Addiction Medicine Certification Addiction Medicine Treatment Planning 2

Question 1

A patient with opioid use disorder has chronic pain and requests buprenorphine. Which treatment planning consideration is MOST important?

Accepted Answer

Use a single agent that addresses both OUD and pain when possible

Answer

Defer OUD treatment until pain is controlled

Answer

Prescribe full agonist opioids for pain alongside buprenorphine

Answer

Refer exclusively to a pain specialist before initiating OUD treatment

Question 2

When developing a treatment plan for a patient with stimulant use disorder, which pharmacological approach has the strongest evidence base?

Accepted Answer

No FDA-approved medications; behavioral therapies are primary

Answer

Bupropion monotherapy

Answer

Modafinil combined with contingency management

Answer

Naltrexone extended-release injection

Question 3

A treatment plan for a patient with severe alcohol use disorder should include which level of care according to ASAM criteria when the patient has a history of alcohol withdrawal seizures?

Accepted Answer

Medically managed intensive inpatient (Level 4)

Answer

Outpatient detox with daily check-ins

Answer

Standard outpatient treatment (Level 1)

Answer

Clinically managed residential (Level 3.5)

Question 4

Which motivational interviewing technique is MOST appropriate early in treatment planning when a patient is ambivalent about change?

Accepted Answer

Exploring and reflecting the patient's own reasons for change

Answer

Confronting denial directly to break resistance

Answer

Providing an expert-driven list of consequences of continued use

Answer

Setting firm behavioral contracts with consequences for non-compliance

Question 5

A patient with opioid use disorder is pregnant. Which treatment planning decision is MOST supported by evidence?

Accepted Answer

Initiate methadone or buprenorphine maintenance therapy

Answer

Taper opioids completely before the third trimester

Answer

Defer all pharmacotherapy until after delivery

Answer

Use naltrexone as the preferred agent to avoid neonatal exposure

Question 6

When planning treatment for a patient with co-occurring PTSD and alcohol use disorder, which sequencing approach is currently recommended?

Accepted Answer

Integrate treatment for both conditions concurrently

Answer

Treat PTSD only after 6 months of sustained sobriety

Answer

Treat AUD first, then begin trauma-focused therapy

Answer

Prioritize alcohol detox, then refer entirely to mental health

Question 7

A treatment plan includes extended-release naltrexone for alcohol use disorder. Which patient factor would be a contraindication to initiating this medication?

Accepted Answer

Active opioid dependence or recent opioid use

Answer

Current moderate alcohol use

Answer

History of opioid use disorder

Answer

Elevated liver enzymes (ALT 2x normal)

Addiction Medicine Certification Addiction Medicine Treatment Planning 2

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Sources & references