AOAAM: e-OBOT Training Program Written Examination

e-OBOT Training Program Written Examination

1) The Drug Abuse Treatment Act (DATA) of 2000 allows any Schedule III, IV or V drug to be used for the treatment of Opioid withdrawal or detoxification.
	True
	False

2) Which licensed provider with a DEA certification who completes the 8 hour waiver qualifying course is eligible for the waiver.
	Physicians
	Dentists
	Podiatrists
	Nurse Practitioners
	Physician's Assistants

3) A DATA 2000 Waivered physician may care for up to what number of patients (at any one time) on Suboxone or Sebutex for the first year after they receive their waiver?
	15
	25
	30
	50
	100

4) Which receptor does buprenorphine have most of its effect?
	Alpha
	Mu
	Kappa
	Delta
	Episilon

5) A 30 year old Opioid dependent (heroin) non-pregnant female presents in Opioid withdrawal with a COWS of 20. Of the following, which is the best induction process:
	Refer the patient to a specialized prenatal methadone program
	Complete evaluation, obtain informed consent and initiate induction with half of a 8/2 Suboxone tablet.
	Obtain informed consent and initiate induction with two 8/2 Suboxone tablets.
	Obtain informed consent and initiate induction after 24 hours

6) A 24 year old male Opioid dependent patient is maintained on Methadone at 40 mg per day. He wants to switch to Buprenorphine so he can move to a rural farm with his family. Given Buprenorphine is an acceptable option, which of the following is the best option?
	Start the Suboxone on the same day he has taken the methadone.
	Start the Suboxone one day after the last methadone dose.
	Start the Suboxone at least two days after the last methadone dose.
	Wait at least two days after the last methadone dose and wait for the COWS to be at least 15 before induction.

7) Is Suboxone indicated for a 42 year old male who is taking Methadone 40 BID for chronic low back pain and wants to be put on Suboxone for pain care?
	Yes
	No

8) A sixteen year old female denies pregnancy and has a negative UCG. She is abusing Oxycontin 80 two times per day by chewing the tablets. She experiences diarrhea, back spasms, nausea and vomiting if she tries to stop the Oxycontin. When she started the Suboxone, she became ill and vomited and had severe abdominal cramps. What is the most likely reason?
	She was not in withdrawal, and the buprenorphine displaced the oxycodone.
	She is experiencing buprenorphine toxicity.
	She swallowed the Suboxone tablets instead of taking it Sublingually.
	She is allergic to burprenorphine

9) Which of the following medications should be avoided when the patient is taking buprenorphine?
	acetaminophen
	HAART for AIDS care
	Benzodiazepines
	SSRI Antidepressants
	Clonidine

10) A 21 year old male "borrows" some of his girlfriend’s Suboxone. He mixes the tablet with water and injects the solution. The first chemical his brain (mu receptors) will experience is:
	buprenorphine
	naloxone
	naltrexone
	morphine

11) Based on the RADARS (Poison Control Centers) report of pediatric exposures to sublingual buprenorphine:
	Over 50% of the children have died
	Approximately 30% of the children have died
	At least 10% of the children have died
	None of the children have died

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