_______________________________ Prescription Opioids and Pain Management: The Tennessee Guidelines
F inal E xam
PRESCRIPTION OPIOIDS AND PAIN MANAGEMENT: THE TENNESSEE GUIDELINES
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.
1. 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 2. When initiating opioid treatment, all of the following are true, EXCEPT: A) Prescription by telemedicine is unacceptable. B) Obtaining a urine drug test should be deferred to follow-up visit. C) Initial treatment should be presented as a trial for a pre-defined period. D) A thorough clinical examination should be documented in the medical record. 3. Before starting opioids for chronic pain, one should A) establish a specific diagnosis, justify the need, and document the plan. B) discuss treatment goals and educate the patient regarding benefits/risks. C) conduct a thorough assessment, including past use of controlled medication and addiction risk. D) All of the above 4. 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 5. 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.
6. For patients considered at medium risk for misuse of prescription opioids, urine drug testing should be completed every
A) 6 to 12 weeks. B) 3 to 6 months. C) 6 to 12 months. D) 1 to 2 years.
7. In Tennessee, the disposal of unused or outdated prescription opioids, or other controlled medications, is best accomplished by A) burning. B) throwing in the garbage in a sealed container. C) sharing with a friend or relative with chronic pain. D) depositing the drugs in permanent drug collection boxes located within law enforcement agencies. 8. 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. 9. 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 10. Which government agency is responsible for formulating federal standards for the handling of controlled substances? A) Institutes of Medicine B) Office of National Drug Control Policy C) U.S. Drug Enforcement Administration D) U.S. Department of Health and Human Services
Course Code: MDTN02TG
19
MDTN1726
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