Pain Management and Side Effects of NSAIDs and Opioids
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Questions and Answers

What is the primary mechanism of action of fentanyl compared to morphine?

  • Fentanyl has a slower onset and longer duration of pain relief when administered by injection.
  • Fentanyl has the same onset and duration of pain relief as morphine when administered by injection.
  • Fentanyl has a faster onset and shorter duration of pain relief when administered by injection. (correct)
  • Fentanyl has no effect on pain relief when administered by injection.

Why is meperidine (pethidine) used less often than other opioid analgesics?

  • Meperidine is a weak opioid that provides less pain relief than other opioids.
  • Meperidine is associated with a higher incidence of side effects compared to other opioids. (correct)
  • Meperidine has a slower onset and longer duration of pain relief compared to other opioids.
  • Meperidine is not effective for the treatment of chronic pain.

What is the primary use of dextropropoxyphene?

  • Dextropropoxyphene is a weak opioid that is usually combined with acetaminophen for the treatment of mild to moderate pain. (correct)
  • Dextropropoxyphene is a strong opioid used for the treatment of severe pain.
  • Dextropropoxyphene is a non-opioid analgesic used for the treatment of inflammatory conditions.
  • Dextropropoxyphene is not used as an analgesic, but rather as a sedative.

Which of the following is an opioid antagonist?

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

Which of the following is considered a non-narcotic analgesic?

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

Which of the following is a non-narcotic analgesic with marked anti-inflammatory activity?

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

What is the primary mechanism of action for narcotic analgesics in the spinal cord?

<p>Blocking pain messages to the brain (C)</p> Signup and view all the answers

Which of the following is a non-narcotic analgesic with mild to moderate anti-inflammatory activity?

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

Which of the following narcotic analgesics is often referred to as the 'gold standard' among opioids?

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

Which of the following is a semisynthetic opioid derived from morphine in the 1920s?

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

What is the primary mechanism of action for narcotic analgesics in the brain?

<p>Changing the interpretation of pain messages (B)</p> Signup and view all the answers

What is the effect of prostaglandin binding to smooth muscle tissues in blood vessels?

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

Which eicosanoid increases platelet aggregability and is important for the clotting mechanism?

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

What is a characteristic of non-narcotic analgesics?

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

Which type of analgesic usually requires drug regulations like DD (Dangerous Drug) or Rx (Prescription)?

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

What is the main reason non-narcotic analgesics do not cause physical dependence?

<p>They act on different receptors than narcotics (D)</p> Signup and view all the answers

Which pharmacologic action is associated with non-narcotic analgesics?

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

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