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Section 12 • Controlled Substance Management
2480. Which of the following statements regarding controlled
took “too many pain pills”. During this time he becomes
substances prescriptions is FALSE?
extremely lethargic, with slow respirations. No other
A. A controlled substances prescription must be dated as
history is available. Your immediate action, in addition to
of and signed on the day it is issued.
O2 administration is to administer:
B. A controlled substances prescription must contain the
A. Naloxone
full name and address of the patient.
B. Diphenoxylate
C. A physician who has given his or her staff at least eight
C. N-acetyl-L-cysteine
hours of training on the federal laws and regulations
D. Prochlorperazine
concerning controlled substances prescriptions has no
E. Flumazenil
liability for a controlled substance prescription completed by a staff member that does n
2486. The non-medical use of pain medication has been
D. A controlled substances prescription must contain the
followed since 1965. The largest growth of non-medical
name of the drug, the strength of the drug, the dosage
use of pain medication since this time has been between:
form of the drug, quantity of drugs prescribed, and
A. 1986 and 1990
directions for use.
B. 1995 and 2000
E. A prescription for a Schedule III, IV, or V drug given for
C. 2001 and 2002
the purpose of detoxification or maintenance treatD. 1965 and 1972
ment must include the unique identification number
E. 1968 and 1971
issued by the Administrator of DEA in addition to the
physician’s DEA number.
2487. An individual abruptly discontinuing long-term, high
dose use of an opioid drug will likely experience which
2481. The second most common opioid of choice for
one of the following conditions?
intrathecal infusion following morphine is:
A. Opioid-induced hyperalgesia
A. Fentanyl
B. Increased opioid mu receptor affinity
B. Sufentanil
C. Increased opioid tolerance
C. Hydromorphone
D. Loss of physical dependence and addiction
D. Morphine
E. Increased sympathetic nervous system activity
E. Mepiridine
2488. A 16-year old patient has terminal cancer and has failed
all treatment. Pain is worsening and he requires higher
doses of opioid analgesics for pain relief. He inquires as
to whether a research program may or may not help. One
of the side effects with the new treatment is worsening of
peripheral neuropathy. At this point, he refuses further
treatment. His parents want you to talk to him and enroll
him in the experimental protocol. Which of the following
is your next course of action?
A. Inform the patient that he can not refuse treatment
B. Begin treatment if the parents provide written consent
C. Respect the patient’s wishes and cancel plans for treatment
2483. What is the drug of choice to reverse the effect of
D. Avoid further escalation in opioid doses.
Diazepam® overdose
E. Discuss the issues with the patient
A. Naltrexone®
B. Physostigmine®
2489. A substance abuser who decides to abstain checks in
C. Pralidoxime®
to a county detoxification facility and undergoes a 5
D. Flumazenil®
day detoxification program. Assuming the abuser gets
E. Naloxone®
no further treatment or aftercare, his or her chance at
2482. A patient on methadone 90 mg daily, stable, with good
relief now presents with a kidney stone. For the present
problem :
A. Continue at 90 mg of methadone daily
B. Stop methadone
C. Continue 90 mg of methadone, but add higher than
normal doses of hydrocodone
D. Continue 90 mg of methadone and add lower doses of
hydrocodone
E. Continue 90 mg of methadone and add usual doses of
hydrocodone
remaining sober is about:
2484. Once an opioid treatment is selected, titration
A. < 5%
upwards should continue until:
B. 10%
A. A ceiling is reached.
C. 25%
B. Addiction occurs
D. 50%
C. Tolerance occurs
E. 90%
D. A balance between analgesia and side effects is reached.
E. Respiratory depression occurs
2490. Regarding the clinical use of antidepressant drugs,
which one of the following statements is false.
2485. A 25-year-old male receiving hydrocodone and diazepam
A. Patients should be advised not to abruptly discontinue
presents with disorientation. He states that he had
antidepressant medications.
nausea, vomiting, abdominal pain and diarrhea since he
B. In selecting an appropriate drug for treatment of de-
ASIPP