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Self-Assessment Answers for Section 1: Evidence-Based Guidance on Responsible Prescribing, Effective Management, and Harm Reduction
1 . In the United States, approximately how many non-medical users of pain relievers, tranquilizers, stimulants, and sedatives got their prescription drugs from a friend or relative for free?
A.
B.
C.
D.
2 . What two competing needs must the CSA and regulators attempt to balance?
A.
B.
C.
D.
3 . Which of the following factors might be used to determine into which schedule a drug or other substance should be placed?
A.
B.
C.
D.
4 . Into how many classes does the CSA assign drugs or other substances?
A.
B.
C.
D.
5 . Which attribute of some drugs with legitimate therapeutic uses increases their likelihood of being abused?
A.
B.
C.
D.
6 . Heroin, LSD, MDMA, and cannabis are currently listed in which CSA schedule?
A.
B.
C.
D.
7 . Drugs in which schedule are deemed to have a high potential for abuse or dependence but also have a currently accepted medical use in the US?
A.
B.
C.
D.
8 . The duration of action of ER/LA opioids is typically ______________.
A.
B.
C.
D.
9 . Uncomfortable or unpleasant side effects (aside from constipation) may potentially be reduced by which two approaches?
A.
B.
C.
D.
10 . What drug class has largely replaced barbiturates as treatment for anxiety and muscle spasms?
A.
B.
C.
D.
11 . Any person who handles or intends to handle controlled substances must obtain what?
A.
B.
C.
D.
12 . If a physician is filling in for another physician in another state as part of a locum tenens arrangement, the substitute physician can legally prescribe controlled substances as long as he or she is legitimately registered with the DEA in his or her home state.
A.
B.
13 . In an emergency, a prescriber may phone or electronically submit a prescription for a Schedule II drug to a pharmacy, but must follow up with a written prescription within 7 days.
A.
B.
14 . Which of the following items does not need to be contained in any prescription for a controlled substance?
A.
B.
C.
D.
15 . Which of the following might suggest inappropriate prescribing of controlled substances by a clinician?
A.
B.
C.
D.
16 . The Ryan Haight Act made it illegal to _________________.
A.
B.
C.
D.
17 . Which of the following is not a potential benefit of urine drug screening?
A.
B.
C.
D.
18 . How frequently are the data in most prescription drug monitoring programs updated?
A.
B.
C.
D.
19 . Drugs with the highest risk for subsequent addiction slowly elicit dopamine release in the midbrain.
A.
B.
20 . Although initially thought to be less prone to induce tolerance and dependence than barbiturates, benzodiazepines are now recognized to be just as liable to diversion and abuse.
A.
B.
21 . Little evidence supports the assertion that long-term use of opioids provides clinically significant pain relief or improves quality of life or functioning.
A.
B.
22 . Roughly what percent of patients reported that they increased their dose of an opioid without talking to the prescribing physician in one study?
A.
B.
C.
D.
23 . When opioid treatment is initiated, it should be viewed by both patient and clinician as _____________________?
A.
B.
C.
D.
24 . Opioid tolerance must be demonstrated before prescribing any strength of _____________________.
A.
B.
C.
D.
25 . What level of opioid dose is widely considered a red flag warranting more intense monitoring and/or referral to an interdisciplinary treatment team?
A.
B.
C.
D.
26 . What relatively new development may reduce the incidence of death from accidental overdose of an opioid medication?
A.
B.
C.
D.
27 . For patients at the end of life, optimal pain management may mean lower doses of an analgesic, and higher levels of pain, in order to allow the patient mental alertness sufficient for interactions with loved ones.
A.
B.
28 . Medication-Assisted Treatment is primarily used for treating
A.
B.
C.
D.
29 . Which of the following is NOT a practice that clinicians can use to minimize diversion of controlled substances?
A.
B.
C.
D.
30 . Acamprosate is a medication that can be used in the treatment of
A.
B.
C.
D.
Self-Assessment Answers for Section 2: Pick Lists: Medical Error Reduction and Prevention
31 . In a review of malpractice claims, the majority of medication-related errors in ambulatory, inpatient and emergency settings were related to:
A.
B.
C.
D.
32 . In audits conducted in ambulatory care settings, what percentage of active medication lists have failed to match what the patient is actually taking?
A.
B.
C.
D.
33 . The “retract-and-reorder” (RAR) tool identifies orders retracted within 10 minutes of the initial order and then reordered by the same provider for a different patient how soon after retraction?
A.
B.
C.
D.
34 . Medications errors involving patient identification errors (“wrong patient”) have been most often due to:
A.
B.
C.
D.
35 . Although its effectiveness may vary, which method of patient identification verification is likely to be more efficient than the other interventions listed in reducing the risk of wrong patient selection:
A.
B.
C.
D.
36 . Safety-critical industries have identified which of the following as a key factor in committing errors in situations characterized by frequent interruptions of the provider:
A.
