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Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back.
He states the aspirin helps him to "get going" each day. Lately he has had some heartburn from
the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment
for Henry? - Answer>>> Add an H2 blocker such as ranitidine to his therapy.
Which of the following statements is true about age and pain? - Answer>>> Acetaminophen is
especially useful in both children and adults because it has no effect on platelets and has fewer
adverse effects than NSAIDs.
Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-
treatment with which medications to prevent further adverse effects? - Answer>>> A
bisphosphonate
Calcium supplementation
Vitamin D
Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is
time to discontinue the prednisone. How is prednisone discontinued? - Answer>>> Develop a
tapering schedule to slowly wean Daniel off the prednisone.
Michael asks you about why some drugs are over-the-counter and some are prescription. You
explain that in order for a drug to be approved for over-the-counter use the drug must: -
Answer>>> Be safe and labeled for appropriate use
Have a low potential for abuse or misuse
Be taken for a condition the patient can reliably self-diagnose
, Patients whose total dose of prednisone will exceed 1 gram will most likely need a second
prescription for: - Answer>>> Omeprazole, a proton pump inhibitor to prevent peptic ulcer
disease
Pathological similarities and differences between acute pain and chronic pain include: -
Answer>>> Chronic pain has a predominance of C-neuron stimulation.
A treatment plan for management of chronic pain should include: - Answer>>> Negotiation with
the patient to set personal goals for pain management
Discussion of ways to improve sleep and stress
An exercise program to improve function and fitness
Chronic pain is a complex problem. Some specific strategies to deal with it include: -
Answer>>> Scheduling return visits on a regular basis rather than waiting for poor pain control
to drive the need for an appointment
Chemical dependency assessment is integral to the initial assessment of chronic pain. Which of
the following raises a "red flag" about potential chemical dependency? - Answer>>> Multiple
times when prescriptions are lost with requests to refill
Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of: -
Answer>>> Serum glucose
In the United States, over-the-counter drugs are regulated by: - Answer>>> The U.S. Food and
Drug Administration Center for Drug Evaluation and Research
As drugs near the end of their patent, pharmaceutical companies may apply for the drug to
change to over-the-counter status in order to: - Answer>>> Continue to make large profits from
their blockbuster brand-name drug
New over-the-counter drug ingredients must undergo the U.S. Food and Drug Administration
New Drug Application process, just as prescription drugs do.
1. True
2.False - Answer>>> True