_________________________________________________________________________ Opioid Use Disorder
F inal E xam
OPIOID USE DISORDER
Select the best answer for each question and mark your answers on the Final Examination Answer Sheet found on page 91, or complete your test online at BOOK.CME.EDU. A passing grade of at least 70% must be achieved in order to receive credit for this course.
11. Which of the following is NOT a characteristic of opioid use disorder? A) Tolerance B) Withdrawal symptoms C) Ability to control the use of opioids D) Continued use despite harmful consequences
16. One of the main goals of opioid structural modification is to
A) maintain similar lipid solubility. B) decrease affinity for opioid receptors. C) alter resistance to metabolic breakdown. D) change the drug properties from antagonist to agonist. 17. Which of the following is NOT a function of the endogenous opioid system? A) Emotional regulation B) Pain response inhibition C) Peripheral vascular stabilization D) Modulation of learning and memory 18. In terms of clinical effects on respiration, therapeutic doses of morphine A) can induce periodic breathing.
12. Opioid pseudoaddiction is characterized by all of the following, EXCEPT:
A) Desire for the mood-altering effects of the drug B) Preoccupation with obtaining opioid medications C) Drug-seeking behavior caused by inadequate pain control D) A crisis of mistrust between the patient and the healthcare team
13. Which of the following is NOT a naturally occurring alkaloid of opium?
B) never cause respiratory depression. C) depress expiration but not inspiration. D) None of the above
A) Codeine B) Fentanyl C) Morphine D) Papaverine
19. The onset of euphorigenic action after sub-cutaneous injection of heroin is approximately
14. Between 2004 and 2011, the overall emergency department admission rate for misuse or abuse of opioid analgesics in the United States increased by
A) 30 seconds. B) 15 minutes. C) 30 minutes. D) 45 minutes.
A) 39%. B) 59%. C) 99%. D) 153%.
20. The brand name drugs Percodan and Percocet are formulations of A) codeine.
15. Which of the following has been identified as a risk factor for fatal heroin overdose? A) IV use
B) morphine. C) oxycodone. D) hydrocodone.
B) Female gender C) Married status D) Current treatment for heroin dependence
21. Both the positive and negative reinforcements of opioid use are mediated by the
A) corpus callosum. B) cerebral peduncle. C) corticospinal tract. D) mesolimbic dopamine system.
Self-Assessment questions continue on next page
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MDRI2026
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