Deck 28: Concepts of Orthopedic Pharmacology

Question 1

Which physical therapy patient is at highest risk for infection?

A) A patient with tendon ligament strain undergoing therapeutic treatment and exercise
B) A total joint replacement patient with implanted hardware
C) An arthritic patient undergoing therapy for swollen joints and fatigue
D) An elderly diabetic total hip replacement patient with a history of pneumonia

Answer 1

An elderly diabetic total hip replacement patient with a history of pneumonia

Question 2

Which of the following medications can cause psychological dependency?

A) Benzodiazepines
B) Amphetamines
C) Opioid analgesics
D) All of the above

Answer 2

All of the above

Question 3

What is the best definition of half-life?

A) What the medication does to the body
B) How the drug is eliminated from the body
C) The rate at which a drug is cleared from the body
D) The length of time the drug is active in the body

Answer 3

The rate at which a drug is cleared from the body

Question 4

Which statement regarding treatment and prevention of orthopedic infection is FALSE?

A) Antibiotics are sometimes given prophylactically to help prevent infections (e.g.,before surgery)
B) Infections are easier to treat in patients with diabetes and peripheral vascular disease
C) It is important to clean rehabilitation equipment between patients to prevent the spread of infection
D) The PTA can help prevent the spread of infection by thorough hand washing

Question 5

Select the role of the physical therapist assistant (PTA)in safe medication use.

A) Administer pain medications to the patients
B) Prescribe pain or other medications for the patient
C) Document the pain medications given to the patient
D) Have a general understanding of commonly used medications

Question 6

Which of the following is correct about the education a PTA may provide to a patient?

A) Patients can take a little extra opioid pain medication now and then if they are hurting more than usual
B) Patients can take their family members' medications if they know why the medication was prescribed
C) Patients should not start or stop medications without consulting the doctor who prescribed them
D) Patients can crush or dissolve medications in milk or orange juice to make taking the medication easier

Question 7

Which of the following terms is defined as the movement of medication from the bloodstream into various areas of the body (central nervous system,breast milk,and adipose [fat] tissue)?

A) Excretion
B) Metabolism
C) Distribution
D) Absorption

Question 8

When would you expect patients to be on a once-daily pain medication patch?

A) When their intermittent pain that comes and goes throughout the day
B) When they have persistent pain that does not goes away
C) When they are addicted to pain medications
D) When there are no other medications that can handle their pain

Question 9

Which statement best describe the type of pain NSAIDs treat?

A) Only mild noninflammatory pain (e.g.,headaches,osteoarthritis,toothaches)
B) Both mild to moderate acute and chronic inflammatory and noninflammatory pain (e.g.,headaches,back pain,arthritis,gout,bursitis)
C) Mostly neuropathic pain (e.g.,fibromyalgias,spinal cord injuries,diabetic neuropathy,phantom pain)
D) Mostly severe,acute pain in hospitalized patients who need immediate relief (e.g.,traumatic accidents)

Question 10

Which condition can be caused by long-term use of corticosteroids such as prednisone?

A) Blunting of exercise-induced tachycardia
B) Shortness of air,wheezing
C) Osteoporosis,increased risk of fractures
D) Addiction

Question 11

Which pharmacodynamic principle is defined as the unintended effect of the medication including an exaggerated medication response?

A) Tolerance
B) Adverse drug reaction
C) Therapeutic window
D) Dose-response relationship

Question 12

Which of the following terms is defined as the biotransformation or chemical alteration of the medication?

A) Excretion
B) Metabolism
C) Distribution
D) Absorption

Question 13

Which statement regarding compliance in treatment of bacterial infections is FALSE?

A) All antibiotics should be taken with food to avoid stomach upset
B) The medication concentration in the body needs to be maintained throughout the day in order to kill or inhibit bacterial growth
C) Stopping the antibiotic too soon can allow the infection to return or become resistant to the antibiotic
D) Taking the antibiotic exactly as directed will help it work better

Question 14

Which of the following instructions should not be provided to any patient by a PTA?

A) Take medications as directed
B) Ask questions when things are unclear about your medications
C) Keep a current list of all medications (OTC,prescription,herbal)
D) Do not take your medication if you are feeling drowsy

Question 15

Which type of pain is acetaminophen good at relieving?

A) Noninflammatory pain
B) Chronic inflammatory pain
C) Acute inflammatory pain
D) Acute pain

Question 16

Which of the following types of medications are the most powerful medications for treatment of nociceptive pain and some neuropathic pain?

A) Nonsteroidal antiinflammatory drugs (NSAIDs)
B) Acetaminophen
C) Opioids
D) Corticosteroids

Question 17

Which pharmacodynamic principle is defined as the relationship between the amount of drug in the body and its expected effectiveness and the likelihood and severity of side effects?

A) Tolerance
B) Adverse drug reaction
C) Therapeutic window
D) Dose-response relationship

Question 18

Which medications are most effective for neuropathic pain?

A) NSAIDs
B) Antidepressants and anticonvulsants
C) Opioids
D) Corticosteroids

Question 19

Which is the best definition of duration of action?

A) What the medication does to the body
B) How the drug is eliminated from the body
C) The rate at which a drug is cleared from the body
D) The length of time the drug is active in the body

Question 20

Which of the following type of medication is used to treat an infection?

A) Antihypertensives
B) Antibiotics
C) Amphetamines
D) Opioid analgesics