MME
Novel & Investigational Agents
Anesthesia Provider OUD Risk
Opioid Antagonists
Pharmacokinetics & Mechanisms
200

Term for equivalent analgesia among opioids.

What is equinanalgesia?

200

First G-protein-biased μ-agonist FDA-approved for acute pain.

What is oliceridine (TRV-130)?

200

% of anesthesia providers developing SUD in career.

What is 0.65–1.6 percent?

200

Non-selective opioid antagonist reversing respiratory depression.

What is naloxone?

200

Major opioid receptor types.

What are μ (mu), κ (kappa), δ (delta), and OLR-1?

400

IV morphine is ~___ × more potent than oral morphine.

What is 3 times?

400

Mechanism giving oliceridine less respiratory depression.

What is reduced β-arrestin activation?

400

% of those cases involving opioids.

What is 40–70 percent?

400

Oral long-acting antagonist also used for alcohol dependence.

What is naltrexone?

400

The concept explaining prolonged effect after infusion.

What is context-sensitive half-time?

600

10 mg oxycodone × 4 / day = __ MME.

What is 60 MME? 

600

This NaV1.8 blocker was recently approved by the FDA and has ongoing trials at UTMC.

What is suzetrigine (Journavx)?

600

Typical career stage when OUD develops.

What are the first five years of practice or residency?

600

This antagonist lasts ≈ 10.8 h and can prevent pruritus.

What is nalmefene?

600

Opioids act here in the spinal cord to modulate pain.

What is Rexed lamina II (substantia gelatinosa)?

800

2 mg hydromorphone q4h = __ MME.

What is 48 MME?

800

Opioid activating μ-receptors only in acidic tissue.

What is NFEPP?

800

Estimated mortality among affected providers.

What is 7–15 percent?

800

This quaternary antagonist treats opioid-induced constipation.

What is methylnaltrexone?

800

Highly lipophilic opioids cross this barrier rapidly.

What is the blood–brain barrier?

1000

Morphine 30 mg BID + hydrocodone 5 mg q6h = __ MME.

What is 80 MME?

1000

Mechanism of ACKR3 agonists like RTI-5152-12 (WW-12) in pain modulation

What is enhancing endogenous opioid tone by preventing endorphin scavenging at ACKR3 receptors?

1000

One behavioral red flag for relapse.

What is renewed secrecy/isolation?

1000

Effect of naloxone reversal on analgesia.

What is complete loss of analgesic effect?

1000

Mechanism behind remifentanil-induced hyperalgesia.

What is NMDA receptor alteration?