NAPLEX PAIN MANAGEMENT EXAM 2025 ||84
QUESTIONS WITH ACCURATE SOLUTIONS
1. If AO's doctor decides to switch from meloxicam to a different pain
management strategy that does not involve NSAIDs, which of the following
alternatives would be the most appropriate to avoid potential drug
interactions with AO's current medications?
Acetaminophen
Ibuprofen
Aspirin
Naproxen
2. If HA experiences increased drowsiness after starting a new pain
medication, which of the following actions should be taken to address this
issue?
Increase the dosage of the new pain medication.
Switch HA to a different class of pain medication with fewer
sedative effects.
Advise HA to take the medication with food to reduce drowsiness.
Instruct HA to stop taking all medications immediately.
3. What is the best therapeutic plan for this patient's analgesic regimen?
Analgesic regimen should be discontinued, because long-acting
opiate is not appropriate for this patient's pain.
,Increase morphine ER to 30 mg po every 4 hours since it is not
providing adequate analgesia.
Increase morphine ER to 60 mg po tid since it is not optimally
controlling the patient's pain.
Add pain medication to focus on neuropathic symptoms.
,4. What medication is commonly used for treating neuropathic pain,
particularly in patients like KK who are experiencing burning and stinging
pain?
Amitriptyline
Duloxetine
Gabapentin
Nortriptyline
5. Explain why gabapentin is preferred over tricyclic antidepressants for
treating diabetic neuropathy in elderly patients.
Gabapentin has fewer side effects and does not cause orthostatic
hypotension.
Gabapentin is more effective than tricyclic antidepressants for all
types of pain.
Tricyclic antidepressants are contraindicated in elderly patients.
Gabapentin is an opioid and thus has a lower risk of addiction.
6. Which analgesic drug depresses the central nervous system?
Aspirin
Fentanyl
Naproxen
Ibuprofen
7. What type of pain is best treated with nonopioid medications according to
the text?
, Acute mild to moderate nociceptive pain
Chronic neuropathic pain
Severe nociceptive pain
QUESTIONS WITH ACCURATE SOLUTIONS
1. If AO's doctor decides to switch from meloxicam to a different pain
management strategy that does not involve NSAIDs, which of the following
alternatives would be the most appropriate to avoid potential drug
interactions with AO's current medications?
Acetaminophen
Ibuprofen
Aspirin
Naproxen
2. If HA experiences increased drowsiness after starting a new pain
medication, which of the following actions should be taken to address this
issue?
Increase the dosage of the new pain medication.
Switch HA to a different class of pain medication with fewer
sedative effects.
Advise HA to take the medication with food to reduce drowsiness.
Instruct HA to stop taking all medications immediately.
3. What is the best therapeutic plan for this patient's analgesic regimen?
Analgesic regimen should be discontinued, because long-acting
opiate is not appropriate for this patient's pain.
,Increase morphine ER to 30 mg po every 4 hours since it is not
providing adequate analgesia.
Increase morphine ER to 60 mg po tid since it is not optimally
controlling the patient's pain.
Add pain medication to focus on neuropathic symptoms.
,4. What medication is commonly used for treating neuropathic pain,
particularly in patients like KK who are experiencing burning and stinging
pain?
Amitriptyline
Duloxetine
Gabapentin
Nortriptyline
5. Explain why gabapentin is preferred over tricyclic antidepressants for
treating diabetic neuropathy in elderly patients.
Gabapentin has fewer side effects and does not cause orthostatic
hypotension.
Gabapentin is more effective than tricyclic antidepressants for all
types of pain.
Tricyclic antidepressants are contraindicated in elderly patients.
Gabapentin is an opioid and thus has a lower risk of addiction.
6. Which analgesic drug depresses the central nervous system?
Aspirin
Fentanyl
Naproxen
Ibuprofen
7. What type of pain is best treated with nonopioid medications according to
the text?
, Acute mild to moderate nociceptive pain
Chronic neuropathic pain
Severe nociceptive pain
