Test Questions

The Pharmacist's Role in the Appropriate Selection of a Nonprescription Product for Pain Relief

Exam Questions

1. Some experts estimate that____million US residents suffer from chronic, persistent, recurrent pain?

A.	20
B.	50
C.	65
D.	75

2. Which of the follwing is a condition associated with visceral pain?

A.	Muscle spasms
B.	Burns
C.	Stomatitis
D.	Extensive abrasions

3. The daily incidence of ankle sprain in the US is:

A.	23,000
B.	27,000
C.	31,000
D.	35,000

4. Patients with back pain should be referred to a physician if they have:

A.	Diarrhea
B.	Gait abnormalities
C.	Insomnia
D.	None of the answers are correct.

An example of a barrier to successful management of persistent pain would be:

A.	Socioeconomic concerns
B.	Avoidance of further pain
C.	The layout of some pharmacies is not conducive to patient counseling.
D.	All of the answers are correct.

6. In one study, 2% to 40% of patients taking oral NSAIDs for one year experienced a major GI complication such as:

A.	Obstruction
B.	Perforation
C.	Bleeding
D.	All of the answers are correct.

Topically applied analgesic products are chosen by____million adult patients yearly in the US.

A.	60
B.	70
C.	80
D.	90

Which of the following is not considered to be a medical condition that may affect the use of a topical pain reliever?

A.	Methemoglobinemia
B.	Asthma
C.	Hyperlipidemia
D.	Intolerance to certain oral medications

Which of the following ingredients commonly found in topical analgesics typically produces a cooling sensation?

A.	Camphor
B.	Menthol
C.	Capsaicin
D.	Both A and B are correct.

10.

For which pain-related medical condition is capsaicin highly recommended?

A.	Cancer
B.	PHN
C.	Fibromyalgia
D.	Migraine headache

11.

Which of the following is an ancillary ingredient found in internal analgesics?

A.	Calcium carbonate
B.	Caffeine
C.	Aluminum hydroxide
D.	All of the answers are correct.

12.

According to the FDA guidelines on time limitations for unsupervised self-use of internal analgesics, children should not be treated for pain for more than____days if using aspirin or acetaminophen.

A.	3
B.	5
C.	7
D.	10

13.

Methyl salicylate may exert analgesic and anti-inflammatory effects through inhibition of local prostaglandin and_________ synthesis.

A.	Leukotriene
B.	Platelet activating factor
C.	Ethanolamine
D.	All of the answers are correct.

14. What is the mechanism by which counterirritants exert their beneficial effect?

A.	By producing heat that fluidizes collagen in damaged structures such as tendons
B.	By producing a beneficial cryotherapy that limits the extent of inflammation
C.	By masking pain that is present more deeply in the body
D.	By exerting a local anesthetic effect that deadens pain receptors

15.

Which of the following devices lacks FDA-mandated labeling for minimal ages of use?

A.	Hot water bottles
B.	Warm gel packs
C.	Instant cold packs
D.	All of the answers are correct.

16. Which topical ingredients does the American College on Rheumatology consider to be appropriate monotherapies for osteoarthritis of the hip or knee?

A.	Trolamine and menthol
B.	Capsaicin and menthol
C.	Trolamine and methyl salicylate
D.	Capsaicin and methyl salicylate

17. FE is a 44-year-old female with back pain that seems worse when she is home at night and when she lies down to sleep. She would like a nonprescription pain-relieving product to help her. What would be the most appropriate recommendation?

A.	Advise FE to treat her back pain with cryotherapy.
B.	Advise FE to treat her back pain with thermotherapy.
C.	Advise FE to treat her back pain with an internal analgesic.
D.	Advise FE to see her physician.

18.

Which agent is the single most common reason for calls to poison control centers in the US?

A.	Acetaminophen
B.	Aspirin
C.	Ibuprofen
D.	Naproxen sodium

19. Which of the following statements is false?

A.	Patients should not take aspirin products in a chewable dosage form for 7 days following tonsillectomy or oral surgery.
B.	Therapeutic heat wraps may be used without prior physician approval in patients with diabetes, poor circulation, or rheumatoid arthritis.
C.	Products containing salicylates also carry a warning advising the patient not to use them if they are currently taking a prescription medication for anticoagulation, diabetes, gout, or arthritis, except under a physician's supervision.
D.	When used in combination with methyl salicylate (MS), menthol enhances the penetration of MS.

20.

Which of the following is an example of a severe allergic reaction that may occur in patients taking products containing aspirin, magnesium salicylate, ibuprofen, and naproxen sodium?

A.	Hives
B.	Facial swelling
C.	Asthma
D.	All of the answers are correct.

Evaluation Questions

21. To what extent did the program meet objective #1?*

A.	Excellent
B.	Very Good
C.	Good
D.	Fair
E.	Poor

22. To what extent did the program meet objective #2?*

A.	Excellent
B.	Very Good
C.	Good
D.	Fair
E.	Poor

23. To what extent did the program meet objective #3?*

A.	Excellent
B.	Very Good
C.	Good
D.	Fair
E.	Poor

24. To what extent did the program meet objective #4?

A.	Excellent
B.	Very Good
C.	Good
D.	Fair
E.	Poor
F.	N/A for pharmacy technicians

25. Rate the effectiveness of how well the program avoided commercial bias/influence:

A.	Excellent
B.	Very Good
C.	Good
D.	Fair
E.	Poor

26. Rate the effectiveness of how well the program related to your practice needs:

A.	Excellent
B.	Very Good
C.	Good
D.	Fair
E.	Poor

27. Rate the effectiveness of how well the program will help you improve patient care:

A.	Excellent
B.	Very Good
C.	Good
D.	Fair
E.	Poor

28. Rate the overall quality of the program:

A.	Excellent
B.	Very Good
C.	Good
D.	Fair
E.	Poor

29. Rate the overall user friendliness of the program:

A.	Excellent
B.	Very Good
C.	Good
D.	Fair
E.	Poor

30. Comments on this program:

* Also applies to pharmacy technicians