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WorksheetsPost test Opioid pharmacology
Total questions: 10
Worksheet time: 9mins
A 58-year-old woman with metastasized breast cancer received IM injection of morphine for pain but she vomited after each dose. Which of the following brain areas is most likely the main site of this action of morphine?
Locus Ceruleus
Median hypothalamic eminence
Area postrema
Rostral ventrolateral medulla
A 58-year-old woman with metastasized breast cancer received IM injection of morphine for pain but she vomited after each dose. Which of the following brain areas is most likely the main site of this action of morphine?
Locus Ceruleus
Median hypothalamic eminence
Area postrema
Rostral ventrolateral medulla
A 46-year-old man with a history of multiple uneventful general anesthetics is undergoing a multilevel spinal fusion procedure during which 1 mg/kg of morphine is administered over 15 minutes. Shortly thereafter, the patient exhibits modest hypotension with a concomitant decrease in systemic vascular resistance, as well as an increase in pulmonary vascular
resistance as measured by a pulmonary artery catheter. These findings are unaffected by the administration of 0.2 mg of naloxone. The most likely cause of this critical incident is:
Morphine-induced histamine release
An opioid-mediated increase in vascular permeability
The central vagotonic effects of morphine
A previously undiagnosed anaphylaxis
Methadone-induced constipation could be rev ersed without loss of anal gesic
effect with which of the f ollowing opioid antagonists ?
Naloxone
Nalmefene
Naltrexone
Methylnaltrexone
Signs and symptoms of opioid withdrawal include all of the following
EXCEPT
Increased BP and heart rate
Seizures
Abdominal cramps
Jerking of the legs
Which of the following narcotics is contraindicated when concurrently
administered with monoamine oxidase inhibitor (MAOI) therapy?
morphine
pethidine
codeine
pentazocine
A drug that is a mixed opioid agonist–antagonist is
butorphanol
naloxone
methohexital
alfentanil
A drugs that may suppress the symptoms of opioid withdrawal is
butorphanol
chlorpromazine
nalbuphine
clonidine
Which one of the following opioids is ineffective as an analgesic in a significant fraction of the population due to a genetic polymorphism?
Codeine
Hydromorphone
Meperidine
Methadone
A 22-year old woman was in labor for 12 hours and was experiencing strong and very painful contractions. An epidural dose of morphine was ordered for analgesia. Which of the following neuronal areas was most likely the main site of the analgesic action of morphine in this setting?
Locus Ceruleus
Substantia gelatinosa
Periaqueductal gray
Substantia nigra
