Which of the following drugs comes in colorful tablets with imprinted designs and often
contains other substances such as ketamine, and heroin?
a) Cocaine
b) Ecstasy
c) Methamphetamine
d) Nicotine - ✔️✔️Ecstasy
Cocaine comes as a powder or crystal and methamphetamine comes as a crystal.
Ecstasy come as a colorful tablet often with imprinted designs and has been found to
contain other drugs including methamphetamine, ketamine, heroin, PCP, cocaine, and
bath salts.
Which of the following substances is known to cause vasoconstriction and ischemia?
Cocaine
Ecstasy
Heroin
All of the above. - ✔️✔️Cocaine
While ecstasy is a stimulant, it is not known for causing vasoconstriction and ischemia.
Which of the following statements is true regarding opioid use disorder?
Treatment can only occur in Opioid Treatment Programs (OTPs).
Every patient treated for opioid use disorder should be required to attend narcotics
anonymous three times a week.
From 1999-2017, almost 400,000 people died from an opioid overdose.
Naltrexone can be initiated while the patient is currently using opioids. - ✔️✔️From
1999-2017, almost 400,000 people died from an opioid overdose.
Naloxone is combined with which of the following drugs to reduce the risk of diversion
while treating patients with opioid use disorder?
Oxazepam
Methadone
Tramadol
Buprenorphine - ✔️✔️Buprenorphine
Which of the following neurotransmitters is increased by stimulant use?
a. Dopamine
b. Norepinephrine
c. Serotonin
d, All of the above. - ✔️✔️All of the above
, Which of the following statements is true about cocaine and methamphetamine use?
a. Methamphetamine has a longer duration of action than cocaine.
b. Cocaine use elevates dopamine more than methamphetamines.
c. Only cocaine is known to cause tachycardia.
d. Both are derived from plants. - ✔️✔️Methamphetamine has a longer duration of
action than cocaine.
Methamphetamine has a longer duration of action than cocaine and elevates dopamine
more so than cocaine. Both Cocaine and methamphetamine are stimulants known to
cause tachycardia. Cocaine is derived from the leaves of the coca plant while
methamphetamine is made in illegal labs using OTC ingredients such as
pseudoephedrine.
Depending on gender, the following lab tests are commonly included for screening of
patients first seen with opioid use disorder.
HCV, HBV, urine pregnancy, thyroid function tests, vitamin D levels.
Urine drug screening, HIV, HCV, HBV, CBC, liver enzymes, urine pregnancy.
Urine pregnancy, CBC, HIV, HepA IGM/IGG, liver enzymes.
Urine pregnancy, urine drug screening, liver enzymes, serum creatinine levels. -
✔️✔️Urine drug screening, HIV, HCV, HBV, CBC, liver enzymes, urine pregnancy.
Patients with opioid use disorder often use multiple other substances which is important
information for the prescribing clinician. Multiple infections are common in these patients
including HIV, HBV, and HCV. Hepatic enzymes are elevated often in patients with
these conditions and also in the presence of co-morbid alcohol use disorder. In females,
screening for pregnancy is critical for a host of reasons. Decisions around screening
tests for patients with opioid use disorder need to be individualized, but these tests are
commonly done,
Which form of opioid use disorder treatment can only be provided in an opioid treatment
program under the Controlled Substances Act?
Buprenorphine/naloxone filmstrips (Suboxone)
Methadone
Naltrexone
Buprenorphine/naloxone tablet (Zubsolv) - ✔️✔️Methadone
Methadone is among the most strictly regulated forms of treatment for opioid use
disorder and can only be provided in opioid treatment programs. This is unlike
Suboxone which can be provided in an office-based setting.
How many hours of training must PAs and NPs complete to receive a waiver to
prescribe buprenorphine in office-based settings?
8
12
16