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The antiinflammatory drugs which appear to stop or partially reverse joint destruction in patients with rheumatoid arthritis are the
a) corticosteroids (eg. Prednisone)
b) gold compounds (eg. auranofin/Ridura)
c) NSAIDs (eg. ibuprofen/Advil)
d) salicylates (eg. aspirin)
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B) gold compounds (eg. auranofin/Ridura)
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Mr. Moore is scheduled to receive an injection of morphine sulfate for relief of his pain. It is most important that the nurse assess his
a) eyes for mydriasis
b) intake and output
c) rate and character of respirations
d) skin color and temp
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C) rate and character of respirations
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Actions of aspirin that are believed to depend on aspirin's ability to inhibit cyclooxygenase include:
I Antiinflammatory
II Antipyretic
III Analgesic
a) I only
b) III only
c) I & II
d) II & III
e) I, II, & III
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E) I, II, & III
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An injectable NSAID, said to be equally effective to meperidine and morphine for moderate to severe pain, is
a) Buspirone (BuSpar)
b) Fluoxetine (Prozac)
c) Ketorolac (Toradol)
d) Nizatidine (Axid)
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C) Ketorolac (Toradol)
it is indicated for hort term (up to 5 days) management of moderately severe acute pain. > because of its ability to cause peptic ulcers (w/ GI bleeding or perforation).
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Which of the following drugs is used to treat (alleviate) an acute attack of gout?
a) Allopurinol (Zyloprim)
b) Aspirin
c) Colchicine
d) Hydroxychloroquine (Plaquenil)
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C) Colchicine
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Which of the following statements about acetaminophen is FALSE?
a) Acetaminophen has very weak, if any, peripheral antiinflammatory actions.
b) Acetaminophen's MOA is not clear
c) PTs allergic to aspirin are cross allergic to acetaminophen.
d) The major concern of toxic overdose of acetaminophen is liver damage.
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C) PTs allergic to aspirin are cross allergic to acetaminophen.
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A pt admitted for surgery fas had a serious allergic rxn to naproxen (Naprosyn). Which of the following analgesics would be contraindicated post operatively?
a) acetaminophen
b) aspirin
c) codeine
e) meperidine
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B) aspirin
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Drugs suggested for the symptomatic treatment or prevention of migraine HA include all of the following EXCEPT
a) amitriptyline (Elavil)
b) ergotamine (Gynergen)
c) famotidine (Pepcid)
d) methysergide (Sansert)
e) propranolol (Inderal)
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C) famotidine (Pepcid)
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Acetaminophen, aspirin, and NSAIDs are recommended for pain on a scale of
a) 1-3 mild to moderate
b) 4-7 moderate to severe
c) 7-10 severe
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A) 1-3 mild to moderate
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Morphine, oxycodone, and fentanyl are recommended for what type of pain?
a) 1-3 mild to moderate
b) 4-7 moderate to severe
c) 7-10 severe
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C) 7-10 severe
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Codeine, hydrocodone (usually with nonopioid) is recommended for what pain?
a) 1-3 mild to moderate
b) 4-7 moderate to severe
c) 7-10 severe
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B) 4-7 moderate to severe
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For cancer patients, severe pain, and pain lasting over 24 hours how should you give pain meds?
a) 2-4 hrs as needed
b) with meals
c) around the clock
d) when pt begins to have pain
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C) around the clock
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What are the most prominent opioid receptors?
a) mu
b) kappa
c) delta
d) sigma
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A) mu
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Decrease pts response to pain and decrease pain impulses to the brain are the MOA of what drugs?
a) opioids
b) nonopioids
c) gold compounds
d) Serotonin 5HT1 receptor agonist
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A) opioids
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Opioids are used in tx of or adjuctive tx to the following EXCEPT
a) acute CHF
b) anxiety
c) pulomanry edema
d) dysnea
e) relief of cough
f) diarrhea
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B) anxiety
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