1. Which of the following statements is false?
A. Ibuprofen has more analgesic efficacy than aspirin.
B. Ibuprofen is a better antiinflammatory agent than asprin.
C. Ibuprofen irreversibly inhibits platelet aggregation; aspirin reversibly inhibits platelets.
D. Asthmatics sometimes cannot tolerate ibuprofen; the same is true of aspirin.
E. None of the above
2. Which of the following analgesics has the least anti-inflammatory action?
A. ketoprofen(Orudis) B. acetaminophen (Tylenol) C. naproxen (Naprosyn)
D. acetylsalicylic acid (Aspirin) E. ibuprofen (Motrin)
3. If a patient is on warfarin (Coumadin), it means that
A. the patient has liver disease and should not take APAP.
B. the patient likely has heart disease and can take ASA.
C. the patient's platelet aggregation has been inhibited, and the use of aspirin is contraindicated.
D. None of the above
4. Which of the following statements is false?
A. Naproxen sodium (Anaprox) is longer lasting than ibuprofen (Motrin).
B. For acetominophen, 1000mg is more efficacious than 650mg.
C. For aspirin, 1000mg is more efficacious than 650mg.
D. The antiinflammatory dose of aspirin is only about twice the analgesic dose.
E. None of the above statements are false.
5. Which of the following statements is false?
A. NSAIDS are more effective post-op analgesics if given in a loading dose regimen.
B. NSAIDS provide better antiinflammatory activity at lower doses than aspirin.
C. Research has shown ibuprofen to be at least as analgesic as Tylenol with codeine.
D. Some NSAIDS cause less stomach upset than aspirin; some actually cause more.
E. NSAIDS, especially ibuprofen, do not exhibit antipyretic activity.
6. The most serious side-effect of narcotic analgesic agents relates to their capacity to
A. produce nausea. B. depress appetite. C. depress respiratory function.
D. increase heart rate. E. increase blood pressure.
7. Which of the following should be avoided in a narcotic addict, because it has the potential to precipitate withdrawal, since it has antagonist as well as agonist properties?
A. Hydromorphone (Dilaudid) B. Meperidine (Demerol) C. Methadone (Dolophine)
D. Pentazocine (Talwin NX) E. None of the above
Use the following answers for questions 8-10:
A. Hydromorphone (Dilaudid) B. Meperidine (Demerol) C. Hydrocodone (Vicodin) D. Pentazocine (Talwin NX) E. Naloxone (Narcan)
8. Which of the above would be indicated for severe pain (such as after abdominal surgery)?
9. Which of the above is especially noted for causing dysphoria?
10. Which of the above is most indicated for typical dental pain (such as a toothache, or after tooth extraction)?
11. Why is it important to know how much acetaminophen is in different compounded opioid preparations?
A. Because opioids typically need to be dosed every 4 - 6 hours, and it is possible to exceed acetaminophen’s maximum daily dose of 4g if the patient isn’t careful.
B. Because acetaminophen and aspirin interact negatively
C. Because acetaminophen could interact with a medication the patient is taking.
