Workshop 2: History of Opioid Use

1. In the 1700’s, Laudanum and Black Drop use was common. These were types of:
a) Mushrooms
b) Heroin
c) Morphine
d) Opium
e) Banana Bread
f) None of the above

2. In 1832, advances in technology led to the commercial production of:
a) Oxycodone
b) Morphine
c) Drano
d) Fentanyl
e) Tylenol

3. During and after the Civil War in the 1860’s, morphine was used to treat pain, and led to the development of: a) The addiction or dependence to morphine
b) A dependence that was later called “Soldier’s Disease”
c) Society accepting morphine use as being part of these soldier’s lives
d) A society sense that the use of morphine was needed and accepted
e) All of the above

4. In 1898, a process was discovered to convert morphine into:
a) Tylenol
b) Codeine
c) Buprenorphine
d) Heroin
e) None of the above

5. By 1900, patients with addictions to these drugs were most often treated in:
a) Doctor’s offices, where prescriptions were written
b) Morphine clinics, where addicts were given daily morphine injections
c) Jail cells
d) Hospitals.
e) None of the above

6. In 1914, the Harrison Act was passed that:
a) Made it illegal for doctors to prescribe opioids for the treatment of addiction
b) Shifted the responsibility for treatment of addiction to the criminal justice system
c) Changed society’s view of the use of drugs in addiction to being a crime
d) Forced people with addictions to hide their use
e) All of the above

7. In 1972, after a landmark paper was released by Dole and Nyswander:
a) Opium was accepted and legalized again
b) Methadone maintenance programs were initiated for treatment of addiction
c) Buprenorphine was made and used for treatment of addiction
d) Alcohol was thought to be an acceptable treatment of drug addiction
e) None of the above

8. In 1996, Purdue Pharma introduced the long acting drug:
a) Tylenol
b) Oxycontin
c) Ibuprofen
d) Skittles
e) None of the above

9. In 2000, the important Drug Addiction Treatment Act (DATA 2000) was passed that:
a) allowed authorized physicians to prescribe approved medications for addiction
b) Paved the way for future Buprenorphine use in treating addiction
c) Again put the criminal justice system in charge of controlling addicts
d) Made recreational opioid use legal
e) Items a. and b. above

10. In 2002, the FDA approved the use of:
a) Opium for certain diseases
b) Buprenorphine for treatment of opioid dependence in an office-based setting
c) Buprenorphine, but only in the daily Methadone clinic setting
d) Buprenorphine, being prescribed by authorized physicians
e) Items b. and d. above

11. A recent study by Sullivan and group, noted that:
a) Office-based Buprenorphine treatment has been an effective approach to addiction
b) Office-based Buprenorphine treatment has been very ineffective in treating addictions
c) There has been no change in the status of addiction with the use of Buprenorphine
d) Nothing is helping with the addiction epidemic
e) None of the above

Workshop 2: History of Opioid Use Answer Sheet

Question 1: d) Opium

Question 2: b) Morphine

Question 3: e) All of the above

Question 4: d) Heroin

Question 5: b) Morphine clinics, where addicts were given daily morphine injections

Question 6: e) All of the above

Question 7: b) Methadone maintenance programs were initiated for treatment of addiction

Question 8: b) Oxycontin

Question 9: e) Items a. and b. above

Question 10: e) Items b. and d. above

Question 11: a) Office-based Buprenorphine treatment has been
an effective approach to addiction