Quiz
Vet 201 Anesthiesiology Chapter Eight Study Guide
Questions in this quiz (51)
1The term “fourth vital sign” refers to:
- Atemperature
- Bpulse
- Crespiration
- Dpain
2Aversive sensory and emotional experience that elicits protective motor actions, results in learned avoidance, and may modify species-specific behavior traits, including social behavior, is best known as:
- Amodulation
- Bdistress
- Cpain
- Dnociception
3Known as “ouch” pain, which of the following protective sensations of pain occurs when there is a possibility of or actual tissue injury?
- Anociception
- Bphysiologic pain
- Cadaptive pain
- Dpathologic pain
4Chemical mediators, such as prostaglandin and histamine, are responsible for:
- Ainflammatory pain
- Bneuropathic pain
- Cidiopathic pain
- Dpathologic pain
5Pain originating from the musculoskeletal system is best described as:
- Avisceral pain
- Bsomatic pain
- Cpathologic pain
- Dchronic pain
6A common class of drugs utilized to treat and target specific receptors in the pain pathway includes:
- Aantibiotics.
- Bantihistamines.
- Cnonsteroidal antiinflammatory drugs.
- Danthelmintics.
7The concept of utilization of pain management therapies to target two or more receptors is:
- Aprimary hyperalgesia.
- Bmediators.
- Csecondary hyperalgesia
- Dmultimodal therapy.
8Of the following, which is not typically associated with neuroendocrine changes that occur in response to pain?
- ARelease of ACTH
- BIncreased norepinephrine
- CIncreased insulin
- DAdrenocorticotropic hormone release
9The use of preemptive analgesia is likely to:
- Acause anthropomorphization.
- Bprevent “windup.”
- Cinclude the “five freedoms.”
- Dlead to increased morbidity and/or mortality.
10The differentiating factor(s) between emergence delirium and pain is(are):
- Aduration and response to sedation.
- Bresponse to analgesic administration.
- Cresponse to analgesic administration and pain.
- Dresponse to analgesic administration and duration.
11Patients that are suffering from pain are likely to experience noticeable alterations in their:
- Afacial expressions, appearance, and attitude.
- Bfacial expressions, appearance, and sleep patterns.
- Cbodily movements, appearance, and attitude.
- Dbodily movements, sleep patterns, and attitude.
12Patients that have undergone major surgery should have their pain assessed how frequently?:
- AEvery 60 seconds
- BEvery 2 minutes
- CEvery 60 minutes
- DAt shift changes
13Perioperative analgesia is the concurrent use of:
- Apreemptive analgesia and pain assessment.
- Bpain assessment and multimodal therapy.
- Cpharmacologic analgesia therapy and pain assessment.
- Dpreemptive analgesia and multimodal therapy.
14Of the following, which is not an anticipated benefit of multimodal analgesic therapy?
- AIncreased individual drug dose
- BDecreased overall anesthetic drug requirements
- CIncreased healing time
- DDecreased risk of adverse effects
15Opioid agonist drugs act in which of the following ways?
- APeripherally: in the spinal cord and joints
- BCentrally: to inhibit perception in the brain and sensitization in the spinal cord
- CCentrally: to increase perception in the brain and spinal cord
- DPeripherally: in the brain and spinal cord on the opioid receptors
16A patient requires the selection of an opioid with the most potent analgesic effects. Which of the following would most accurately fit this criteria?
- APartial mu agonists
- BAgonist–antagonists
- CAntihistamines
- DMu receptor agonists
17Caution should be taken with rapid intravenous injection of morphine in canine patients due to the potential for:
- Ahistamine release.
- Blocomotor activity.
- Cdysphoria.
- Drestlessness.
18The most common adverse side effect secondary to morphine administration is likely to be:
- Ahistamine release.
- Bgastrointestinal upset.
- Crespiratory depression.
- Dexcitement.
19This paradoxical response in canine patients after the administration of oxymorphone can make which of the following procedures difficult?
- ABlood pressure analysis
- BIntravenous catheter placement
- CThoracic radiography
- DApplication of a CRI
20The drug that is most similar to oxymorphone in duration and effect is:
- Amorphine.
- Bbuprenorphine.
- Cbutorphanol.
- Dhydromorphone.
21Of the synthetic opioids, which is known to also act as an antagonist at the NMDA receptor?
- AMethadone
- BHydromorphone
- COxymorphone
- DFentanyl
22In contrast to other pure opioid agonists, the duration of action achieved with intravenous fentanyl administration is:
- A20 to 30 seconds
- B2 to 3 minutes.
- C20 to 30 minutes.
- D2 to 3 hours.
23The synthetic opioid pethidine is also more commonly known as:
- Abuprenorphine.
- Bmeperidine.
- Cketoprofen.
- Dacepromazine.
