Pharmacology Quiz: Drug Types and Functions
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Questions and Answers

What type of drug provides relief of pain without loss of consciousness?

  • Anticholinergic
  • Sedative
  • Narcotic
  • Analgesic (correct)

    • Which healthcare professional conducts the preoperative assessment of the surgical patient?

  • Surgeon
  • Anesthesiologist Assistant (AA)
  • Certified Registered Nurse Anesthetist (CRNA)
  • Anesthesiologist (correct)

    • What is the primary purpose of the preoperative assessment of the surgical patient?

  • Confirm the patient's surgical diagnosis (correct)
  • Determine whether the procedure is necessary
  • Assess other medical conditions
  • Determine the patient's physical status

    • Which type of drug blocks parasympathetic nervous impulses?

    <p>Anticholinergic</p> Signup and view all the answers

    Who is NOT involved in the preoperative assessment of the surgical patient?

    <p>Surgeon</p> Signup and view all the answers

    What is the role of an anticholinergic drug?

    <p>Inhibit parasympathetic nerve impulses</p> Signup and view all the answers

    Which of the following is a trade name for diazepam?

    <p>Valium</p> Signup and view all the answers

    What is the trade name for midazolam?

    <p>Versed</p> Signup and view all the answers

    Which drug is a member of the benzodiazepine family and is known as lorazepam?

    <p>Ativan</p> Signup and view all the answers

    Stimuli such as stretching the peritoneum can cause what response?

    <p>Decrease in heart rate</p> Signup and view all the answers

    Which drug is a common synthetic opioid known as Demerol?

    <p>Meperidine</p> Signup and view all the answers

    What is the term for all drugs that have morphine-like actions?

    <p>Analgesics</p> Signup and view all the answers

    Which medication is identified by the trade name Astramorph?

    <p>Morphine</p> Signup and view all the answers

    What is Duramorph a trade name for?

    <p>morphine</p> Signup and view all the answers

    What response do anticholinergics help to block during surgery?

    <p>Decrease in heart rate</p> Signup and view all the answers

    Glycopyrrolate is known by which trade name?

    <p>Robinul</p> Signup and view all the answers

    What is the purpose of a preoperative anesthesia evaluation?

    <p>To determine the optimal anesthetic plan</p> Signup and view all the answers

    Which criterion is used by the American Society of Anesthesiologists to classify the patient’s physical status?

    <p>Physical status</p> Signup and view all the answers

    What type of medication is typically given to relieve a patient's preoperative anxiety?

    <p>Sedative</p> Signup and view all the answers

    Which medication is used to relieve pain and potentially reduce the amount of anesthesia needed during surgery?

    <p>Analgesic</p> Signup and view all the answers

    What term is given to medications used to inhibit mucous secretions in the respiratory system and digestive tract?

    <p>Anticholinergics</p> Signup and view all the answers

    Which medications are administered preoperatively to reduce nausea and vomiting risk?

    <p>Antiemetics</p> Signup and view all the answers

    What is the most common group of preoperative sedatives used?

    <p>Benzodiazepines</p> Signup and view all the answers

    Which drug does not belong to the benzodiazepine family?

    <p>Promethazine</p> Signup and view all the answers

    What is the classification of Metoclopramide (Reglan)?

    <p>Gastrokinetic agent</p> Signup and view all the answers

    Why might trauma patients receive analgesics preoperatively?

    <p>To relieve pain</p> Signup and view all the answers

    Which medication is commonly used as an antiemetic preoperatively?

    <p>Zofran</p> Signup and view all the answers

    In which physical status classification would a patient with cancer of the uterus undergoing a hysterectomy be assigned?

    <p>P3</p> Signup and view all the answers

    What is the classification of Scopolamine, except for being an analgesic?

    <p>Analgesic</p> Signup and view all the answers

    Which medication carries an FDA Black Box warning due to fatal cardiac arrhythmias?

    <p>Inapsine</p> Signup and view all the answers

    Which medication may be administered postoperatively to a patient experiencing significant pain?

    <p>Morphine</p> Signup and view all the answers

    What effect does Atropine have on mucous secretions preoperatively?

    <p>Decreases mucous secretions</p> Signup and view all the answers

    What category does Esomeprazole (Nexium) belong to?

