Pharmacotherapy Exam 2 Practice Test with
150 Practice Questions and Correct
Answers// Pharmacotherapeutics Practice
Questions and Correct Verified Answers
34-1. LB is a 67-year-old woman with complaints of pain in the knee. She has
occasional swelling but no deformity. She describes pain as a 3 on a scale of 1 to
10. Her primary care physician asks you for advice regarding initial pain
management for this patient. What would you select as initial treatment for her
pain?
A. Motrin IB (ibuprofen) 200 mg every 6 hours
B. Tylenol (acetaminophen) 325 mg every 4 to 6 hours
C. Tylenol Extra-Strength (acetaminophen) 500 mg two tablets every 6 hours
D. Ecotrin (enteric-coated aspirin) 325 mg every 4 to 6 hours
E. Celecoxib 200 mg daily - ANSWER-C
34-2. Mrs. B is an 85-year-old patient with a diagnosis of severe Alzheimer's
disease and metastatic breast cancer. Upon admission to the long-term care facility,
pain management is listed in her care plan. Which of the following pain assessment
tools may be helpful in monitoring the effectiveness of her pain medication?
I. Visual analog scale
II. PAINAD
III. Physiological indicators
A. I only
pg. 1
,B. III only
C. I and II
D. II and III
E. I, II, and III - ANSWER-D
34-3. If tolerance occurs in a patient who is receiving long-term opioid therapy,
this means that:
A. The patient has become addicted and should be referred to a drug treatment
program
B. The patient has lost control over his or her use of the medication, and treatment
should be discontinued
C. The patient is having a normal physiological response to the medication and
will experience a withdrawal syndrome if the medication is stopped or quickly
decreased
D. The patient has become tolerant to the drug, and another therapeutic category
must be selected
E. The dose can be increased as needed to achieve pain relief - ANSWER-E
34-4. BA is a 58-year-old man with lung cancer and bone metastases who is
currently receiving morphine oral solution 10 mg every 4 hours around the clock.
In the last 24 hours, BA has used an additional 20 mg of morphine as rescue doses.
He desires to switch to a sustained-release form of morphine, MS Contin. Suggest
the most appropriate dose of MS Contin for this patient.
A. MS Contin 60 mg every day
B. MS Contin 90 mg every day
C. MS Contin 30 mg two times daily
D. MS Contin 45 mg two times daily
pg. 2
,E. MS Contin 80 mg every day - ANSWER-C
34-5. Which additional therapy may be appropriate for BA?
A. Amphetamine
B. NSAID
C. Tricyclic antidepressants
D. Antihistamine
E. Antiepileptic - ANSWER-B
34-6. MA is an oncology patient who is currently receiving morphine oral solution
10 mg every 4 hours. Recommend an appropriate rescue dose for this patient.
A. 0.5 mg to 1 mg PO every 1 to 2 hours
B. 3 to 6 mg PO every 1 to 2 hours
C. 3 to 6 mg PO every 4 hours
D. 0.5 mg to 1 mg PO every 4 hours
E. 5 mg to 10 mg PO every 4 hours - ANSWER-B
34-7. Mrs. Jones is a 78-year-old woman with a history of diabetes, treated with
oral medications. Recently, she has been complaining of pain in her feet that she
describes as "numbness and tingling". What is the most likely pathophysiologic
type of pain in this case?
A. Nociceptive
B. Inflammatory
C. Neuropathic
pg. 3
, D. Functional
E. Acute - ANSWER-C
34-8. A physician requests your advice regarding use of an opiate for chronic,
nonmalignant pain. Which of the following is the most appropriate response?
A. Morphine IR (immediate release) is the gold standard
B. Opioids should always be avoided in chronic pain situations
C. Limited evidence exists for long-term opioid treatment
D. A mixed agonist/antagonist may be preferred
E. A short-acting opioid may be preferred - ANSWER-C
34-9. which of the following would NOT be an appropriate choice for
postoperative pain management in a patient dependent on opioids?
A. Epidural analgesia with morphine and bupivacaine
B. Patient-Controlled analgesis with hydromorphone
C. Oral oxycodone 5 mg po every 4 to 6 hours as needed for pain.
D. Morphine 10 mg IV every 4 -6 hours as needed for pain. - ANSWER-A
34-10. FG is a 65-year-old man with lower back pain. He complains of numbness
and electric shock-like pain localized to his lumbar region. Which of the following
would be the most appropriate initial treatment for his type of pain?
