__________________________________ Prescription Opioids: Risk Management and Strategies for Safe Use 15. Which of the following is NOT true of trends in opioid analgesic misuse/abuse-related emergency department (ED) visits? A) The ED admit rate increased 153% from 2004 to 2011. B) Morphine-related ED admits increased 144% from 2004 to 2011. C) The overall rate of ED admits has been unchanged from 2009 to 2011. D) Hydrocodone was the most frequent opioid involved in ED admits in 2011. 22. Which of the following statements regarding the escalation in methadone prescribing and fatal toxicity between 1997 and 2007 is FALSE? A) Plasma half-life vastly exceeds the duration of analgesia. B) The majority of fatalities occur more than two weeks after initiation of treatment. C) Until 2006, the recommended analgesic dosing interval was every three to four hours. D) All of the above
23. As reflected by trends in arrestee data, the prescription opioid abuse epidemic is
16. In 2021, approximately how many persons engaged in nonmedical use of prescription opioids?
A) escalating. B) incubating. C) increasing at a slower rate. D) past peak and trending downward.
A) 500,000 B) 2 million C) 9.2 million D) 25 million
24. Publication of the 2013 FSMB model policy was prompted by findings of additional contributing factors to pain undertreatment and inappropriate opioid prescribing, which include all of the following, EXCEPT: A) Conflicting clinical guidelines
17. In 2021, the most frequent initial illicit drug experience was with A) cannabis. B) tranquilizers. C) prescription opioids. D) prescription stimulants. 18. In 2021, how many persons in the United States had misused both heroin and prescription opioid analgesics? A) 574,000
B) Knowledge gaps in medical standards C) Undue emphasis on pain as a distinct pathologic entity D) Prescriber concerns over regulatory or law enforcement attention from legitimate opioid prescribing
25. Which of the following is NOT a characteristic of appropriate opioid prescribing? A) Appropriately documented B) Demonstrable patient benefit C) Failure to use risk assessment tools D) Based on sound clinical judgment and current best clinical practices
B) 1.2 million C) 8.7 million D) 12 million
19. In 2021, the past-year treatment admissions for opioid use disorders
A) decreased. B) increased.
26. The Screener and Opioid Assessment for Patients with Pain–Revised (SOAPP-R) A) consists of five items. B) is patient administered. C) diagnoses depression in the past month. D) assesses the likelihood of current substance abuse. 27. 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
C) plateaued and then declined. D) declined and then plateaued.
20. Of those who misuse or abuse prescription opioids, what percentage report having obtained their most recently used drugs from a friend or relative for free? A) 4.3%
B) 13.7% C) 21.2% D) 33.9%
21. Which of the following is NOT a known risk factor for fatal opioid toxicity? A) Body mass index less than 30 B) Prescriber error due to knowledge deficits C) Patient non-adherence to medication regimen D) Co-administration of other CNS-depressant drugs, including alcohol or benzodiazepines
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MDMS1526
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