8 HOUR MAT TRAINING UPDATED EXAMS
SCRIPT QUESTIONS AND ANSWERS SURE A+
✔✔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 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
✔✔Buprenorphine's affinity (the strength with which a drug binds to its receptor) for the
mu opioid receptor is:
Greater than heroin
The same as heroin
Less than methadone
The same as morphine - ✔✔Greater than heroin
✔✔Buprenorphine, when taken alone or in combination with naloxone, can result in all
the following except:
SCRIPT QUESTIONS AND ANSWERS SURE A+
✔✔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 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
✔✔Buprenorphine's affinity (the strength with which a drug binds to its receptor) for the
mu opioid receptor is:
Greater than heroin
The same as heroin
Less than methadone
The same as morphine - ✔✔Greater than heroin
✔✔Buprenorphine, when taken alone or in combination with naloxone, can result in all
the following except:
