**pain Test 2 - Lecture 8/9 - Chronic/acute

Front 1

what is significant about celebrex?

Back 1

it is a selective cox-2 inhibitor

Front 2

besides ibuprof, what is another non-sel cox inhibitor?

Back 2

ketorolac

Front 3

Explain the levels of PG post surgery

Back 3

initially high
then decreases
then increases (COX2)

Front 4

what is a good alternative to NSAIDS, which has a similar result to celebrex, but not as good as ibu in the long run?

Back 4

acetaminophen

Front 5

CNS receptor antagonists used to treat acute pain are

Back 5

opioids

Front 6

for central sensitization
which of these (placebo, lido, bupivicaine, bupi+lido) gave the best post-op pain results?

Back 6

bupi+ lido had lowest initial, but actually went higher than just bupi eventuallyu

Front 7

hypertensive vs non, which pt had more brain activity during 3m extraction?

Back 7

hyper

Front 8

Combo's - most common?

Back 8

aceta + opioid

Front 9

combo's - bets?

Back 9

nsaid + opiod

Front 10

what's more effective and why
combunox
vicoprofen?

Back 10

combunx - more ibuprof

Front 11

what is the disadvantage to a NSAID/ACETA combo?

Back 11

no pill has both, so need to alternate by pt

Front 12

T or F
initially, combunox (ibu+oxycodone) is better in pain reduction than ibu alone

Back 12

T

Front 13

T or F
later, combunox is better in pain reduction than ibu alone

Back 13

F

Front 14

longer lasting
ibu or cumbunox

Back 14

combunox

Front 15

what's better
aceta combo
or
nsaid

Back 15

nsaid

Front 16

an effective strategy is to give pretreatment _____, then give a long acting ______. If sensitization kicks in later, then give_____

Back 16

ibuprofen
local anesthetic
narcotic

Front 17

T or F
chronic pain is assoc with many malignant etiologies

Back 17

F - attributable to NON-malig etiology

Front 18

what is most reported chronic facial pain?

Back 18

jaw joint pain

Front 19

chronic craniofacial is an interaction of 3 main factors

Back 19

physio
environment
genetics

Front 20

#1 chronic pain
#2 chronic pain

Back 20

headache
TMJ

Front 21

for a study, we would prefer to take what 3 ratings

Back 21

I, IIa, or IIb

Front 22

Amitriptyline is a _____that see's some good success in chronic pain tx

Back 22

anti-depressant

Front 23

anti depressant that sees some good chronic pain tx results

Back 23

amitriptyline

Front 24

Best combo for TMJ pain (chronic)

Back 24

diazepam + ibuprofen

Front 25

Another good tx for TMJ pain (chronic) is ____, but it generally takes a couple weeks to have its desired effect

Back 25

NAPROXEN

Front 26

Antidepressant for chronic TMJ pain, are the ____clas, including

Back 26

tyrcyclic
Amitripyline
notriptyline
desipramine

Front 27

plus side to antidepressants for chronic?

Back 27

help mood/sleep too

Front 28

Benzodiazepines quality for chronic pain?
good side effect?

Back 28

NOT good for chronic pain
but help sleep

Front 29

Triazolam is a _____

Back 29

benzodiazepine

Front 30

dexamethasone is a______. these drugs have good effects such as increased ____and ____, and decreased____/___/____.But they have _______than NSAIDS,
They are esp good for _____, _____ and _____. But, the studies on chronic facial show....

Back 30

corticosteroid
mood, appetite
inflammation, nausea, vomit
more side effects than nSaids
soft tissue infilt pain, visceral distention, increased intracranial pressure
just has placebo effect

Front 31

whats pruritus? what drugs give it?

Back 31

itching - opioids due to histamine release

Front 32

Codeine is a ____. They have/have not been shown to treat TMJ pain, but do give significant _____ and bad effect of_____.

Back 32

opioid
have not
analgesic effect
nausea

Front 33

a good alternative to classic opioids is _____. this is a ____(receptor) agonist, and has the advantage of being_____so it has less____. It works by _________, and is logistically favorable because_____.

Back 33

tramadol
mild mu agonist
milder
addiction potential/side effects
inhibiting NE/Sero reuptake
easy to prescribe/not controlled

Front 34

benzodiazeprine is a _______. It will not_____, so it is ok to use in ______patients. it is almost always used _______.

Back 34

muscle relaxant
precipitate depression,
use it in depressed pts
in combo

Front 35

clonazepam (flexeril) is a

Back 35

muscle relaxant

Front 36

Gabapentin is a ______, and should be used_____-

Back 36

anti-convulsant
later if other options fail

Front 37

antidepressenats are cool because at low dose you get _____and at higher dose you get______.

Back 37

pain treatment only
pain and depressio ntreatment