A. Duloxetine
B. Gabapentin
C. Amitriptyline
pg. 4
150 Practice Questions and Correct
Answers// Pharmacotherapeutics Practice
Questions and Correct Verified Answers
34-1. LB is a 67-year-old woman with complaints of pain in the knee. She has
occasional swelling but no deformity. She describes pain as a 3 on a scale of 1 to
10. Her primary care physician asks you for advice regarding initial pain
management for this patient. What would you select as initial treatment for her
pain?
A. Motrin IB (ibuprofen) 200 mg every 6 hours
B. Tylenol (acetaminophen) 325 mg every 4 to 6 hours
C. Tylenol Extra-Strength (acetaminophen) 500 mg two tablets every 6 hours
D. Ecotrin (enteric-coated aspirin) 325 mg every 4 to 6 hours
E. Celecoxib 200 mg daily - ANSWER-C
34-2. Mrs. B is an 85-year-old patient with a diagnosis of severe Alzheimer's
disease and metastatic breast cancer. Upon admission to the long-term care facility,
pain management is listed in her care plan. Which of the following pain assessment
tools may be helpful in monitoring the effectiveness of her pain medication?
I. Visual analog scale
II. PAINAD
III. Physiological indicators
A. I only
pg. 1
,B. III only
C. I and II
D. II and III
E. I, II, and III - ANSWER-D
34-3. If tolerance occurs in a patient who is receiving long-term opioid therapy,
this means that:
A. The patient has become addicted and should be referred to a drug treatment
program
B. The patient has lost control over his or her use of the medication, and treatment
should be discontinued
C. The patient is having a normal physiological response to the medication and
will experience a withdrawal syndrome if the medication is stopped or quickly
decreased
D. The patient has become tolerant to the drug, and another therapeutic category
must be selected
E. The dose can be increased as needed to achieve pain relief - ANSWER-E
34-4. BA is a 58-year-old man with lung cancer and bone metastases who is
currently receiving morphine oral solution 10 mg every 4 hours around the clock.
In the last 24 hours, BA has used an additional 20 mg of morphine as rescue doses.
He desires to switch to a sustained-release form of morphine, MS Contin. Suggest
the most appropriate dose of MS Contin for this patient.
A. MS Contin 60 mg every day
B. MS Contin 90 mg every day
C. MS Contin 30 mg two times daily
D. MS Contin 45 mg two times daily
pg. 2
,E. MS Contin 80 mg every day - ANSWER-C
34-5. Which additional therapy may be appropriate for BA?
A. Amphetamine
B. NSAID
C. Tricyclic antidepressants
D. Antihistamine
E. Antiepileptic - ANSWER-B
34-6. MA is an oncology patient who is currently receiving morphine oral solution
10 mg every 4 hours. Recommend an appropriate rescue dose for this patient.
A. 0.5 mg to 1 mg PO every 1 to 2 hours
B. 3 to 6 mg PO every 1 to 2 hours
C. 3 to 6 mg PO every 4 hours
D. 0.5 mg to 1 mg PO every 4 hours
E. 5 mg to 10 mg PO every 4 hours - ANSWER-B
34-7. Mrs. Jones is a 78-year-old woman with a history of diabetes, treated with
oral medications. Recently, she has been complaining of pain in her feet that she
describes as "numbness and tingling". What is the most likely pathophysiologic
type of pain in this case?
A. Nociceptive
B. Inflammatory
C. Neuropathic
pg. 3
, D. Functional
E. Acute - ANSWER-C
34-8. A physician requests your advice regarding use of an opiate for chronic,
nonmalignant pain. Which of the following is the most appropriate response?
A. Morphine IR (immediate release) is the gold standard
B. Opioids should always be avoided in chronic pain situations
C. Limited evidence exists for long-term opioid treatment
D. A mixed agonist/antagonist may be preferred
E. A short-acting opioid may be preferred - ANSWER-C
34-9. which of the following would NOT be an appropriate choice for
postoperative pain management in a patient dependent on opioids?
A. Epidural analgesia with morphine and bupivacaine
B. Patient-Controlled analgesis with hydromorphone
C. Oral oxycodone 5 mg po every 4 to 6 hours as needed for pain.
D. Morphine 10 mg IV every 4 -6 hours as needed for pain. - ANSWER-A
34-10. FG is a 65-year-old man with lower back pain. He complains of numbness
and electric shock-like pain localized to his lumbar region. Which of the following
would be the most appropriate initial treatment for his type of pain?
A. Duloxetine
B. Gabapentin
C. Amitriptyline
pg. 4
