Drugs for Treating Orofacial Pain Syndromes
1. Which antimigraine drug is available in a nasal spray?
a. Ergotamine.
b. Promethazine.
c. Isometheptene.
d. Dihydroergotamine.
2. Which triptan drug was first used as a symptomatic treatment for migraines?
a. Eletriptan.
b. Rizatriptan.
c. Naratriptan.
d. Sumatriptan.
3. Which triptan drug has the longest half-life?
a. Naratriptan.
b. Sumatriptan.
c. Frovatriptan.
d. Zolmitriptan.
4. The antimigraine and antinausea effects of triptan drugs are credited to being selective ligands (drugs that bind) for which 5-hydroxytryptamine (5-HT) receptors?
a. 5-HT2 and 5-HT4.
b. 5-HT4 and 5-HT7.
c. 5-HT1D/1B and 5-HT3.
d. 5-HT2B/2C and 5-HT7.
5. Which antimigraine treatment approach achieves the most successful results?
a. Stepped care.
b. Stratified care.
c. Hospitalization.
d. Preventive management.
6. Methysergide and methylergonovine require which drug schedule?
a. 6 months of drug therapy with a 30 day drug holiday.
b. 6 months of drug therapy with a 6 month drug holiday.
c. 12 months of drug therapy with a 30 day drug holiday.
d. 12 months of drug therapy with a 6 month drug holiday.
7. Which centrally acting muscle relaxant is considered an added abuse risk and should only be used on a short-term basis?
a. Baclofen.
b. Metaxalone.
c. Carisoprodol.
d. Cyclobenzaprine.
8. Which drug is the standard for managing trigeminal neuralgia pain?
a. Gabapentin.
b. Lamotrigine.
c. Oxcarbazepine.
d. Carbamazepine.
9. Which topical agent is most effective on oral mucous membranes?
a. Gel base.
b. Mouth rinse.
c. Dissolvable tablets.
d. Pluronic lecithin organogel (PLO).
10. Selective serotonin reuptake inhibitors (SSRIs) are LEAST beneficial for which use?
a. Analgesia for headaches and other chronic pain.
b. Combined with a tricyclic antidepressant to treat fibromyalgia.
c. To treat depression with minimal sedation.
d. Anxiety and obsessive compulsive behavior relief in patients with chronic pain.
