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1. The U.S. Food and Drug Administration has approved medications to treat which of the following substance use disorders?
A. Cocaine
B. Opioid
C. Methamphetamine
D. All of the above
2. Addressing individual and environmental risk factors for substance use through evidence-based programs, policies, and strategies is which of the following?
A. Enhancing health
B. Primary prevention
C. Early intervention
D. Treatment
3. What is the goal of early intervention?
A. Reduce the harms associated with substance misuse.
B. Reduce risk behaviors before they lead to injury.
C. Prevent progression to a disorder and subsequent need for specialty substances use disorder services.
D. All of the above.
4. All of the following groups are particularly likely to benefit from early intervention, except for:
A. People who binge drink.
B. People who use substances while driving.
C. People who use prescription pain relievers.
D. Women who use substances while pregnant.
5. Five or more drinks in a day for women has been validated and shown in primary care to accurately identify individuals at risk for or experiencing a substance use disorder.
A. True
B. False
6. The main purpose of motivational interviewing is to:
A. Examine and resolve ambivalence.
B. Give feedback to the individual about their level of use relative to safe limits.
C. Identify the severity of the individual’s substance use and whether substance use disorder treatment may be necessary.
D. All of the above.
7. Among all individuals who met criteria for a substance use disorder, _____ was by far the most prevalent substance reported.
A. Marijuana
B. Prescription pain relievers
C. Alcohol
D. Methamphetamines
8. The most common reason that people do not seek treatment is:
A. That they are not ready to stop using.
B. That they are unaware that they need treatment.
C. That they do not have health care coverage / cannot afford it.
D. That it might have a negative effect on their job or cause neighbors / community to have a negative opinion.
9. Which of the following is a strategy to reduce harm?
A. Outreach and education programs.
B. Needle / syringe exchange programs.
C. Access to naloxone to reverse potentially lethal opioid overdose.
D. All of the above.
10. How long after a user has taken the drug do bystanders have in order to take action to prevent the user’s opioid overdose death?
A. None, overdose occurs immediately.
B. A 15 to 30 minute window.
C. A 1 to 3 hour window.
D. None of the above.
11. Rapid or unmanaged withdrawal from which of the following can be protracted and can produce seizures and other health complications?
A. Alcohol and sedatives / tranquilizers
B. Stimulants
C. Opioids
D. All of the above
12. Beginning substance use disorder treatment within 14 days of discharge from withdrawal management has been shown to reduce readmission rates.
A. True
B. False
13. Which of the following accurately describe the treatment plan?
A. It should be person-centered and include strength-based approaches, or ones that draw upon an individual’s strengths, resources, potential, and ability to recover, to keep the patient engaged in care.
B. It should consider age, gender identity, race and ethnicity, language, health literacy, religion / spirituality, sexual orientation, culture, trauma history, and co-occurring physical and mental health problems.
C. It should be adjusted throughout treatment as individuals are periodically reassessed to determine response to treatment.
D. All of the above.
14. Studies have repeatedly demonstrated the efficacy of medication-assisted treatment at:
A. Reducing illicit drug use and overdose deaths.
B. Improving retention in treatment.
C. Reducing HIV transmission.
D. All of the above.
15. Patients who receive MAT for fewer than _____ have not shown improved outcomes.
A. 90 days
B. 6 months
C. 12 months
D. 3 years
16. All three FDA-approved medications currently available to treat alcohol use disorder carry the risk of misuse / addiction and thus are DEA-scheduled substances.
A. True
B. False
17. Research suggests that _____ skills can be learned during Cognitive-Behavioral Therapy and that those skills continue to be employed by the individual after treatment has concluded.
A. Self-monitoring
B. Craving-recognition
C. Both (A) and (B)
D. None of the above
18. Twelve-Step Facilitation has been effective in reducing alcohol use during the first month of treatment for individuals with alcohol use disorder, but these effects disappear rapidly following treatment completion.
A. True
B. False
19. Research has shown that incorporating tobacco sensation programs into substance use disorder treatment does not jeopardize treatment outcomes and is associated with a _____ increase in the likelihood of maintaining long-term abstinence from alcohol and drug misuse.
A. 10%
B. 25%
C. 40%
D. 65%
20. What is an advantage offered by technology-based interventions?
A. They can increase access to care in underserved areas and settings.
B. They free up time so that service providers can care for more clients.
C. They provide alternative care options for individuals hesitant to seek in-person treatment.
D. All of the above.
21. Even after a year or two of remission is achieved, it can take _____ more years before the risk of relapse drops below 15%, the level of risk that people in the general population have of developing a substance use disorder in their lifetime.
A. 2 to 3
B. 3 to 4
C. 4 to 5
D. 5 to 6
22. A recovery coach’s responsibilities include all of the following, except for:
A. Providing strategies to maintain abstinence.
B. Providing treatment.
C. Connecting people to recovery housing and social services.
D. Helping people develop personal skills that maintain recovery.
23. Some health care professionals are hesitant to provide patients with medication-assisted treatment because research has shown that this is substituting one addiction for another.
A. True
B. False
24. The Guideline for Prescribing Opioids for Chronic Pain, released by the CDC, is intended to:
A. Regulate necessary and appropriate opioid prescribing.
B. Inform health care professionals about some of the consequences of treatment with opioids for chronic pain and to consider, when appropriate, tapering and changing prescribing practices, as well as considering alternative pain therapies.
C. Both (A) and (B).
D. None of the above.
25. Even one alcoholic drink per day may increase the risk of:
A. Breast cancer
B. Liver disease
C. Pancreatic disease
D. Reproductive system disorders
26. Which of the following may be caused by neonatal abstinence syndrome?
A. Neurological excitability
B. Gastrointestinal dysfunction
C. Autonomic dysfunction
D. All of the above
27. A study of a large health system found that _____ women were less likely to attend substance use disorder treatment.
A. Latina
B. Asian American
C. Black / African American
D. All of the above
28. Studies show that every dollar spent on substance use disorder treatment saves $4 in health care costs and $7 in criminal justice costs.
A. True
B. False
29. Which of the following is a key finding especially important of the significant advances in prevention science?
A. Science has shown that adolescence and young adulthood are major “at risk” periods for substance misuse and related harms.
B. Most of the major genetic, social, and environmental risk factors that predict substance misuse also predict many other serious adverse outcomes and risks.
C. Several community-delivered prevention programs and policies have been shown to significantly reduce rates of substance-use initiation and misuse-related harms.
D. All of the above.
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