8 HOUR MAT TRAINING UPDATED
COMPREHENSIVE EXAM QUESTIONS AND
ANSWERS SURE A+
✔✔How should he be managed at this point?
A. Withdrawal symptoms are worse, suggesting precipitated withdrawal. Pt should be
sent home and asked to return tomorrow to attempt another induction.
B. Withdrawal symptoms are somewhat worse, suggesting a partial response to the
initial dose of buprenorphine/naloxone. He should be given an additional dose of 2/0.5
mg
C. It is too soon to see much effect from the original dose. He will likely improve over
the next 6 hours. He should be sent home and given "comfort meds" to manage any
ancillary symptoms - ✔✔B. Withdrawal symptoms are somewhat worse, suggesting a
partial response to the initial dose of buprenorphine/naloxone. He should be given an
additional dose of 2/0.5 mg
✔✔Should his buprenorphine dose be increased at this time?
A. Yes, he still reports craving to use oxycodone
B. No, you can still expect further response to his current dose - ✔✔B. No, you can still
expect further response to his current dose
✔✔Does he need additional treatment?
, A. These are symptoms of prolonged opioid withdrawal and will respond to a dose
increase of buprenorphine
B. The patient is depressed and needs antidepressant treatment.
C. Guilt for past behavior is very common in early treatment and should best be handled
with psychotherapy and further involvement in self-help programs - ✔✔B. The patient is
depressed and needs antidepressant treatment.
✔✔How would you manage his request to stop his medications?
A. Since the patient has done well in treatment it is reasonable to discontinue his
medications.
B. Provide the patient with more education about the benefits of treatment and the risks
of detoxification, but decline to stop either medication.
C. Encourage the patient to stay on buprenorphine, but suggest a switch to an
alternative antidepressant.
D. Suggest he explore an alternative NA group.
E. B and D - ✔✔E. B and D
✔✔How would you manage this situation?
A. Since the patient failed to comply with his previous outpatient treatment plan he
should be referred to a substance abuse treatment program.
B. The patient still sounds motivated for treatment so you agree to resume treatment
with buprenorphine and citalopram. His suicidal thoughts will clear once he is back on
antidepressant medication.
C. Suicidal ideation is a serious concern in any drug dependent person. He needs to be
assessed immediately to determine the severity of suicide risk. - ✔✔C. Suicidal ideation
is a serious concern in any drug dependent person. He needs to be assessed
immediately to determine the severity of suicide risk.
✔✔How would you assess his current presentation?
A. You are pleased that he is doing so well, but concerned about his lack of sleep. You
agree to his request for sleep medication (a benzodiazepine) since you think it will also
help reduce his anxiety. You agree with the patient that his alcohol use is risky.
B. You try to talk him out of the trip to Hollywood since his plans seem very unrealistic.
You then offer him trazodone 50 mg for his insomnia because that drug has minimal
abuse potential and you warn him of the risks of taking benzodiazepines (or alcohol) in
combination with buprenorphine.
C. The patient's symptoms suggest hypomania. You call his psychiatrist to request an
emergency evaluation and a re-evaluation of his pharmacotherapy plan.
D. You congratulate the patient on his plans to share his ideas about addiction and
recovery, but warn him about the risks of drinking. You provide him with education
about g - ✔✔D. You congratulate the patient on his plans to share his ideas about
addiction and recovery, but warn him about the risks of drinking. You provide him with
education about good sleep hygiene and discourage any ideas of using medications to
assist with his sleep problem.
COMPREHENSIVE EXAM QUESTIONS AND
ANSWERS SURE A+
✔✔How should he be managed at this point?
A. Withdrawal symptoms are worse, suggesting precipitated withdrawal. Pt should be
sent home and asked to return tomorrow to attempt another induction.
B. Withdrawal symptoms are somewhat worse, suggesting a partial response to the
initial dose of buprenorphine/naloxone. He should be given an additional dose of 2/0.5
mg
C. It is too soon to see much effect from the original dose. He will likely improve over
the next 6 hours. He should be sent home and given "comfort meds" to manage any
ancillary symptoms - ✔✔B. Withdrawal symptoms are somewhat worse, suggesting a
partial response to the initial dose of buprenorphine/naloxone. He should be given an
additional dose of 2/0.5 mg
✔✔Should his buprenorphine dose be increased at this time?
A. Yes, he still reports craving to use oxycodone
B. No, you can still expect further response to his current dose - ✔✔B. No, you can still
expect further response to his current dose
✔✔Does he need additional treatment?
, A. These are symptoms of prolonged opioid withdrawal and will respond to a dose
increase of buprenorphine
B. The patient is depressed and needs antidepressant treatment.
C. Guilt for past behavior is very common in early treatment and should best be handled
with psychotherapy and further involvement in self-help programs - ✔✔B. The patient is
depressed and needs antidepressant treatment.
✔✔How would you manage his request to stop his medications?
A. Since the patient has done well in treatment it is reasonable to discontinue his
medications.
B. Provide the patient with more education about the benefits of treatment and the risks
of detoxification, but decline to stop either medication.
C. Encourage the patient to stay on buprenorphine, but suggest a switch to an
alternative antidepressant.
D. Suggest he explore an alternative NA group.
E. B and D - ✔✔E. B and D
✔✔How would you manage this situation?
A. Since the patient failed to comply with his previous outpatient treatment plan he
should be referred to a substance abuse treatment program.
B. The patient still sounds motivated for treatment so you agree to resume treatment
with buprenorphine and citalopram. His suicidal thoughts will clear once he is back on
antidepressant medication.
C. Suicidal ideation is a serious concern in any drug dependent person. He needs to be
assessed immediately to determine the severity of suicide risk. - ✔✔C. Suicidal ideation
is a serious concern in any drug dependent person. He needs to be assessed
immediately to determine the severity of suicide risk.
✔✔How would you assess his current presentation?
A. You are pleased that he is doing so well, but concerned about his lack of sleep. You
agree to his request for sleep medication (a benzodiazepine) since you think it will also
help reduce his anxiety. You agree with the patient that his alcohol use is risky.
B. You try to talk him out of the trip to Hollywood since his plans seem very unrealistic.
You then offer him trazodone 50 mg for his insomnia because that drug has minimal
abuse potential and you warn him of the risks of taking benzodiazepines (or alcohol) in
combination with buprenorphine.
C. The patient's symptoms suggest hypomania. You call his psychiatrist to request an
emergency evaluation and a re-evaluation of his pharmacotherapy plan.
D. You congratulate the patient on his plans to share his ideas about addiction and
recovery, but warn him about the risks of drinking. You provide him with education
about g - ✔✔D. You congratulate the patient on his plans to share his ideas about
addiction and recovery, but warn him about the risks of drinking. You provide him with
education about good sleep hygiene and discourage any ideas of using medications to
assist with his sleep problem.
