Morphine Pharmacokinetics and Adverse Reactions Quiz
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Questions and Answers

What is a common side effect of morphine due to the release of histamine from mast cells?

  • Hypertension
  • Bronchodilation
  • Bradycardia (correct)
  • Tachycardia

Which gastrointestinal effect is associated with opioid analgesics like morphine?

  • Constipation (correct)
  • Decreased ileocaecal sphincter spasm
  • Relaxation of pyloric sphincter
  • Increased intestinal secretions

What is a notable effect of opioids in the CNS that may interfere with ventilation?

  • Truncal rigidity (correct)
  • Sedation
  • Euphoria
  • Antitussive action

Which of the following is a common symptom caused by the stimulation of opioid receptors in the chemoreceptor trigger zone (CTZ)?

<p>Nausea and vomiting (C)</p> Signup and view all the answers

Which opioid is specifically mentioned for its antitussive (cough suppressant) action?

<p>Codeine (C)</p> Signup and view all the answers

In case of morphine poisoning, what is a common treatment strategy to counteract the effects?

<p>Use an opioid antagonist like naloxone (C)</p> Signup and view all the answers

What is the active metabolite of morphine?

<p>Morphine-6-glucuronide (A)</p> Signup and view all the answers

Which opioid is a selective cough suppressant and has good oral bioavailability?

<p>Codeine (B)</p> Signup and view all the answers

What is the acute lethal dose of morphine in humans?

<p>250 mg (B)</p> Signup and view all the answers

In case of adverse drug reactions to morphine, what is the specific antidote mentioned in the text?

<p>Naloxone (C)</p> Signup and view all the answers

What is a common treatment for morphine poisoning according to the text?

<p>Gastric lavage (A)</p> Signup and view all the answers

What enzyme is responsible for the metabolic activation of codeine to morphine?

<p>CYP2D6 (A)</p> Signup and view all the answers

Which drug is commonly used in combination with paracetamol, aspirin, or ibuprofen to treat moderate to severe pain?

<p>Hydrocodone (C)</p> Signup and view all the answers

What is the primary adverse effect of an overdose of pethidine?

<p>Convulsions (B)</p> Signup and view all the answers

Which opioid is 80-100 times more potent than morphine?

<p>Fentanyl (C)</p> Signup and view all the answers

What is the common use of codeine as a medication?

<p>Antitussive (D)</p> Signup and view all the answers

What is the half-life of buprenorphine?

<p>~12 hours (B)</p> Signup and view all the answers

Which receptor agonists are being considered for future opioid development due to their potential to provide analgesia without causing addiction?

<p>Kappa (κ) (A)</p> Signup and view all the answers

What are the excitatory effects observed in an overdose of pethidine?

<p>Tremors, mydriasis, hyperreflexia (C)</p> Signup and view all the answers

What distinguishes opioids as strong analgesics?

<p>Relieving severe pain (B)</p> Signup and view all the answers

'Visceral pain' is a significant indication for the use of opioids; what does this term generally refer to?

<p>'Pain originating from the internal organs' (D)</p> Signup and view all the answers

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