FREE NBDE Pharmacology and Pain Control Questions and Answers

Question 1

A patient taking long-term opioid therapy for chronic pain reports that while most side effects like sedation have lessened, their constipation persists.
Which other adverse effect of opioids shows little to no development of tolerance?

Accepted Answer

Miosis (pupil constriction)

Answer

Nausea and vomiting

Answer

Respiratory depression

Answer

Euphoria

Question 2

A patient requires a dental extraction and has a history of chronic kidney disease (CKD). Which of the following analgesics is generally considered the safest and most appropriate first-line choice for post-operative pain management in this patient?

Accepted Answer

Acetaminophen

Answer

Ibuprofen

Answer

Naproxen

Answer

Aspirin

Question 3

A patient with a history of a prosthetic heart valve requires a dental procedure involving manipulation of gingival tissue. According to American Heart Association (AHA) guidelines, what is the standard antibiotic prophylactic regimen for this patient if they have no known drug allergies?

Accepted Answer

2 g Amoxicillin 30-60 minutes prior

Answer

500 mg Azithromycin 1 hour prior

Answer

600 mg Clindamycin 1 hour prior

Answer

500 mg Metronidazole 30-60 minutes prior

Question 4

Local anesthetics exert their primary effect by blocking which of the following?

Accepted Answer

Sodium influx through voltage-gated channels

Answer

Potassium efflux during repolarization

Answer

The sodium-potassium ATPase pump

Answer

Calcium influx at the axon terminal

Question 5

A dentist administers an IV benzodiazepine for conscious sedation. The patient becomes excessively sedated with significant respiratory depression. Which of the following drugs should be administered to reverse the effects of the benzodiazepine?

Accepted Answer

Flumazenil

Answer

Naloxone

Answer

Atropine

Answer

Epinephrine

Question 6

A patient reports they are taking amitriptyline, a tricyclic antidepressant (TCA). The dentist plans to use a local anesthetic containing epinephrine. Which of the following best describes the potential drug interaction?

Accepted Answer

TCAs can markedly enhance the pressor effects of epinephrine, leading to hypertensive crisis.

Answer

TCAs can antagonize the anesthetic, requiring a higher dose.

Answer

The combination can lead to severe hypotension and bradycardia.

Answer

Epinephrine rapidly metabolizes the TCA, reducing its antidepressant effect.

A patient taking long-term opioid therapy for chronic pain reports that while most side effects like sedation have lessened, their constipation persists.Which other adverse effect of opioids shows little to no development of tolerance?

A patient taking long-term opioid therapy for chronic pain reports that while most side effects like sedation have lessened, their constipation persists.
Which other adverse effect of opioids shows little to no development of tolerance?