What is the generic name of MS Contin?
Hydrocodone
Morphine sulfate (ER)
Hydromorphone
Oxycodone
The Correct Answer is B
A. Hydrocodone is a semi-synthetic phenanthrene derivative often combined with acetaminophen for moderate pain. It is the active constituent in brands like Vicodin or Norco. It is not the generic moiety found in MS Contin, as they are distinct opioids.
B. MS Contin is the proprietary name for the extended-release formulation of morphine sulfate. It provides controlled delivery of the natural opium alkaloid to the systemic circulation. This formulation is specifically indicated for chronic, severe pain requiring continuous opioid analgesia.
C. Hydromorphone is a highly potent hydrogenated ketone of morphine marketed under the brand Dilaudid. It possesses a different pharmacokinetic profile and higher analgesic potency than morphine. It is not the generic name for the MS Contin product line.
D. Oxycodone is a semi-synthetic opioid agonist found in products such as OxyContin or Percocet. While it is an extended-release opioid, its chemical structure contains a 14-hydroxy group absent in morphine. It is a separate pharmacological entity from MS Contin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Valtrex is the brand name for valacyclovir hydrochloride, an L-valyl ester prodrug of acyclovir. It undergoes rapid and nearly complete conversion to acyclovir by first-pass intestinal and hepatic metabolism. This process significantly increases the oral bioavailability of the antiviral compound.
B. Zovirax is the proprietary name for acyclovir, the active metabolite of valacyclovir hydrochloride. While both medications treat herpesvirus infections, they are distinct pharmaceutical products with different dosing frequencies. Zovirax is not the brand name for the prodrug valacyclovir.
C. Amerge is the brand name for naratriptan, a selective serotonin receptor agonist used for migraine treatment. It functions by stimulating 5-HT 1B and 1D receptors to cause cranial vasoconstriction. It lacks any antiviral properties and is not related to valacyclovir.
D. Relpax is the brand name for eletriptan, another member of the triptan class used for acute migraine. It modulates neurogenic inflammation and vasoconstriction via serotonin receptor agonism. It is not an antiviral agent and does not contain valacyclovir hydrochloride.
Correct Answer is B
Explanation
A. Erosive esophagitis is a labeled indication for lansoprazole to facilitate the healing of esophageal mucosal lesions. It functions as a proton pump inhibitor by irreversibly binding to the hydrogen-potassium ATPase enzyme. This suppresses gastric acid secretion effectively.
B. Irritable bowel syndrome is a functional gastrointestinal disorder and not an FDA-approved indication for lansoprazole. This condition involves visceral hypersensitivity and altered motility rather than primary acid-related mucosal damage. Lansoprazole lacks the clinical evidence for this specific diagnosis.
C. Gastroesophageal reflux disease is a primary indication where lansoprazole provides symptomatic relief by reducing the acidity of gastric contents. It targets the parietal cells to inhibit the final step of acid production. This reduces the corrosive impact on the esophagus.
D. Gastric ulcer treatment is an approved use for lansoprazole to promote the healing of active benign gastric ulcers. It creates an alkaline environment conducive to mucosal repair by inhibiting the proton pump. It is also used for NSAID-associated gastric ulcers.
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