Submitted by Admin User on Thu, 03/05/2015 - 3:16pm Please identify the profession which best describes you. (select one) * Physician Dentist Physician Assistant Advanced Practice Nurse Optometrist Pharmacist Podiatrist Other Dentists: Please select the specialty that best describes you. (select one) * Dental Public Health Prosthodontics General Dentistry Orthodontics and Dentofacial Orthopedics Endodontics Pediatric Dentistry Periodontics Oral and Maxillofacial Radiology Oral and Maxillofacial Pathology Oral and Maxillofacial Surgery N/A: I am not a dentist. Health Specialties: Please select the specialty that best describes you. * Adolescent medicine Allergy/Immunology Anesthesiology Cardiology Colon and Rectal Surgery Critical Care Medicine Dermatology Developmental-behavioral Emergency medicine Endocrinology Family practice Gastroenterology Geriatric medicine Hematology and oncology Infectious disease Internal medicine Medical genetics Neonatal-perinatal medicine Nephrology Neurological surgery Neurology Nuclear medicine Obstetrics and Gynecology Ophthalmology Orthopaedic surgery Otolaryngology Pain Management Pathology (anatomic & clinical) Pediatrics Physical medicine & Rehab Plastic surgery Preventive medicine Psychiatry Pulmonology Radiation oncology Radiology-diagnostic Rheumatology Sports medicine Surgery-general Thoracic surgery Urology N/A: I am a dentist. Please specify the practice type that best fits your practice. (select one) * Primary care Pain specialist Non-pain specialist Which of the following best describes you? * I am registered with the DEA to prescribe Schedule 2 and/or 3 controlled substances AND HAVE written at least one ER/LA opioid script in the past year. I am registered with the DEA to prescribe Schedule 2 and/or 3 controlled substances AND HAVE NOT written at least one ER/LA opioid script in the past year. I am not registered with the DEA to prescribe Schedule 2 and/or 3 controlled substances but may be in the near future. I am not registered with the DEA to prescribe Schedule 2 and/or 3 controlled substances with no intention of doing so in the near future. An elderly woman states she ran out of her medication, methadone 1 week ago and you suspect she is not taking it. Methadone should be detected for how long in a urine drug test if she is taking it regularly? * 2 day 1 week Not detectable in a urine drug test at any point 30 days A 70-year old woman with a diagnosis of chronic neck pain from osteoarthritis has no risk factors on her Opioid Risk Tool. She has been taking opioids for approximately 3 months. She desires to have improved pain relief. She rates her constant neck pain at 6/10. Her current analgesic is oxycodone 5mg/acetaminophen 500 mg, one tablet QID. She does not describe any side effects. To improve her pain control you recommend: * Oxycodone 5mg/acetaminophen 500 mg, 2 tablets QID Oxycontin 20 mg BID, with oxycodone/acetaminophen 5mg PRN breakthrough pain Trial of alprazolam Fentanyl patch 75 mcg q3d A 58 year old white male has a long history of chronic low back pain, and a 2-year history of chronic opioid therapy (oxycodone ER 30 mg BID). On a routine follow-up visit, you note in his recent GC/MS urine drug test that he tests positive for large amounts of oxycodone, and small amounts of oxymorphone. He denies using any additional opioids than what you have prescribed. The best course of action is to now: * Repeat the urine drug test for opioids Taper and discontinue opioid therapy because the patient has broken the opioid treatment agreement Do nothing Perform a CAGE questionnaire for addictive behavior Interview the wife and advise her to maintain her hydrocodone tablets in a secure environment and out of reach from her husband A 58 year old white male has a long history of chronic low back pain, and a 2-year history of chronic opioid therapy (oxycodone ER 30 mg BID). On a routine follow-up visit, you note in his GC/MS urine drug opioid test that he tests positive for large amounts of oxycodone, and small amounts of oxymorphone. He denies using any additional opioids than what you have prescribed. The unprescribed oxymorphone is most likely due to: * A metabolite of oxycodone Drug-drug interaction with patient’s prescribed cimetidine The patient is secretly taking his wife’s hydrocodone/acetaminophen tablets Laboratory error Which of the following does not indicate an opioid tolerant patient based on 24 hour usage for 7 days? * 100 mg oral morphine/24 hours 25 mcg transdermal fentanyl/hour 30 mg oral oxycodone/24 hours 25 mg oral oxymorphone/24 hours Leave this field blank
