8 HOUR MAT TRAINING UPDATED EXAMS TEST
PAPER QUESTIONS AND ANSWERS SURE A+
✔✔The affinity of buprenorphine results in:
A. A very strong bond to the opioid receptor.
B. Partial activation of mu receptor.
C. Can precipitate withdrawal if full agonist on board.
D. A, B and C - ✔✔D. A, B and C
✔✔Buprenorphine can be used for medical withdrawal from opioids.
A. True
B. False - ✔✔A. True
✔✔Using DSM 5 includes:
A. There is tolerance
B. There are withdrawal symptoms on discontinuation of the drug
C. There is compulsive use in the face of bad outcomes
D. Pain is the primary drive to continued use of the drug
E. A, B, and C - ✔✔E. A, B, and C
✔✔During Susie's inpatient stay she reports to the providers that she is prescribed:
trazodone, clonidine, lamictal, gabapentin, and lorazepam. Wanting to provide care for
, all of Susie's medical issues and avoid seizures the provider writes for the medications
and discharges her with prescriptions to provide for continuity of care and started her on
buprenorphine/naloxone. What could the provider have done differently?
A. Called Susie's mother
B. Discontinued all of her medications
C. Called her counselor
D. Searched the PDMP if available - ✔✔D. Searched the PDMP if available
✔✔An opioid-dependent patient presents for buprenorphine/naloxone induction. The
COWS score is 5. Buprenorphine/naloxone 4/1 mg is given. Twenty minutes later the
patient complains of nausea and vomits as well as complaining of back and neck pain.
The most likely explanation for these symptoms is:
A. Severe opioid withdrawal not relieved by buprenorphine
B. Precipitated opioid withdrawal
C. Exacerbation of co-occurring pancreatitis
D. Alcohol withdrawal
E. Naloxone absorption with increased opioid withdrawal severity - ✔✔B. Precipitated
opioid withdrawal
✔✔Acute withdrawal from opioid dependence using buprenorphine:
A. Does not completely suppress opioid withdrawal symptoms
B. Results in long-term opioid abstinence
C. Is unlikely to result in long term abstinence
D. Can start at any time following the use of an opioid - ✔✔C. Is unlikely to result in long
term abstinence
✔✔In establishing buprenorphine stabilization and maintenance the patient should be:
A. Taking the medication as frequently as illicit use
B. On between 24 and 32 mg a day
C. On a stable dose without cravings or withdrawal
D. Taking as directed with PRN doses as needed - ✔✔C. On a stable dose without
cravings or withdrawal
✔✔Would you give the patient a dose of buprenorphine/naloxone now?
A. Yes
B. No
C. Not enough information to decide - ✔✔B. No
✔✔What dose of Buprenorphine/Naloxone would you give him?
A. 8mg
B. 12mg
C. 4mg
D. 16mg - ✔✔C. 4mg
✔✔What would you do after giving him the first dose?
PAPER QUESTIONS AND ANSWERS SURE A+
✔✔The affinity of buprenorphine results in:
A. A very strong bond to the opioid receptor.
B. Partial activation of mu receptor.
C. Can precipitate withdrawal if full agonist on board.
D. A, B and C - ✔✔D. A, B and C
✔✔Buprenorphine can be used for medical withdrawal from opioids.
A. True
B. False - ✔✔A. True
✔✔Using DSM 5 includes:
A. There is tolerance
B. There are withdrawal symptoms on discontinuation of the drug
C. There is compulsive use in the face of bad outcomes
D. Pain is the primary drive to continued use of the drug
E. A, B, and C - ✔✔E. A, B, and C
✔✔During Susie's inpatient stay she reports to the providers that she is prescribed:
trazodone, clonidine, lamictal, gabapentin, and lorazepam. Wanting to provide care for
, all of Susie's medical issues and avoid seizures the provider writes for the medications
and discharges her with prescriptions to provide for continuity of care and started her on
buprenorphine/naloxone. What could the provider have done differently?
A. Called Susie's mother
B. Discontinued all of her medications
C. Called her counselor
D. Searched the PDMP if available - ✔✔D. Searched the PDMP if available
✔✔An opioid-dependent patient presents for buprenorphine/naloxone induction. The
COWS score is 5. Buprenorphine/naloxone 4/1 mg is given. Twenty minutes later the
patient complains of nausea and vomits as well as complaining of back and neck pain.
The most likely explanation for these symptoms is:
A. Severe opioid withdrawal not relieved by buprenorphine
B. Precipitated opioid withdrawal
C. Exacerbation of co-occurring pancreatitis
D. Alcohol withdrawal
E. Naloxone absorption with increased opioid withdrawal severity - ✔✔B. Precipitated
opioid withdrawal
✔✔Acute withdrawal from opioid dependence using buprenorphine:
A. Does not completely suppress opioid withdrawal symptoms
B. Results in long-term opioid abstinence
C. Is unlikely to result in long term abstinence
D. Can start at any time following the use of an opioid - ✔✔C. Is unlikely to result in long
term abstinence
✔✔In establishing buprenorphine stabilization and maintenance the patient should be:
A. Taking the medication as frequently as illicit use
B. On between 24 and 32 mg a day
C. On a stable dose without cravings or withdrawal
D. Taking as directed with PRN doses as needed - ✔✔C. On a stable dose without
cravings or withdrawal
✔✔Would you give the patient a dose of buprenorphine/naloxone now?
A. Yes
B. No
C. Not enough information to decide - ✔✔B. No
✔✔What dose of Buprenorphine/Naloxone would you give him?
A. 8mg
B. 12mg
C. 4mg
D. 16mg - ✔✔C. 4mg
✔✔What would you do after giving him the first dose?
