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quiz 13
pht 101
Question | Answer |
---|---|
1 what is typically the first gout affected joint? | big toe |
2 by what mechanism do muscle relaxants act? | both (they prevent neurotransmitter destruction and keeps it from reaching it's receptor) |
3 which muscle relaxant acts on benzodiazepine receptors? | diazepam (Valium) |
4 what prostaglandin molecule facilitates platelet aggregation & is inhibited by low dose (81 to 325 mg) aspirin? | thromboxane A2 |
5 what substance mediate pain, fever, and inflammation? | prostaglandins |
6 what type of pain is from the skin, muscle, and bone? | somatic |
7 which drug has antiinflammatory properties? | aspirin |
8 what neurotransmitter is released at the neuromuscular juction? | acetylcholine |
9 what drug treats overdose of acetaminophen? | acetylcysteine (Mucomyst) |
10 how do salicylates reduce fever? | they inrease blood flow to the skin |
11 which muscle relaxants is a DEA control? | diazepam (Valium) |
12 why should aspirin be avoided by children? | reye syndrome develops in non chicken pox exposed children |
13 which is a muscle type? | all ( skeletal, smooth, & cardiac) |
14 which nonnarcotic analgesic is rx only? | choline magnesium trisalicylate (Trilisate) |
15 what analgesic binds centrally to opioid receptors & also stops reuptake of norepinephrine (NE) and serotonin (5HT) into nerve endings? | tramadol (Ultram) |
16 what comes from preventing acetylcholine destruction on skeletal muscle? | paralysis by fatigue |
17 which type of cyclooxygenase (COX) is released during inflammation & is blocked by celecoxib (Celebrex)? | COX 2 |
18 which drug will least likely produce GI irritation at analgesic doses? | celecoxib (Celebrex) |
19 which disease modifying antirheumatic drug treats malaria as well as rheumatoid arthritis? | hydroxychloroquine (Plaquenil) |
20 what is the most serious effect associated with acetaminophen? | liver damage |
21 what type of cyclooxygenase is associated with inflammatory pain, but no with GI lining protection? | COX 2 |
22 which disease modifying antirheumatic drug treats tumor metastases as well as psoriasis along with rheumatoid arthritis? | methotrexate (Rheumatrex) |
23 what skeletal muscle relaxant acts directly on skeletal muscle? | dantrolene (Dantrium) |
24 what effect of nonnarcotic analgesics most commonly limits their use? | GI disturbances |
25 what daily dose of aspirin is fatal? | 10 grams |
26 what drug class prevents worsening of rheumatoid arthritis? | DMARDs or disease modifying antirheumatic drugs |
27 which drug treats gout(y arthritis)? | all (allopurinol (Zyloprim), colchicine, & indomethacin (Indocin) |
28 what is a lab test for rheumatoid arthritis? | ESR (erythrocyte sedimentation rate) |
29 nsaids can interact with which drug class? | anticoagulants |
30 how do nonnarcotic (nonopoid) anagesics cause GI distress? | they block synthesis of prostaglandins |
31 which drug treats gout and interferes with leucocytes by reducing their mobility and joint phagocytosis? | colchicine |
32 what clinical (side) effect of aspirin can also be caused by acetaminophen (Tylenol)? | fever reduction |
33 which isn't a joint type? | tophus |
34 which statement is for nsaid users? | if sensitive to aspirin, avoid nsaids |
35 what is a prototype nsaid? | aspirin |
36 what causes gout? | excessive uric acid production or improper excretion |
37 when injected, which nsaid is as effective as morphine in pain relief? | ketorolac (Toradol) |
38 which is a disease modifying antirheumatic drug (DMARD)? | all (adalimunab (Humira), anakinra (Kineret), methotrexate (Rheumatrex), & azathioprine (Imuran)) |