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1. The drug most responsible for the most recent surge in opioid overdose deaths is:

A. Prescription opioids B. Heroin C. Illicitly manufactured synthetic opioids D. Tramadol

2. The current opioid crisis has been predominately due to increased abuse in which demographic group?

A. Young (18-25 y.o.) urban African-American males B. Young (18-25 y.o.) suburban White males C. Hispanics 35-50 years old, living in the Southwest D. It has affected all demographic groups

3. The following describe recent trends in abuse EXCEPT:

A. Deaths due to stimulants have been dropping as opiate death rates are increasing B. Overdose deaths increased approximately 10-12% in 2016 C. Deaths due to benzodiazepines have been associated with contamination by synthetic opioids D. Most of the individuals who became addicted to opioids did not obtain their drugs as part of legitimate pain management

4. Heroin surpassed prescription opioids as a leading cause of overdose deaths because of the following EXCEPT:

A. Heroin has become cheaper in the last two decades B. Heroin has become available in purer forms C. Heroin has become easier to find, especially in suburban areas D. Heroin is easier to administer (compared to manufactured products) as a preferred IV injection

5. Fentanyls pose a very high risk because of all the following factors EXCEPT:

A. They are highly potent B. They are often added to other drugs without the user's knowledge C. There has been a surge in fentanyl prescriptions written as a replacement for hydrocodone D. They require a higher than normal rescue dose of naloxone

6. OxyContin is often blamed for the rise in opioid overdose for the following reasons EXCEPT:

A. It was heavily promoted as a treatment for non-cancer pain B. There was an increased emphasis on managing pain at the time it was introduced to the U.S. market C. The FDA approved it as a breakthrough with superior efficacy for treating back and osteo-related pain D. It was touted as having a low risk of dependence and addiction

7. Rescheduling Hydrocodone combination products (HCP's):

A. Became effective in 2016 B. Occurred because they were incorrectly scheduled as schedule III when the Controlled Substances Act was enacted C. Occurred despite opposition from Congress D. Because the DEA determined that this was justified since HCPs have a high potential for abuse, which is comparable to other Schedule II controlled substances

8. A group of the Nation's Governors made a commitment to attack the opioid crisis. Their recommendations included the following EXCEPT:

A. Provide addiction treatment as an alternative for non-violent drug offenders B. Coordinate prescription monitoring programs C. Mandated continuing education in addiction for relicensure of physicians and pharmacists D. Update evidence-based opiate prescribing guidelines

9. Opiate prescribing limits have been enacted:

A. In only a handful of states to date B. Generally limit initial prescriptions to a two-week supply C. Do not allow exceptions for the treatment of substance use disorder D. Usually have exemptions for cancer patients

10. Prescriptions written for opioids began to decline around:

A. 2005 B. 2010 C. 2014, corresponding to the rescheduling of certain opioids D. The number of prescriptions has not declined in the past two decades