Addiction Medicine Certification Treatment Planning & Protocols 3

Question 1

A patient stabilized on methadone maintenance wants to transition to buprenorphine. What is the primary clinical concern during this transition?

Accepted Answer

Risk of precipitated withdrawal because buprenorphine is a partial agonist displacing methadone

Answer

Buprenorphine's high mu-receptor affinity and partial agonism can displace methadone and precipitate acute withdrawal if started too soon.

Question 2

Which of the following is a core component of a recovery-oriented system of care (ROSC)?

Accepted Answer

Coordinating long-term supports including peer recovery, housing, and employment

Answer

ROSC emphasizes sustained, coordinated community-based supports — including peer services, housing, and employment — beyond acute treatment.

Question 3

When developing a treatment plan for a patient with co-occurring PTSD and alcohol use disorder, which integrated approach is supported by evidence?

Accepted Answer

Use simultaneous, integrated treatment addressing both disorders concurrently

Answer

Integrated concurrent treatment of co-occurring PTSD and AUD (e.g., Seeking Safety, CPT with naltrexone) produces better outcomes than sequential approaches.

Question 4

A physician wants to prescribe buprenorphine/naloxone for OUD in an office-based setting in the US. What is required as of current federal regulations (post-2023 MATE Act)?

Accepted Answer

Hold a valid DEA Schedule III registration with no additional OUD-specific waiver required

Answer

The 2023 Consolidated Appropriations Act eliminated the X-waiver requirement; prescribers with a standard DEA Schedule III license may now prescribe buprenorphine for OUD.

Question 5

Which pharmacotherapy is FDA-approved specifically for reducing heavy drinking days in alcohol use disorder?

Accepted Answer

Naltrexone

Answer

Naltrexone (oral and XR injectable) is FDA-approved for AUD and has robust evidence for reducing heavy drinking days by blocking opioid-mediated reward.

Addiction Medicine Certification Practice Test

Addiction Medicine Certification Practice Test

Addiction Medicine Certification Treatment Planning & Protocols 3