QUESTIONS AND ANSWERS
A 28 year old man has had 3 supervised medical withdrawal treatments for opioid addiction with
relapses shortly after discharge. The treatment with the strongest evidence of effectiveness would be:
A. Therapeutic community.
B. Intensive outpatient counselling.
C. Medication Assisted Treatment (MAT).
D. Medical withdrawal from opioids. - -C. Medication Assisted Treatment (MAT).
-An individual with opioid use disorder is released from jail after 3 months of incarceration. She returns
to her old neighborhood and purchases heroin and injects herself with the 'usual' amount of drug she
had habitually taken. She then collapses and becomes unconscious with shallow respirations within 1
minute of use. The most likely cause is a(n):
A. Reaction to a contaminant in the heroin.
B. Increased drug purity.
C. Loss of tolerance.
D. Interaction with another medication started while incarcerated. - -C. Loss of tolerance.
-Buprenorphine, when taken alone or in combination with naloxone, can result in all the following
except:
A. Analgesia.
B. Constipation.
C. Reduction in the use of other opioids.
D. Respiratory arrest. - -D. Respiratory arrest.
-Buprenorphine's affinity (the strength with which a drug binds to its receptor) for the mu opioid
receptor is:
A. Greater than heroin.
B. The same as heroin.
C. Less than methadone.
D. The same as morphine. - -A. Greater than heroin
-From a Motivational Interviewing perspective which question is most important to ask yourself during
the initial engagement with a patient?
A. What would I like to see the patient change?
B. Do I understand this person's perspective and concerns?
C. What would be a reasonable next step towards change?
D. Am I offering needed information and advice I think the patient needs? - -B. Do I understand this
person's perspective and concerns?