14 board-style questions on opioid use disorder 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.
A 38-year-old man with opioid use disorder has been using heroin intravenously for 5 years. He presents requesting treatment. He is not in acute withdrawal (COWS score 4). He has stable housing, employment, and no concurrent substance use. He prefers outpatient treatment. What is the most appropriate medication-assisted treatment?
A 38-year-old man with a 5-year history of opioid use disorder presents to your primary care office requesting treatment. He last used heroin 20 hours ago and is in moderate opioid withdrawal with dilated pupils, piloerection, diaphoresis, and restlessness. His Clinical Opiate Withdrawal Scale (COWS) score is 16. He is motivated for recovery, prefers office-based treatment, and has no contraindications to pharmacotherapy. He has no access to an opioid treatment program nearby. What is the most appropriate medication to initiate?
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