Substance Use Disorders and Pain Management: MATE Act Training _ _______________________________
62. Certain questions are useful in screening to determine presence of substance use disorder. One such set of questions is known as the CAGE questionnaire. The CAGE acronym stands for A) Confusion, Agitation, S3 Gallop, Edema. B) Cut down, Annoyed, Guilty, Eye-opener. C) Chloral hydrate, Alcohol, Glutethimide, Ethchlorvynol. D) un-Controllable urge to drink, un-Able to limit intake, un-Grateful for help to stop drinking, un-Excited about treatment. 63. Which of the following statements regarding pain management in patients with comorbid opioid use disorder is TRUE? A) Identification of an opioid use disorder does not alter the expected benefits and risks of opioid therapy for pain. B) Patients with co-occurring pain and substance use disorder should not receive pain management until their substance use disorder is controlled. C) Clinicians should use nonpharmacologic and nonopioid pharmacologic pain treatments as appropriate to provide optimal pain management for these patients. D) For patients who are treated with buprenorphine
66. All of the following statements regarding the Concurrent Use of Benzodiazepines in patients prescribed opioids is true, EXCEPT: A) Opioids have the potential for drug dependence and addiction, but benzodiazepines do not. B) If a benzodiazepine is to be discontinued, the clinician should taper the medication gradually. C) In 2019, 16% of persons who died of an opioid overdose also tested positive for benzodiazepines. D) Combining benzodiazepines with opioids is unsafe
because both classes of drug cause central nervous system depression and sedation and can decrease respiratory drive.
67. Which of the following statements regarding the disposal of opioids is TRUE? A) Patients are almost always advised of what to do with unused or expired medications. B) There are no universal recommendations for the proper disposal of unused opioids. C) According to the FDA, most medications should be flushed down the toilet instead of thrown in the trash. D) All of the above 68. The most common source of nonmedical use of prescribed opioids is from A) a friend or relative for free. 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. 69. 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
for opioid use disorder and experience acute pain, clinicians should not increase the buprenorphine dosing frequency.
64. 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 drug-related behaviors 65. For patients considered at medium risk for misuse of prescription opioids, urine drug testing should be completed every
C) Reluctance to decrease opioid dosing once stable D) Stockpiling medications during times when pain is less severe
A) 6 to 12 weeks. B) 3 to 6 months. C) 6 to 12 months. D) 1 to 2 years.
70. 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
Course Code: MDNJ08SU
66
MDNJ1525
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