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Self-Assessment Answers for Section 1: REMS/MEDICAL ERRORS (3)
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.
4 . The DIRE and the COMM are examples of which of the following assessments?
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 . The responsibility for obtaining evidence of success in meeting a functional goal lies with which of the following individuals?
A.
B.
C.
D.
9 . All of the following are reasonable causes for discontinuing treatment with an opioid medication EXCEPT:
A.
B.
C.
D.
10 . When opioid treatment is initiated, both the patient and clinician should view the commitment as:
A.
B.
C.
D.
11 . It can be particularly unsafe to combine opioids with which of the following other medicines?
A.
B.
C.
D.
12 . The duration of action of short-acting opioids is generally:
A.
B.
C.
D.
13 . Short-acting opioids are most appropriate and commonly used for which of the following conditions?
A.
B.
C.
D.
14 . Combination products are those that include an opioid with which of the following elements?
A.
B.
C.
D.
15 . What is the typical duration of action of the different ER/LA opioids?
A.
B.
C.
D.
16 . All of the following are of particular concern when prescribing an ER/LA opioid pain medication EXCEPT:
A.
B.
C.
D.
17 . All of the following types of patients need more frequent or intense monitoring EXCEPT:
A.
B.
C.
D.
18 . Of the following tools, which one can help patients pinpoint triggers of breakthrough pain?
A.
B.
C.
D.
19 . Uncomfortable or unpleasant side effects (aside from constipation) may potentially be reduced by which two approaches?
A.
B.
C.
D.
20 . All of the following are valid reasons to pursue opioid rotation EXCEPT:
A.
B.
C.
D.
21 . Which of the following is the APS-AAPM guideline regarding driving for patients prescribed opioid medication?
A.
B.
C.
D.
22 . One reason that methadone must be prescribed with particular caution is that:
A.
B.
C.
D.
23 . 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.
Self-Assessment Answers for Section 2: DOMESTIC VIOLENCE (2)
24 . Partner abuse, spouse abuse, battering and domestic violence are terms that are often used interchangeably to describe a relationship where intentional or controlling behavior is perpetrated by a person with whom someone has had, or currently, has an intimate relationship. Individuals may or may not reside together. Domestic violence may include each of the following behaviors by the abuser EXCEPT:
A.
B.
C.
D.
E.
25 . Which of the following accurately represents the prevalence of domestic violence in the United States?
A.
B.
C.
D.
E.
26 . Studies have shown that which of the following characterizes physicians with respect to domestic violence?
A.
B.
C.
D.
27 . For Questions 27 through 31 Survivors of abuse may present in the health care setting with a variety of signs and symptoms. Routine screening of all patients is ideal. Idicate Yes or No, regarding whether each of the following scenarios descrides signs and symptoms that should alert the physician to consider domestic violence in the differential diagnosis? 55-year-old, upper middle class woman with symptoms and signs of depression and frequent requests for prescription pain killers.
A.
B.
28 . 32-year-old, Hispanic woman with frequent office visits for vague complaints with no evidence of physical abnormality.
A.
B.
29 . 29-week gravid woman with history of two previous spontaneous abortions presenting with bruises to her upper arms.
A.
B.
30 . 26-year-old, African American female patient whose partner insists on staying close by in the treatment area and answers questions directed to the woman.
A.
B.
31 . 30-year-old white male who is HIV+ and has substance abuse problems.
A.
B.
32 . Dr. Doright has integrated routine assessment for abuse in his hematology/internal medicine practice. He is seeing a new patient, Ms. Jones. She responds “yes” to the following question in the new patient health self assessment: "Has your partner ever harmed or threatened to harm you or someone you love?" Appropriate follow up questions or statements may include each of the following except:
A.
B.
C.
D.
E.
33 . Which of the following describes important points about documentation in the medical record?
A.
B.
C.
D.
34 . Which of the following describes the primary goal of intervention by health care providers?
A.
B.
C.
D.
35 . Collaboration between physicians and community based advocacy and support groups is essential for the optimal care for survivors of domestic violence. Services that may be available through community-based domestic violence organizations are likely to include each of the following, except:
A.
B.
C.
D.
E.
36 . All of the following are action steps physicians can take to enhance recognition and care for patients in their practice who are survivors of domestic violence, EXCEPT:
A.
B.
C.
D.
E.
Self-Assessment Answers for Section 3: SELF-DIRECTED SEARCHING & LEARNING (1)
37 . All of the following describe self-directed learning (SDL) EXCEPT:
A.
B.
C.
D.
38 . The primary emphasis of the Maintenance of Competence (MOC) program is on
A.
B.
C.
D.
39 . Many states are adding the requirement that CME include which of the following components?
A.
B.
C.
D.
40 . Internet searching and learning (ISL) is a CME format that makes use of which of the following resources?
A.
B.
C.
D.
41 . ISL serves as a CME tool for Internet searches by doing which of the following?
A.
B.
C.
D.
42 . In order to claim a CME activity using ISL, the learner must do all of the following EXCEPT:
A.
B.
C.
D.
43 . When using ISL for CME credit the learner must:
A.
B.
C.
D.
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