CDC Opioid Prescribing Guidelines and PDMP Rules Webcast Post-Test

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* 1. After this session, please rate how your level of confidence changed.

Feel no more confident than before.

Feel a little more confident than before.

Feel somewhat more confident.

Feel more confident than before.

Feel a lot more confident than before.

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* 2. A 30-year-old female has a Pennsylvania Medical Marijuana card and gets marijuana each month. She asks you for morphine to treat her knee pain. When you check the PDMP and you see she is on marijuana.

True

False

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* 3. A reasonable clinical request is submitted and denied by an insurer for a controlled substance. The appropriate response is to:

Call the governor and complain about the interference of insurers in good medical care.

Call the insurer and demand to know the qualifications and degree of the person denying the prescription.

Call the insurance commissioner and complain about the insurer’s interference with good medical care.

Read the denial carefully, and request a peer review on the decision, and explain why the prescription is appropriate for this patient.

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* 4. A 25-year-old male comes to the office asking for hydrocodone. He is getting methadone at a methadone clinic for heroin use . When you check the PDMP you see he is on methadone.

True

False

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* 5. You conduct the peer review to appeal a denial, review the criteria on which it with the insurer’s medical director. It remains denied. You still disagree based on sound clinical principles. The appropriate response is to:

Call the insurance commissioner and your professional society and complain about the qualifications of insurer medical directors.

Call the insurer and demand to know the qualifications and degree of the person denying the peer to peer.

Give up, because it isn’t worth your time.

Request a next level appeal when informed of the denial after the peer to peer, gather clinical data which supports your decision, including the clinical support for the continued denial provided to you on request, and follow-up with the appeal process

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* 6. To check the Pennsylvania PDMP you need a first name, last name , birth date and address.

True

False

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* 7. Every time you write a prescription for an opioid you must check the PDMP.

True

False

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* 8. A 35-year-old female on lorazepam breaks her ankle and sees you for the pain. You agree to prescribe oxycodone 40 mg a day. Does this follow the CDC 2016 guidelines for safe opioid prescribing?

True

False