South Carolina Multistate Pharmacy Jurisprudence Examination (MPJE) Practice Exam

What conditions increase the risk of opioid overdose in patients?

1. COPD, current smoker, renal dysfunction

2. HIV/AIDS, hepatitis, diabetes

3. Cardiac disease, chronic pain, obesity

4. Asthma, anxiety disorders, hypertension

The correct answer is: COPD, current smoker, renal dysfunction

The correct choice identifies conditions that are known to increase the risk of opioid overdose. COPD (Chronic Obstructive Pulmonary Disease) and being a current smoker are significant because they can lead to compromised respiratory function. Opioids depress the central nervous system, leading to a further decrease in respiratory drive, which is particularly dangerous for individuals with existing pulmonary issues. Renal dysfunction also plays a critical role since it can impede the body's ability to metabolize and eliminate opioids, thereby increasing the likelihood of accumulating higher concentrations of the drug in the bloodstream and enhancing overdose risk. Understanding the implications of these conditions helps healthcare professionals to be vigilant in monitoring patients who present with these risk factors when they are prescribed opioids. This vigilance can lead to interventions that prevent overdose, such as adjusting dosages, choosing alternative pain management strategies, or educating patients about the signs of overdose. Recognizing the interconnections between respiratory health, renal function, and opioid metabolism is crucial for safe prescribing practices.