8 HOUR MAT TRAINING LATETST EXAMINERS
QUESTIONS AND ANSWERS SURE A+
✔✔The DATA 2000 law allows for the prescription of all of the following except:
FDA approved medications for opioid dependence
Medications in schedules III, IV, or V
Buprenorphine and naloxone
Buprenorphine and methadone - ✔✔Buprenorphine and methadone
✔✔Office-based Opioid Treatment (OBOT) prescriber's requirements includes which of
the following:
Completion of a certified 8-hour waiver course
The capacity to refer patients to appropriate counseling
Adherence to patient panel size limits
All of the above - ✔✔All of the above
✔✔The affinity of buprenorphine results in:
A very strong bond to the opioid receptor
Displacement of buprenorphine by methadone
A prolonged bonding to the opioid receptor
, An enhanced euphoric effect of buprenorphine - ✔✔A very strong bond to the opioid
receptor
✔✔In taking a patient history the clinician should:
Maintain a confrontational stance to get honest answers
Assure patient that the objective is concern for their health
Not ask about other drug use as it will only create problems
Should always have a release to talk to family members or support network. -
✔✔Assure patient that the objective is concern for their health
✔✔Moderate to severe opioid use disorder is different from simple physical dependence
because:
There is tolerance
There are withdrawal symptoms on discontinuation of the drug
There is compulsive use in the face of a variety of problems
Pain is the primary drive to continued use of the drug - ✔✔There is compulsive use in
the face of a variety of problems
✔✔When obtaining a substance use history in the evaluation of a patient for
buprenorphine treatment one should remember:
Buprenorphine is also effective in treating alcohol and other drug use
Patients with Opioid Use Disorder rarely misuse other drugs
Individuals using multiple substances may require more intensive treatment
Can only be prescribed by a waivered physician - ✔✔Individuals using multiple
substances may require more intensive treatment
✔✔Substance induced vs. primary psychiatric conditions are identified:
Easily on the first meeting with the patient
Only after a full month of abstinence
Without family history for it is of little value
Sometimes with consistent opioid use - ✔✔Sometimes with consistent opioid use
✔✔The goals of buprenorphine maintenance treatment include:
Discontinued or markedly reduced use of other opioids
Persistent cravings
Persistent withdrawal symptoms
The expectation of some continued sedation - ✔✔Discontinued or markedly reduced
use of other opioids
QUESTIONS AND ANSWERS SURE A+
✔✔The DATA 2000 law allows for the prescription of all of the following except:
FDA approved medications for opioid dependence
Medications in schedules III, IV, or V
Buprenorphine and naloxone
Buprenorphine and methadone - ✔✔Buprenorphine and methadone
✔✔Office-based Opioid Treatment (OBOT) prescriber's requirements includes which of
the following:
Completion of a certified 8-hour waiver course
The capacity to refer patients to appropriate counseling
Adherence to patient panel size limits
All of the above - ✔✔All of the above
✔✔The affinity of buprenorphine results in:
A very strong bond to the opioid receptor
Displacement of buprenorphine by methadone
A prolonged bonding to the opioid receptor
, An enhanced euphoric effect of buprenorphine - ✔✔A very strong bond to the opioid
receptor
✔✔In taking a patient history the clinician should:
Maintain a confrontational stance to get honest answers
Assure patient that the objective is concern for their health
Not ask about other drug use as it will only create problems
Should always have a release to talk to family members or support network. -
✔✔Assure patient that the objective is concern for their health
✔✔Moderate to severe opioid use disorder is different from simple physical dependence
because:
There is tolerance
There are withdrawal symptoms on discontinuation of the drug
There is compulsive use in the face of a variety of problems
Pain is the primary drive to continued use of the drug - ✔✔There is compulsive use in
the face of a variety of problems
✔✔When obtaining a substance use history in the evaluation of a patient for
buprenorphine treatment one should remember:
Buprenorphine is also effective in treating alcohol and other drug use
Patients with Opioid Use Disorder rarely misuse other drugs
Individuals using multiple substances may require more intensive treatment
Can only be prescribed by a waivered physician - ✔✔Individuals using multiple
substances may require more intensive treatment
✔✔Substance induced vs. primary psychiatric conditions are identified:
Easily on the first meeting with the patient
Only after a full month of abstinence
Without family history for it is of little value
Sometimes with consistent opioid use - ✔✔Sometimes with consistent opioid use
✔✔The goals of buprenorphine maintenance treatment include:
Discontinued or markedly reduced use of other opioids
Persistent cravings
Persistent withdrawal symptoms
The expectation of some continued sedation - ✔✔Discontinued or markedly reduced
use of other opioids
