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Self-Assessment Answers for Section 1: Evidence-Based Guidance on Responsible Prescribing, Effective Management, and Harm Reduction
1 . In the United States, approximately how many non-medical users of pain relievers, tranquilizers, stimulants, and sedatives got their prescription drugs from a friend or relative for free?
A.
B.
C.
D.
2 . What two competing needs must the CSA and regulators attempt to balance?
A.
B.
C.
D.
3 . Which attribute of some drugs with legitimate therapeutic uses increases their likelihood of being abused?
A.
B.
C.
D.
4 . The duration of action of ER/LA opioids is typically ______________.
A.
B.
C.
D.
5 . Uncomfortable or unpleasant side effects (aside from constipation) may potentially be reduced by which two approaches?
A.
B.
C.
D.
6 . What drug class has largely replaced barbiturates as treatment for anxiety and muscle spasms?
A.
B.
C.
D.
7 . Which of the following items does not need to be contained in any prescription for a controlled substance?
A.
B.
C.
D.
8 . Which of the following might suggest inappropriate prescribing of controlled substances by a clinician?
A.
B.
C.
D.
9 . The Ryan Haight Act made it illegal to _____________.
A.
B.
C.
D.
10 . Which of the following is not a potential benefit of urine drug screening?
A.
B.
C.
D.
11 . Drugs with the highest risk for subsequent addiction slowly elicit dopamine release in the midbrain.
A.
B.
12 . Although initially thought to be less prone to induce tolerance and dependence than barbiturates, benzodiazepines are now recognized to be just as liable to diversion and abuse.
A.
B.
13 . Little evidence supports the assertion that long-term use of opioids provides clinically significant pain relief or improves quality of life or functioning.
A.
B.
14 . Roughly what percent of patients reported that they increased their dose of an opioid without talking to the prescribing physician in one study?
A.
B.
C.
D.
15 . When opioid treatment is initiated, it should be viewed by both patient and clinician as _____________________?
A.
B.
C.
D.
16 . Opioid tolerance must be demonstrated before prescribing any strength of _________________.
A.
B.
C.
D.
17 . What level of opioid dose is widely considered a red flag warranting more intense monitoring and/or referral to an interdisciplinary treatment team?
A.
B.
C.
D.
18 . What relatively new development may reduce the incidence of death from accidental overdose of an opioid medication?
A.
B.
C.
D.
19 . For patients at the end of life, optimal pain management may mean lower doses of an analgesic, and higher levels of pain, in order to allow the patient mental alertness sufficient for interactions with loved ones.
A.
B.
20 . Medication-Assisted Treatment is primarily used for treating
A.
B.
C.
D.
Self-Assessment Answers for Section 2: Prescriber Education for Extended-Release and Long-Acting Opioid Analgesics
21 . Extended-Release (ER) and Long-acting (LA) formulations of opioids should typically not be used for which of the following?
A.
B.
C.
D.
22 . If an organic pathology cannot be found to explain a patient’s pain, what should a clinician infer?
A.
B.
C.
D.
23 . Which of the following is the appropriate use of “universal precautions” as it applies to patients with chronic pain?
A.
B.
C.
D.
24 . The DIRE and the ORT are examples of which kind of assessment?
A.
B.
C.
D.
25 . All of the following need to be documented in writing as part of an overall therapeutic approach to managing chronic pain patients EXCEPT:
A.
B.
C.
D.
26 . All of the following are possible advantages of patient/provider agreements EXCEPT:
A.
B.
C.
D.
27 . All of the following are examples of functional goals EXCEPT:
A.
B.
C.
D.
28 . A fundamental part of ethical treatment for patients with chronic pain is:
A.
B.
C.
D.
29 . When opioid treatment is initiated, both the patient and clinician should view the commitment as:
A.
B.
C.
D.
30 . It can be particularly unsafe to combine opioids with which of the following other medicines?
A.
B.
C.
D.
31 . Which class of antidepressant medications has been shown to be effective in treating some neuropathic pain conditions?
A.
B.
C.
D.
32 . Combination products are those that include an opioid with which of the following elements?
A.
B.
C.
D.
33 . In general, the amount of opioids prescribed for acute pain should be limited to a ____ day supply:
A.
B.
C.
D.
34 . Uncomfortable or unpleasant side effects (aside from constipation) may potentially be reduced by which approach?
A.
B.
C.
D.
35 . All of the following are valid reasons to pursue opioid rotation EXCEPT:
A.
B.
C.
D.
36 . One reason that methadone must be prescribed with particular caution is that:
A.
B.
C.
D.
37 . Which of the following is not a potential benefit of urine drug testing?
A.
B.
C.
D.
38 . All of the following are of particular concern when prescribing an ER/LA opioid pain medication EXCEPT:
A.
B.
C.
D.
39 . In 2006, the FDA added a caution to the “black box” warning that methadone may cause which of the following serious adverse effects?
A.
B.
C.
D.
40 . Which of the following is the APS-AAPM guideline regarding the prescription of opioids to pregnant women?
A.
B.
C.
D.
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