A score of 70% must be attained to receive credit for the course.

The test may be taken as many times as necessary to achieve the passing score. Email us a info@5dds.org to retake the test.

Certificate along with attestation instructions will be emailed to respondent within 72 hours after test results are received. 

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your email address?

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* 4. What is your ADA number?

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* 5. Acute pain is defined as pain from disease (accidental, intentional trauma or other cause) that is expected to last a short period of time. 

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* 6. The initial controlled substance prescription may be written for a maximum of seven days. 

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* 7. Practitioners must consider a patient’s information in the PMP Registry prior to prescribing or dispensing any controlled substance listed in Schedule II, III, IV or V. 

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* 8. Hydrocodone is a C-III drug in NYS. 

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* 9. Schedule II drugs have a high abuse potential, potential for severe psychological and/or physical dependence. 

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* 10. Management of acute dental pain can be accomplished with nonopioid as well as opioid analgesics. 

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* 11. Several analgesic adjuncts including antidepressants and anticonvulsants may be effective for managing chronic pain. 

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* 12. The analgesic efficacy of NSAIDs agents is underrated. They are equivalent or superior to opioids for managing musculoskeletal pain, as well as have a lower incidence of side effects, including the potential for abuse. 

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* 13. It is not necessary to avoid NSAIDs in patients who suffer bleeding disorders and those taking anticoagulants such as warfarin and antiplatelet drugs such as clopidogrel (Plavix). 

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* 14. Hepatotoxicity is not a concern when prescribing products containing acetaminophen. 

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* 15. Opioids demonstrate greater efficacy as the dose is increased. When pain is severe the side effects do preclude the use of higher doses to produce complete pain relief. 

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* 16. It is unwise to combine NSAIDs, however the addition of acetaminophen to an NSAID is reasonable because they have different sites for their analgesic action. 

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* 17. It is not logical or necessary to try to achieve and optimize “around-the-clock” dosages of pain relief before adding a low dose opioid. 

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* 18. Patients who consume opioids regularly for longer than a week can develop some degree of dependence. 

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* 19. After repeated administration, patients develop tolerance to opioids. 

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* 20. Addiction is a compulsive behavior centered on seeking a drug and its effects for nonmedical reasons-generally for pleasure. 

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* 21. Hydrocodone and oxycodone are comparable to codeine when pain relief is considered. 

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* 22. “Preemptive analgesia” may be a logical approach in situations when post procedural pain is anticipated. 

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* 23. The addition of a long acting local anesthetic will enhance post-operative pain control. 

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* 24. It is not necessary to elicit an “informed consent” from the patient or guardian because it is implied when a prescription is provided to a patient. 

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* 25. Dosages must be adjusted based on weight of a child, as well as the medical/physical status of all patients, e.g. liver and/or kidney disease. 

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* 26. NSAIDS have been associated with a risk of serious cardiovascular and gastrointestinal events. 

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* 27. It is still acceptable to flush any and all prescription down the toilet as a safe method of disposal. 

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* 28. Consulting the PMP data base will aid in the elimination “doctor shopping.” 

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* 29. Patient education is important in helping a patient have realistic expectation for post-operative pain control and recovery from a surgical dental procedure. 

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