24Due to the pH of the feline mucosa, which injectable narcotic can be administered orally for analgesia?
- AMorphine
- BOxymorphone
- CHydromorphone
- DBuprenorphine
25General duration of action for buprenorphine following intramuscular injection is thought to be:
- A6 to 12 hours.
- B60 to 120 minutes.
- C60 to 120 seconds.
- D18 to 24 hours.
26The first use of butorphanol in veterinary medicine was to act as a(n):
- Aantihistamine.
- Bcough suppressant.
- Canesthetic.
- Danalgesic.
27Use of butorphanol in which of the following routes can potentially lead to a toxicity?
- AIV
- BIM
- CSQ
- DEpidural
28Butorphanol can be used as an antagonist to partially reverse respiratory depression/sedation secondary to the use of:
- Akappa antagonist opioids.
- Bmu antagonist opioids.
- Ckappa agonist opioids.
- Dmu agonist opioids.
29In the United States, which of the following is the only injectable opioid that is not classified as a controlled drug?
- AAcepromazine
- BBuprenorphine
- CNalbuphine
- DMeperidine
30Patients considered “high risk” for use with opioids include all of the following except:
- Ahypotension.
- Bhepatic disease.
- Cneurologic disorders.
- Dnormovolemic.
31The use of morphine administered through an epidural route is most likely to illicit which adverse effect?
- AUrine retention
- BSedation
- CExcitement
- DRespiratory depression
32When considering transdermal use of fentanyl in feline patients, application should take place at least how many hours prior to the start of the procedure?
- A1 hour
- B4 hours
- C6 hours
- D12 hours
33Which opioid should not be administered concurrently with the use of transdermal fentanyl due to risk of partial blockage of opioid receptors and reduced analgesic effect?
- AMorphine
- BBuprenorphine
- CHydromorphone
- DOxymorphone
34The NSAID that acts as a potent analgesic for both somatic and visceral pain is:
- Acarprofen.
- Bacetylsalicylic acid.
- Cbutorphanol.
- Dtramadol.
35Clinical effects of NSAIDs are due to their inhibition of what chemical synthesis within the body?
- AACTH
- BInsulin
- CProstaglandin
- DAcetaminophen
36Which of the following systems is not responsible for the elimination and metabolism of NSAIDs?
- AHepatic
- BRenal
- CBiliary
- DLymph
37Most NSAIDs prevent pain and inflammation by inactivating which enzyme?
- AEPO
- BACE
- CCOX
- DT4
38All of the following aspects about the COX-2 isoenzyme are true except:
- Ait is inducible.
- Bit is found in the CNS, kidney, and eyes.
- Cit is linked to analgesic effects.
- Dit is present in most tissues.
39 The use of NSAIDs that results in renal toxicity is most likely due to the blockage of:
- APGE-2
- BCOX-1
- CCOX-2
- Dmisoprostol
40The use of NSAIDs is considered “high risk” in all of the following conditions except:
- Ahypotension.
- Bhyperthyroidism.
- Ccongestive heart failure.
- Dhemostatic disorders.
41Opioids are effective in the nociceptive pathway in all areas except:
- Aperception.
- Bmodulation.
- Ctransmission.
- Dtransduction.
42Local anesthetics are effective in the nociceptive pathway in all areas except:
- Aperception
- Bmodulation
- Ctransmission
- Dtransduction
43Corticosteroids are ineffective in the nociceptive pathway in all areas except:
- Atransduction
- Btransmission
- Cmodulation
- Dperception
44In order to properly administer tramadol it must be given:
- ASQ
- BPO
- CIV
- DIM
45Absence of pain sensation is best known as:
- Aallodynia.
- Bdistress.
- Canalgesia.
- Dstress
46During nociception all of the following occurs except:
- Atransduction
- Btransmission
- Cmodulation
- Dconjugation
47The concurrent use of NSAIDs and corticosteroids is contraindicated due to which adverse side effect?
- AGastric ulceration
- BCoagulopathy
- CRenal insufficiency
- DHepatic insufficiency
48Nonpharmacologic analgesic therapies that can be used to manage both acute and chronic pain include:
- Amassage therapy.
- Btopical anesthetics.
- CNSAIDs.
- DNMDA agonists.
49Perception of pain takes place in the:
- Aspinal cord.
- Bcerebral cortex.
- Csensory nerves.
- Dnociceptors.
50Transmission of pain takes place in the:
- Aspinal cord.
- Bcerebral cortex.
- Csensory nerves.
- Dnociceptors.
51Modulation of pain takes place in the:
- Aspinal cord.
- Bcerebral cortex.
- Csensory nerves.
- Dnociceptors.
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- Veterinary Medicine Quiz on Vet 201 Anesthiesiology Chapter Eight Study Guide, created by Kelly Kinsinger on 30/10/2018.
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