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
Correct Ans - 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 Correct Ans - 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 addiction curriculum training
Correct Ans - 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
is sufficient to start practice.
B. The provider needs to wait up to 45 days to receive their waiver and treat
up to 30 patients at one time.
C. The provider can apply for an extended waiver to 100 upon receipt of
waiver.
D. The provider may treat these patients with buprenorphine/naloxone off-
label.
E. The provider may treat all of these individuals by completing an additional
notification to the DEA of the urgent need in the community. Correct Ans
- 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 Correct Ans - 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
Correct Ans - 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