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1. Which of the following opioids is most often implicated in patients with opioid use disorder?

A. Heroin B. Fentanyl C. Prescription opioids D. Heroin plus prescription opioids

2. Which of the following is the largest contributor to the economic burden of the opioid epidemic in the United States?

A. Healthcare costs of treating opioid overdose, abuse, and addiction B. Criminal justice costs C. Costs associated with lost productivity after nonfatal overdose D. Costs associated with lost productivity after fatal overdose

3. Which of the following is an individual risk factor associated with development of opioid use disorder?

A. Daily opioid dose >30 morphine milligram equivalents B. History of mental illness C. Higher household income D. Any prior history of tobacco use

4. Which of the following is no longer considered diagnostic criterion for opioid use disorder?

A. Legal problems B. Craving C. Social impairment D. Risky use

5. Which of the following is a protracted opioid withdrawal symptom that may last for several weeks after last use?

A. Lacrimation B. Restlessness C. Anhedonia D. Sweating

6. Withdrawal symptoms may not begin for 24 hours or more from last use of which of the following opioids?

A. Morphine B. Fentanyl C. Heroin D. Methadone

7. A Clinical Opioid Withdrawal Scale (COWS) score of 15 indicates which severity level of opioid withdrawal?

A. Mild B. Moderate C. Moderately severe D. Severe

8. What is the maximum daily dose of lofexidine for a healthy adult man?

A. 0.72 mg B. 1.44 mg C. 2.88 mg D. 4.32 mg

9. A 68-year-old man with a history of opioid use disorder is admitted to a local hospital for surgery. The surgery is uncomplicated, and the plan is to discharge the patient the day after the procedure. However, the patient begins to show signs and symptoms of opioid withdrawal. The admitting physician is not DATA-waivered to prescribe buprenorphine/naloxone. How long can the physician administer buprenorphine/naloxone for withdrawal symptoms while making ongoing care arrangements for the patient?

A. 12 hours B. 24 hours C. 48 hours D. 72 hours

10. Why should a patient be in mild-to-moderate opioid withdrawal prior to induction with buprenorphine?

A. Buprenorphine administration can increase the risk of respiratory depression B. Buprenorphine administration can increase the risk of QT-interval prolongation C. Buprenorphine administration can increase the risk of bradycardia D. Buprenorphine administration can precipitate withdrawal

Evaluation Questions

11. To what extent did the program meet objective #1?

A. Excellent B. Very Good C. Good D. Fair E. Poor

12. To what extent did the program meet objective #2?

A. Excellent B. Very Good C. Good D. Fair E. Poor

13. To what extent did the program meet objective #3?

A. Excellent B. Very Good C. Good D. Fair E. Poor

14. To what extent did the program meet objective #4?

A. Excellent B. Very Good C. Good D. Fair E. Poor

15. To what extent did the program meet objective #5?

A. Excellent B. Very Good C. Good D. Fair E. Poor

16. Rate the effectiveness of how well the program related to your educational needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

17. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:

A. Excellent B. Very Good C. Good D. Fair E. Poor

18. Rate the quality of the faculty:

A. Excellent B. Very Good C. Good D. Fair E. Poor

19. Rate the effectiveness and the overall usefulness of the material presented:

A. Excellent B. Very Good C. Good D. Fair E. Poor

20. Rate the appropriateness of the examination for this activity:

A. Excellent B. Very Good C. Good D. Fair E. Poor

21. Rate the effectiveness of how well the activity related to your practice needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

22. Rate the effectiveness of how well the activity will help you improve patient care:

A. Excellent B. Very Good C. Good D. Fair E. Poor

23. Will the information presented cause you to change your practice?

A. Yes B. No

24. Are you committed to making these changes?

A. Yes B. No

25. As a result of this activity, did you learn something new?

A. Yes B. No

26. What is your practice setting or area of practice?

A. Community Pharmacy/Independent B. Community Pharmacy/Chain C. Hospital/Health Systems D. Administrative/Pharmacy Director E. Critical Care Pharmacy F. Long-term Care G. Managed Care/PBM H. Oncology I. Specialty Pharmacy J. Industry/Manufacturing

27. How many years have you been in practice?

A. <5 B. 5 – 10 C. 11 – 20 D. >20

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