NAECB Medication Management 4

Question 1

A patient prescribed methadone for OUD reports taking it for 3 days but experiences increasing drowsiness and confusion on day 3. What phenomenon explains this?

Accepted Answer

Methadone accumulation due to its long half-life

Answer

Methadone has a very long and variable half-life (24-60 hours), which can cause drug accumulation and delayed sedation or respiratory depression with repeated dosing.

Question 2

Which of the following is a SAMHSA-recognized best practice for take-home methadone doses in stable OTP patients?

Accepted Answer

Stable patients may receive up to 30 days of take-home doses

Answer

Federal regulations allow stable OTP patients (generally compliant for 2+ years) to receive up to 30 days of take-home methadone doses based on assessed stability criteria.

Question 3

Which assessment tool is specifically used to evaluate the severity of alcohol withdrawal symptoms?

Accepted Answer

CIWA-Ar scale

Answer

The Clinical Institute Withdrawal Assessment for Alcohol-Revised (CIWA-Ar) is the standardized tool used to assess severity of alcohol withdrawal and guide treatment decisions.

Question 4

A patient on disulfiram inadvertently consumes alcohol. Which set of symptoms is consistent with a disulfiram-ethanol reaction?

Accepted Answer

Flushing, tachycardia, diaphoresis, and nausea/vomiting

Answer

The disulfiram-ethanol reaction is caused by acetaldehyde accumulation and manifests as flushing, tachycardia, diaphoresis, nausea, vomiting, and hypotension.

Question 5

For which substance use disorder has varenicline (Chantix) received FDA approval as a pharmacotherapy?

Accepted Answer

Tobacco use disorder

Answer

Varenicline is FDA-approved specifically for smoking cessation (tobacco use disorder) by acting as a partial agonist at nicotinic acetylcholine receptors.

NAECB Exam Practice Test

NAECB Exam Practice Test

NAECB Medication Management 4