Quality Resource Guide –
Pain Control in Dentistry 5th Edition
www.metdental.com
Page 6
POST-TEST
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We suggest reviewing the questions and then circling your answers on this page prior to completing the online exam.
(1.0 CE Credit Contact Hour) Please circle the correct answer. 70% equals passing grade.
1. Major adverse effects of aspirin include:
a. gastrointestinal irritation and bleeding.
b. platelet activation and decreased bleeding time.
c. dose-related hepatotoxicity.
d. hyperpyrexia.
2. Which of the following statements is not true?
a. Opioid analgesics act at specific receptors in the central nervous
system.
b. Aspirin-like analgesics appear to act peripherally at sites of tissue
injury or inflammation by inhibition of prostaglandin synthesis.
c. Opioid analgesics rarely cause nausea and vomiting at usual doses.
d. Aspirin-like analgesics can cause anaphylactic-like reactions in
some individuals.
3. Optimal management of postoperative pain requires:
a. selection of an analgesic effective against the actual or expected
severity of pain.
b. use of an adequate dose of the selected analgesic.
c. dosing at intervals sufficient to maintain analgesia and prevent pain
“breakthrough”.
d. All of the above
4. Which of the following analgesics is not a nonsteroidal
anti-inflammatory agent?
a. ibuprofen
b. acetaminophen
c. celecoxib
d. All of the above
5. For patients with moderate to severe pain in whom
aspirin is contraindicated, an appropriate choice for
an analgesic would be:
a. acetaminophen
b. codeine
c. ibuprofen
d. acetaminophen plus oxycodone
6.
Which of the following side effects is not commonly
associated with opioid analgesics?
a. Inhibition of platelet aggregation and increased bleeding time.
b. constipation
c. drowsiness
d. dysphoria
7.
For management of severe pain, oxycodone is a better
choice than codeine because oxcodone:
a. is cheaper.
b. produces lesser side effects at equianalgesic doses.
c. can be dosed less frequently.
d. can be administered orally.
8. Which of the following statements pertaining to the
efficacy of analgesics is not correct?
a. Opioids are generally more efficacious than nonsteroidal anti-
inflammatory analgesics.
b. Some nonsteroidal anti-inflammatory analgesics, e.g., ibuprofen, can
relieve severe pain if given in sufficiently high doses.
c. The analgesic efficacy of acetaminophen is equivalent to that of
aspirin.
d. Relief of severe pain will usually require a strong opioid analgesic.
9. Assessment of patient pain severity should be based
largely on:
a. Practitioner’s judgment of the level of pain expected with a given
clinical situation.
b. objective signs of pain manifested by the patient.
c. patient’s report of pain intensity and associated suffering.
d. degree of infection or injury at the site or area of reported pain.
10. Which of the following strategies may reduce the need
for postoperative analgesics?
a. Use of preemptive analgesia (administration of analgesic prior to the
expected onset of pain.
b. A calm and organized treatment environment, with preoperative
assurance to patient that pain can be controlled.
c. Use of a long-acting local anesthetic at the completion of treatment.
d. All of the above