8 hour MAT Training Questions And Answers 100% Correct
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An opioid-dependent patient comes in for induction with buprenorphine/naloxone. The
COWS is 5. He is administered buprenorphine/naloxone 4/1 mg. He reports nausea and
starts vomiting as well as complaining of pain in his back and neck. The most likely
cause of those symptoms is:
A. Severe opioid withdrawal not relieved by buprenorphine
B. Precipitated opioid withdrawal
C. Exacerbatation of co-occurring pancreatitis
D. Alcohol withdrawal
E. Naloxone absorption with increased opioid withdrawal severity - ANSWER B.
Precipitated opioid withdrawal
Precipitated acute withdrawal from opioid dependence with buprenorphine:
A. Does not fully suppress symptoms of opioid withdrawal
B. Leads to long-term opioid abstinence
C. Is unlikely to lead to long term abstinence
D. Can be initiated at any time after an opioid has been used - ANSWER C. Is not likely to
lead to long-term abstinence
When initiating buprenorphine maintenance and stabilization, the patient should be:
A. Administering the medication as often as the illicit substance is used
B. On a dosage of between 24 and 32 mg per day
C. On a steady dose with no cravings or withdrawal
D. Taking as directed with PRN doses as needed - ANSWER C. On a stable dose without
cravings or withdrawal
, Would you give the patient a dose of buprenorphine/naloxone now?
A. Yes
B. No
C. Not enough information to decide - ANSWER B. No
What dose of Buprenorphine/Naloxone would you give him?
A. 8mg
B. 12mg
C. 4mg
D. 16mg - ANSWER C. 4mg
What would you do after giving him the first dose?
A. Discharge him with a prescription for one week
B. Ask him to sit around and reassess his symptoms in 30-60 minutes
C. Inform him to go home and return early in the morning to have him reevaluated
D. Give him a one-month prescription with a follow-up visit - ANSWER B. Ask him to sit
around and reassess his symptoms in 30-60 minutes
What needs to be done in the next days/weeks?
A. Continued stabilization, monitoring
B. Monitor side effects, how well he is tolerating the medication, educate on
administration
C. Address cocaine use and illicit methadone
D. Set up counseling
E. All of the above - ANSWER E. All of the above
Because buprenorphine is a mu opioid-receptor partial agonist it is not abusable unless
combined with another central nervous system depressant.
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