You are providing a consult in the emergency room for a patient who presented with intense pain. You review the chart and see that the patient attends treatment at the Suboxone (buprenorphine/naloxone) clinic for a history of heroin abuse. On exam the patient is diaphoretic, pupils are dilated, he is complaining of nausea, and has tachycardia. His UDS is only positive for his prescribed Suboxone. You notice the patient has recent injection marks (track marks) on his arm. What may explain the patient’s symptoms?

A 25 year old female with a long standing history of ADHD presents to your office to establish care with a new provider. She is starting a new job and is worried about her ability to focus while learning about her new role. She also recently learned she is 8-weeks pregnant. Which of these is the best option for treatment for this patient?

Your patient, with a heroin addiction, calls to say he is experiencing withdrawal symptoms. Which of the following statements would you make to him?

Which of the following medications for ADHD is long acting and is not active until first metabolized by the liver?

Use the following ANOVA table to answer the question below: The p-value for the ANOVA table is omitted. Is the p-value from this ANOVA test greater than or less than 0.05?  

You are prescribing venlafaxine (Effexor) for the treatment of generalized anxiety disorder. Which of the following is a dose related adverse effect for Effexor?

James was diagnosed with bipolar disorder at age 18.  He is now 32 years old and has been maintained stable on lithium 900mg daily and lamotrigine (Lamictal) 100mg daily.  He recently had his wisdom teeth removed and has been taking 600mg of ibuprofen 3 times per day.  He suddenly experiences tremors, diarrhea, vomiting, and extreme sedation.  What could be the cause of these side effects?

The recent explosion of neurobiological research helps us understand the biology underlying generalized anxiety disorders. Which of the following systems are hypothetically linked as malfunctioning in the occurrence of generalized anxiety?

The ANOVA technique requires more than two groups.

Which of these best explains the benefits of using buprenorphine/naloxone SL (Suboxone) over buprenorphine alone?