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Self-Assessment Answers for Section 1: Prescriber Education for Extended-Release and Long-Acting Opioid Analgesics
1 . Long-acting (LA) and extended-release (ER) formulations of opioids should typically not be used for which of the following?
A.
B.
C.
D.
2 . If an organic pathology cannot be found to explain a patient’s pain, what should a clinician infer?
A.
B.
C.
D.
3 . Which of the following is the appropriate use of “universal precautions” as it applies to patients with chronic pain?
A.
B.
C.
D.
4 . The DIRE and the ORT are examples of which kind of assessment?
A.
B.
C.
D.
5 . All of the following need to be documented in writing as part of an overall therapeutic approach to managing chronic pain patients EXCEPT:
A.
B.
C.
D.
6 . All of the following are possible advantages of patient/provider agreements EXCEPT:
A.
B.
C.
D.
7 . All of the following are examples of functional goals EXCEPT:
A.
B.
C.
D.
8 . A fundamental part of ethical treatment for patients with chronic pain is:
A.
B.
C.
D.
9 . When opioid treatment is initiated, both the patient and clinician should view the commitment as:
A.
B.
C.
D.
10 . It can be particularly unsafe to combine opioids with which of the following other medicines?
A.
B.
C.
D.
11 . Which class of antidepressant medications has been shown to be effective in treating some neuropathic pain conditions?
A.
B.
C.
D.
12 . Combination products are those that include an opioid with which of the following elements?
A.
B.
C.
D.
13 . In general, the amount of opioids prescribed for acute pain should be limited to a ____ day supply:
A.
B.
C.
D.
14 . Uncomfortable or unpleasant side effects (aside from constipation) may potentially be reduced by which approach?
A.
B.
C.
D.
15 . All of the following are valid reasons to pursue opioid rotation EXCEPT:
A.
B.
C.
D.
16 . One reason that methadone must be prescribed with particular caution is that:
A.
B.
C.
D.
17 . Which of the following is not a potential benefit of urine drug testing?
A.
B.
C.
D.
18 . All of the following are of particular concern when prescribing an ER/LA opioid pain medication EXCEPT:
A.
B.
C.
D.
19 . In 2006, the FDA added a caution to the “black box” warning that methadone may cause which of the following serious adverse effects?
A.
B.
C.
D.
20 . Which of the following is the APS-AAPM guideline regarding the prescription of opioids to pregnant women?
A.
B.
C.
D.
Self-Assessment Answers for Section 2: Caring for Patients at the End of Life
21 . In the United States, what term is generally used for care of people who are not expected to live more than 6 months?
A.
B.
C.
D.
22 . Which statement is most true about pain relief at the end of life?
A.
B.
C.
D.
23 . In crafting goals of treatment, the values, beliefs, and priorities of which person should be primary?
A.
B.
C.
D.
24 . If a patient is not alert enough to communicate, what should be used to determine if he or she is experiencing pain?
A.
B.
C.
D.
25 . Which of the following questions is an example of the technique of reflective listening?
A.
B.
C.
D.
26 . Which of the following is a possible way to reduce the potential for GI bleeding with NSAIDs?
A.
B.
C.
D.
27 . In the absence of other indicators, which of the following would be the least effective indicator of depression in a patient with terminal cancer?
A.
B.
C.
D.
28 . What condition of a patient may be beneficial during the terminal phase of an illness?
A.
B.
C.
D.
29 . Which of the following is an example of how a clinician can show support for a bereaved relative or loved one?
A.
B.
C.
D.
30 . What is an example of a culturally-specific value that might surprise an American-trained physician?
A.
B.
C.
D.
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