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Prescribing opioids amid the overdose crisis

MMIHard
Ethics · 8 minSelf-marked
All free questions
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Answer timer
8:00/ 8 min suggested
1

Answer the question

Prescribing opioids amid the overdose crisis

A long-term patient on chronic opioids for genuine pain asks for an early refill, saying he ran out. The state prescription drug monitoring program shows he recently filled a similar prescription from another provider. Against the backdrop of the US overdose epidemic, how do you handle this consultation?

Likely follow-ups
1

How do you balance the duty to treat pain against the risk of contributing to misuse or diversion?

2

What is your understanding of how the opioid crisis evolved, and how should that history shape prescribing today?

3

If you suspected opioid use disorder, what would you offer rather than simply cutting him off?

Your answer

Speak it out loud and we'll type it for you (free), or type your own notes — then mark yourself below.

Resources & frameworks
  • Four pillars: autonomy, beneficence, non-maleficence, justice.
  • Name the conflict → weigh both sides → gather more info → safe, patient-centered action.
CASPer & situational judgement guide→Free US interview resources→CDC — Clinical Practice Guideline for Prescribing Opioids for Pain (2022)CDC — Drug Overdose Deaths DataSAMHSA — Medications for Substance Use DisordersSee all 1000+ questions on Prometheus→
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2

Mark yourself

Score each skill against the rubric, then add a line of evidence. Scale:

0Not shown1Limited2Good3Excellent
Quick mark:Completion: 0%

Ethical reasoning

0/3

Balances the duty to treat pain against diversion risk without abandoning the patient

Empathy

0/3

Approaches a difficult disclosure with curiosity rather than accusation

Knowledge of the healthcare system

0/3

Understands the crisis's history, PDMPs, the 2022 CDC guideline, and MOUD access

Decision-making under uncertainty

0/3

Acts safely without complete information

3

Reflect & score

What would you change next time?
Your overall score / 10
Total: 0/12
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