block the movement of calcium ions and,with less calcium in the cells,the smooth muscles relax,and the arteries remain dilated.

Question 47

One of the benefits of ergotamine drugs for migraine headaches is that they constrict the arteries in the brain without significantly reducing blood flow.

Question 48

Heroin was used extensively to treat pain during the Civil War,but it is now a Schedule I drug with no medical uses.

Question 49

A common side effect of narcotic drugs is an antitussive effect,and this is used as a therapeutic effect by including narcotic drugs in some cough syrups.

Question 50

The regular use of aspirin can cause stomach ulcers and long-term use can cause cataracts.

Question 51

The drugs nalbuphine (Nubain)and tramadol (Ultram)are narcotic drugs used to treat moderate-to-severe pain but they are not schedule drugs and so they have no potential for addiction.

Question 52

With their ________ effect,salicylate drugs reduce fever by acting on the hypothalamus.

Question 53

Antidepressant drugs have been found helpful in preventing migraine headaches.

Question 54

A/an ________ drug,like a salicylate drug or a narcotic drug,is a drug that provides relief from pain.

Question 55

Acetaminophen does not have an anti-inflammatory effect or an anticoagulant effect.

Question 56

Narcotic drugs produce a sense of well-being or ________,which is what causes some narcotic drugs to be more psychologically addicting than others.

Question 57

Beta-blocker drugs keep the blood vessels constricted and this prevents the vasodilation that begins a migraine headache.

Question 58

Aspirin was the first drug to have a plastic safety seal on top of each drug bottle.

Question 59

The ending -triptan is common to ________ receptor agonist drugs used to treat migraine headaches.

Question 60

Aspirin prolongs the clotting time of the blood by inhibiting thromboxane,a substance in the blood that normally causes ________ to aggregate and form a blood clot.

Question 61

________ is a neurotransmitter that normally constricts the arteries in the brain.Prior to a migraine headache,there is an elevated level of this substance.

Question 62

Match the analgesic drug names in Column 1 with the drug category in Column 2.

A)antidepressant drug for migraine headaches
B)salicylate analgesic drug with anticoagulant effect
C)serotonin receptor agonist drug for migraine headaches
D)ergotamine drugs for migraine headaches
E)calcium channel blocker drugs for migraine headaches
F)narcotic analgesic drug
G)salicylate analgesic drug
H)beta-blocker drug for migraine headaches
I)nonsteroidal anti-inflammatory drug
J)nonsalicylate analgesic drug
1)acetaminophen (Tylenol)
2)aspirin (Bayer Aspirin,Ecotrin,Empirin)
3)almotriptan (Axert)
4)amitriptyline
5)hydromorphone (Dilaudid)
6)atenolol (Tenormin)
7)dihydroergotamine (Migranal)
8)ibuprofen (Advil,Motrin IB)
9)magnesium salicylate (Doan's)
"10)diltiazem (Cardizem)

Question 63

The salicylate drug aspirin has a therapeutic effect that is not shared by any of the other salicylate drugs.That is a/an ________ effect.

Question 64

The difference between Tylenol w/ Codeine,Tylenol w/ Codeine No.2,Tylenol w/ Codeine No.3,and Tylenol w/ Codeine No.4 is the amount of ________ they contain.

Question 65

Explain how narcotic analgesic drugs work.

Question 66

What is the reason that a person with the aches and pains of a viral illness should not be given aspirin?

Question 67

If the generic drug oxycodone and its trade name OxyContin both contain the same narcotic drug,why do drug addicts prefer to abuse OxyContin?

Question 68

________ is well known for its use in treating recovering narcotic drug addicts at outpatient clinics.

Question 69

________ aspirin is combined with an antacid drug to decrease acidity and protect the stomach.

Question 70

The well-known generic narcotic drug meperidine is related to the trade name drug ________.

Question 71

The abbreviation NSAID stands for ________.

Question 72

Why is acetaminophen not recommended for a patient at risk for a heart attack or stroke?

Question 73

The trade name MS Contin contains the abbreviation MS,which stands for the generic drug ________,and Contin,which refers to the fact that the drug provides continuous pain relief as a controlled-release tablet.

Question 74

________ are the body's own natural pain relievers.

Question 75

The combination drug Fioricet has the letters cet in its trade name,which gives a clue that it contains the generic analgesic drug ________.

Question 76

Drugs that have the potential to cause addiction have an alphabet letter that is a large ________ printed on the label with Roman numerals inside of it.