NAVLE Veterinary Anesthesia and Pain Management 3

Question 1

Which opioid analgesic is classified as a partial mu-opioid receptor agonist and exhibits a ceiling effect for analgesia at higher doses?

Accepted Answer

Buprenorphine

Answer

Morphine

Answer

Hydromorphone

Answer

Fentanyl

Question 2

A dog undergoes hindlimb amputation. Which regional anesthetic technique would provide the MOST comprehensive perioperative analgesia for this procedure?

Accepted Answer

Lumbosacral epidural with morphine and lidocaine

Answer

Intrapleural bupivacaine instillation

Answer

Wound soaker catheter only

Answer

Brachial plexus block

Question 3

NSAIDs reduce pain and inflammation primarily by inhibiting which enzyme, thereby reducing prostaglandin synthesis?

Accepted Answer

Cyclooxygenase (COX)

Answer

Lipoxygenase (LOX)

Answer

Phospholipase A2

Answer

Histidine decarboxylase

Question 4

Among commonly used local anesthetics in veterinary medicine, which agent provides the LONGEST duration of nerve block?

Accepted Answer

Bupivacaine

Answer

Lidocaine

Answer

Mepivacaine

Answer

Procaine

Question 5

Gabapentin is increasingly used in veterinary patients for chronic and neuropathic pain. What is its primary mechanism of action?

Accepted Answer

Voltage-gated calcium channel alpha-2-delta subunit inhibition

Answer

Cyclooxygenase-2 inhibition

Answer

NMDA glutamate receptor blockade

Answer

Mu-opioid receptor agonism

Question 6

In cats, which opioid analgesic and route of administration is generally PREFERRED for outpatient pain management due to high oral transmucosal bioavailability and safety?

Accepted Answer

Buprenorphine administered oral transmucosally (OTM)

Answer

Morphine administered intramuscularly

Answer

Hydromorphone administered intravenously

Answer

Meperidine administered intramuscularly

Question 7

The multimodal approach to perioperative pain management is preferred because it primarily achieves which goal?

Accepted Answer

Reduces overall side effects while maintaining or improving analgesia through synergistic mechanisms

Answer

Allows higher doses of each individual analgesic to be used safely

Answer

Eliminates the requirement for preoperative fasting in elective surgeries

Answer

Avoids the need to use federally controlled substances in the practice