Chapter 18 Cirrus Review

What is an effect of anesthesia?

amnesia

What is the name for a longer-acting class of local anesthetics?

amides

Which of the following commonly used narcotic analgesics is a Schedule IV controlled substance?

butorphanol

Migraine therapy that attempts to treat at the first sign of a headache occurring is called _____ *therapy*.

abortive

Which component of a malignant hyperthermia kit is a skeletal muscle relaxant?

dantrolene

Which drug is used to treat opioid addiction?

methadone

Which of the following over-the counter products may be used to treat migraine pain, menstrual cramps, and arthritis?

feverfew

What class of drugs is primarily used to treat migraine headaches?

**selective serotonin receptor agonists**

Which of the following drugs can be used to reverse the effects of a narcotic?

naloxone

All patients taking regular doses of a opioids should also be maintained on some form of a(n)

laxative

Which of the following is commonly added to narcotic pain medication to create combination analgesics?

acetaminophen

A dentist gives a patient a prescription to take to the retail pharmacy with instructions that the medication will be taken orally prior to the patient's upcoming dental procedure to help the patient relax. This medication is most likely

a benzodiazepine

Which narcotic is available as a patch, marketed under the brand name Duragesic?

fentanyl

Why are neuromuscular blocking agents an important adjunct to general anesthesia?

**They paralyze the patient's skeletal muscles.**

Which of the following general anesthetics can be administered intravenously or by injection?

ketamine

The type of pain often associated with a trauma or surgery is known as _____ pain.

acute

Which medication is comparable to sumatriptan and is reasonable to prescribe for migraine treatment?

metoclopramide (Reglan)

What term describes the physical and emotional reliance of patients on narcotics?

dependence

A pain that occurs from the destruction or degeneration of nerves is known as _____ pain.

neuropathic

Which of the following drugs is an example of a selective serotonin receptor agonist?

sumatriptan

Which drug listed below can be administered as a nasal spray to treat a migraine attack?

dihydroergotamine

Which of the following is available in a suppository dosage form?

prochloraperazine

The neurotransmitter involved in the voluntary movement of skeletal muscle is

acetlycholine

According to recent evidence, which drug used to treat migraine headaches has some potential for addiction and has been reclassified as a controlled substance?

tramadol

Which of the following narcotics can be given intravenously as a preanesthetic medication and also administered by injection, IV, liquid, or tablet?

morphine

Which local anesthetic drug relaxes vascular smooth muscle?

lidocaine

Which narcotic is the standard against which all other narcotics are measured or compared?

10 mg of morphine

Which of the following commonly used agents for migraine headaches is a Schedule IV controlled substance?

tramadol

Which of the following is *not* an effect of opioids?

reduction in the inflammatory response

Which of the following is a Schedule II injectable anesthetic agent?

fentanyl

Nitrous oxide is commonly used alone for which of the following procedures?

dental procedures

Which of the following is the drug of choice for treatment of air hunger in those with advanced respiratory disease (off-label indication)?

morphine

Which of the following is *not* a use for benzodiazepines?

long procedures

what is codeine converted to in the liver

morphine

What is an advantage of using inhaled gases for anesthesia?

rapid induction

Which of the following drugs is used for open-heart surgery because it lacks some of the cardiac depressant actions of other anesthetics?

fentanyl

Which of the following is the generic name for Zemuron?

rocuronium

What is the generic name for Reglan?

metoclopramide

Which of the following is commonly used to keep the anesthetic drug at the injection site so that the numbness from the local anesthetic will last longer?

epinephrine

Which of the following herbal supplements should be avoided when using inhaled gases for anesthesia?

St. John’s wort

Ketamine produces a type of anesthesia known as

dissociative amnesia

Which of the following is the drug of choice for the prophylaxis of migraines?

propranolol

Which of the following is the generic name for Anectine?

succinylcholine

Neuropathic pain is usually treated with which of the following drug classes?

anticonvulsants

Malignant hyperthermia is a rare but serious side effect of anesthesia. It is best characterized by which of the following symptoms?

increased body temperature

Which of the following drugs reverses benzodiazepines?

**flumazenil**

Which of the following drugs is a derivative of tramadol and is prescribed for adults with moderate to severe pain, as well as for pain associated with diabetic neuropathy?

tapentadol

Which controlled substance schedule does midazolam belong to?

C-IV

Which of the following IM drugs inhibits pain pathways by changing the perception of pain?

nalbuphine

Which of the following agents are commonly used during endotracheal intubation?

neuromuscular blocking agents

Neuromuscular blocking agents are reversed by inhibiting the enzyme that breaks down

acetycholine

Some opioids can also be prescribed to treat which of the following conditions?

cough

Injectable anesthetics are very lipid soluble, which permits

distribution to the brain

To decrease the probability of accidental overdose, combination analgesics now contain a maximum of _____ acetaminophen per tablet or capsule.

325 mg

Where are most neuromuscular blocking agents stored?

refrigerator

Which of the following is classified as an ergot derivative and an alpha-adrenergic blocker?

**dihydroergotamine**

A patient with a toothache purchases an OTC product to numb the gumline. This is an example of a _____ anesthetic

local

What term describes when pain of greater intensity occurs intermittently for no particular reason?

breakthrough pain

Opiates are derived from which of the following plants or plant derivatives?

poppyseed

What physiologic effect does general anesthesia typically have on the respiratory system?

depressed function

Which of the following neuromuscular blocking agents has the longest duration?

pancuronium