11677109
Descripción
Test por Maggie Throckmorton, actualizado hace más de 1 año
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Creado por Maggie Throckmorton
hace más de 6 años
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|
Pregunta 1
Pregunta
Neuropathic pain is abnormal signal processes in the CNS and can be peripheral and [blank_start]central[blank_end]
Respuesta
-
central
Pregunta 2
Pregunta
Examples of peripheral neuropathic pain include (select all that apply):
Respuesta
-
Lumbar radiculopathy
-
Peripheral neuropathy with DM
-
Postherpetic Neuralgia
Pregunta 3
Pregunta
A example of central neuropathic pain is fibromyalgia.
Respuesta
- True
- False
Pregunta 4
Pregunta
Opioid therapy is not a [blank_start]1st[blank_end] line treatment for neuropathic pain.
Respuesta
-
1st
Pregunta 5
Pregunta
An example of nociceptive pain is tissue [blank_start]damage[blank_end].
Respuesta
-
damage
Pregunta 6
Pregunta
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.
Respuesta
-
somatic
-
visceral
Pregunta 7
Pregunta
Acute pain is defined as (select all that apply):
Respuesta
-
Sudden, usually an identifiable cause, less than 3 months in duration
-
Usually a response to injury
-
Usually nociceptive in nature
Pregunta 8
Pregunta
Chronic pain (select all that apply):
Respuesta
-
lasts longer than 3 months
-
is non-cancer pain
-
Is cancer pain
-
is breakthrough pain
Pregunta 9
Pregunta
T or F. The WHO analgesic ladder recommends non-opioids in the treatment of mild pain.
Respuesta
- True
- False
Pregunta 10
Pregunta
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.
Respuesta
-
mild
-
moderate
Pregunta 11
Pregunta
The 1st line treatment for mild to [blank_start]moderate[blank_end] pain is Acetaminophen and NSAIDS.
Respuesta
-
moderate
Pregunta 12
Pregunta
T or F. Use the max dose of acetiminophen or NSAIDS before proceeding to analgesics.
Respuesta
- True
- False
Pregunta 13
Pregunta
T or F. Acetaminophen generally has a favorable side effect profile.
Respuesta
- True
- False
Pregunta 14
Pregunta
Two considerations in using NSAIDS are patients with a history of CV disease and [blank_start]GI[blank_end] bleeding.
Respuesta
-
GI
Pregunta 15
Pregunta
Acetaminophen is best for patients with non-inflammatory [blank_start]pain[blank_end] like Osteoarthritis and chronic low back pain.
Respuesta
-
pain
Pregunta 16
Pregunta
T or F. Acetaminophen does not alter platelet functioning.
Respuesta
- True
- False
Pregunta 17
Pregunta
Acetaminophen is known to be hepatoxic and can impact [blank_start]liver[blank_end] function.
Respuesta
-
liver
Pregunta 18
Pregunta
There is caution in using acetaminophen in patients with a history of ETOH abuse and hepatic dysfunction.
Respuesta
- True
- False
Pregunta 19
Pregunta
Acetaminophen interacts with warfarin/coumadin and prolongs [blank_start]INR[blank_end].
Respuesta
-
INR
Pregunta 20
Pregunta
Acetaminophen is the drug of choice as an analgesic and antypyretic in (select all that apply):
Respuesta
-
Pregnant women
-
Lactating women
Pregunta 21
Pregunta
NSAIDS have [blank_start]anti-inflammatory[blank_end] and analgesic properties.
Respuesta
-
anti-inflammatory
Pregunta 22
Pregunta
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.
Respuesta
-
rapid
-
longer
Pregunta 23
Pregunta
T or F. NSAIDS are effective treatment for acute and chronic pain and inflammatory conditions.
Respuesta
- True
- False
Pregunta 24
Pregunta
GI concerns with the [blank_start]use[blank_end] of NSAIDS includes dyspepsia, ulceration and bleeding.
Respuesta
-
use
Pregunta 25
Pregunta
T or F. Selective COX 2 inhibitors have less GI Risk.
Respuesta
- True
- False
Pregunta 26
Pregunta
Safety concerns and considerations with NSAID with CV disease or thrombotic events include (select all that apply):
Respuesta
-
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.
Pregunta 27
Pregunta
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.
Respuesta
-
avoided
-
lowest
-
shortest
Pregunta 28
Pregunta
T or F. NSAIDS should be avoided in older adults and in pregnancy.
