Addiction Medicine Certification Patient Safety & Risk Management 2

Question 1

A patient on buprenorphine/naloxone reports taking extra doses 'just in case.' Which action best addresses this medication misuse risk?

Accepted Answer

Implement a pill count protocol and re-educate on prescribed dosing

Answer

Pill counts combined with patient education address misuse patterns without abruptly removing effective treatment.

Question 2

Which PDMP (Prescription Drug Monitoring Program) practice is considered a key safety intervention for patients receiving controlled substances for addiction?

Accepted Answer

Checking PDMP at every controlled substance prescription

Answer

Checking the PDMP at every controlled substance prescription identifies concurrent prescriptions and reduces diversion risk.

Question 3

A patient with opioid use disorder and untreated depression presents for MOUD. What is the safest approach?

Accepted Answer

Initiate MOUD while simultaneously addressing depression treatment

Answer

Co-occurring disorders should be treated concurrently; delaying MOUD increases overdose risk.

Question 4

Which patient factor most significantly increases overdose risk during opioid use disorder treatment?

Accepted Answer

Recent period of abstinence reducing opioid tolerance

Answer

Tolerance drops rapidly during abstinence, so returning to prior use doses can be lethal.

Question 5

A buprenorphine-treated patient plans elective surgery requiring general anesthesia. What is the safest perioperative recommendation?

Accepted Answer

Coordinate with the anesthesiologist; generally continue buprenorphine to prevent withdrawal and relapse

Answer

Current guidelines favor continuing buprenorphine perioperatively with anesthesia team communication to manage pain safely.

Addiction Medicine Certification Practice Test

Addiction Medicine Certification Practice Test

Addiction Medicine Certification Patient Safety & Risk Management 2