front 1 The perception of pain is the patient’s emotional or psychological response to pain and varies greatly from individual to individual. The reaction to pain is the physical component to the message of pain as it is carried through the nervous system and is the same for everyone. | back 1 Both statements are false. |
front 2 The primary site of action for nonopioid analgesics is
| back 2 at the peripheral nerve endings |
front 3 The primary action of the nonopioid analgesics is depression of the central nervous system. The inhibition of prostaglandin synthesis reduces the perception of pain. | back 3 The first statement is false; the second statement is true. |
front 4 All are classifications of nonopioid analgesics except; which is the exception?
| back 4 Narcotics |
front 5 Which best describes the mechanisms of action for the salicylates?
| back 5 Analgesic, antipyretic, anti-inflammatory, antiplatelet |
front 6 All are adverse drug effects of aspirin except; which is the exception?
| back 6 Constipation |
front 7 What is the most common adverse reaction to aspirin?
| back 7 Gastrointestinal upset |
front 8 Dangerous bleeding can occur when which drug is combined with warfarin?
| back 8 Aspirin |
front 9 What is the drug of choice for inflammatory dental pain?
| back 9 Ibuprofen |
front 10 NSAIDs and aspirin reduce inflammation by inhibiting the synthesis of
| back 10 prostaglandins |
front 11 Acetaminophen has these pharmacologic actions except; which is the exception?
| back 11 Antiinflammatory |
front 12 What is the drug of choice for fever reduction in children?
| back 12 Acetaminophen |
front 13 Which analgesic would be best for a patient with asthma for relief of a headache or other mild to moderate pain?
| back 13 Acetaminophen |
front 14 Which nonopioid analgesic is recommended for prevention of coronary artery disease and treatment of myocardial infarction?
| back 14 Aspirin |
front 15 Which statement is true regarding the effects of combining caffeine and aspirin?
| back 15 Caffeine potentiates the analgesic properties of aspirin. |
front 16 All statements are true about pain except; which is the exception?
| back 16 A decrease in the pain threshold or greater reaction to pain has been said to be associated with emotional stability. |
front 17 Nonopioid analgesic drugs can be divided into which groups?
| back 17 Salicylates (aspirin-like group), NSAIDS, Steroidal antiinflammatory drugs |
front 18 Which groups of analgesics are most closely related?
| back 18 Salicylates and NSAIDs |
front 19 Aspirin has all effects except; which is the exception?
| back 19 Central nervous system depression |
front 20 Aspirin and ibuprofen are most effective against which type of pain?
| back 20 Throbbing or inflammatory |
front 21 Aspirin is absorbed rapidly from the
| back 21 stomach and small intestine. |
front 22 Aspirin has a long history of use for relief of mild to moderate pain such as a headache or toothache, and aspirin’s worth as an analgesic is well recognized by the lay public. | back 22 The first part of the statement is true; the second part is false. |
front 23 Fever is regulated in which area of the body?
| back 23 Hypothalamus |
front 24 Which statement is most correct regarding the use of aspirin as an antipyretic?
| back 24 Aspirin reduces elevated temperature but has no effect on normal body temperature. |
front 25 Aspirin can have adverse drug interactions with which drugs?
| back 25 All are correct |
front 26 Buffered aspirins claim to produce fewer gastrointestinal adverse effects. Numerous clinical studies support this claim. | back 26 The first statement is true; the second statement is false. |
front 27 This group of analgesics is believed by many prescribers to be the most useful analgesia to treat dental pain.
| back 27 NSAIDs |
front 28 NSAIDs are similar in their analgesic, antipyretic, and anti-inflammatory actions to the salicylates. They differ in their
| back 28 platelet binding ability. |
front 29 Which is the mechanism by which the salicylates and the NSAIDs cause gastrointestinal irritation, pain, and bleeding problems?
| back 29 Inhibition of the production of cytoprotective mucus in the stomach |
front 30 Which statement is true regarding NSAIDs?
| back 30 Some patients experience central nervous system side effects. |
front 31 How long before the procedure should a patient scheduled for oral surgery avoid ibuprofen?
| back 31 1 day |
front 32 NSAIDs can dangerously decrease renal blood flow and glomerular filtration in what patient population?
| back 32 Patients with renal disease |
front 33 NSAIDs may increase drug effects and toxicity when given with these medications EXCEPT; which is the EXCEPTION?
| back 33 Angiotensin-converting enzyme (ACE) inhibitors |
front 34 NSAIDs are indicated for which conditions?
| back 34 Osteoarthritis |
front 35 All of these drugs are NSAIDs except; which is the exception?
| back 35 Paracetamol |
front 36 The primary advantage of the cyclooxygenase II (COX II)-specific inhibitors is that these agents are
| back 36 have no real therapeutic advantage over nonselective NSAIDs. |
front 37 Acetaminophen has therapeutic indications EXCEPT; which is the EXCEPTION?
| back 37 Antiinflammatory |
front 38 Which is the maximal safe dose of alcohol that may be ingested with 2 grams of acetaminophen(APAP) in a normal adult?
| back 38 Less than three drinks a day |
front 39 The risk of nephrotoxicity is highest with which pattern of analgesic usage?
| back 39 Concurrent use of acetaminophen, aspirin, and NSAIDs |
front 40 Both NSAIDs and colchicine are used to prevent attacks of gout. Probenecid and allopurinol are agents used to treat acute gout attacks. | back 40 Both statements are false. |
front 41 The patient discloses on the medical history that he is taking 8 extra-strength (500 mg each) acetaminophen every day for his chronic back pain. What information should the dental hygienist give this patient?
| back 41 All are correct |
front 42 Acetaminophen has many drug interactions at usual therapeutic doses. The hepatoxicity of acetaminophen can be potentiated by drugs that induce hepatic microsomal enzymes, such as barbiturates, carbamazepine, phenytoin, and rifampin. | back 42 The first statement is false, the second statement is true. |
front 43 Which statements are true concerning acetaminophen?
| back 43 All are correct |
front 44 The primary advantage of ketorolac (Toradol) over other NSAIDs is
| back 44 can by administered parenterally or enterally. |
front 45 All NSAIDs decrease the risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke. This effect is increased with longer duration of use. | back 45 Both statements are false. |
front 46 Disease Modifying-Antirheumatic Drugs (DMARDs) slow down and can stop the progression of rheumatoid arthritis (RA). These drugs work by increasing the body’s immune and inflammatory systems to slow disease progression. | back 46 The first statement is true, the second statement is false. |
front 47 All are examples of Tumor Necrosis Factor-α (TNF-α) Inhibitors used to treat rheumatoid arthritis except; which is the exception?
| back 47 auranofin (Ridaura) |
front 48 Which is the MOST important dental hygiene consideration for patients taking Disease Modifying-Antirheumatic Drugs (DMARDs)?
| back 48 Monitor patient carefully for signs of infection. |