Questions and answers
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):
Reaction to a contaminant in the heroin
Increased drug purity
Loss of tolerance
Interaction with another medication started while incarcerated - ANSWER -Loss of tolerance
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 - ANSWER -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 - ANSWER -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 - ANSWER -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 th - ANSWER -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 - ANSWER -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 - ANSWER -A. Mandatory
counseling of all patients