Take the Test

1. Which is an accurate statement regarding the scope of prescription drug misuse?

• a. Nearly 10 million Americans ages 12 and older misused prescription pain relievers in 2019.
• b. In West Virginia, the number of drug overdose-related deaths decreased from 2020 to 2021.
• c. Deaths due to accidental opioid overdose are second only to deaths due to motor vehicle crashes.
• d. In 2019, an average of over 10,000 new people ages 26 and older began misusing prescription pain relievers each day.

2. When monitoring the “Five As” of pain management, which question will the prescriber ask?

• a. “Do you have a family history of drug misuse?”
• b. “Has your level of function improved?”
• c. “How satisfied are you with me as a prescriber?”
• d. “Are there problems with your pharmacy filling your prescriptions?”

3. Which statement is a part of the 2022 CDC guidelines for prescribing opioids?

• a. The guidelines apply only to primary care physicians and physician assistants.
• b. Concurrent use of opioids and central nervous system depressants is always beneficial.
• c. Assessing the risks and addressing the potential harms of opioid use with the patient is recommended.
• d. Prescribing long-acting instead of immediate-release opioids when starting opioid therapy is recommended.

4. All of the following are recommended risk reduction strategies for preventing drug diversion in West Virginia, except:

• a. Prescribing opioids only to patients ages 21 and over.
• b. Requiring urine testing to monitor compliance of patients who are prescribed controlled substances.
• c. Conducting pill counts on a random or regular basis during scheduled appointments.
• d. Having an appropriate end-of-therapy goal for pharmacologic interventions.

5. Statistics indicate that the most common source from which individuals obtained prescribed pain medications for misuse was:

• a. Purchasing from drug dealers.
• b. Through a prescription from a doctor.
• c. Free, purchased, or taken from friends or relatives.
• d. Stealing from a doctor’s office, clinic, hospital, or pharmacy.

6. Which behavior would a clinician consider to be the most likely example of aberrant drug-related behavior (ADRB) in their patient?

• a. The patient states that they are still feeling a lot of pain despite beginning opioid therapy last week.
• b. The patient’s partner reports that the patient has been complaining of boredom lately.
• c. The patient phones the clinic stating that they lost their prescription again and need an early refill.
• d. The patient’s partner reports that the patient has not been taking all of their prescribed pain medication.

7. Which behavior is most likely to be associated with drug diversion in the workplace?

• a. Poor hygiene and disheveled appearance at work
• b. Sloppy and illegible charting on medication records and nurses’ notes
• c. A pattern of incorrect narcotic counts
• d. Frequent tardiness and absences from work

8. When educating the patient and family regarding the use of naloxone in cases of drug overdose, the clinician states that:

• a. Naloxone is effective in treating overdoses due to cocaine and amphetamines.
• b. It is never safe to administer naloxone to pregnant women.
• c. There are no known side effects from naloxone use.
• d. Both intranasal spray and parental forms of the drug are available.