National Certified Addiction Counselor, Level I (NCAC I) Practice Exam

Which two narcotics have caused notable public health concerns recently?

1. Oxycodone and Morphine

2. Fentanyl and Demerol

3. Dihydromorphine and Naloxone

4. Levacetylmethadol and Oxycodone

The correct answer is: Fentanyl and Demerol

Fentanyl and Demerol are widely recognized for their significant role in the ongoing public health crisis related to substance use disorders, notably the opioid epidemic. Fentanyl, a synthetic opioid, is highly potent and has been involved in a substantial increase in overdose deaths. Its clandestine production and mixing with other drugs without user knowledge have exacerbated the levels of harm, as even small amounts can be lethal. Demerol, while less frequently discussed than other opioids, is still a narcotic that poses risks, particularly because of its potential for misuse and the adverse effects associated with its use. Both drugs have led healthcare providers and public health officials to focus on preventing misuse and improving education around safe practices involving these substances. In comparison, other pairs of narcotics mentioned in the options may have validity in specific contexts but do not generate the same level of urgent public health concern as fentanyl and Demerol, particularly regarding overdose fatalities and the rise of illicit drug markets.