DoD Opioid Prescriber Safety and Training Program Module 2 Exam

True or False: Risk Index for Prescription Opioid Overdose and Opioid-induced Serious Respiratory Depression (RIOSORD) is a validated risk stratification tool that defines patient risk classes and predicts probability of a significant adverse event and is helpful when deciding to prescribe Naloxone. - ANSWER-True There are certain standards that all providers must remember when treating any patient for any condition, even wounded war heroes. Which of the following statements is incorrect? - ANSWER-For confidentiality reasons, do not document care plan in chart Evidence-based treatments for patients with Opioid Use Disorder (OUD) include: 1. Medication-Assisted Treatment (MAT) with buprenorphine or methadone 2. Recovery support services 3. Behavioral therapies 4. Psychoanalytic therapy - ANSWER-NOT: all of the above True or False: The US Center for Disease Control (CDC) recently released 12 guidelines for prescribing opioids to reduce opioid related patient harm. One of the recommendations is to use urine drug testing before starting opioid therapy and at least annually to assess for prescribed medications as well as other controlled prescription drugs and illicit drugs. - ANSWER-True Which of the following statements is incorrect? Good prescribing practices by health care providers include: - ANSWER-Ignore aberrant behavior such as provider shopping or early refills When it comes to dosing, CDC Guidelines recommend that you carefully reassess evidence of individual benefits and risks when increasing dosage to ≥50 morphine milligram equivalents (MME)/day, and avoid increasing dosage to ≥90 MME/day or carefully justify a decision to titrate dosage to ≥90 MME/day. - ANSWER-True For prescribing opioids, treatment agreements with patients should have the following qualities: 1. be readable, reasonable and flexible. They should avoid using absolute terms such as "will" or "shall" and should use "may" in most cases. 2. Identify penalties for misuse or diversion - legal (police report) and medical (forced detox, forced taper, or cessation of medical treatment based on the clinical scenario) Choose one - ANSWER-Both