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Opioid use disorder — ABFM Board MCQ

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ModerateMental healthOpioid use disorderABFM Board

A 34-year-old man using nonprescribed oxycodone has cravings, withdrawal, and inability to cut down. He asks for help and has no acute medical instability. Which of the following is the most appropriate initial treatment?

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Correct answer: A — Start or refer for buprenorphine-based treatment

Medication treatment with buprenorphine or methadone reduces mortality and is preferred over detoxification alone for opioid use disorder.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html