Cdc Guidelines: ABFM practice questions

4 board-style questions on cdc guidelines in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 54-year-old man with chronic low back pain has been on oxycodone 10 mg three times daily (morphine milligram equivalent [MME] of 45 mg/day) for the past year. He also takes lorazepam 0.5 mg nightly for insomnia. According to current CDC guidelines, which of the following is the most appropriate next step regarding overdose prevention?

1. Co-prescribe naloxone and educate the patient and household members on its use
2. Discontinue oxycodone immediately and switch to a non-opioid analgesic
3. Increase monitoring to every 6 months without additional intervention
4. No additional intervention is needed at this MME dose

Sample question 2

A 42-year-old man presents to a new family medicine practice requesting a refill of oxycodone 30 mg four times daily for chronic knee pain. He states his previous physician retired. He appears uncomfortable and is requesting the prescription urgently. Before prescribing, which of the following is the most important initial step according to CDC opioid prescribing guidelines?

1. Refer him to an orthopedic surgeon for knee replacement evaluation
2. Prescribe a 3-day supply to prevent withdrawal while arranging follow-up
3. Query the Prescription Drug Monitoring Program (PDMP) and obtain prior medical records
4. Perform a urine drug screen and prescribe if the results are consistent with his reported medications

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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