__________________________________________________ Responsible Prescribing of Controlled Substances
F inal E xam
RESPONSIBLE PRESCRIBING OF CONTROLLED SUBSTANCES
Select the best answer for each question and mark your answers on page 61. For faster service, complete your test online at BOOK.CME.EDU.
31. Inappropriate opioid analgesic prescribing for pain is defined as A) non-prescribing. B) inadequate prescribing. C) continued prescribing despite evidence of ineffectiveness of opioids. D) All of the above 32. When opioids are used for acute pain, clinicians should prescribe A) the highest safe dose. B) extended-release opioids. C) a quantity no greater than that needed for the expected duration of severe pain. D) All of the above 33. A patient prescribed opioids for chronic pain who is 65 years of age and displays high levels of pain acceptance and active coping strategies is considered at what level of risk for developing problematic opioid behavioral responses? A) Low B) Medium C) High D) Severe 34. The Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) A) consists of 5 items. B) is patient administered. C) diagnoses depression in the past month. D) assesses the likelihood of current substance abuse. 35. Which of the following is NOT one of the 5 A’s of monitoring chronic opioid response? A) Analgesia B) Acceptance C) Affect (i.e., patient mood) D) Aberrant or abnormal drug-related behaviors
36. Before ordering toxicology testing, including urine drug tests, clinicians should do which of the following? A) Have a plan for responding to unexpected results B) Explain to patients that toxicology testing will not be used punitively C) Explain expected results and ask patient if there may be unexpected results to be aware of D) All of the above 37. According to the Office of National Drug Control Policy, most unnecessary or expired medications should be disposed of A) in their original container. B) by flushing down the toilet. C) using a take-back option in person or by mail. D) by offering or selling to others who need the medication. 38. The most common source of nonmedical use of prescribed opioids is from A) a friend or relative. B) a prescription from one doctor. C) purchase from a drug dealer or other stranger. D) theft from a doctor’s office, clinic, hospital, or pharmacy. 39. Which of the following behaviors is the most suggestive of an emerging opioid use disorder? A) Asking for specific medications B) Injecting medications meant for oral use C) Reluctance to decrease opioid dosing once stable D) Stockpiling medications during times when pain is less severe
40. Which government agency is responsible for formulating federal standards for the handling of
controlled substances? A) Institutes of Medicine
B) U.S. Drug Enforcement Administration C) Office of National Drug Control Policy D) U.S. Department of Health and Human Services
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