Deck 13: Prescription Drug Abuse

Question 1

In 2014, CDC noted that numbers of overdose deaths from opioid and narcotic painkillers:

A) Plateaued, as compared to 2010
B) Exceeded deaths from heroin
C) Increased mildly from a decade prior
D) Decreased substantially following the ACA

Answer 1

B

Question 2

The National Institute on Drug Abuse (NIDA) reported that in a single year, about how many people in the U.S. intentionally used prescription medications for non-medical reasons?

A) 1 million
B) 3 million
C) 7 million
D) 10 million

Answer 2

C

Question 3

According to NIDA, which category of medications were most frequently used for non-medical reasons?

A) Tranquillizers
B) Sedatives
C) Stimulants
D) Painkillers

Answer 3

D

Question 4

Adverse effects from stimulants used for nonmedical purposes includes:

A) Sleepiness
B) Improved appetite
C) Cardiac abnormalities
D) Breathing problems

Question 5

According to CDC, in 2009, nonmedical use of prescription painkillers resulted in:

A) 100,000 emergency room visits and 1000 deaths
B) 250,000 emergency room visits and 2500 deaths
C) 500,000 emergency room visits and 15,000 deaths
D) 750,000 emergency room visits and 10,000 deaths

Question 6

In a 2014 Cochane Review, there was lack of evidence for effectiveness and safety the long-term use of opioid pain medication for treatment of which condition?

A) Arthritis
B) Chronic low back pain
C) Prolonged post-operative pain
D) Dental pain

Question 7

CDC characterizes prescription drug abuse as epidemic and one of five top health threats in 2014.

Question 8

Prior to the Joint Commission implementation of pain management standards in 2001, it was estimated that as many as half of all cancer patients had inadequate pain treatment.

Question 9

In 1995, the American Pain Society used the phrase pain as the "fifth vital sign."

Question 10

CDC reports that for every overdose death from prescription painkillers there are 10 hospitalizations and more than 30 emergency department visits.

Question 11

Dextroamphetamine and methylphenidate are examples of stimulant medications.

Question 12

Prescription drug abuse is defined as selling, repackaging, or distributing pain medications for medical purposes in other geographic locations.

Question 13

According to the Monitoring the Future Survey, young people using prescription medications for nonmedical reasons also have higher rates of binge drinking and marijuana use.

Question 14

Several studies note that heroin users may have first used prescription painkillers for nonmedical purposes.

Question 15

Experts call addition a "brain disease," explaining that changes in the brain may be documented over time.

Question 16

Addiction to prescription painkillers is easily treated with a new class of addition antagonists.

Question 17

Methadone is especially dangerous when not used as prescribed, as there is only a small difference between the dose that is effective, and a dose that may result in overdose.

Question 18

The Trust for America's Health reported that in a 10-year period, drug overdose deaths have doubled (or more) in 10 states.

Question 19

High rates of drug overdose deaths have been reported in West Virginia, New Mexico, Kentucky, Nevada, and Oklahoma.

Question 20

In the U.S. men are more likely to dies from drug overdoses, and overdoses in women are decreasing.

Question 21

According to the CDC, per capita sales of pain medication and overdose deaths are not related.

Question 22

The U.S. Drug Enforcement Agency (DEA) recommended reclassifying some pain medications into the "high potential for abuse" category.

Question 23

The Trust for America's Health notes that most states are currently using evidence-based or best practices to prevent prescription drug abuse.

Question 24

The Joint Commission 2001 pain management standards included which of the following points of emphasis?

A) Asking patients about pain
B) Providing adequate pain treatment
C) Emphasizing patients' rights
D) Gathering data about side effects

Question 25

Which of the following are examples of opioid pain medications?

A) Penicillin
B) Hydrocodone
C) Morphine
D) Acetaminophen

Question 26

Which of the following are examples of sedatives or tranquilizers?

A) Codeine
B) Estazolam
C) Pentobarbital sodium
D) Zolpidem

Question 27

Groups at especially high risk of using prescription medications for nonmedical reasons include:

A) Older adults
B) Adolescents
C) Boys
D) Women

Question 28

Common prescription medications used for nonmedical purposes from the Monitoring the Future Survey include:

A) Cough medication
B) Vicodin
C) Acetaminophen
D) Adderall

Question 29

Painkiller prescribing is highest in which areas of the U.S.?

A) West
B) Midwest
C) South
D) Northeast

Question 30

Which of the following strategies are recommended by CDC to reduce the public health impact of prescription pain medication abuse?

A) Surveillance systems
B) Focus on healthcare prescribing
C) Stronger criminal penalties
D) Changes in health insurance