Pre 11 pain/ anesth

Overdose on opioids is associated with which of the following?

A. Hypertension
B. Slow respiratory rate
C. Diarrhea
D. Frequent urination



The World Health Organization recommends which strategy for managing pain in a patient with cancer?

A. Meperidine (DEMEROL) is the preferred drug for long term use.
Toxic metabolites with long term use.
B. Start with COX inhibitor such as acetaminophen. Add a weak opioid advancing
to stronger opioids as needed.
C. Start with a high-dose fentanyl patch, evaluating every hour until the pain
is controlled. Reduce dose of next patch applied if
possible.
D. Alternate a narcotic with doses of naltrexone to prevent
addicition.



Many people interchange aspirin and acetaminophen (TYLENOL) for treating problems such as headaches. Under which of the the following circumstances is aspirin favored over acetaminophen?

A. The patient has a history of gastrointestinal bleeding.
B. The patient has a fever.
C. The patient is taking low doses to prevent a stroke.
D. The patient is elderly.



An example of a general anesthetic is:

A. Breathing in isoflurane
B. Injection of lidocaine into the skin
C. Injecting mepivacaine near a nerve
D. Giving a preoperative intravenous injection of atropine



Select the correct statement regarding pain management.

A. Mu and kappa receptors are limited in location to the sensory spinal cord
tracts.
B. Extreme care must be taken to avoid overdosing on narcotics as there is no
antidote.
C. At least 50 million people are diabled as a result of pain.
D. Neuropathic pain responds better to opioids than nociceptive pain
does.



A side effect of morphine, for which tolerance DOES NOT develop, is:

A. Hypertension
B. Sedation
C. Abdominal pain
D. Constipation



What information must be taught to the care giver of a patient who will be receiving tablets of sustained release opioid?

A. The potential for respiratory depression will increase the longer the
patient takes the medication.
B. Tolerence to the analgesic effect may develop but can be managed by a
decrease in dosage.
C. Do not crush the tablets as overdose could result.
D. Extra doses can be used to treat itching associated with
chemotherapy



An example of a local anesthetic is:

A. Injection of lidocaine into the skin
B. Breathing in isoflurane
C. A preoperative intravenous injection of atropine
D. Continuous intravenous infusion of propofol