Pre11 Pain/Anesth

A side effect of morphine, for which tolerance DOES NOT develop, is:
A. Hypertension
B. Sedation
C. Abdominal pain
D. Constipation

What information must be taught to the care giver of a patient who will be receiving tablets of sustained release opioid?
A. The potential for respiratory depression will increase the longer the patient takes the medication.     
B. Tolerence to the analgesic effect may develop but can be managed by a decrease in dosage.   
C. Do not crush the tablets as overdose could result.      
D. Extra doses can be used to treat itching associated with chemotherapy     

Many people interchange aspirin and acetaminophen (TYLENOL) for treating problems such as headaches. Under which of the the following circumstances is aspirin favored over acetaminophen?
A. The patient has a history of gastrointestinal bleeding.
B. The patient has a fever.
C. The patient is taking low doses to prevent a stroke.
D. The patient is elderly.

An example of a local anesthetic is:
A. Injection of lidocaine into the skin
B. Breathing in isoflurane
C. A preoperative intravenous injection of atropine
D. Continuous intravenous infusion of propofol

Select the correct statement regarding pain management.
A. Neuropathic pain responds better to opioids than nociceptive pain does.         
B. Mu and kappa receptors are limited in location to the sensory spinal cord tracts.
C. Extreme care must be taken to avoid overdosing on narcotics as there is no antidote.      
D. At least 50 million people are disabled as a result of pain.          

Overdose on opioids is associated with which of the following?
A. Hypertension
B. Slow respiratory rate
C. Diarrhea
D. Frequent urination

The World Health Organization recommends which strategy for managing pain in a patient with cancer?
A. Meperidine (DEMEROL) is the preferred drug for long term use.
B. Start with COX inhibitor such as acetaminophen. Add a weak opioid advancing to stronger opioids as needed.
C. Start with a high-dose fentanyl patch, evaluating every hour until the pain is controlled. Reduce dose of next patch applied if possible.
D. Alternate a narcotic with doses of naltrexone to prevent addicition.