Addiction Medicine Certification Addiction Medicine Treatment Planning 4

Question 1

A patient with opioid use disorder declines buprenorphine and methadone but agrees to naltrexone. What is the most important pre-treatment step?

Accepted Answer

Confirm opioid-free status for 7–10 days (short-acting) or 10–14 days (long-acting) before initiating naltrexone

Answer

Naltrexone will precipitate opioid withdrawal if initiated while opioids are still present; patients must be opioid-free for 7–10 days (short-acting) or 10–14 days (long-acting opioids/methadone) before starting.

Question 2

Which outcome measure is MOST appropriate for monitoring progress in an addiction medicine treatment plan?

Accepted Answer

Validated instruments such as the AUDIT-C, DAST-10, or Timeline Followback combined with urine toxicology

Answer

Validated screening and monitoring instruments combined with objective urine toxicology provide the most reliable and standardized measures of treatment progress in addiction medicine.

Question 3

A patient with severe tobacco use disorder and a recent myocardial infarction is being treated. Which pharmacotherapy is MOST appropriate in the treatment plan?

Accepted Answer

Varenicline (with cardiac monitoring)

Answer

Varenicline is the most effective single agent for tobacco use disorder and is not contraindicated post-MI; cardiac monitoring is warranted, but cardiovascular risk from continued smoking far outweighs medication risk.

Question 4

The MATRIX Model is an evidence-based intensive outpatient program primarily designed for which substance use disorder?

Accepted Answer

Stimulant (cocaine/methamphetamine) use disorder

Answer

The MATRIX Model is a 16-week structured intensive outpatient program developed specifically for stimulant use disorders, combining CBT, family education, and relapse prevention.

Question 5

In treatment planning for adolescents with substance use disorders, which approach differs MOST from adult treatment models?

Accepted Answer

Developmental context, family systems involvement, and school functioning are central to treatment planning

Answer

Adolescent addiction treatment must account for developmental stage, family dynamics, and academic and social functioning, which distinguishes it substantially from adult-focused treatment models.

Addiction Medicine Certification Practice Test

Addiction Medicine Certification Practice Test

Addiction Medicine Certification Addiction Medicine Treatment Planning 4