1. Which of the following is an example of information that can be provided to patients to help prevent morbidity and mortality associated with an opioid overdose?
A. Regardless of how it is prescribed, only take an oral opioid twice per day
B. Administer naloxone immediately before each opioid dose
C. Ensure friends and family know where naloxone is kept
D. Keep unneeded opioids in your medicine cabinet until they expire
2. Which of the following are signs suggestive of an opioid overdose?
A. Death rattle, blue fingernails, difficult to arouse
B. Increased blood pressure, vomiting, diarrhea
C. Seizures, heart racing, low sodium
D. Liver dysfunction, shortness of breath, sneezing
3. A mother presents to the pharmacy requesting naloxone for her 23-year-old son who has a history of opioid use disorder. Which one of the following is an appropriate regimen?
A. Naloxone IM 0.5 mg/mL
B. Narcan NS 4 mg/0.1 mL
C. Evzio 0.4 mg/0.4 mL
D. Naloxone NS 2 mg/0.2 mL
4. Which one of the following is an example of a harm-reduction effort that can be routinely provided by all pharmacy staff for patients with opioid use disorder?
A. Using nonstigmatizing language
B. Selling new syringes
C. Disposing of used syringes
D. Providing antiviral pre-exposure prophylaxis
5. A 25-year-old woman comes into your pharmacy with prescriptions for sertraline and lorazepam. She also routinely fills oxycodone/acetaminophen and has a history of gastroesophageal reflux disease (GERD). Which one of these factors increases her risk for opioid overdose?
A. GERD
B. Age
C. Sertaline use
D. Lorazepam use
6. Which one of the following is a potential adverse effect of naloxone when administered to someone who has experienced an opioid overdose?
A. Constipation
B. Gastrointestinal upset
C. Hyperglycemia
D. Urinary retention
7. Which one of the following is correct in relation to how quickly naloxone works and when a second dose should be administered?
A. Because naloxone should start working immediately, both doses should be administered immediately.
B. Naloxone should start working within 2 to 3 minutes; if the person has not responded, administer the second dose.
C. Naloxone should start working within 10 minutes; if the person has not responded, administer the second dose.
D. Naloxone should start working within 15 minutes; if the person has not responded, administer the second dose.
8. Signs of an opioid overdose are generally related to which one of the following?
A. Hepatic dysfunction
B. Renal dysfunction
C. Respiratory depression
D. Seizures
9. During the management of an opioid overdose, how should the unconscious patient be positioned if the bystander needs to leave them for a short period?
A. Sitting in a chair
B. Lying flat on the back
C. Lying face down
D. In the recovery position
10. Which one of the following is an appropriate route of administration for naloxone to be given by a bystander to manage an opioid overdose?
A. Intranasal
B. Oral
C. Intravenous
D. Buccal
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