Respuesta
- True
- False
Pregunta 29
Pregunta
NSAIDS monitoring should include (select all that apply):
Respuesta
-
Renal function
-
Edema
-
Blood pressure
-
Hgb and Hct
Pregunta 30
Pregunta
In some psych patients, NSAIDS may [blank_start]increase[blank_end] lithium levels.
Respuesta
-
increase
Pregunta 31
Pregunta
NSAIDS should also be avoided in patients with a history of (select all that apply):
Respuesta
-
Uncontrolled HTN
-
Renal insufficiency
-
GI Bleed
-
Platelet dysfunction
-
Reduced cardiac output
-
Cirrhosis
-
History of Venous Thrombosis
Pregunta 32
Pregunta
T or F. NSAIDS may cause or worsen renal impairment.
Respuesta
- True
- False
Pregunta 33
Pregunta
Indomethacin (Indocin) is an NSAID that is used in the treatment of acute [blank_start]gout[blank_end] and specific types of headaches.
Respuesta
-
gout
Pregunta 34
Pregunta
T or F. The MOA for Indomethacin is a potent inhibitory effect on renal prostaglandin synthesis.
Respuesta
- True
- False
Pregunta 35
Pregunta
Indomethacin has more frequent [blank_start]CNS[blank_end] side effects and has a higher risk of renal and CV toxicities.
Respuesta
-
CNS
Pregunta 36
Pregunta
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.
Respuesta
- True
- False
Pregunta 37
Pregunta
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.
Respuesta
-
five
Pregunta 38
Pregunta
Contraindications and cautions in the use of Ketorolac include (select all that apply):
Respuesta
-
GI
-
CV
-
Renal
-
Bleeding
-
Labor and Delivery
Pregunta 39
Pregunta
T or F. Oral Ketorolac is not indicated in pediatrics.
Respuesta
- True
- False
Pregunta 40
Pregunta
Topical NSAIDS have a [blank_start]lower[blank_end] risk for systemic effects.
Respuesta
-
lower
Pregunta 41
Pregunta
T or F. Diclofenac (Voltaren) gel is helpful in the relief of OA pain.
Respuesta
- True
- False
Pregunta 42
Pregunta
Flector, an NSAID patch is helpful in [blank_start]acute[blank_end] pain due to minor strains, sprains and contusions.
Respuesta
-
acute
Pregunta 43
Pregunta
The MOA of topical lidocaine for pain is blocking the initiation and conduction of [blank_start]nerve[blank_end] impulses.
Respuesta
-
nerve
Pregunta 44
Pregunta
T or F. Topical lidocaine is best for neuropathic, local and OA pain.
Respuesta
- True
- False
Pregunta 45
Pregunta
Adverse effects of topical lidocaine include local [blank_start]skin[blank_end] irritation.
Respuesta
-
skin
Pregunta 46
Pregunta
T or F. There is a low risk for systemic side effects if topical lidocaine is used properly.
Respuesta
- True
- False
Pregunta 47
Pregunta
The following is true of steroid therapy for pain (select all that apply):
Respuesta
-
Has anti-inflammatory properties
-
Evidence shows little to no benefit
-
Are not generally 1st line
-
Can be considered short term if refractory to NSAIDS.
Pregunta 48
Pregunta
A taper is required if steroids like Prednisone or Medrol dose pack are used for more than [blank_start]two[blank_end] weeks.
Respuesta
-
two
Pregunta 49
Pregunta
T or F. Cortisone can be given as an IM injection and has a short-acting duration of 2-3 days.
Respuesta
- True
- False
Pregunta 50
Pregunta
Triamcinolone(Kenalog) [blank_start]and[blank_end] Methylprednisolone (Depo-Medrol) have an intermediate potency and duration.
Respuesta
-
and
Pregunta 51
Pregunta
Dexamethasone/Decadron has a [blank_start]high[blank_end] potency and long-acting duration up to about [blank_start]ten[blank_end] days.
Respuesta
-
high
-
ten
Pregunta 52
Pregunta
T or F. Steroid injections in joints for pain, must be done by a trained provider.
Respuesta
- True
- False
Pregunta 53
Pregunta
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.
Respuesta
-
dose
-
long
Pregunta 54
Pregunta
Systemic glucocorticoids can cause elevated [blank_start]blood[blank_end] pressure, mood disorders, psychosis, insomnia, and impact blood sugar by causing hyerglycemia.
