Texas Pharmacy Ebook Continuing Education

3. The correct answer is C. Rationale: Naproxen would be the most appropriate adjunctive treatment to address inflammation. Pregabalin and acetamino - phen are non-opioid medications that can be used as adjunctive pain treatments, but would not be most appropriate for treating inflammation in this case. Methadone is an opioid and would not be an appropriate adjunctive treatment for Mr. Johnson.

4. The correct answer is C. Rationale: A patient experiencing an opioid overdose could expe- rience slow or shallow breathing, clammy skin, slow heart rate, or blue or purple lips. A fast heart rate would not be a sign of opioid overdose. 5. The correct answer is D. Rationale: Practitioners should educate caregivers taking care of patients on opioids about the signs and symptoms of overdose, how to use naloxone, and what to do before emergency person - nel arrive

PAIN MANAGEMENT AWARENESS FOR PHARMACISTS, SECOND EDITION Final Examination Questions Select the best answer for each question and then proceed to EliteLearning.com/Book to complete your final examination. 36. Visceral pain can be described as:

41. Which of the following block both COX-1 and COX-2? a. Antiepileptic medications. b. Acetaminophen. c. Nonselective NSAIDs. d. Antidepressants. 42. Which of the following is one of the most common side ef- fects of gabapentin?

a. Pain felt as a result of injury or damage to internal organs. b. A maladaptive response to pathology or damage affect- ing the somatosensory system. c. Pain that is predominately attributed to psychological factors. d. Pain resulting from altered nociception, without evidence of a disease or lesion causing the pain, or threatened or actual tissue damage. 37. All of the following are components of the SOCRATES acro- nym EXCEPT: a. Site: Where exactly is the pain? b. Character: What is the pain like? c. Relatives: Who else in your family has this pain? d. Exacerbating and relieving factors: Does anything make it better or worse? 38. __________ involves working with a therapist to develop pa- tient-specific exercises that allow patients to feel safe while being physically active, encouraging patients to increase dai- ly activity levels. a. Mind-body therapy. b. Psychological therapy. c. Physical therapy. d. Massage therapy. 39. __________ stimulates specific points in the body, usually by inserting thin needles through the skin. a. Acupuncture. b. Chiropractic manipulation. c. Massage. d. Mindfulness-based stress reduction. 40. Acetaminophen is associated with __________when taken in high doses, particularly in cases of acute or chronic overdose.

a. Sedation. b. Insomnia. c. Hypertension. d. Acute kidney injury.

43. __________ is the most widely studied tricyclic antidepres- sant in chronic pain, and is the only TCA with proven efficacy in migraine prevention.

a. Amitriptyline. b. Nortriptyline. c. Doxepin. d. Duloxetine.

44. In 2014, FDA recommended that prescribers discontin- ue the use of combination products containing more than __________ of acetaminophen per dosage unit.

a. 550mg. b. 500mg. c. 325mg. d. 225mg.

45. All of the following points should be emphasized when ed- ucating a patient on the signs and symptoms of overdose EXCEPT: a. If breathing becomes shallow and he cannot be aroused, call 911. b. Use only naloxone for signs of an overdose. c. Do not put the patient in the shower. Keep him warm until emergency services arrive. d. Try to make the person vomit drugs they may have swal- lowed.

a. Nephrotoxicity. b. Hepatotoxicity. c. Increased pain. d. Ototoxicity.

Course Code: RPTX02MA

Page 43

Book Code: RPTX3024

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