Question 1

Non-narcotic analgesics are mainly effective against pain associated with:*

A. Inflammation or tissue damage

B. Trauma

C. Myocardial infarction

D. Surgery

Question 2

Which one of the following non-narcotic agents inhibits mainly cyclooxygenase (COX) in CNS?*

A. Paracetamol

B. Ketorolac

C. Acetylsalicylic acid

D. Ibuprofen

Question 3

Indicate the non-narcotic analgesic, which lacks an anti-inflammatory effect:*

A. Naloxone

B. Paracetamol

C. Metamizole

D. Aspirin

Question 4

For which of the following conditions could aspirin be used prophylactically?*

A. Noncardiogenic pulmonary edema

B. Peptic ulcers

C. Thromboembolism

D. Metabolic

Question 5

Indicate the narcotic analgesic, which is a natural agonist:*

A. Meperidine

B. Fentanyl

C. Morphine

D. Naloxone

Question 6

MUKESHA was diagnosed to have opioid poisoning and antidote must be initiated as soon as possible to prevent profound complications. Which of the following agents is a full antagonist of opioid receptors?*

A. Meperidine

B. Buprenorphine

C. Naloxone

D. Butorphanol

Question 7

The main reason for giving levodopa, the precursor of dopamine, instead of dopamine is because:*

A. Dopamine does not cross the blood-brain barrier

B. Dopamine may induce acute psychotic reactions

C. Dopamine is intensively metabolized in humans

D. All of the above

Question 8

Hypnotic drugs are mostly used in clinical settings area for therapeutic purpose and produce the following effects, which one among the following?*

A. Reduce anxiety and exert a calming effect

B. Induce absence of sensation

C. Produce drowsiness, encourage the onset and maintenance of sleep

D. Prevent mood swings in patients with bipolar affective disorders

Question 9

Identify among the following pharmacological effects, a group of effects that are associated to Mu (μ) receptors activation after narcotics drugs administration.*

A. Analgesia, euphoria, respiratory depression, physical dependence

B. Spinal analgesia, mydriasis, sedation, physical dependence

C. Dysphoria, hallucinations, respiratory and vasomotor stimulation

D. Analgesia, euphoria, respiratory stimulation, physical dependence

Question 10

Mukesha is a 26 year old young male patient. This morning, he was admitted in emergency of the hospital where you are working as students nurse in clinical placement. The initial assessment revealed a complete fracture of femur bone and a severe pain of 10/10.Immediately morphine administration was given to him as pain killer. As student equipped with a knowledge in clinical pharmacology, you will understand that the diagnostic triad of opioid overdosage is best consisting of which of the following?*

A. Mydriasis, coma and hyperventilation

B. Coma, depressed respiration and miosis

C. Mydriasis, chills and abdominal cramps

D. Miosis, tremor and vomiting

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