PCSS Practice Exams Questions and Answers;Quiz Bank
2023 Updated with complete solution
A patient ran out of his opioid medication early and told his healthcare provider
that he took extra doses to control his pain. This is the first time he has run out of
medications early. Which of the following is the most appropriate step for the
provider to consider?
Rule out presence of opioid use disorder, provide additional patient education and
encourage communication
A clinician is working with a patient to develop a treatment plan that includes an
opioid medication. The patient is a 36-year-old man with low back pain. What
should the clinician keep in mind
It is important to set functional goals that are measurable and achievable
Opioid overdose deaths are correlated with:
increases in opioid prescribing
In someone prescribed opioids for chronic pain, which of the following
characterizes opioid use disorder
Behaviors indicating compulsive use
Which of the following is not included in the definition of addiction as defined by
the American Society of Addiction Medicine?
Hardships
Which of the following is a generally accepted theory to explain addiction?
Neurobiological
functional areas of the brain that are disrupted when an individual is chronically
exposed to substances of abuse?
Ability to feel pleasure
Memory and learning
Motivation
Stability of Emotion
Which structure of the brain plays a key role in the processing of emotions, such
as fear
Amygdala
Which statement best defines "salience attribution"?
Drug associated cues more strongly grab ones attention compared to other cues
How can one recognize when and older patient is misusing prescribed
medications
Any symptoms in an older adult should be considered a medication side effect until
proven otherwise.
Medication management for the treatment of opioid use disorder includes the
following
Evaluation of medication safety and effectiveness
In which structure of the human brain are D2 receptors most often found?
Nucleus accumbens
Behavioral addictions are similar to substance use disorders in all of the
following ways except:
, Both have higher prevelance in adults
Which of the following is classified in the DSM-5 under "Substance Related and
Addictive Disorders?
Gambling addiction
Which of the following has been shown to increase the risk for developing a
behavioral addiction?
Having a substance use disorder
Which of the following is true regarding behavioral addictions?
Behavior addiction may respond well to cognitive therapy
What is the most common substance use disorder in the United States?
Alcohol
What is the most common reason people with a substance use disorder who
believe they need treatment do not receive treatment?
They are not ready to stop using
Approximately what percent of Americans with a substance use disorder also
have a mental health disorder?
45%
Which of the following describes a reasonable monitoring strategy for a patient
taking an opioid medication for pain management
Monitoring can be tailored according to the patient's risk, but all patients should be
monitored
SUD Diagnosis (DSM-5)
at least two of the eleven criteria listed below occurring in a 12-month period:
Impaired Control:
· Larger amounts/longer period of time
· Persistent desire, cannot cut down or control use
· Significant time spent to obtain, use, recover
· Cravings
Social Impairment:
· Failure to meet obligations
· Continued use despite social or interpersonal problems
· Reduction in important activities
Risky Use:
· Use is physically hazardous
· Continued use despite knowledge of substance use disorder
Pharmacological Criteria:
· Tolerance
· Withdrawal
For which of the following substance use disorders are there FDA-approved
pharmacologic treatments?
Serotonin is secreted primarily in
the GI tract and also in the Raphe nuclei of the brain stem.
Dopamine is secreted by
the nucleus accumbens and pre-frontal cortex
D2 receptors
the receptors associated with the brain's reward system
2023 Updated with complete solution
A patient ran out of his opioid medication early and told his healthcare provider
that he took extra doses to control his pain. This is the first time he has run out of
medications early. Which of the following is the most appropriate step for the
provider to consider?
Rule out presence of opioid use disorder, provide additional patient education and
encourage communication
A clinician is working with a patient to develop a treatment plan that includes an
opioid medication. The patient is a 36-year-old man with low back pain. What
should the clinician keep in mind
It is important to set functional goals that are measurable and achievable
Opioid overdose deaths are correlated with:
increases in opioid prescribing
In someone prescribed opioids for chronic pain, which of the following
characterizes opioid use disorder
Behaviors indicating compulsive use
Which of the following is not included in the definition of addiction as defined by
the American Society of Addiction Medicine?
Hardships
Which of the following is a generally accepted theory to explain addiction?
Neurobiological
functional areas of the brain that are disrupted when an individual is chronically
exposed to substances of abuse?
Ability to feel pleasure
Memory and learning
Motivation
Stability of Emotion
Which structure of the brain plays a key role in the processing of emotions, such
as fear
Amygdala
Which statement best defines "salience attribution"?
Drug associated cues more strongly grab ones attention compared to other cues
How can one recognize when and older patient is misusing prescribed
medications
Any symptoms in an older adult should be considered a medication side effect until
proven otherwise.
Medication management for the treatment of opioid use disorder includes the
following
Evaluation of medication safety and effectiveness
In which structure of the human brain are D2 receptors most often found?
Nucleus accumbens
Behavioral addictions are similar to substance use disorders in all of the
following ways except:
, Both have higher prevelance in adults
Which of the following is classified in the DSM-5 under "Substance Related and
Addictive Disorders?
Gambling addiction
Which of the following has been shown to increase the risk for developing a
behavioral addiction?
Having a substance use disorder
Which of the following is true regarding behavioral addictions?
Behavior addiction may respond well to cognitive therapy
What is the most common substance use disorder in the United States?
Alcohol
What is the most common reason people with a substance use disorder who
believe they need treatment do not receive treatment?
They are not ready to stop using
Approximately what percent of Americans with a substance use disorder also
have a mental health disorder?
45%
Which of the following describes a reasonable monitoring strategy for a patient
taking an opioid medication for pain management
Monitoring can be tailored according to the patient's risk, but all patients should be
monitored
SUD Diagnosis (DSM-5)
at least two of the eleven criteria listed below occurring in a 12-month period:
Impaired Control:
· Larger amounts/longer period of time
· Persistent desire, cannot cut down or control use
· Significant time spent to obtain, use, recover
· Cravings
Social Impairment:
· Failure to meet obligations
· Continued use despite social or interpersonal problems
· Reduction in important activities
Risky Use:
· Use is physically hazardous
· Continued use despite knowledge of substance use disorder
Pharmacological Criteria:
· Tolerance
· Withdrawal
For which of the following substance use disorders are there FDA-approved
pharmacologic treatments?
Serotonin is secreted primarily in
the GI tract and also in the Raphe nuclei of the brain stem.
Dopamine is secreted by
the nucleus accumbens and pre-frontal cortex
D2 receptors
the receptors associated with the brain's reward system
