8 HOUR MAT TRAINING UPDATED
EXAMS WITH CORRECT ANS
2026/2027 /PASS GUIDE
1. A patient gives a history of 3 years of daily opioid misuse and
asks to be started on buprenorphine. Which of the following
should be completed as part of the determination regarding
whether to prescribe this medication:
A. Medical, psychiatric and substance abuse history
B. Urine toxicology screen
C. Physical examination
D. Check state prescription drug monitoring program if
available
E. A, B, C and D - ANS ✅✅-B. Assure the patient your
objective is concern for his/her health
2. A patient in your treatment program, who has been doing very
well for months, provides a urine that is below body
temperature. You suspect this is a tampered urine. Which of
the following is the best response when meeting with the
patient?
A. Assume that there is a logical explanation for the cold
temperature and accept the urine. The patient has been
very stable and will let you know if they relapsed.
B. Inform patient "Your urine is cold so I cannot accept it
today. Tampering with urine screens is a violation of our
treatment agreement. Per protocol, you will be
discharged from the program, but are welcome back
after completing detox."
C. Inform patient "The urine you provided today is below
body temp. I am concerned that this is a tampered urine.
, I will need another urine sample today, but I hope you
know that if you are struggling, it is better to let your
treatment team know so that we can help you. So are
ther - ANS ✅✅-C. Inform patient "The urine you provided
today is below body temp. I am concerned that this is a
tampered urine. I will need another urine sample today,
but I hope you know that if you are struggling, it is better
to let your treatment team know so that we can help you.
So are there any issues we need to address? Any recent
substance use?"
3. A patient with polysubstance dependence (including opioid
addiction) and HCV infection with mild fibrosis prescribed
buprenorphine/naloxone is found non-responsive and dies
several hours after being brought to the ED. Blood levels of
buprenorphine are consistent with the prescribed dose. Which
of the following is the most likely explanation for the death:
A. Liver impairment resulted in buprenorphine accumulation
B. Illicit benzodiazepine use with buprenorphine/naloxone
produced a toxic pharmacodynamic drug-drug interaction
C. Buprenorphine-associated cardiac arrhythmia
D. Liver and renal impairment resulted in accumulation of
buprenorphine metabolites
E. Acute liver failure related to buprenorphine/naloxone use
- ANS ✅✅-
4. A provider completes the required training and is eligible for
the waiver to offer office-based treatment of opioid
dependence. The provider practices in a community with
epidemic opioid addiction and has 38 opioid-dependent
individuals who have inquired about this treatment and asked
to be treated when the provider starts the
buprenorphine/naloxone practice. Which of the following is the
appropriate course of action:
A. Completion of the course and submission of the
Notification of Intent form is sufficient to start practice.
EXAMS WITH CORRECT ANS
2026/2027 /PASS GUIDE
1. A patient gives a history of 3 years of daily opioid misuse and
asks to be started on buprenorphine. Which of the following
should be completed as part of the determination regarding
whether to prescribe this medication:
A. Medical, psychiatric and substance abuse history
B. Urine toxicology screen
C. Physical examination
D. Check state prescription drug monitoring program if
available
E. A, B, C and D - ANS ✅✅-B. Assure the patient your
objective is concern for his/her health
2. A patient in your treatment program, who has been doing very
well for months, provides a urine that is below body
temperature. You suspect this is a tampered urine. Which of
the following is the best response when meeting with the
patient?
A. Assume that there is a logical explanation for the cold
temperature and accept the urine. The patient has been
very stable and will let you know if they relapsed.
B. Inform patient "Your urine is cold so I cannot accept it
today. Tampering with urine screens is a violation of our
treatment agreement. Per protocol, you will be
discharged from the program, but are welcome back
after completing detox."
C. Inform patient "The urine you provided today is below
body temp. I am concerned that this is a tampered urine.
, I will need another urine sample today, but I hope you
know that if you are struggling, it is better to let your
treatment team know so that we can help you. So are
ther - ANS ✅✅-C. Inform patient "The urine you provided
today is below body temp. I am concerned that this is a
tampered urine. I will need another urine sample today,
but I hope you know that if you are struggling, it is better
to let your treatment team know so that we can help you.
So are there any issues we need to address? Any recent
substance use?"
3. A patient with polysubstance dependence (including opioid
addiction) and HCV infection with mild fibrosis prescribed
buprenorphine/naloxone is found non-responsive and dies
several hours after being brought to the ED. Blood levels of
buprenorphine are consistent with the prescribed dose. Which
of the following is the most likely explanation for the death:
A. Liver impairment resulted in buprenorphine accumulation
B. Illicit benzodiazepine use with buprenorphine/naloxone
produced a toxic pharmacodynamic drug-drug interaction
C. Buprenorphine-associated cardiac arrhythmia
D. Liver and renal impairment resulted in accumulation of
buprenorphine metabolites
E. Acute liver failure related to buprenorphine/naloxone use
- ANS ✅✅-
4. A provider completes the required training and is eligible for
the waiver to offer office-based treatment of opioid
dependence. The provider practices in a community with
epidemic opioid addiction and has 38 opioid-dependent
individuals who have inquired about this treatment and asked
to be treated when the provider starts the
buprenorphine/naloxone practice. Which of the following is the
appropriate course of action:
A. Completion of the course and submission of the
Notification of Intent form is sufficient to start practice.