    <p>Nexium</p> Signup and view all the answers

    Why is gum chewing not allowed preoperatively?

    <p>To prevent increases in gastric fluid volume</p> Signup and view all the answers

    Which category of medication is administered preoperatively to block receptors on the vagus nerve?

    <p>Anticholinergics</p> Signup and view all the answers

    What is the category of medication that includes Atropine?

    <p>Anticholinergic</p> Signup and view all the answers

    Which medication is classified as an antiemetic?

    <p>Ranitidine</p> Signup and view all the answers

    What is the medication Glycopyrrolate primarily used for?

    <p>Blocking parasympathetic impulses</p> Signup and view all the answers

    Why is preoperative assessment important for the surgical patient?

    <p>To assess patient factors and optimize anesthesia care</p> Signup and view all the answers

    What is the purpose of preoperative administration of an antacid?

    <p>Neutralize gastric acid</p> Signup and view all the answers

    Which drug may be given preoperatively to minimize the damage caused by aspiration of gastric contents during surgery?

    <p>Bicitra</p> Signup and view all the answers

    Which agent is a common H2 blocker used preoperatively?

    <p>Ranitidine</p> Signup and view all the answers

    What can cause gastroesophageal reflux?

    <p>Relaxing lower esophageal sphincter</p> Signup and view all the answers

    Which condition is not specifically emphasized in a preoperative assessment?

    <p>Melanoma</p> Signup and view all the answers

    What is the action of metoclopramide (Reglan)?

    <p>Increase gastrointestinal motility</p> Signup and view all the answers

    Which drug is marketed under the trade name Pepcid?

    <p>Pepcid</p> Signup and view all the answers

    What does sodium citrate metabolize into?

    <p>Sodium bicarbonate</p> Signup and view all the answers

    Which drug may be orally administered as a preoperative antacid?

    <p>Sodium citrate</p> Signup and view all the answers

    What is the main purpose of a preoperative H2 blocker?

    <p>Inhibit the production of gastric acid</p> Signup and view all the answers

    What is the primary purpose of a preoperative anesthesia evaluation?

    <p>Determining the patient's physical status</p> Signup and view all the answers

    Which drug is used to minimize the damage caused by aspiration of gastric contents during surgery?

    <p>Narcotic</p> Signup and view all the answers

    Who performs the preoperative assessment of a surgical patient?

    <p>Anesthesia provider</p> Signup and view all the answers

    Which medication is classified as an antiemetic?

    <p>Analgesic</p> Signup and view all the answers

    In which physical status classification would a patient with cancer of the uterus undergoing a hysterectomy be assigned?

    <p>Class III (Patient with Severe Systemic Disease)</p> Signup and view all the answers

    What response do anticholinergics help to block during surgery?

    <p>Parasympathetic nerve impulses</p> Signup and view all the answers

    What is the trade name for midazolam?

    <p>Ativan</p> Signup and view all the answers

    Which medication is NOT a member of the benzodiazepine family?

    <p>Demerol</p> Signup and view all the answers

    What response can stimuli such as stretching the peritoneum produce?

    <p>Decrease in heart rate</p> Signup and view all the answers

    What is the trade name for glycopyrrolate?

    <p>Inapsine</p> Signup and view all the answers

    How long is the duration of Robinul (in hours)?

    <p>2 to 3</p> Signup and view all the answers

    What is the normal pH range of gastric acid?

    <p>2-3</p> Signup and view all the answers

    Which medication is a natural opioid that may be used preoperatively?

    <p>Morphine</p> Signup and view all the answers

    'Astramorph' is a trade name for which opioid?

    <p>Morphine</p> Signup and view all the answers

    Which drug's trade name is 'Duramorph'?

    <p>morphine</p> Signup and view all the answers

    Which drug is a synthetic opioid commonly used in surgery?

    <p>Fentanyl</p> Signup and view all the answers

    What is the purpose of a preoperative anesthesia evaluation?

    <p>To determine the optimal anesthetic plan</p> Signup and view all the answers

    Which type of medication is given to relieve a patient's preoperative anxiety?

    <p>Sedative</p> Signup and view all the answers

    What is the term used for medications that reduce nausea and the possibility of vomiting preoperatively?

    <p>Antiemetics</p> Signup and view all the answers

    Which group of medications is most often used as preoperative sedatives?

