8 Hour MAT Training Study Guide

8 Hour MAT Training Study Guide What was learned from the early methadone research? A. Methadone treatment was corrective, but patients can't taper from it B. Patients experienced intoxication from methadone similar to heroin C. Patients experienced ceiling agonist effects therefore did not have blockade from the short- acting opioids D. Methadone treatment reduced death, crime days, decreased HIV seroconversion, Intravenous drug use, and increased social function - D. Methadone treatment reduced death, crime days, decreased HIV seroconversion, Intravenous drug use, and increased social function Increasing mortality has been seen in the US due to the opioid epidemic compared to six other countries in which group? A. Young adults B. Middle aged white men C. African Americans D. Middle aged white women - B. Middle aged white men Each of the following is a means by which a prescriber could qualify to obtain the waiver needed to engage in office-based treatment of opioid addiction except: A. Board-certified in Addiction Psychiatry B. At least 100 hours in addiction medicine practice that has been reviewed and approved by SAMHSA C. Completed approved 8-hour training offered by a group named in DATA 2000 D. Completed 8 hours of training offered by the American Medical Association E. NP or PA who completed the 24 hours of addiction curriculum training - B. At least 100 hours in addiction medicine practice that has been reviewed and approved by SAMHSA 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. B. The provider needs to wait up to 45 days to receive their waiver and treat up to 30 patients at one time. C. The provider can apply for an extended waiver to 100 upon receipt of waiver. D. The provider may treat these patients with buprenorphine/naloxone off-label. E. The provider may treat all of these individuals by completing an additional notification to the DEA of the urgent need in the community. - B. The provider needs to wait up to 45 days to receive their waiver and treat up to 30 patients at one time. The Drug Addiction Treatment Act of 2000 (DATA 2000) allows waivered providers to provide Office Based Opioid Treatment which includes all except: A. FDA approved medications for maintenance or detoxification B. Medications in schedules III, IV, or V C. Buprenorphine or Buprenorphine/naloxone D. Methadone - D. Methadone Prescriber are required under DATA 2000 to fulfill the following requirements except: A. Mandatory counseling of all patients B. Completion of an approved 8-hour waiver course C. Completion of 16 additional curriculum hours for NP's and PA's D. The ability to provide or refer patients to appropriate counseling - A. Mandatory counseling of all patients Which of the following drugs and drug formulations have been approved for office-based treatment of opioid dependence: A. Buprenorphine/naloxone sublingual film B. Buprenorphine transdermal patches C. Buprenorphine sublingual tablets and buccal film D. A and B E. A and C - E. A and C 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