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University of Illinois, Chicago NURS 531 Chapter 42: Analgesic drugs MULTIPLE CHOICE 1)Opioids activate descending pathways that inhibit pain transmission by acting on neurons in the   dorsal horn thalamus periaqueductal grey matter nucleus raphe magnus locus coeruleus       2

Nursing Jul 07, 2021

University of Illinois, Chicago

NURS 531

Chapter 42: Analgesic drugs

MULTIPLE CHOICE

1)Opioids activate descending pathways that inhibit pain transmission by acting on neurons in the

 

  1. dorsal horn
  2. thalamus
  3. periaqueductal grey matter
  4. nucleus raphe magnus
  5. locus coeruleus

 

 

 

2.

The vanilloid receptor activated by capsaicin is a

1.

ligand-gated cation channel

2.

ligand-gated chloride ion channel

3.

ATP-sensitive potassium channel

4.

G-protein-coupled receptor

5.

protein kinase receptor

 

 

3.

The analgesic effect of morphine is mostly due to activation of

1.

delta opioid receptors

2.

kappa opioid receptors

3.

mu opioid receptors

4.

sigma opioid receptors

5.

tau receptors

 

 

4.

Stimulation of opioid receptors leads to

1.

increased guanylate cyclase activity

2.

decreased guanylate cyclase activity

3.

increased adenylate cyclase activity

4.

decreased adenylate cyclase activity

5.

closing of potassium channels

 

 

5.

Opioid drugs that exhibit partial agonist or mixed agonist-antagonist properties include

1.

naloxone and naltrexone

2.

methadone and meperidine

3.

fentanyl and sufentanil

4.

dynorphin and endorphin

5.

nalbuphine and pentazocine

 

 

6.

The best example of a partial agonist at mu opioid receptors is

1.

pentazocine

2.

buprenorphine

3.

cyclazocine

4.

nalbuphine

5.

codeine

 

 

7.

Which short-acting opioid agonist is administered as a transdermal skin patch?

1.

fentanyl

2.

methadone

3.

meperidine

4.

codeine

5.

propoxyphene

 

 

 

8.    Activation of kappa opioid receptors is primarily responsible for causing

 

  1. supraspinal analgesia
  2. euphoria
  3. dysphoria
  4. respiratory depression
  5. physical dependence

9.    Which finding typically occurs in opioid poisoning but not in central nervous system depression due to other causes?

 

  1. coma
  2. hallucinations
  3. hypertension
  4. respiratory depression
  5. pinpoint pupils

 

 

10.   The pharmacologic properties of morphine are

 

  1. well absorbed from the gut
  2. high oral bioavailability
  3. rapidly metabolized in neonates
  4. converted to active morphine-6-glucuronide
  5. excreted unchanged in the urine

 

 

11.  Descending inhibition of dorsal horn pain transmission is mediated by neurons that release

 

  1. acetylcholine and dopamine
  2. enkephalins, 5-hydroxytryptamine, and noradrenaline
  3. glutamate and substance P
  4. bradykinin and prostanoids
  5. neuropeptides

 

 

12.   Opioid drugs inhibit neurotransmitter release partly by

 

  1. opening potassium and calcium channels
  2. closing potassium and calcium channels
  3. opening potassium channels and closing calcium channels
  4. opening calcium channels and closing potassium channels
  5. depolarizing pre-synaptic neuronal membranes

 

 

13.   Which transmitter is released at the first synapse in the dorsal horn ascending nociceptive pathway?

 

  1. glutamate
  2. enkephalin

 

  1. substance P
  2. g-amino-butyric acid
  3. noradrenaline

14.  Actions of opioids that are not related to activation of mu, delta, or kappa opioid receptors include

 

  1. euphoria
  2. respiratory depression
  3. pupillary constriction
  4. constipation
  5. bronchospasm

 

 

 

 

 

 

 

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