CCAT Pain Management and Pharmacology 5

Question 1

When combining gabapentin and opioids for a rehabilitation patient, the primary clinical concern is:

Accepted Answer

Additive CNS and respiratory depression

Answer

Both gabapentin and opioids cause CNS depression, and their combination can produce additive sedation and respiratory depression requiring dose adjustment.

Question 2

A feline patient is receiving robenacoxib for post-surgical pain. Compared to meloxicam, robenacoxib is characterized by its:

Accepted Answer

Preferential tissue distribution and shorter plasma half-life

Answer

Robenacoxib has a short plasma half-life but concentrates in inflamed tissues, providing prolonged local effect while reducing systemic exposure.

Question 3

The Feline Grimace Scale assesses pain by evaluating action units including:

Accepted Answer

Ear position, eye opening, muzzle tension, whisker position, head position

Answer

The Feline Grimace Scale evaluates five facial action units: ear position, orbital tightening, muzzle tension, whisker position, and head position.

Question 4

Local anesthetic toxicity from accidental intravascular injection of bupivacaine in a small dog primarily manifests as:

Accepted Answer

Cardiovascular collapse due to cardiac sodium channel blockade

Answer

Bupivacaine has high cardiac toxicity when given intravascularly, causing sodium channel blockade that leads to fatal ventricular arrhythmias and cardiac arrest.

Question 5

In a rehabilitation setting, which factor most strongly predicts the transition from acute to chronic pain in post-operative patients?

Accepted Answer

Inadequate perioperative pain control leading to sensitization

Answer

Inadequate acute pain management allows central sensitization to become established, dramatically increasing the likelihood of developing chronic pain states.

CCAT Practice Test

CCAT Practice Test

CCAT Pain Management and Pharmacology 5