1. A patient ran out of his opioid medication early and told his healthcare provider that he took extra doses to control his pain. This is the first time he has run out of medications early. Which of the following is the most appropriate step for the provider to consider?: Rule out presence of opioid use disorder, provide additional patient education and encourage communication 2. A clinician is working with a patient to develop a treatment plan that includes an opioid medication.The patient is a 36-year-old man with low back pain. What should the clinician keep in mind: It is important to set functional goals that are measurable and achievable 3. Opioid overdose deaths are correlated with:: increases in opioid prescribing 4. In someone prescribed opioids for chronic pain, which of the following characterizes opioid use disorder: Behaviors indicating compulsive use 5. Which of the following is not included in the definition of addiction as defined by the American Society of Addiction Medicine?: Hardships 6. Which of the following is a generally accepted theory to explain addiction?: Neurobiological 7. functional areas of the brain that are disrupted when an individual is chronically exposed to substances of abuse?: Ability to feel pleasure Memory and learning Motivation Stability of Emotion 8. Which structure of the brain plays a key role in the processing of emotions, such as fear: Amygdala 9. Which statement best defines "salience attribution"?: Drug associated cues more strongly grab ones attention compared to other cues 10. How can one recognize when and older patient is misusing prescribed medications: Any symptoms in an older adult should be considered a medication side effect until proven otherwise. 11. Medication management for the treatment of opioid use disorder includes the following: Evaluation of medication safety and effectiveness 12. In which structure of the human brain are D2 receptors most often found?: Nucleus accumbens 13. Behavioral addictions are similar to substance use disorders in all of the following ways except:: Both have higher prevelance in adults PCSS MAT training 16hr mod quizzes latest questions and answers 2022- 2023 2 / 13 14. Which of the following is classified in the DSM-5 under "Substance Related and Addictive Disorders?: Gambling addiction 15. Which of the following has been shown to increase the risk for developing a behavioral addiction?: Having a substance use disorder 16. Which of the following is true regarding behavioral addictions?: Behavior addiction may respond well to cognitive therapy 17. What is the most common substance use disorder in the United States?- : Alcohol 18. What is the most common reason people with a substance use disorder who believe they need treatment do not receive treatment?: They are not ready to stop using 19. Approximately what percent of Americans with a substance use disorder also have a mental health disorder?: 45 . Which of the following describes a reasonable monitoring strategy for a patient taking an opioid medication for pain management: Monitoring can be tailored according to the patient's risk, but all patients should be monitored 21. SUD Diagnosis (DSM-5): at least two of the eleven criteria listed below occurring in a 12-month period: Impaired Control: · Larger amounts/longer period of time · Persistent desire, cannot cut down or control use · Significant time spent to obtain, use, recover · Cravings Social Impairment: · Failure to meet obligations · Continued use despite social or interpersonal problems · Reduction in important activities Risky Use: · Use is physically hazardous · Continued use despite knowledge of substance use disorder Pharmacological Criteria: · Tolerance · Withdrawal 22. For which of the following substance use disorders are there FDA-approved pharmacologic treatments?: PCSS MAT training 16hr mod quizzes latest questions and answers 2022- 2023 3 / 13 23. Serotonin is secreted primarily in: the GI tract and also in the Raphe nuclei of the brain stem. 24. Dopamine is secreted by: the nucleus accumbens and pre-frontal cortex 25. D2 receptors: the receptors associated with the brain's reward system 26. Dopamine: is responsible for controlling behavior and regulates an area of the lower brain—the amygdala. 27. Two years of abstinence: however, allows a near full return of DATs to normal levels. 28. the emotion center of the brain.: amygdala 29. orbitofrontal cortex (OFC): assigns motivation value and the AC is involved in inhibitory control of behaviors. 30. faster: *Amphetamines and nicotine increase Dopamine than cocaine and morphine 31. receiving treatment for both: 8.3% with co-occurring serious mental illness and SUD are 32. Substance use disorder shares many features with other chronic illnesses, including:: Heritability, influence of the environment and behavior and response to appropriate tx 33. Which of the following is an example of person-first, medically appropriate terminology?: A person with a substance use disorder 34. Please select the term which should not be used from the list below:: - Clean 35. Which of the following was found by the World Health Organization to be the number one most stigmatized condition?: Drug use disorder 36. What factors influence stigma?: Behavior and attitude 37. Which of the following is a more detailed screening tool for adults used to detect problematic substance use that may require either brief intervention or referral to treatment?: swift 38. Federal regulation allows buprenorphine to be prescribed in a clinic or office by the following prescribers: All of the above 39. Which one of the following is required for implementing office-based buprenorphine: A DATA2000-waivered prescriber