______________________________________________________ Opioid Safety: Balancing Benefits and Risks
F inal E xam
OPIOID SAFETY: BALANCING BENEFITS AND RISKS
Select the best answer for each question and mark your answers on the Final Examination Answer Sheet found on page 106, 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. 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 12. All of the following statements regarding opioid use for chronic pain are TRUE, EXCEPT: A) Opioid therapy for chronic pain should be presented as a trial for a pre-defined period. B) The goals of treatment should be established with all patients prior to the initiation of opioid therapy. C) Opioids should not be combined with nonpharmacologic and nonopioid pharmacologic therapy. D) The treatment plan should describe therapy selection, measures of progress, and other diagnostic evaluations, consultations, referrals, and therapies. 13. Which of the following is one reason that opioids are useful for severe pain at the end of life? A) Unlike nonopioids, opioids do not have a ceiling effect. B) Opioid side effects do not occur in patients at the end of life. C) Nonopioid pharmacotherapy is more difficult to administer to patients. D) Opioids are generally more acceptable to patients and their families than nonopioid options. 14. What administration route is typically preferred for opioids at the end of life as it is the most convenient and least expensive? A) Oral B) Parenteral
15. The 2022 revision of the CDC’s guidelines for opioid prescribing apply to which of the following patient groups? A) Hospital inpatients
B) Those with sickle cell disease C) Persons receiving end-of-life care D) Adults (18 years of age and older)
16. The CDC states that which of the following is paramount when treating patients with pain? A) Inclusion of opioids in every chronic pain treatment plan B) Strict adherence to established opioid prescribing guidelines C) Flexibility to meet the care needs and the clinical circumstances of a specific patient D) Implementing policies that limit opioid access regardless of pain severity, quality, or effectiveness of nonopioid therapy 17. Opioids are NOT first-line therapy for which of the following common acute pain conditions? A) Low back pain B) Headaches, including episodic migraine C) Pain related to minor surgeries typically associated with minimal tissue injury and only mild postoperative pain D) All of the above 18. The CDC recommends which of the following noninvasive, nonpharmacologic approaches for the treatment of subacute or chronic neck pain? A) Exercise therapy B) Mind-body practices C) Low-level laser therapy D) Cognitive-behavioral therapy
C) Transdermal D) Intramuscular
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MDPA2126
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