CARN AP QUESTIONS AND ANSWER;
LATEST UPDATED VERSION 2026
2018 National Survey on Drug Use reports the rates of
heavy drinking are - correct answer- 6-7%
A 35 year old man with opioid use disorder (prescription
opioids which progressed to illicit opioids) has initiated
office
-
based treatment with buprenorphine, advanced to 16mg
per
day. He reports ceasing opioid use, and his urine
toxicologies
are consistently positive for buprenorphine as prescribed
with
intermittent results positive for benzodiazepines; he also
describes drinking alcohol two days per week, sometimes
to
intoxication.
,•
What is the most appropriate next step in his
treatment?
A.
Increase buprenorphine to 24mg
B.
Refer to methadone maintenance
C.
Admit to inpatient detoxification
D.
Start an outpatient long
-
acting benzodiazepine taper
E.
Obtain more history - correct answer- Answer:
E
-
Obtain more history
,Above what blood alcohol level can be fatal? - correct
answer- >600mg%
Acamprosate (Campral) - correct answer-
Helps client abstain from alcohol
-Dampens glutamate activity to curb hyper-excitability
associated with alcohol withdrawal
Acamprosate (Campral) does what to GABA and
glutamate levels - - correct answer- Brings up
the GABA and brings down the glucamate
Acamprosate (Campral) dosing - correct answer-
333mg PO daily
Acamprosate (Campral) Indication - correct
answer- Maintenance of abstinence, reduces post-
acute withdrawal symptoms
, Action of benz - correct answer- Increase GABA
activity to reduce excitability associated with alcohol
withdrawal
Action Stage of Change Model - correct answer-
In this stage, people have recently changed their behavior
(defined as within the last 6 months) and intend to keep
moving forward with that behavior change. People may
exhibit this by modifying their problem behavior or
acquiring new healthy behaviors.
Agnonist - correct answer- a molecule that
increases a neurotransmitter's action
Alprazolam (Xanax) - correct answer-
Benzodiazepine
Amphetamine toxicity causes BLANK pupils - correct
answer- Dilated
LATEST UPDATED VERSION 2026
2018 National Survey on Drug Use reports the rates of
heavy drinking are - correct answer- 6-7%
A 35 year old man with opioid use disorder (prescription
opioids which progressed to illicit opioids) has initiated
office
-
based treatment with buprenorphine, advanced to 16mg
per
day. He reports ceasing opioid use, and his urine
toxicologies
are consistently positive for buprenorphine as prescribed
with
intermittent results positive for benzodiazepines; he also
describes drinking alcohol two days per week, sometimes
to
intoxication.
,•
What is the most appropriate next step in his
treatment?
A.
Increase buprenorphine to 24mg
B.
Refer to methadone maintenance
C.
Admit to inpatient detoxification
D.
Start an outpatient long
-
acting benzodiazepine taper
E.
Obtain more history - correct answer- Answer:
E
-
Obtain more history
,Above what blood alcohol level can be fatal? - correct
answer- >600mg%
Acamprosate (Campral) - correct answer-
Helps client abstain from alcohol
-Dampens glutamate activity to curb hyper-excitability
associated with alcohol withdrawal
Acamprosate (Campral) does what to GABA and
glutamate levels - - correct answer- Brings up
the GABA and brings down the glucamate
Acamprosate (Campral) dosing - correct answer-
333mg PO daily
Acamprosate (Campral) Indication - correct
answer- Maintenance of abstinence, reduces post-
acute withdrawal symptoms
, Action of benz - correct answer- Increase GABA
activity to reduce excitability associated with alcohol
withdrawal
Action Stage of Change Model - correct answer-
In this stage, people have recently changed their behavior
(defined as within the last 6 months) and intend to keep
moving forward with that behavior change. People may
exhibit this by modifying their problem behavior or
acquiring new healthy behaviors.
Agnonist - correct answer- a molecule that
increases a neurotransmitter's action
Alprazolam (Xanax) - correct answer-
Benzodiazepine
Amphetamine toxicity causes BLANK pupils - correct
answer- Dilated
