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Narcotic Analgesics + NSAIDs

Total questions: 16

Worksheet time: 8mins

Name
Class
Date
1.

Identify the drug given below

a)

Ibuprofen

b)

Indomethacin

c)

Naproxen

d)

Sulindac

2.

Mefenamic acid belongs to which chemical class of anti-inflammatory agents?

a)

Heteroaryl acetic acid derivatves

b)

Heteroaryl propionic acid derivatves

c)

Enolic acid derivative

d)

Anthranilic acid derivative

3.

Incorporating a cyclopropylmethyl substitution at the 17th position of the multicyclic opioid ring leads to ______

a)

Agonistic activity predominates

b)

Reduced affinity to receptor

c)

Antagonistic activity predominates

d)

Mixed acting action

4.

Which of the isomer of Sulindac is more active?

a)

R isomer

b)

S isomer

c)

E isomer

d)

Z isomer

5.

Which of the following is a narcotic antagonist?

a)

Levorphanol

b)

Meperidine

c)

Naloxone

d)

Fentanyl

6.

Biologic activity of Ibuprofen resides almost exclusively in the ______ isomer

a)

S-(-)

b)

S-(+)

c)

R-(+)

d)

R-(-)

7.

Meperidine undergoes which Phase 1 metabolic reaction

a)

Reduction

b)

Oxidation

c)

N - dealkylation

d)

O - methylation

8.

Naturally occurring morphine has _____ absolute configuration

a)

5R,6S,9R,13S,14R

b)

5R,6R,8R,13R,14R

c)

5R,6S,9R,13S

d)

2R,6S,9R,13S,14R

9.

The _____ found in naturally occuring morphine is engaged in a hydrogen bond with a µ-receptor Asn residue

a)

14α - OH

b)

- OH

c)

6α - OH

d)

14β - OH

10.

The anilidopiperidines are commonly known as _____

a)

morphinans

b)

benzomorphans

c)

Fentanyls

d)

Morphines

11.

Which of the following is a flexible µ agonist?

a)

Naloxone

b)

Codeine

c)

Methadone

d)

Morphine

12.

Which of the following is NOT an opioid based anti-diarrheal?

a)

Loperamide

b)

Diphenoxylate

c)

Difenoxin

d)

Meperidine

13.

Which of the drugs possess analgesic and antipyretic actions but lack anti-inflammatory effects

a)

Ibuprofen

b)

Diclofenac

c)

Piroxicam

d)

Acetaminophen

14.

What is the category of the following drug?

a)

Multicyclic µ agonist

b)

Flexible µ agonist

c)

Flexible µ antagonist

d)

µ antagonist

15.

Which of the following is an incorrect pair of NSAIDs

a)

Indole acetic acid: Diclofenac

b)

Pyrazoles and Pyrazolidinediones: Phenylbutazone

c)

p-aminophenols: acetaminophen

d)

salicylates: aspirin

16.

Which of the following NSAID is a prodrug?

a)

Ibuprofen

b)

Indomethacin

c)

Naproxen

d)

Sulindac