ADM Equipment Operation & Maintenance 3

Question 1

In an opioid treatment program (OTP), a methadone dispensing machine experiences a power failure mid-dose. What is the correct immediate action?

Accepted Answer

Hold all patient dosing until full power is restored to the machine

Answer

When a dispensing machine fails mid-operation, patient dosing should be held and the incident documented; resuming with an unvalidated partial dose risks inaccurate delivery.

Question 2

Buprenorphine sublingual film (Suboxone) strips must be stored at room temperature (68–77°F / 20–25°C). What storage condition poses the greatest risk of product degradation?

Accepted Answer

Storing near a sink where humidity and temperature fluctuations are common

Answer

High humidity and temperature fluctuation, such as near a sink, can degrade buprenorphine film and compromise dose integrity.

Question 3

When calibrating a methadone oral dispensing pump in an OTP, a technician finds the pump delivers 1.2 mL instead of the set 1.0 mL. What is the appropriate response?

Accepted Answer

Take the pump out of service, document the finding, and arrange for recalibration or replacement

Answer

A 20% volumetric error is clinically significant for a narrow-therapeutic-index drug like methadone; the pump must be removed from service until properly recalibrated.

Question 4

DEA regulations require that Schedule II controlled substances (including methadone) dispensed at an OTP be stored in which type of secured container?

Accepted Answer

A DEA-compliant safe or steel cabinet that is bolted to the floor or wall

Answer

DEA regulations (21 CFR 1301.75) require Schedule II substances to be stored in a securely locked, substantially constructed cabinet bolted to prevent removal.

Question 5

A pharmacy dispensing naltrexone extended-release injectable (Vivitrol) receives a shipment that has been maintained at 45°F (7°C) during transit. What should the pharmacist do?

Accepted Answer

Return or quarantine the shipment, as Vivitrol must be refrigerated between 36–46°F and transit conditions must be documented

Answer

Vivitrol must be stored refrigerated (36–46°F); any temperature excursion requires documentation and manufacturer consultation before dispensing.

(ADM) Board Certified Addiction Medicine Specialist Practice Test

(ADM) Board Certified Addiction Medicine Specialist Practice Test

ADM Equipment Operation & Maintenance 3