TREATMENT OF CHRONIC PAIN
OPIOIDS & COANALGESICS
Morris Jagodowicz, M.D.
This lecture counts for 4 CME, CEU, or Dental Credits
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Upon Completion of this test you may: Mail To: COLEMAN EDUCATION OPPORTUNITIES, 2812 Harrington Rd., Simi Valley, CA 93065 Email to: Coleman42@earthlink.net or FAX: (805) 579-1105
Pain is defined as:
A. An unpleasant sensory experience
B. An unpleasant emotional experience
C. Actual or potential tissue damage
D. All of the above
Answer:_____
2. The Federal Controlled Substance Act of 1970:
A. Monitored the manufacturing, prescribing and dispensing of opioids
B. Established safety and efficacy of narcotic drugs
C. Prohibited physicians from prescribing opioids to addicts
D. Outlawed cannabis and heroin
Answer:____
3. All of the following are examples of pure agonists, except:
A. Morphine
B. Onycondone
C. Buprenorphine
D. Methadone
Answer:____
4. Agonist-Antagonists
A. have no ceiling effect for analgesia
B. Produces agonist effects at one receptor and antagonist effects at another
C. Are never used to treat drug addiction
D. Fentanyl and Dolophine are examples of this group
Answer:____
5. Patient at risk of under treatment with opioids include all of the following, except:
A. Children
B. The elderly
C. Hispanic patient that does not speak English
D. 50 year old male with a history of chronic back pain
6. The following drugs are considered to be opioid coanalgesics, except:
A. Meperidine
B. Neurontin
C: Phenothiazines
D. Skeletal muscle relaxants
Answer:_____
7. Opioids can affect the endocrine system by:
A. Increasing testosterone levels
B. Causing cortisol deficiency
C. Increasing pituitary LH & FSH hormones
D. Producing hypergonadism
Answer:____
8. Examples of skeletal muscle relaxants include all, except:
A. Flexeril
B. Zanaflex
C. Soma
D. None of the above
Answer:____
9. Benzodiazepines have the following effects, except:
A. Are used in treatment of acute anxiety or muscle spasm
B. May cause respiratory depression if used together with opioids
C. Effective for treatment of orthostatic hypotension
D. Include medications such as klonopin and lorazepam
Answer:____
10. Topical agents used to treat pain include all of the following, except:
A. Mentol
B. Capsaicin
C. Camphor
D. Caffeine
Answer:____
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