ADM Ethical, Legal, & Regulatory Considerations in Addiction Medicine 2

Question 1

Under 42 CFR Part 2, which of the following actions requires patient consent even when a subpoena has been issued?

Accepted Answer

Disclosing records to a court without a court order

Answer

42 CFR Part 2 prohibits disclosure of substance use disorder records in response to a subpoena alone — a court order meeting specific criteria is required, and even then patient notice is mandated.

Question 2

A physician treating a patient for opioid use disorder in an office-based setting discovers the patient is also receiving buprenorphine from another provider. The most ethically appropriate immediate step is to:

Accepted Answer

Discuss the situation with the patient to clarify treatment history and coordinate care

Answer

Ethical practice requires direct, non-punitive patient communication to understand the clinical context before taking action, consistent with principles of beneficence and non-abandonment.

Question 3

The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 primarily restricts which of the following?

Accepted Answer

Prescribing controlled substances via telemedicine without a prior in-person evaluation

Answer

The Ryan Haight Act generally requires at least one in-person medical evaluation before a practitioner may prescribe controlled substances via telemedicine.

Question 4

Which ethical principle is most directly violated when a physician withholds effective addiction treatment from a patient due to personal moral objections to the patient's lifestyle?

Accepted Answer

Justice

Answer

Justice requires fair and equitable treatment of all patients; withholding evidence-based care based on personal bias constitutes an unjust act.

Question 5

A patient in a medication-assisted treatment program discloses during a session that they plan to drive a heavy commercial truck while taking methadone. The physician's ethical obligation includes:

Accepted Answer

Warning the patient of the risks and documenting the discussion; report only if imminent threat to an identifiable third party exists under applicable law

Answer

The Tarasoff duty-to-warn applies to identifiable third parties facing imminent harm; the physician must counsel the patient, document it, and evaluate whether reportable risk exists under state law.

(ADM) Board Certified Addiction Medicine Specialist Practice Test

(ADM) Board Certified Addiction Medicine Specialist Practice Test

ADM Ethical, Legal, & Regulatory Considerations in Addiction Medicine 2