Question

35. What is the effect of narcotic analgesics?

A Relieve severe pain
B. Induce loss of sensation
C. Induce a stupor or somnolent state
D. Reduce anxiety and exert a calming effect
36. Which of the following agents is a full antagonist of opioid receptors?
A. Meperidine
B. Buprenorphine
C. Naloxone
D. Butophanol
37. Insulin causes reduction in blood sugar level by the following mechanisms, except:
A. increased glucose uptake in the peripheral tissue
B.
decreased glucose absorption from the gut
C.
reduction of breakdown of glycogen
D. diminished gluconeogenesis
38. Which of the following is true for glucagon?
A. Inhibits uptake of aminoacids by cells.
B. Stimulates gluconeogenesis in the liver
C. Inhibits glucose utilization by skeletal muscle
D. Stimulates the secretion of insulin by beta cells
39. Which of the following describes the method of action of sulphonylureas?
A. Stimulating the beta islet cells of pancreas to produce insulin
B. Reducing the absorption of carbohydrate from the gut
C. Increasing the uptake of glucose in peripheral tissues
D. Reducing the hepatic gluconeogenesis
40. A known diabetic client comes to the clinic for regular check up and the blood sugar
reading is 180 mg/dl.
10 mmol/L
How would the family nurse practitioner manage this client?
A. Give a rapid acting insulin
B. Give a long acting insulin
C. Put up ringers lactate
D. Put up normal saline

Answer 1

Narcotic analgesics relieve severe pain by blocking pain signals; sulphonylureas stimulate the pancreas to produce insulin; insulin reduces blood sugar level through various mechanisms.

Step-by-step explanation:

The effect of narcotic analgesics is to relieve severe pain (option A). These medications work by binding to opioid receptors in the brain and spinal cord, blocking the transmission of pain signals. Narcotic analgesics can also induce a loss of sensation (option B), leading to a numbing effect.

Sulphonylureas, described in question 39, stimulate the beta islet cells of the pancreas to produce insulin. The correct answer is option A.

Insulin, described in question 37, causes a reduction in blood sugar level by increasing glucose uptake in peripheral tissue, reducing the breakdown of glycogen, and diminishing gluconeogenesis. The correct answer is option B, which states 'decreased glucose absorption from the gut' (option B) which is not a mechanism of action for insulin.

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