MAT Training Study Guide With Practice Questions And Correct Detailed Answers.
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Course
MAT.
Institution
MAT.
If she leaves without accessing treatment and continues to use opioids, evidence suggests that this patient's risk of death in the next year will be increased by approximately how much, compared to the US population in general? - correct answer 500%
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If she leaves without accessing treatment and continues to use opioids, evidence suggests that this
patient's risk of death in the next year will be increased by approximately how much, compared to the
US population in general? - correct answer 500%
As a result of the neurobiological effects of chronic opioid exposure, this patient is most likely to
experience which of the following changes even when not intoxicated or in withdrawal? - correct
answer Altered motivation and decision-making
With empathic listening and reassurance, the patient agrees to remain in the emergency department
and begins to relate her history of opioid use. Which of the following details of history would contribute
most directly to establishing a diagnosis of opioid use disorder? - correct answer
Losing multiple jobs because of opioids
The patient is interested in medication treatment but asks whether she would have to attend a special
clinic every day. Based on current legislation, which of the following best describes who can prescribe
buprenorphine for treatment of opioid use disorder? - correct answer
Physicians, physician assistants, and nurse practitioners with a required waiver
The patient agrees to begin pharmacologic treatment, receives an initial dose of buprenorphine in the
emergency department, and is provided an appointment at a local program for ongoing treatment. If
she continues to engage in treatment that includes pharmacotherapy, existing data suggest that her
annual risk of death compared to the general US population with be closest to which of the following? -
correct answer 2X
A 34-year-old man is brought to the emergency department after being found unresponsive in a public
restroom. When first responders arrived, he was cyanotic with constricted pupils and no observable
respiration. He revived and began breathing independently after receiving two doses of intranasal
naloxone.
This patient's condition when first responders arrived was most likely due to excessive activation of
which of the following receptor types? - correct answer Mu opioid
, Compared to an individual with no history of substance use, this patient is most likely to have increased
intrinsic activity of which of the following brain structures? - correct answer
Amygdala
On arrival to the emergency department the patient has temperature 37.6, respiratory rate 14, heart
rate 112, and blood pressure 132/84. He appears restless and anxious, declines to provide most history
and does not endorse substance use, but consents to a brief physical exam that reveals dilated pupils,
active bowel sounds, and diaphoresis.
The patient's condition in the emergency department is most likely due to occupancy of the relevant
receptors by which of the following? - correct answer An antagonist
During the physical exam the patient gradually engages more in interaction and acknowledges using
heroin intravenously and intranasally over the past 4 years. He describes that the amounts he uses have
increased steadily during that time and says that he no longer experiences much pleasurable effect even
with the larger doses.
The experience related by this patient is best described by which of the following terms? - correct
answer Tolerance
Which of the following pharmacologic features is shared by all of the medications that have received
FDA approval for maintenance treatment of opioid use disorder? - correct answer
Half-life greater than 24 hours
Compared to sublingual formulations containing buprenorphine, which of the following is most likely to
be a disadvantage of long-acting injectable naltrexone for this patient - correct answer
Longer required abstinence from opioids before initiating
When assessing this patient for co-occurring substance use, which of the following would pose the
greatest risk for hazardous pharmacologic interaction with buprenorphine? - correct answer
Clonazepam
A-34-year-old woman who moved recently from another state presents for an initial visit with a new
primary care provider. Review of a new-patient questionnaire that she completed in the waiting area
shows that she reported no current medical problems or prescribed medications but in a section on
substance use endorsed using opioids without a prescription in the past year. In the general review of
systems checklist, she checked "yes" for fatigue, depression, and anxiety in the past 2 weeks.
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