INSTRUCTIONS Prescribing opioids in primary care: Avoiding perils and pitfalls
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- You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.
- Registration deadline is June 30, 2016.
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Prescribing opioids in primary care: Avoiding perils and pitfalls
General Purpose: To provide information about and recommendations for safely prescribing opioids for chronic noncancer pain. Learning Objectives: After reading the article and taking this test, you should be able to: 1. Describe the significance of effective pain management. 2. Identify ways to decrease risk of opioid misuse. 3. State procedures for safely prescribing opioids.
- The 2001 Joint Commission pain standards addressed
- medical board policies on safe prescribing.
- abuse of pain medications.
- safety and efficacy of specific drugs.
- undertreatment of pain.
- The Office of National Drug Control Policy implemented strategies to
- expand prescribing privileges.
- treat pain more effectively.
- reduce prescription drug abuse.
- streamline pain medication distribution.
- The first step in pain management planning is
- nonpharmacologic intervention.
- patient education.
- comprehensive assessment.
- risk management.
- Chronic pain is usually defined as pain persisting
- despite treatment.
- past the period of expected healing.
- without provocation.
- for more than 2 months.
- It is estimated that 50% of people in chronic pain experience
- depression and anxiety.
- social isolation.
- Opioids should only be initiated after assessment, diagnosis, and
- a failed trial of NSAIDs.
- surgical intervention.
- exercise and rehabilitation.
- misuse risk evaluation.
- The FDA-approved REMS include
- information about all opioid formulations.
- a patient counseling document about safety.
- mandatory education for prescribers.
- manufacturer responsibility for monitoring drug distribution.
- Which of the following validated opioid risk assessment tools is considered to be superior?
- Diagnosis, Intractability, Risk, Efficacy Score
- Opioid Risk Tool
- Screener and Opioid Assessment for Patients with Pain–Revised
- Opioid Addiction Risk Assessment
- For patients with active substance use disorders, opioid therapy
- is always contraindicated.
- should not be undertaken in an outpatient setting.
- is recommended only for cancer or end-of-life care.
- should be managed by a pain management specialist.
- The PADT assesses all the following except
- activities of daily living.
- risk of addiction.
- adverse reactions.
- aberrant behavior.
- Oral opioid therapy is discontinued by 22% of individuals due to
- lack of pain relief.
- adverse reactions.
- resolution of symptoms.
- The gold standard choice for urine drug testing is
- gas chromatography/mass spectrometry.
- scheduled enzyme immunoassay.
- random dipstick immunoassays.
- Which resource helps identify patients who obtain medication from multiple sources?
- Current Opioid Misuse Measure
- Opioid Risk Tool
- Moderate dose opioid therapy is a daily morphine equivalent of
- 10 to 30 mg.
- 31 to 40 mg.
- 41 to 90 mg.
- 91 to 120 mg.
- Which baseline test should be done before prescribing methadone?
- complete blood count
- pulmonary function tests
- Steps taken to safely prescribe opioids include all of the following
- checking the PDMP or pharmacy records.
- knowing and avoiding the opioids most commonly abused in the particular region.
- dispensing immediate release rather than extended release tablets.
- dispensing the smallest number of capsules possible to achieve the necessary dose.
- According to the article, 54% of the time, opioids used for nonmedical purposes were
- prescribed by primary care providers.
- obtained free from family and friends.
- taken from pain management clinics.
- purchased from “dealers.”
- Discontinuing opioid therapy should involve
- an individualized plan.
- adhering to a standardized taper protocol.
- tapering by 10% weekly.
- referral to a substance abuse treatment program.