Respuesta
-
blood
Pregunta 55
Pregunta
Additional major side effects associated with the use of systemic glucocorticoids includes (select all that apply):
Respuesta
-
Gastritis
-
Ulcer formation
-
GI Bleeding
-
Bone loss
-
Heightened risk of typical infections
Pregunta 56
Pregunta
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.
Respuesta
-
two
-
65
Pregunta 57
Pregunta
The main adverse effect of muscle relaxants for pain is [blank_start]sedation[blank_end].
Respuesta
-
sedation
Pregunta 58
Pregunta
T or F. Antispasmodic skeletal muscle relaxants are indicated in the treatment of acute cervical or lumbar pain.
Respuesta
- True
- False
Pregunta 59
Pregunta
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.
Respuesta
-
controlled
-
three
Pregunta 60
Pregunta
T or F. Tizanidine (Zanaflex) is an Alpha 2 adrenergic agonist.
Respuesta
- True
- False
Pregunta 61
Pregunta
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].
Respuesta
-
controlled
-
dependence
-
depression
Pregunta 62
Pregunta
Treatment options for chronic pain include (select all that apply):
Respuesta
-
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)
Pregunta 63
Pregunta
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].
Respuesta
-
outcomes
Pregunta 64
Pregunta
[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.
Respuesta
-
Medication
Pregunta 65
Pregunta
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.
Respuesta
- True
- False
Pregunta 66
Pregunta
Gabapentin (Neurontin) and pregablin (Lyrica) have proven efficacy versus placebo in several neuropathic [blank_start]pain[blank_end] conditions.
Respuesta
-
pain
Pregunta 67
Pregunta
Adverse effects of anticonvulsants like gabapentin and pregabalin for pain include [blank_start]dizziness[blank_end] and sedation.
Respuesta
-
dizziness
Pregunta 68
Pregunta
T or F. When using anticonvulsants as an adjuvant in pain management, start it with a low dose with gradual increases until pain relief.
Respuesta
- True
- False
Pregunta 69
Pregunta
Pregabalin is controlled , reported to cause [blank_start]euphoria[blank_end] and is a Schedule [blank_start]V[blank_end].
Respuesta
-
euphoria
-
V
Pregunta 70
Pregunta
T or F. There are some reports of misuse with gabapentin.
Respuesta
- True
- False
Pregunta 71
Pregunta
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.
Respuesta
-
SNRI's
-
pain
Pregunta 72
Pregunta
T or F. The analgesic effects of SNRI's appear to occure early and at lower doses.
Respuesta
- True
- False
Pregunta 73
Pregunta
SNRI's are helpful treating pain from [blank_start]diabetic[blank_end] neuropathy, fibromyalgia and chronic musculoskeletal pain.
Respuesta
-
diabetic
Pregunta 74
Pregunta
T or F. SNRI's would have to be tapered gradually to avoid withdrawal symptoms.
Respuesta
- True
- False
Pregunta 75
Pregunta
[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.
Respuesta
-
TCA's
-
pain
Pregunta 76
Pregunta
In patients with chronic kidney disease and the elderly avoid [blank_start]NSAIDS[blank_end] and COX 2 inhibitors like Celebrex.
Respuesta
-
NSAIDS
Pregunta 77
Pregunta
T or F. Avoid NSAIDS with peptic ulcer disease and glucocorticoid use.
Respuesta
- True
- False
Pregunta 78
Pregunta
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].
Respuesta
-
naproxen
Pregunta 79
Pregunta
Opioids are indicated for moderate to [blank_start]severe[blank_end] pain, are controlled drugs and powerful analgesics.
Respuesta
-
severe
Pregunta 80
Pregunta
T or F. When combined with acetaminophen and ibuprofen, opioids provide better pain control than if they are used alone.
Respuesta
- True
- False
Pregunta 81
Pregunta
Opioids are [blank_start]Mu[blank_end] receptor agonists.
Respuesta
-
Mu
Pregunta 82
Pregunta
Mu1 [blank_start]receptors[blank_end] correlate to supraspinal analgesia, bradycardia and sedation.
Respuesta
-
receptors
Pregunta 83
Pregunta
Mu2 [blank_start]receptors[blank_end] correlate to respiratory depression, euphoria and physical dependence
Respuesta
-
receptors
Pregunta 84
Pregunta
Delta [blank_start]receptors[blank_end] correlate to spinal analgesia and respiratory depression.
