Fentanyl - Enduring/Self-study

Post test must be completed and submitted after viewing the entire recording to receive 1.00 CME/CE continuing education credit for enduring/self-study activity.

CME

The AAFP has reviewed Fentanyl: An old drug creating new problems Understanding the pharmacology, debunking the myths, and considering the treatment options and deemed it acceptable for up to 1.00 Enduring AAFP Prescribed credits. Term of Approval is from 03/30/2023 to 03/30/2023. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Partnership HealthPlan of California approved by the California Board of Registered Nursing, (CEP16728), for 1.00 contact hours.

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* 1. Which of the following statements about fentanyl is correct (select one)?

Fentanyl is a dangerous new substance that was only recently first synthesized by clandestine laboratories sometime around 2018.

Fentanyl currently has no FDA-approved indications in medical treatment.

Fentanyl is a synthetic opioid that carries significant risks for overdose and death due to its extremely high potency.

Fortunately, fentanyl has a very slow onset of action, with overdose symptoms not manifesting until 1-2 hours after ingestion.

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* 2. TRUE/FALSE: Many of fentanyl’s unique pharmacologic properties can be attributed to its uniquely high lipophilicity.

True

False

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* 3. The higher risk of respiratory depression seen in individuals using illicit fentanyl can be attributed to all of the following EXCEPT:

Fentanyl’s incredibly rapid time of onset/action.

Fentanyl’s unique ability to cause “Wooden Chest Syndrome” and Vocal Cord Closure.

Fentanyl’s ability to concentrate within a cell’s lipid bilayer around the mu-opioid receptor.

Fentanyl’s acute toxic effects on cellular mitochondrial systems in the lungs.

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* 4. TRUE/FALSE: Much of the illicit fentanyl available throughout the US currently is manufactured in large clandestine laboratories in Mexico from precursors made in China and India.

True

False

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* 5. Earlier concerns about inadvertent (bystander/first responder) overdose on fentanyl through contact with or proximity to environmental residual fentanyl have been largely debunked. Which of the following are reasons cited by the American College of Medical Toxicology to explain why the risk of inadvertent overdose through environmental exposure to fentanyl is lower than originally believed?

An unprotected individual would require 200 minutes of exposure to high levels of airborne fentanyl to reach a dose equivalent to 100mcg of fentanyl.

Transdermal applications of fentanyl (patches) require up to 18 hours of direct skin contact in order to achieve full transdermal absorption, in addition to pharmaceutical grade fentanyl patches having chemical modifications to make them MORE absorbable through this route than illicitly available fentanyl preparations.

Both of the above.

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* 6. What was the end code given at the end of the recording?

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