MCA1 Exam 4 – Questions With Detailed Solutions

MCA1 Exam 4 – Questions With Detailed Solutions

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Practice questions for this set


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Unique mu receptor agonist


First admin: relatively short analgesic action (4-6 hours)
Prolonged Use: after 3-4 days of regular dosing (90-120 hours)



Choose an answer



1 Nociceptive Pain 2 tramadol (Ultram)



3 Opioids: Methadone 4 Acute Pain S/Sx



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Terms in this set (56)



Nociceptive Pain Somatic or visceral tissue: Surgical incision,
broken bone, arthritis
Usually responsive to opioids and nonopioids

, Somatic Pain Superficial: skin, mucous membranes, subQ
Localized


Deep: muscles, fasciae, bones, tendons
Localized or diffuse/radiating


Visceral Pain Internal organs: GI, bladder
Well or poorly localized
Can be referred to skin


Neuropathic Pain PNS or CNS: Numb, burning, shooting, stabbing,
or electrical
Sudden, intense, short-lived, or lingering


Not responsive to opioids alone, require
adjuvant: TCAs, SNRIs, antiseizure, α₂-RA


Acute Pain S/Sx Tachycardia
Tachypnea
Hypertension
Diaphoresis
Pallor
Agitation
Urine retention


Chronic Pain S/Sx Fatigue
Depression
Flat affect
Withdraw from social interaction


Chronic Pain Tx Goals "What is a tolerable pain level for you?"
"What pain level will allow you to function as
normal as possible?"


Nonopioids Analgesic ceiling
No tolerance or addiction


Usually OTC: NSAIDs, acetaminophen