Respuesta
-
receptors
Pregunta 85
Pregunta
Kappa [blank_start]receptors[blank_end] correlate to spinal analgesia, respiratory depression and sedation.
Respuesta
-
receptors
Pregunta 86
Pregunta
Higher potency opioids like morphine, hydromorphone and fentanyl are reserved for [blank_start]severe[blank_end] pain.
Respuesta
-
severe
Pregunta 87
Pregunta
Literature suggests opioids should only be used on a chronic basis in patients (select all that apply):
Respuesta
-
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.
Pregunta 88
Pregunta
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.
Respuesta
-
agonist
-
serotonin
Pregunta 89
Pregunta
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.
Respuesta
- True
- False
Pregunta 90
Pregunta
Adverse effects of tramadol (Ultram) include (select all that apply):
Respuesta
-
Sedation
-
Seizures
-
Serotonin Syndrome
-
Increased risk for suicide in patients with mental health disorders
Pregunta 91
Pregunta
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.
Respuesta
-
addiction
-
pediatric
Pregunta 92
Pregunta
T or F. Tramadol (Ultram) would need to be tapered if discontinuing after prolonged use.
Respuesta
- True
- False
Pregunta 93
Pregunta
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.
Respuesta
-
acute
-
cancer
Pregunta 94
Pregunta
There is limited evidence for effectiveness of [blank_start]long[blank_end]-term opioid therapy for pain relief and improved functional outcomes.
Respuesta
-
long
Pregunta 95
Pregunta
T or F. Opioid administration in chronic non-cancer pain remains controversial.
Respuesta
- True
- False
Pregunta 96
Pregunta
Adverse effects of opioids include sedation and the highest risk for respiratory depression is in opioid [blank_start]naive[blank_end] patients.
Respuesta
-
naive
Pregunta 97
Pregunta
There is a higher risk for [blank_start]respiratory[blank_end] depression in the elderly, COPD and severe asthma.
Respuesta
-
respiratory
Pregunta 98
Pregunta
Additional adverse effects of opioids includes (select all that apply):
Respuesta
-
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)
Pregunta 99
Pregunta
Opioid overdose [blank_start]risk[blank_end] increases with increased dosing.
Respuesta
-
risk
Pregunta 100
Pregunta
The most common opioids involved in overdose deaths include (select all that appy):
Respuesta
-
Hydrocodone (Vicodin)
-
Oxycodone (Oxycontin)
-
Oxymorphone (Opana)
-
Methadone
Pregunta 101
Pregunta
Benzodiazepines and opioids should [blank_start]not[blank_end] be co-prescribed.
Respuesta
-
not
Pregunta 102
Pregunta
T or F. Between 1999-2003, adults ages 25-54 had the highest overdose rates.
Respuesta
- True
- False
Pregunta 103
Pregunta
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.
Respuesta
-
highest
Pregunta 104
Pregunta
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.
Respuesta
-
week
Pregunta 105
Pregunta
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.
Respuesta
-
steady
Pregunta 106
Pregunta
T or F. Morphine is the gold standard for comparison of all pain relieving meds and serves as a reference point for analgesic potency.
Respuesta
- True
- False
Pregunta 107
Pregunta
T or F. Morphine 30mg PO is equivalent to hydromorphone 7.5 mg PO.
Respuesta
- True
- False
Pregunta 108
Pregunta
There is substantial interpatient variability in relative potency of different opioid [blank_start]drugs[blank_end].
Respuesta
-
drugs
Pregunta 109
Pregunta
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.
Respuesta
-
avoid
Pregunta 110
Pregunta
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.
Respuesta
- True
- False
Pregunta 111
Pregunta
Opioids should not be prescribed in [blank_start]pregnancy[blank_end].
Respuesta
-
pregnancy
Pregunta 112
Pregunta
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.
Respuesta
-
cry
Pregunta 113
Pregunta
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.
Respuesta
- True
- False
Pregunta 114
Pregunta
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.
Respuesta
-
one
Pregunta 115
Pregunta
T or F. Dependence is a component of addiction, but not all patients with dependence are addicts.
