Self-Assessment Answers for Section 1: Caring for LGBTQ Patients
1 . Sexual orientation consists of which components? 2 . Which is a true statement about sexual behavior? 3 . What does the prefix “cis” mean? 4 . What is one way clinicians could help create a welcoming environment for LGBTQ patients? 5 . What terms are most appropriate for use on intake forms instead of “marital status” and “spouse”? 6 . What situations have been correlated with poorer mental health and increased substance use among lesbian or bisexual women? 7 . For which type of cancer do lesbian women have a higher risk than heterosexual women? 8 . Which health risk factor are lesbian women more likely to experience than heterosexual women? 9 . For which type of cancer are gay and bisexual men 17 times more likely to develop than heterosexual men? 10 . Depression and anxiety have been found to occur at higher rates among gay men who _____________________.
Self-Assessment Answers for Section 2: Pharmacology & Clinical Effects of Medical Cannabinoids
11 . What fact suggests that endocannabinoid systems evolved to perform important biological functions? 12 . To what specific class do endocannabinoid receptors belong? 13 . What is one key physiological difference between endocannabinoids and cationic neurotransmitters such as dopamine? 14 . Phytocannabinoids are ______________________? 15 . Raw cannabis contains approximately how many individual cannabinoids? 16 . Which of the following is true about the physiological relationship between THC and CBD? 17 . Dronabinol (Marinol®) is approved for what clinical indication? 18 . For which of the following clinical condition is there conclusive or substantial evidence for the efficacy of oral cannabinoids? 19 . Use of medical cannabis has been associated with a reduction in the use of what type of pharmaceutical? 20 . Frequent or prolonged use of cannabis can elicit which paradoxical effect?
Self-Assessment Answers for Section 3: Opioid Analgesics in the Management of Acute and Chronic Pain
21 . Which type of pain is characterized by aberrant signal processing in the peripheral or central nervous system? 22 . What term describes the phenomenon of pain being caused by a normally innocuous stimulus such as light touch? 23 . What is the likely physiological basis for opioid-induced hyperalgesia? 24 . Which statement best summarizes the CDC finding about opioids for chronic pain? 25 . Opioid pain medications should not be combined with _______________? 26 . Which of the following topics should be routinely covered as part of patient education about opioid analgesics? 27 . Although the absolute risk for inducing opioid misuse or addiction due to prescriptions of opioids for acute pain is low, the large number of such prescriptions means that approximately how many people are at risk each year? 28 . Non-pharmacologic methods for treating acute pain are appropriate for which phase of healing? 29 . Long-acting (LA) and extended-release (ER) formulations of opioids should not be used for __________________? 30 . What is one suggestion for a way to augment opioid treatment in order to help improve a patient’s pain and function? 31 . Which of the following is an example of a functional goal? 32 . According to the Centers for Disease Control and Prevention, what amount of opioid analgesic is appropriate for most painful conditions? 33 . Which class of patients might require more frequent or intense monitoring when prescribed an opioid analgesic? 34 . Which of the following characteristics is typical of patients who are addicted to a pain medication? 35 . Most experts agree that opioid dosages should not be increased to _______ without careful justification based on diagnosis and on an individualized assessment of benefits and risks. 36 . The availability of naloxone was increased in 2019 by an FDA decision that ____________. 37 . Which of the following medications is a full mu-receptor agonist used to treat Opioid Use Disorder? 38 . Which of the following medications can be self-administered by patients with a medication obtained from a regular pharmacy? 39 . For which of the following must clinicians obtain a special waiver from the DEA prior to being able to prescribe the medication? 40 . Which of the following is a possible reason for prescribing naloxone to a patient who has been prescribed an opioid analgesic?
Self-Assessment Answers for Section 4: Managing Acute Pain
41 . Roughly how many people every year are at risk for opioid misuse or addiction due to their being prescribed opioid analgesics for acute pain conditions? 42 . Opioid-induced hyperalgesia is most likely the result of _______________? 43 . DIRE, ORT, and SOAPP are examples of tools for assessing what patient characteristic? 44 . A study found that surgeons prescribed a mean of 24 pills (standardized to 5 mg oxycodone) for post-surgical pain. How many pills did patients actually use? 45 . What amount of opioid analgesic has been recommended by the Centers for Disease Control and Prevention as appropriate for most painful conditions? 46 . During which phase of healing from acute conditions are non-pharmacologic methods most appropriate? 47 . Combination products for pain control join an opioid with a _________________. 48 . Which of the following is not an example of multimodal therapy for acute pain? 49 . For which type of pain should long-acting or extended-release opioid analgesics not be used __________________? 50 . Which of the following is not a topic that should be routinely covered as part of patient education about opioid analgesics?