38. Which of the following is an example of an opioid- related risk factor appropriately influencing a treatment choice?
A. Pain duration lasting longer than 6 months is a contraindication for carisoprodol co-prescribed with opioids. B. Patients without previous exposure should be initiated at the lowest possible dose of an extended-release opioid and titrated slowly to minimize adverse effects. C. Cardiac toxicities due to QTc prolongation suggest morphine should be carefully evaluated or should not be used. D. Take-home naloxone is advised in the presence of concurrent benzodiazepines.
39. One sign of an active OUD is:
A. Craving that persists after cessation. B. Combining opioids with alcohol. C. Persistent failure of analgesia despite optimal doses. D. Chronic insomnia with opioid therapy for pain. 40. Which of the following statements is true regarding a diagnosis of OUD using DSM-5 criteria? A. A minimum of four criteria are required for a mild OUD diagnosis. B. The preferred term for problematic opioid usage that does not meet criteria for OUD is “abuse”. C. The presence of tolerance and physical dependence does not necessarily mean that an OUD has developed. D. Patients cannot develop an OUD if they take medication as prescribed.
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