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Chapter 60. Musculoskeletal Disorders

Which one of the following is the major inflammatory mediator associated with soft-tissue injury?

A. Prostaglandin (PG)

B. Lipoxygenase

C. Cyclooxygenase (COX)

D. Arachidonic acid

E. Thromboxanes

A patient presents with a knee injury from a football game. There is no apparent swelling, and the patient prefers an oral analgesic over a topical product. Which of the following is the best choice for systemic analgesia for this patient?

A. Aspirin

B. Acetaminophen

C. Codeine

D. Naproxen

E. Tramadol

The counterirritant that produces an effect through a cooling sensation is:

A. Camphor

B. Capsaicin

C. Methyl salicylate

D. Allyl isothiocyanate

E. Methyl nicotinate

Which of the following topical products should be avoided in patients with an aspirin allergy?

A. Ammonia water

B. Camphor

C. Menthol

D. Methyl salicylate

E. Methyl nicotinate

Which one of the following instructions should be included in an education plan for a patient using a counterirritant that contains menthol?

A. Burning sensation upon application will subside with regular use.

B. The product has little to no medicinal odor.

C. Must use regularly for 1 to 2 weeks before onset of effect.

D. After application, wrap the affected area tightly with a bandage.

E. Do not use with a heating pad.

Which one of the following instructions should be included in a patient education plan for diclofenac patches?

A. Apply immediately prior to bathing or showering.

B. Product may be used in combination with topical capsaicin.

C. If rash or irritation develops, apply moisturizer before patch application.

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