    <p>Benzodiazepines</p> Signup and view all the answers

    What does the term 'mg/kg' represent in medication dosage?

    <p>$mg/kg$</p> Signup and view all the answers

    Which medication is not in the benzodiazepine family?

    <p>Promethazine</p> Signup and view all the answers

    What is the term used for medications that inhibit mucous secretions of the respiratory system and digestive tract?

    <p>$ ext{Anticholinergics}$</p> Signup and view all the answers

    Which category of medication is administered preoperatively to reduce pain and decrease anesthesia needed during surgery?

    <p>$ ext{Analgesic}$</p> Signup and view all the answers

    'Anti-cholinergics' are primarily used for what effect preoperatively?

    <p>$ ext{Inhibition of mucous secretions}$</p> Signup and view all the answers

    What medication is given to reduce nausea and minimize postoperative nausea and vomiting (PONV) risk?

    <p>Antihistamines</p> Signup and view all the answers

    Why is gum chewing not allowed preoperatively?

    <p>It increases gastric fluid volume</p> Signup and view all the answers

    What is the primary effect of administering anticholinergics preoperatively?

    <p>Block receptors on the vagus nerve</p> Signup and view all the answers

    Which medication is commonly used as an antiemetic preoperatively?

    <p>Ondansetron</p> Signup and view all the answers

    What is the main purpose of administering an opioid analgesic preoperatively?

    <p>Provide pain relief</p> Signup and view all the answers

    What effect does Glycopyrrolate (Robinul) have on the body when administered preoperatively?

    <p>Block cholinergic receptors</p> Signup and view all the answers

    What is the action of Metoclopramide (Reglan) when used as a preoperative medication?

    <p>Inhibit gastric acid secretion</p> Signup and view all the answers

    What is the classification of Scopolamine, except for being an analgesic?

    <p>Antipyretic</p> Signup and view all the answers

    Which drug is marketed under the trade name Pepcid?

    <p>Cimetidine</p> Signup and view all the answers

    What is the role of an anticholinergic drug?

    <p>Blocks parasympathetic nervous impulses</p> Signup and view all the answers

    Why might gum chewing not be allowed preoperatively for the patient who has been NPO?

    <p>Because it is a solid food</p> Signup and view all the answers

    Which healthcare professional conducts the preoperative assessment of the surgical patient?

    <p>Anesthesiologist</p> Signup and view all the answers

    What can cause gastroesophageal reflux?

    <p>Relaxed lower esophageal sphincter</p> Signup and view all the answers

    Which medication is classified as an antiemetic?

    <p>Metoclopramide</p> Signup and view all the answers

    What is the main purpose of a preoperative H2 blocker?

    <p>Reduce gastric acid production</p> Signup and view all the answers

    Which antiemetic medication has an FDA Black Box warning?

    <p>Inapsine</p> Signup and view all the answers

    What type of drug blocks parasympathetic nervous impulses?

    <p>Anticholinergic</p> Signup and view all the answers

    Which drug may be administered preoperatively to neutralize the acidity of stomach contents?

    <p>Zantac</p> Signup and view all the answers

    What is the purpose of administering a preoperative H2 blocker?

    <p>Inhibit the production of gastric acid</p> Signup and view all the answers

    Which condition is NOT emphasized in a preoperative assessment?

    <p>Melanoma</p> Signup and view all the answers

    Which agent blocks the production of gastric acid?

    <p>Metoclopramide (Reglan)</p> Signup and view all the answers

    What may cause gastroesophageal reflux according to the text?

    <p>Relaxation of lower esophageal sphincter</p> Signup and view all the answers

    Which medication is classified as an H2 blocker?

    <p>Ranitidine (Zantac)</p> Signup and view all the answers

    What does sodium citrate metabolize into to neutralize gastric acid?

    <p>Sodium bicarbonate</p> Signup and view all the answers

    What is the action of glycopyrrolate (Robinul) during surgery?

    <p>Block parasympathetic nervous impulses</p> Signup and view all the answers

    Which medication is given postoperatively for severe pain?

    <p>Droperidol</p> Signup and view all the answers

    What is a common side effect of metoclopramide (Reglan)?

    <p>Increase in mucous secretions</p> Signup and view all the answers

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