Question 11 1 / 1 point
An appropriate drug for the treatment of depression with anxiety would be:
Question 12 1 / 1 point
They have become tolerant of the medication, which is characterized by the need for higher and higher doses.
They are a drug seeker.
They are suicidal.
They only need additional counseling on lifestyle modification.
Question 13 1 / 1 point
A first-line drug for abortive therapy in simple migraine is:
Butorphanol nasal spray (Stadol NS)
Butalbital and acetaminophen (Fioricet)
Question 14 1 / 1 point
Xi, a 54-year-old female, has a history of migraines that do not respond well to OTC migraine medication. She is asking to try Maxalt (rizatriptan) because it works well for her friend. Appropriate decision making would be:
Prescribe the Maxalt, but only give her four tablets with no refills to monitor the use.
Prescribe Maxalt and arrange to have her observed in the clinic or urgent care with the first dose.
Explain that rizatriptan is not used for postmenopausal migraines and recommend Fiorinal (aspirin and butalbital).
Prescribe sumatriptan (Imitrex) with the explanation that it is the most effective triptan.
Question 15 1 / 1 point
Prescribe NSAIDs as abortive therapy and have her keep a headache diary to identify her triggers.
Prescribe zolmitriptan (Zomig) as abortive therapy and recommend relaxation therapy to reduce her stress.
Prescribe acetaminophen with codeine (Tylenol #3) for her to take at the first onset of her migraine.
Prescribe sumatriptan (Imitrex) nasal spray and arrange for her to receive the first dose in the clinic.
Question 16 1 / 1 point
James has been diagnosed with cluster headaches. Appropriate acute therapy would be:
Butalbital and aspirin (Fiorinal)
Meperidine IM (Demerol)
Oxygen 100% for 15 to 30 minutes
Question 17 1 / 1 point
If interventions to resolve the cause of pain (e.g., rest, ice, compression, and elevation) are insufficient, pain medications are given based on the severity of pain. Drugs are given in which order of use?
NSAIDs, opiates, corticosteroids
Low-dose opiates, salicylates, increased dose of opiates
Opiates, non-opiates, increased dose of non-opiate
Non-opiate, increased dose of non-opiate, opiate
Question 18 1 / 1 point
Chemical dependency assessment is integral to the initial assessment of chronic pain. Which of the following raises a “red flag” about potential chemical dependency?
Use of more than one drug to treat the pain
Multiple times when prescriptions are lost with requests to refill
Preferences for treatments that include alternative medicines
Presence of a family member who has abused drugs
Question 19 1 / 1 point
The Pain Management Contract is appropriate for:
Patients with cancer who are taking morphine
Patients with chronic pain who will require long-term use of opiates
Patients who have a complex drug regimen
Patients who see multiple providers for pain control
Question 20 1 / 1 point
Which of the following statements is true about age and pain?
Use of drugs that depend heavily on the renal system for excretion may require dosage adjustments in very young children.
Among the NSAIDs, indomethacin is the preferred drug because of lower adverse effects profiles than other NSAIDs.
Older adults who have dementia probably do not experience much pain due to loss of pain receptors in the brain.
Acetaminophen is especially useful in both children and adults because it has no effect on platelets and has fewer adverse effects than NSAIDs.