CARN-AP EXAM QUESTIONS AND
ANSWERS 100% PASS 2026 EDITION
One of the most common adverse effects seen in patients with ______ alcoholism is alcoholic
neuropathy. - ANS chronic
Sensory symptoms often present _____ in alcoholic neuropathy. The first clue may be _____ on
the soles followed by dysesthesia on the feet. - ANS early
numbness
Activation of the sympathetic system by LSD causes:
- _______ blood pressure
- piloerection
- _____cardia
- __________ body temperature
- pupillary _______ - ANS elevated
tachy
elevated
dilation
________- is known to cause vivid hallucinations with bright colors and geometric objects. -
ANS LSD
Flashbacks are associated with ______ use - ANS LSD
A 25-year-old female is being admitted to a residential treatment facility for alcohol use
disorder. Her last drink was 12 hours ago. On admission, medication reconciliation is performed
and it is discovered she is taking bupropion for smoking cessation, sertraline for depression, and
ibuprofen as needed for headaches. Which of the following is the most appropriate
recommendation regarding the patient's medications at this time? - ANS Discontinue
bupropion only.
Bupropion can only be administered _____
Injection of dissolved bupropion can result in ____ and death - ANS orally.
@2026 EDITION ALLRIGHT RESERVED 1
,seizure
Bupropion should be used with caution in patients with: - ANS - CVD
- HTN
- CAD
Cognitive-behavioral groups are useful for changing what? - ANS beliefs and perceptions
This questionnaire is an introspective self-report questionnaire claiming to indicate
psychological preferences in how people make decisions and perceive the world around them. -
ANS The Myers-Briggs Type Indicator (MBTI) assessment
Routine urine screens do not detect
- ______ cannabinoids
- _______
- _______
- chemical variants of ______
- _____ - ANS synthetic
MDMA
ecstasy
opioids
PCP
Positive drug screens in patients without clinical symptoms may reflect the detection of
________ and previous use - ANS metabolites
What is the name of an acute neurological condition characterized by a clinical triad of:
1. ophthalmoparesis with nystagmus
2. gait ataxia
3. confusion - ANS Wernicke encephalopathy (WE)
The areas of the brain most often affected by Wernicke Korsakoff syndrome are where? -
ANS 1. thalamus
2. mammillary bodies
3. corpus callosum
The individual with Wernicke Korsakoff syndrome will usually present with ocular disturbances
which may include: - ANS - diplopia
- painless vision loss
- strabismus
What causes Wernicke-Korsakoff syndrome? - ANS thiamine deficiency
@2026 EDITION ALLRIGHT RESERVED 2
, Korsakoff's syndrome is the reversible stage of Wernicke-Korsakoff syndrome
T or F - ANS False; irreversible
Korsokoff's Syndrome- an alcohol related disorder marked by extreme ________ and _______
impairment
________ is a fundamental neuropsychiatric symptom of the disorder - ANS confusion
memory
apathy
To start methadone treatment, the patient must be on opioids for at least ___ months, unless
what? - ANS 12
Pregnancy is an exception to this criteria, even if the use of opioids is less than a year.
What is the maximum dose of methadone for the worst withdrawal symptoms?
What is the initial dosage for everyone else (i.e. used by most clinics) - ANS 40 mg
30 mg
In the liver, an enzyme called ________ __________ converts alcohol to what__________ -
ANS alcohol dehydrogenase (ADH)
acetaldehyde.
ALDH converts acetaldehyde to - ANS Acetate
Elevated ________ cause increased flushing, tachycardia, n/v & hyperventilation. -
ANS acetaldehyde
What are the 3 MAT for AUD
What are 2 off label MAT? - ANS Disulfiram
Acomporstate
Naltrexone
Gabapentin & Topiramate
Disulfiram (________)
Discourages drinking by:
@2026 EDITION ALLRIGHT RESERVED 3
ANSWERS 100% PASS 2026 EDITION
One of the most common adverse effects seen in patients with ______ alcoholism is alcoholic
neuropathy. - ANS chronic
Sensory symptoms often present _____ in alcoholic neuropathy. The first clue may be _____ on
the soles followed by dysesthesia on the feet. - ANS early
numbness
Activation of the sympathetic system by LSD causes:
- _______ blood pressure
- piloerection
- _____cardia
- __________ body temperature
- pupillary _______ - ANS elevated
tachy
elevated
dilation
________- is known to cause vivid hallucinations with bright colors and geometric objects. -
ANS LSD
Flashbacks are associated with ______ use - ANS LSD
A 25-year-old female is being admitted to a residential treatment facility for alcohol use
disorder. Her last drink was 12 hours ago. On admission, medication reconciliation is performed
and it is discovered she is taking bupropion for smoking cessation, sertraline for depression, and
ibuprofen as needed for headaches. Which of the following is the most appropriate
recommendation regarding the patient's medications at this time? - ANS Discontinue
bupropion only.
Bupropion can only be administered _____
Injection of dissolved bupropion can result in ____ and death - ANS orally.
@2026 EDITION ALLRIGHT RESERVED 1
,seizure
Bupropion should be used with caution in patients with: - ANS - CVD
- HTN
- CAD
Cognitive-behavioral groups are useful for changing what? - ANS beliefs and perceptions
This questionnaire is an introspective self-report questionnaire claiming to indicate
psychological preferences in how people make decisions and perceive the world around them. -
ANS The Myers-Briggs Type Indicator (MBTI) assessment
Routine urine screens do not detect
- ______ cannabinoids
- _______
- _______
- chemical variants of ______
- _____ - ANS synthetic
MDMA
ecstasy
opioids
PCP
Positive drug screens in patients without clinical symptoms may reflect the detection of
________ and previous use - ANS metabolites
What is the name of an acute neurological condition characterized by a clinical triad of:
1. ophthalmoparesis with nystagmus
2. gait ataxia
3. confusion - ANS Wernicke encephalopathy (WE)
The areas of the brain most often affected by Wernicke Korsakoff syndrome are where? -
ANS 1. thalamus
2. mammillary bodies
3. corpus callosum
The individual with Wernicke Korsakoff syndrome will usually present with ocular disturbances
which may include: - ANS - diplopia
- painless vision loss
- strabismus
What causes Wernicke-Korsakoff syndrome? - ANS thiamine deficiency
@2026 EDITION ALLRIGHT RESERVED 2
, Korsakoff's syndrome is the reversible stage of Wernicke-Korsakoff syndrome
T or F - ANS False; irreversible
Korsokoff's Syndrome- an alcohol related disorder marked by extreme ________ and _______
impairment
________ is a fundamental neuropsychiatric symptom of the disorder - ANS confusion
memory
apathy
To start methadone treatment, the patient must be on opioids for at least ___ months, unless
what? - ANS 12
Pregnancy is an exception to this criteria, even if the use of opioids is less than a year.
What is the maximum dose of methadone for the worst withdrawal symptoms?
What is the initial dosage for everyone else (i.e. used by most clinics) - ANS 40 mg
30 mg
In the liver, an enzyme called ________ __________ converts alcohol to what__________ -
ANS alcohol dehydrogenase (ADH)
acetaldehyde.
ALDH converts acetaldehyde to - ANS Acetate
Elevated ________ cause increased flushing, tachycardia, n/v & hyperventilation. -
ANS acetaldehyde
What are the 3 MAT for AUD
What are 2 off label MAT? - ANS Disulfiram
Acomporstate
Naltrexone
Gabapentin & Topiramate
Disulfiram (________)
Discourages drinking by:
@2026 EDITION ALLRIGHT RESERVED 3
