Integrating Pharmacotherapy and Psychotherapy, CATR, March/April 2021 Carlat Reports

Welcome to your Integrating Pharmacotherapy and Psychotherapy, CATR, March/April 2021

1. If a patient stops buprenorphine or methadone the day prior to surgery, pre-surgery doses of these medications can be restarted if they were withheld for how long (LO #1)?

a. More than 3 days

b. Less than 2–3 days

c. 3–4 days

d. 5 days

2. Which of the following about the management of opioid withdrawal is true (LO #2)?

a. Buprenorphine should only be started when the COWS score has reached at least 16

b. The COWS does not include vital signs

c. Methadone dosed at 10 mg intramuscularly or 20 mg orally is enough to significantly reduce COWS scores

d. Buprenorphine should only be used if methadone is not available

3. According to Dr. Marienfeld, which of the following is the best example of "change talk" (LO #3)?

a. “I need to drink to fall asleep.”

b. “I have a family history of alcohol use disorder, which is why I can’t change.”

c. “I want to address my problems with alcohol use.”

d. “It’s difficult to reduce my alcohol intake because of withdrawal symptoms.”

4. During opioid withdrawal, most patients will experience substantive relief when they reach what dose of buprenorphine (LO #2)?

a. 8 mg

b. 4 mg

c. 24 mg

d. 2 mg

5. Patients who discontinue buprenorphine for a short time after surgery to allow for the use of full-agonist opioids are at a decreased risk of oversedation and respiratory depression (LO #1).

a. True

b. False