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According to the 2021 National Survey on Drug Use and Health, which substance was most commonly misused?

According to the CDC's 2022 Clinical Practice Guidelines for Prescribing Opioids, what is the preferred type of opioid for acute pain?

According to the CDC's 2022 Clinical Practice Guidelines for Prescribing Opioids, what is the recommended rate for tapering opioids when discontinuing them?

Before prescribing opioids, what does the CDC recommend to check?

Which of the following is NOT typically a responsibility of opioid prescribing?

Why are Morphine Milligram Equivalents (MMEs) used in opioid prescribing?

According to the information provided, what is the primary goal when determining whether or not to initiate opioids for pain?

A patient is administered a medication that binds to opioid receptors, preventing the binding of other substances and reversing the effects of opioids. Which type of drug is this patient most likely given?

A patient who is physiologically dependent on opioids abruptly stops using them. Which type of opioid withdrawal is this patient most likely experiencing?

A patient who is physiologically dependent on opioids and has opioids in their system is administered naloxone. Which type of opioid withdrawal is this patient most likely experiencing?

Which set of symptoms is most indicative of opioid intoxication?

A 21-year-old female presents with nausea, vomiting, body aches, sweating, fatigue, chills, constant yawning, and irritability. She initially denies drug use but later admits to daily use of pressed fentanyl pills. What is the most likely cause of her symptoms?

A patient with a known history of opioid dependence is prescribed buprenorphine. What is the primary mechanism by which buprenorphine can precipitate withdrawal symptoms?

A patient undergoing opioid withdrawal is experiencing severe gastrointestinal distress. Which of the following physiological mechanisms is least likely to contribute to this symptom?

Which of the following statements most accurately describes the difference between opioid tolerance and opioid dependence?

Considering the patient's escalating fentanyl use to maintain normalcy and prevent withdrawal, which neurobiological adaptation is most likely occurring in her brain?

The patient is concerned about failing a urine drug screen during her clinical rotations. Given her reported fentanyl use, what is the most appropriate and sensitive method to confirm fentanyl use?

Considering the patient's expressed desire to stop using fentanyl due to concerns about her medical school career, which of the following would be the MOST appropriate initial treatment strategy?

The patient admits to using fentanyl in class to prevent withdrawal symptoms. From an ethical perspective, which principle is MOST compromised by this behavior?

Which of the following best represents the DSM-5 criteria met by the patient that would determine a diagnosis of Opioid Use Disorder?

What is the MOST crucial next step in assessing this patient after establishing a diagnosis of Opioid Use Disorder?

The patient's mother expresses concerns about her daughter's increased withdrawal from the family. Which of the following strategies would be MOST effective in involving the family in the patient's treatment?

Given that the patient has experimented with IV fentanyl use, what harm reduction strategy is MOST critical to address immediately?

A patient is experiencing opioid withdrawal symptoms and is considering buprenorphine induction in an outpatient setting. What strategy minimizes the risk of precipitated withdrawal?

Which of the following statements accurately compares methadone and buprenorphine regarding their accessibility and risk of overdose?

A patient with a history of opioid use disorder is interested in starting naltrexone. What is the most critical consideration before initiating naltrexone therapy?

A patient reports experiencing significant anxiety and restlessness during opioid withdrawal. Which adjunctive medication would be the MOST effective first-line treatment for these specific symptoms?

When initiating medication-assisted treatment for opioid use disorder, which factor most significantly influences the choice between methadone, buprenorphine, and naltrexone?

A patient is undergoing buprenorphine induction and reports feeling worse despite dose adjustments. They exhibit increased withdrawal symptoms. What is the most likely explanation for this?

A patient with opioid use disorder is being discharged from inpatient treatment. What is the most significant advantage of prescribing IM naltrexone over oral naltrexone in this scenario?

What is the primary mechanism by which naltrexone prevents overdose?

Which of the following factors contribute significantly to an individual's risk of developing a substance use disorder?

Why is the CAGE questionnaire not recommended as a sole screening tool for alcohol use disorder in primary care settings?

In a busy primary care clinic, what is the primary advantage of using the NIAAA Single Alcohol Screening Question (SASQ) over other screening tools like AUDIT-C?

According to the provided data, approximately what percentage of the United States population aged 12 and older experienced Alcohol Use Disorder (AUD) in the past year?

