COMPLETE QUESTIONS AND ANSWER
◉ Which of the following symptoms most often persist after
prolonged opioid use?
Sedation
Nauseau
Constipation
Respiratory depression. Answer: Constipation
◉ From a Motivational Interviewing perspective which question is
most important to ask yourself during the initial engagement with a
patient?
What would I like to see the patient change?
Do I understand this person's perspective and concerns?
What would be a reasonable next step towards change?
Am I offering needed information and advice I think the patient
needs?. Answer: Do I understand this person's perspective and
concerns?
,◉ Medication Assisted Treatment (MAT) with buprenorphine is
available in ALL of the following FDA approved formulations for
Opioid Use Disorder (OUD) EXCEPT:
sublingual film
subdermal implants
Subcutaneous depot formulation
Transdermal patch. Answer: Transdermal patch
◉ Goals of Buprenorphine initiation in patient with Opioid Use
Disorder are:
Discontinuation or marked reduction in use of other opioids
Significantly decreased or absent withdrawal symptoms
Decreased cravings
All of the above. Answer: All of the above
◉ In establishing buprenorphine stabilization and maintenance the
patient should be:
A. Taking the medication as frequently as illicit use
B. On between 24 and 32 mg a day
C. On a stable dose without cravings or withdrawal
, D. Taking as directed with PRN doses as needed. Answer: C. On a
stable dose without cravings or withdrawal
◉ Would you give the patient a dose of buprenorphine/naloxone
now?
A. Yes
B. No
C. Not enough information to decide. Answer: B. No
◉ What dose of Buprenorphine/Naloxone would you give him?
A. 8mg
B. 12mg
C. 4mg
D. 16mg. Answer: C. 4mg
◉ What would you do after giving him the first dose?
A. Send him home with a prescription for one week
B. Have him hang out and reassess his symptoms in 30-60 minutes
C. Tell him to go home and come back in the morning to be
reassessed
D. Write him a prescription for a month with a follow up visit.
Answer: B. Have him hang out and reassess his symptoms in 30-60
minutes