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16 hour, MAT waiver content Exam Questions and Correct Answers (Verified by Expert)
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16 hour, MAT waiver content Exam Questions and Correct Answers (Verified by Expert) 1 / 13 1. Dopamine release leads to subjective feelings of : pleasure, reward 2. Why would addiction be consider... ed a disease?: Dz= a disorder of structure or function that produces specific signs or symptoms Addiction has defined causes (genetics, environment) and observable consequences (behavioral, biological) underlying change in brain circuits may persist beyond detoxification, particularly in individuals with severe disorders. (varies with drugs and intensity of use. Amphetamine may take a year of abstinence to regain brain dopamine functionality) 3. Should buprenorphine be prescribed from Emergency rooms?: Twice as likely to follow-up for addiction treatment vs referral alone 4. What studies support group/social interactions in recovery?: Skinner box with rats: they use more drugs when caged than when in group 65% of vietnam soldiers that were addicted in vietnam did not use opioids on return to USA. 5. physical exam should always include: looking for injection site marks -pupils -bowel sounds -neuro exam 6. lab tests at OUD evaluation: HCV, HIV, LFTs, pregnancy test, urine drug screening 7. Most common formulation of methadone: liquid concentrate or powder used in OTPs -tablets MC outside of OTPs 8. define detox program and goal: narcotic drug is dispensed in decreasing doses, not exceeding one hundred and eighty days, "to alleviate adverse physiological or psychological effects incident to withdrawal from the continuous or sustained use of a narcotic drug," with the ultimate goal of bringing a patient to a narcotic drug-free state 9. What did CARA (Comprehensive Addiction and Recovery Act) 2016 accomplish?: CARA temporarily expands the types of practitioners who may dispense a narcotic drug in Schedule III, IV, or V for the purpose of maintenance treatment or detoxification treatment without being separately registered as a narcotic treatment program. Whereas prior to the CARA, only qualified physicians were16 hour, MAT waiver content Exam Questions and Correct Answers (Verified by Expert) 2 / 13 permitted to dispense narcotic drugs in this manner, the CARA now temporarily permits certain nurse practitioners and physician assistants to qualify to do so. 10. Timing of buprenorphine induction: Pt should be in mild to moderate withdrawal at time of induction. Use COWS assessment (Clinical Opiate Withdrawal Scale) -COWS e 8 , 11 or 12 not unreasonable -COWS< 8 ok if UDS is neg and no self-reported opioid use in past 3 days -Write Buprenorphine prescription ahead of time so pt can bring it to office and avoid prior-authorization issues 11. How many mg can pt get on day 1 of buprenorphine induction?: 12 mg 12. how long is induction phase with buprenorphine/naloxone ?: 1-3 days 13. addiction: a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences 14. Why is addiciton considered a brain dz?: Drugs change the brain, they change its structure and how it works. Those brain changes can be long lasting and lead to many harmful, often self-destructive, behaviors [Show More]
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