A 30-year-old male patient reports consuming 6-8 alcoholic beverages every night to help him sleep. He denies any negative consequences but expresses concern about potential long-term health effects. Which screening tool is MOST appropriate?

A researcher is designing a study to identify risk factors for alcohol use disorder in adolescents. Which combination of factors would provide the strongest predictive value?

A primary care physician is implementing routine alcohol screening in their practice. Which strategy would be MOST effective in ensuring the screening process is both efficient and comprehensive?

During a clinical interview, a patient minimizes their alcohol consumption, stating they only drink 'socially' on weekends. However, their medical history reveals elevated liver enzymes and frequent emergency room visits for minor injuries. Which screening approach is MOST justified?

A patient presents with vital signs indicative of tachycardia, hypertension, and hyperthermia, alongside physical findings of mydriasis, diaphoresis, piloerection, and tremors. Considering these signs and symptoms in the context of substance use disorders, which of the following is the MOST likely underlying physiological process?

Methadone maintenance therapy (MMT) is subject to specific regulations due to its pharmacological profile and potential for misuse. Which of the following statements BEST describes a primary regulatory consideration that differentiates methadone dispensing from buprenorphine dispensing in the treatment of Opioid Use Disorder (OUD)?

Considering the pharmacological differences between methadone and buprenorphine in the treatment of Opioid Use Disorder (OUD), which statement accurately contrasts their receptor binding profiles and resulting clinical implications?

A patient with Opioid Use Disorder (OUD) is being considered for buprenorphine treatment. Given the available formulations of buprenorphine, which of the following is MOST appropriate for initiating outpatient treatment in a setting where diversion and misuse are significant concerns within the patient's community?

In the context of Medication for Opioid Use Disorder (MOUD), the inclusion of naloxone in combination with buprenorphine (e.g., Suboxone) serves a specific purpose related to harm reduction. Which of the following BEST describes the primary rationale for incorporating naloxone in this formulation?

A patient is initiated on methadone for Opioid Use Disorder (OUD) at an Opioid Treatment Program (OTP). When counseling this patient about methadone, which of the following statements is MOST critical to emphasize regarding the medication's risk profile?

A clinician is initiating buprenorphine treatment for a patient with Opioid Use Disorder (OUD) in an outpatient setting. To determine the appropriate timing for buprenorphine induction, which of the following assessment tools is MOST crucial to employ and interpret?

For a patient with chronic pain and co-occurring Opioid Use Disorder (OUD) who requires long-term opioid agonist therapy, which buprenorphine formulation would be LEAST suitable due to its primary indication and route of administration?

What is the primary difference between opioids and opiates?

What is the primary function of mu receptors in the body?

Which of the following are signs of opioid intoxication? (Select all that apply)

Which of the following are key findings of opiate withdrawal? (Select all that apply)

What is the mechanism of action (MOA) of Methadone?

What is one of the most effective adjunctive therapies for opioid withdrawal?

Alcohol works on what receptors? (Select all that apply)

Delirium Tremens is defined as:

Which of the following are treatment options for alcohol withdrawal management? (Select all that apply)

Opiate Misuse Rate

Opioid Initiation: First Step

Opioid Selection for Acute Pain

Opioid Tapering

PDMP Checks

PDMP Meaning

MME Meaning

Opioid Prescribing Responsibilities

Agonist

Antagonist

Opioid Intoxication Signs

Spontaneous Opioid Withdrawal

Precipitated Opioid Withdrawal

Opioid Withdrawal Symptoms

Opioid Tolerance

Opioid Dependence

Opioid Use Disorder (OUD)

OUD Severity

Opioid Withdrawal

Common Opioid Withdrawal Symptoms

Using to Avoid Withdrawal

Increased Dosage

Initial Denial of Substance Use

Progression of OUD

Clonidine Use

Naltrexone & Withdrawal

Naltrexone Function

Methadone Initiation

Buprenorphine Initiation

Naltrexone Initiation

Naltrexone

Infectious Disease Screening

MOUD Definition

Methadone

Methadone Formulations

Buprenorphine

Buprenorphine Formulations

Buprenorphine vs Buprenorphine-Naloxone

Buprenorphine Dosages

COWS Score

Alcohol Use Disorder (AUD)

AUD Prevalence (2022)

Risk Factors for Use Disorder

NIAAA Single Alcohol Screening Question (SASQ)

AUDIT-C

CAGE

Positive Screening Follow-up

AUDIT