Respuesta
- True
- False
Pregunta 116
Pregunta
Opioid withdrawal signs and symptoms include (select all that apply)
Respuesta
-
Diaphoresis
-
HTN
-
Tachycarida
-
Lacrimation
-
Shivering
-
Piloerection
-
N/V/D
-
Rhinorrhea
-
Sleeplessness
-
Restlessness
Pregunta 117
Pregunta
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.
Respuesta
- True
- False
Pregunta 118
Pregunta
Tolerance is defined as increasing amounts of opioid [blank_start]are[blank_end] required to produce an equivalent level of efficacy.
Respuesta
-
are
Pregunta 119
Pregunta
T or F. Tolerance typically does not develop in patient with cancer who are treated for pain.
Respuesta
- True
- False
Pregunta 120
Pregunta
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].
Respuesta
-
drug
Pregunta 121
Pregunta
Features of opioid addiction include (select all that apply):
Respuesta
-
Drug craving
-
Compulsive use
-
Strong tendency to relapse after withdrawal
Pregunta 122
Pregunta
Maladaptive behavior associated with addiction include (select all that apply):
Respuesta
-
Adverse consequences due to drug use
-
Loss of control over drug use
-
Preoccupation with obtaining opioids
Pregunta 123
Pregunta
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.
Respuesta
-
misuse
Pregunta 124
Pregunta
Risk factors associated with increased risk for opioid misuse include (select all that apply):
Respuesta
-
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
Pregunta 125
Pregunta
Aberrant behaviors associated with addiction include (select all that apply):
Respuesta
-
Doctor shopping
-
Diversion
-
Failure to comply with dosing instructions
-
Use of other illicit drugs or controlled substances that are not prescribed.
Pregunta 126
Pregunta
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.
Respuesta
-
2
-
12
Pregunta 127
Pregunta
[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)
Respuesta
-
Medication
Pregunta 128
Pregunta
Indications for tapering in chronic opioid therapy include (select all that apply):
Respuesta
-
Violation of pain contract/abberant drug related behaviors
-
Lack of progress toward therapeutic goals
-
Intolerable adverse effects
Pregunta 129
Pregunta
When tapering opioids, it is recommended to reduce the dose by [blank_start]10[blank_end]% each week.
Respuesta
-
10
Pregunta 130
Pregunta
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.
Respuesta
- True
- False
Pregunta 131
Pregunta
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.
Respuesta
-
II
-
agonist
Pregunta 132
Pregunta
The following is true of methadone (select all that apply):
Respuesta
-
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
Pregunta 133
Pregunta
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.
Respuesta
-
synthetic
-
agonist
-
III
Pregunta 134
Pregunta
T or F. Buprenorphine can only be prescribed by specially trained MD's and NP.
Respuesta
- True
- False
Pregunta 135
Pregunta
T or F. Buprenorphine combined with the antagonist naloxone is called Suboxone.
Respuesta
- True
- False
Pregunta 136
Pregunta
T or F. There are critical opioid interactions with CNS depressants and alcohol.
Respuesta
- True
- False
Pregunta 137
Pregunta
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.
Respuesta
- True
- False
Pregunta 138
Pregunta
The following drugs may induce the metabolism of opioids (select all that apply)
Respuesta
-
St. John's Wort
-
Phenobarbital
-
Phenytonin
-
Rifampin
Pregunta 139
Pregunta
T or F. Naloxone (Narcan) competitively binds to opioid receptors without producing analgesic response.
Respuesta
- True
- False
Pregunta 140
Pregunta
Pain medications that are scheduled include (select all that apply):
Respuesta
-
Opioids
-
Lyrica (Pregabaliin)
-
Soma (Carisoprodol)
-
Fioricet with codiene
Pregunta 141
Pregunta
Schedule [blank_start]I[blank_end] drugs have no currently accepted medical use in the US and have a high potential for abuse.
Respuesta
-
I
Pregunta 142
Pregunta
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).
Respuesta
-
II
-
30
-
verbal
Pregunta 143
Pregunta
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.
Respuesta
-
III
-
6
Pregunta 144
Pregunta
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.
Respuesta
-
IV
-
allowed
Pregunta 145
Pregunta
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.
Respuesta
-
V
Pregunta 146
Pregunta
The five A' s framework for follow-up of patients prescribed chronic opioids includes (select all that apply):
Respuesta
-
Analgesia
-
ADL's and assessment of functional status
-
Addiction
-
Adverse effects
-
Adherence to treatment plan
Pregunta 147
Pregunta
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.
Respuesta
- True
- False
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