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Quiz 2 - Course 4SUD

 

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1)
Moving on to OPIOID OVERDOSE REVERSAL MEDICATIONS (00RM): OORMs are life-saving medications (e.g., Naloxone for injection and by nasal spray) that reverse the effects of an acute opioid overdose and restore breathing. Restoring BREATHING is more important than waking up.
 
True False
 
2)
Which is not true about OORM kits?
 
OORM kits are available over the counter (OTC) without a physician's order.
OORM kits are available only with a confirmed diagnosis of SUD.
OORM kits are oftentimes provided for free by Harm Reduction and other community organizations.
Everyone who uses drugs or knows someone who uses drugs should keep an OORM kit on hand.
 
3)
Which drug are you unlikely to find in an OORM kit?
 
Naloxone
Methamphetamine
Two or more doses of Naloxone
Nalmefene
 
4)
OORMS AVAILABLE TO THE PUBLIC: Which is not true about Naloxone?
 
The unbranded single dose 0.4 mg/ml vial intramuscular Naloxone injection is the cheapest naloxone available, and is easy to use.
In the event of an opioid overdose, any Naloxone is better than no Naloxone - even if it is past its expiration date.
Different forms of Naloxone produce different levels or intensity of withdrawal symptoms.
All OORMs are effective in reversing opioid overdose, including overdose caused by fentanyl—and you should use an OORM (such as naloxone) even if you are not sure what drugs someone took.
Naloxone treats drug addiction by blocking the euphoric effects of opioids and relieving cravings.
 
5)
If the individual does not begin to breathe within 6 to 7 minutes after receiving an OORM injection or nasal spray, give another dose.
 
True False
 
6)
HOW MUCH Naloxone to use? What is true about the amount and number of doses of Naloxone to use?
 
A person who responds to a low dose of naloxone will typically wake up slowly and gently, similar to coming out of anesthesia after surgery.
The higher the naloxone dose, the more likely someone who has developed tolerance to opioids will experience major symptoms of withdrawal upon awakening.
Giving more than one dose of naloxone and using higher dose products may not be necessary when responding to a known fentanyl overdose.
Giving more doses of naloxone or using a stronger dose may be unnecessary and may cause unnecessarily severe withdrawal symptoms..
All of the above.
 
7)
What is not recommended in reversing an Opioid (including Fentanyl) overdose?
 
Administer an opioid overdose reversal medication (naloxone) if the person is not breathing. Also give rescue breaths or chest compressions to stimulate breathing.if possible.
Give an additional dose if there is no breathing response within 2-3 minutes of each dose.
Put the person into a cold bath or shower or use force to try to wake the person.
When breathing has been restored, place the person in the 'rescue position' on their side and summon medical help.
 
8)
Regarding MOUD, which is not true?
 
MOUDs include buprenorphine, methadone, and naltrexone. Methadone and Buprenorphine have been associated with significant reductions in risk for overdose death.
MOUD means Medications for Opioid Use Disorder
MOUDs are not appropriate for people who want to reduce or halt their dependence on opioids.
MOUDs normalize brain chemistry, block the euphoric effects of opioids, and relieve cravings (methadone and buprenorphine), without the negative and euphoric effects of the substance used.
Counseling and psychosocial support with MOUD treatment may have additional benefits for some patients.
 
9)
Surviving an overdose can be a traumatic experience, in part because of withdrawal symptoms. Provide support, understanding, and empathy to the person.
 
True False
 
10)
Moving to Appendix 1: Harm reduction strategies can reduce the risk of overdose and help people achieve self-determined goals related to their drug use, which may or may not include abstinence.
 
True False
 
11)
If a person who uses drugs took opioid treatment medications such as methadone or buprenorphine while incarcerated, but then stops taking the treatment meds upon release, what do they need to be aware of?
 
Opioid treatment medications do not have an extended effect when you stop using them.
Starting to use street drugs again upon release, without also taking treatment medications (e.g., methadone or buprenorphine), increases risk of overdose.
Taking opioids in combination with alcohol and/or other depressant medications like tranquilizers greatly increases the risk of overdose.
Decide how to use a drug without risk for overdose, e.g., use test strips or other drug checking equipment to determine the presence of fentanyl or other drugs.
All of the above.
 
12)
APPENDIX 2: Important information to give clients who are taking prescription opioids for pain control:
 
Crushing or otherwise manipulating prescription opioids can make the dose unpredictable
Risk of overdose increases if prescription medication is snorted, injected, smoked, or rectally administered instead of swallowing the drug.
Mixing opioids with alcohol and/or other depressant medications like benzodiazepines or tranquilizers can greatly increase the risk of overdose.
Their tolerance of pain medication will change over time, and they need to prepare for its impact on their pain experience.
All are true
 
13)
Which is NOT true about opioids, whether prescribed or illicitly obtained on the street?
 
Risk of overdose increases when injecting or smoking opioids as compared to snorting or swallowing them.
Risk of overdose increases if you snort instead of swallow a drug.
Risk of overdose decreases if you snort instead of swallow a drug.
Benzodiazepines, anti-seizure medications, and many other psychiatric medications are depressants and increase the risk of overdose..
 
14)
RECOGNIZING AN OVERDOSE OF OPIOIDS: Which is not listed as a sign of an opioid overdose?
 
Unconsciousness or inability to awaken.
Pinpointed pupils or pupils that don’t react to light.
Slow or shallow breathing or difficulty breathing such as choking sounds or a gurgling/snoring noise from a person who cannot be awakened
Running a high fever with profuse sweating that does not respond to Tylenol.
Fingernails or lips turning blue/purple (or for lighter skinned people, bluish purple; for darker skinned people, may turn pale/grayish or ashen).
 
15)
Appendix 4: EMS first responders (firemen and EMTs) can provide additional recovery assistance following an acute overdose by
 
clearing the room of law enforcement personnel
avoiding use of any and all restraints
both of the above
neither of the above
 
16)
EMS providers, with a doctor’s oversight, can administer buprenorphine (a MOUD) after OORM administration. This creates a 'softer landing' for people waking up from an overdose and has shown promise for encouraging ongoing buprenorphine treatment for OUD.
 
True False
 

 

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