B.
C.
D.
37 . A strategy that has been highly endorsed by multiple regulatory and accreditation organizations for mitigating errors associated with look-alike/sound-alike drugs:
A.
B.
C.
D.
38 . Which of the following strategies has been shown in the literature to greatly reduce the risk of both wrong-patient and wrong medication errors, but is often inadequately used by providers?
A.
B.
C.
D.
39 . If a patient has been given the wrong medication or administration due to a pick list error, perhaps the most important step in identifying and rectifying the error is:
A.
B.
C.
D.
40 . One of the most effective best practice strategies for minimizing cognitive load when using pick lists is to:
A.
B.
C.
D.
Self-Assessment Answers for Section 3: A Clinician's Guide to Intimate Partner Violence
41 . The term Intimate Partner Violence is preferred to the term Domestic Violence, because:
A.
B.
C.
D.
42 . Which of the following accurately represents the prevalence of intimate partner violence (IPV) in the United States?
A.
B.
C.
D.
43 . Studies have shown that which of the following characterizes physicians with respect to domestic violence?
A.
B.
C.
D.
44 . A clinician has integrated routine assessment for abuse in his hematology/internal medicine practice. He is seeing a new patient, Ms. Jones. She responds “yes” to the following question in the new patient health self assessment: "Has your partner ever harmed or threatened to harm you or someone you love?" Appropriate follow up questions or statements may include each of the following except:
A.
B.
C.
D.
45 . Which of the following is NOT a typical reason an abuse survivor might remain in a relationship with the abuser?
A.
B.
C.
D.
46 . Which of the following is a common potential barrier to a patient disclosing IPV to a clinician?
A.
B.
C.
D.
47 . The first “R” in the “RADAR” acronym stands for:
A.
B.
C.
D.
48 . Which of the following would not typically be part of a safety plan for a patient who has experienced IPV?
A.
B.
C.
D.
49 . Which statement describes a crucial consideration when clinicians must respond to legal reporting mandates related to IPV?
A.
B.
C.
D.
50 . Which of the following best describes the general pattern of IPV?
A.
B.
C.
D.
Self-Assessment Answers for Section 4: LGBTQ Cultural Competency
51 . Regarding the survey of resident future internists’ knowledge of transgender healthcare, which of the following statements is True?
A.
B.
C.
D.
52 . Which of the following group(s) of men who have sex with men is more likely to still identify as heterosexual?
A.
B.
C.
D.
53 . Which of the following best describes the risk of being overweight or obese among lesbians?
A.
B.
C.
D.
54 . According to a 2016 Substance Abuse and Mental Health Services Administration (SAMHSA) report, which group had the highest rate of illicit drug use during the past year?
A.
B.
C.
D.
55 . Which of the following STIs has a low risk of being transmitted between women?
A.
B.
C.
D.
56 . Is the following statement True or False? According to the National Epidemiologic Survey on Alcohol and Related Conditions, gay men have a 50% higher lifetime prevalence of any mood disorder.
A.
B.
57 . For which of the following groups of men who have sex with men (MSM) is the quadrivalent human papillomavirus (HPV) vaccine recommended?
A.
B.
C.
D.
58 . According to a 2015 study, exposure to which of the following was associated with higher levels of depression and anxiety in adult transgender women?
A.
B.
C.
D.
59 . In which group of young people was the highest prevalence of unhealthy weight control behaviors (diet pills, using laxatives, fasting >24 hours) identified?
A.
B.
C.
D.
60 . What is the rate of disability among lesbian, gay, and bisexual older adults compared with heterosexuals of similar age?
A.
B.
C.
D.
Self-Assessment Answers for Section 5: A Clinician's Guide to Recognizing and Responding to Human Trafficking
61 . Which of the following is not an industry in which people who are trafficked often work?
A.
B.
C.
D.
62 . What are two common methods used by human traffickers to control and manipulate their victims?
A.
B.
C.
D.
63 . Which statement best describes the use of the terms “victim” and “survivor” in relation to human trafficking?
A.
B.
C.
D.
64 . In a study of people involved in sex trafficking, what percentage had at least one encounter with a health care provider while they were being trafficked?
A.
B.
C.
D.
65 . Which statement best summarizes the finding of several studies about the role or behaviors of health care providers relating to human trafficking?
A.
B.
C.
D.
66 . What is one possible way to increase the identification in health care settings of people who are being trafficked?
A.
B.
C.
D.
67 . If a patient suspected of being trafficked does not speak English, or is not comfortable speaking English, the best approach is:
A.
B.
C.
D.
68 . Before asking a patient questions of a patient about human trafficking, it’s best if clinicians:
A.
B.
C.
D.
69 . Which statement best describes the clinical goal in relation to instances of human trafficking?
A.
B.
C.
D.
70 . Why is it important, in the context of human trafficking, to train all clinical and non-clinical staff on safety and security procedures?
A.
B.
C.
D.
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