Analgesia

Description

Analgesia lecture given by John Peters in Week 5. Lots of information but have only taken what are in my view the main learning points.
Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson about 6 years ago
206
1

Resource summary

Question 1

Question
The WHO Analgesic ladder (least potent at top): [blank_start]Paracetamol[blank_end] [blank_start]NSAID[blank_end] [blank_start]Weak Opioid[blank_end] [blank_start]Strong Opioid[blank_end]
Answer
  • Paracetamol
  • NSAID
  • Weak Opioid
  • Strong Opioid

Question 2

Question
Therefore, order the following drugs based on the analgesic ladder, with least potent at the top. [blank_start]Paracetamol[blank_end] [blank_start]Ibuprofen[blank_end] [blank_start]Codeine[blank_end] [blank_start]Morphine[blank_end]
Answer
  • Paracetamol
  • Ibuprofen
  • Codeine
  • Morphine

Question 3

Question
Therefore, order the following drugs based on the analgesic ladder, with least potent at the top. [blank_start]Paracetamol[blank_end] [blank_start]Indomethacin[blank_end] [blank_start]Tramadol[blank_end] [blank_start]Oxycodone[blank_end]
Answer
  • Paracetamol
  • Indomethacin
  • Tramadol
  • Oxycodone

Question 4

Question
Opioids provide analgesia via inhibition of voltage gated [blank_start]Calcium[blank_end] channels and promotion of [blank_start]Potassium[blank_end] channel opening (to suppress excitation of projection neurons)
Answer
  • Calcium
  • Potassium
  • Sodium
  • Potassium
  • Chlorine
  • Calcium
  • Sodium

Question 5

Question
Opioid receptors are distributed throughout the nervous system and are traditionally arranged into three classes. Which class is responsible for most of the analgesic action of opioids?
Answer
  • μ (mu)
  • δ (delta)
  • κ (kappa)

Question 6

Question
Tramadol is a weak [blank_start]μ[blank_end] receptor agonist
Answer
  • μ
  • κ
  • δ

Question 7

Question
Epileptic patients should not be given which of the following analgesics?
Answer
  • Tramadol
  • Methadone
  • Morphine
  • Codeine

Question 8

Question
Which analgesic is given to aid withdrawal symptoms from strong opioids such as heroin? [blank_start]Methadone[blank_end]
Answer
  • Methadone

Question 9

Question
Patients who experience an overdose of a strong opioid can be reversed using a short acting μ-receptor antagonist called [blank_start]Naloxone[blank_end]
Answer
  • Naloxone

Question 10

Question
The therapeutic benefit of NSAIDs largely comes via inhibition of which COX receptor?
Answer
  • COX1 Receptor
  • COX2 Receptor

Question 11

Question
Which of the following drugs would provide the highest level of analgesia in a patient experiencing neuropathic pain?
Answer
  • Gabapentin
  • Ibuprofen
  • Indomethacin
  • Paracetamol
  • Codeine
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