with Complete Solutions.
What was learned from the early methadone research?
A. Methadone treatment was corrective, but patients can't taper from it
B. Patients experienced intoxication from methadone similar to heroin
C. Patients experienced ceiling agonist effects therefore did not have blockade from the short-
acting opioids
D. Methadone treatment reduced death, crime days, decreased HIV seroconversion,
Intravenous drug use, and increased social function - Answer D. Methadone treatment
reduced death, crime days, decreased HIV seroconversion, Intravenous drug use, and increased
social function
Increasing mortality has been seen in the US due to the opioid epidemic compared to six other
countries in which group?
A. Young adults
B. Middle aged white men
C. African Americans
D. Middle aged white women - Answer B. Middle aged white men
Each of the following is a means by which a prescriber could qualify to obtain the waiver
needed to engage in office-based treatment of opioid addiction except:
A. Board-certified in Addiction Psychiatry
B. At least 100 hours in addiction medicine practice that has been reviewed and approved by
SAMHSA
C. Completed approved 8-hour training offered by a group named in DATA 2000
D. Completed 8 hours of training offered by the American Medical Association
E. NP or PA who completed the 24 hours of a - Answer B. At least 100 hours in addiction
medicine practice that has been reviewed and approved by SAMHSA
A provider completes the required training and is eligible for the waiver to offer office-based
treatment of opioid dependence. The provider practices in a community with epidemic opioid
addiction and has 38 opioid-dependent individuals who have inquired about this treatment and
asked to be treated when the provider starts the buprenorphine/naloxone practice. Which of
the following is the appropriate course of action:
, A. Completion of the course and submission of the Notification of Intent form - Answer B.
The provider needs to wait up to 45 days to receive their waiver and treat up to 30 patients at
one time.
The Drug Addiction Treatment Act of 2000 (DATA 2000) allows waivered providers to provide
Office Based Opioid Treatment which includes all except:
A. FDA approved medications for maintenance or detoxification
B. Medications in schedules III, IV, or V
C. Buprenorphine or Buprenorphine/naloxone
D. Methadone - Answer D. Methadone
Prescriber are required under DATA 2000 to fulfill the following requirements except:
A. Mandatory counseling of all patients
B. Completion of an approved 8-hour waiver course
C. Completion of 16 additional curriculum hours for NP's and PA's
D. The ability to provide or refer patients to appropriate counseling - Answer A. Mandatory
counseling of all patients
Which of the following drugs and drug formulations have been approved for office-based
treatment of opioid dependence:
A. Buprenorphine/naloxone sublingual film
B. Buprenorphine transdermal patches
C. Buprenorphine sublingual tablets and buccal film
D. A and B
E. A and C - Answer E. A and C
The affinity of buprenorphine results in:
A. A very strong bond to the opioid receptor.
B. Partial activation of mu receptor.
C. Can precipitate withdrawal if full agonist on board.
D. A, B and C - Answer D. A, B and C