CARN Study Test Questions with Correct Answers

Most psychoactive pharmaceuticals and drugs of abuse have their main effects on the ___________ nervous system. - CoRRect SoluTion central Codeine is 1/5th the potency of ____________. - CoRRect SoluTion morphine Fentanyl is a __________ ___________ - CoRRect SoluTion synthetic opioid Fentanyl is most likely abused by this medical profession. - CoRRect SoluTion Anesthesiologists Patients under the influence of methamphetamine can have the following signs or symptoms: ___________ appetite, nausea, psychosis, tachycardia, hypertension, ___________ body temperature, panic attack, mydriasis, __________ sleep patterns, violent, bizarre, and erratic behavior, hallucinations, irritability, seizures, and death from high doses. - CoRRect SoluTion decreased increased disturbed A 65-year-old female presents to the clinic to seek a re-prescription of her pain medication. She had a motor vehicle collision (MVC) 8 months ago that left her with chronic neuralgia in bilateral arms along with low back pain. She was prescribed oxycodone/acetaminophen 7.5/325 mg q6 hours. Her last scheduled refill was 20 days ago with a 30 day supply. She returns early claiming she needed multiple dosages sooner than directed due to unmanaged pain. Current vital signs are normal, but she is diaphoretic, tearing, restless, and occasionally yawning. When the provider explains, controlled medications cannot be prescribed in this manner, the patient states, "You don't understand. I need to feel normal. Without it, I feel worse than I used to feel at baseline. Please!" What stage of addiction is the patient in and what medication can be used to help her symptoms? Choices: 1. Tolerance and acamprosate 2. Tolerance and - CoRRect SoluTion Dependence and methadone A patient presents to the emergency department with agitation, mydriasis, hypertension, and tachycardia. He states that he snorted "some crystals" with friends and that he feels energetic and anxious. He reports that his friends told him this is a treatment for weight loss and this is the reason why he tried it. Which is true of the drug most likely used by this patient? Choices: 1. Partial agonist of trace amine-associated receptors (TAAR1) 2. Gamma-aminobutyric acid (GABA) receptor agonist 3. Full agonist of trace amine-associated receptors (TAAR1) 4. Full antagonist of dopamine receptors - CoRRect SoluTion Full agonist of trace amine-associated receptors (TAAR1) A 35-year-old woman comes in for her wellness check-up. She has a 13-year-old son who is going to be starting high school next year and often hear him and his friends discuss ways to prepare for high school, so they fit in. The mother is concerned her son may use drugs as he often talks about the partying. She wants to know what she can do it prepare him to avoid smoking cannabis given its surge in popularity amongst youth. What is the most common reason for marijuana use, amongst teenagers and young adults? Choices: 1. Stress management 2. Experimentation 3. Social conformity 4. Pleasurable sensation - CoRRect SoluTion Social conformity A young adult patient is dropped off outside the emergency department by her friends, and they drive off before any history can be obtained. The patient has altered mental status and shows signs of intoxication. Sudden dorsiflexion of her ankle produces a rhythmic reproduction of her ankle jerk reflex. Which of the following drugs did she most likely ingest? Choices: 1. Alcohol 2. 3,4-Methylenedioxymethamphetamine (MDMA) 3. Phencyclidine 4. Cannabis - CoRRect SoluTion 3,4-Methylenedioxymethamphetamine (MDMA) 5 stages of addiction - CoRRect SoluTion 1. First Use 2. Continued use 3. Tolerance 4. Dependence 5. Addiction 6% of U.S patients misuse their pain management prescriptions. Three common patient populations affected are Cancer, MVA and __________ ________ - CoRRect SoluTion Sickle Cell This medication acts on the same opioid receptors as commonly abused opioids without reaching a point of euphoria. Also being long acting it has been used for over 40 years in countless patients quests towards recovery. - CoRRect SoluTion Methadone Which of these medications are used for treating alcohol abuse? Acamprosate Varenicline Methadone Bupropion - CoRRect SoluTion Acamprosate Which of these medications are used for tobacco disorder? Acamprosate Varenicline Methadone Bupropion - CoRRect SoluTion Varenicline Bupropion This substance is a full agonist of trace amine-associated receptors (TAAR1). Activation TAAR1 causes the increase of cAMP and inhibition of serotonin, dopamine, and norepinephrine transporters. The inhibition of monoamine transporters causes the reuptake and metabolism of catecholamines. - CoRRect SoluTion Methamphetamine The following are "_________ _______" for methamphetamine: meth, crystal meth, crystal, speed, scootie, yellow powder, crank, ice, spoosh, glass, chalk, redneck cocaine, yellow barn, Tina, and tick-tick. - CoRRect SoluTion street names Several classes of common street drugs such as cocaine, ecstasy (MDMA), and amphetamines, increase serotonin levels, which is part of what contributes to the pleasurable and addictive aspects of their use, and also what can produce a __________ syndrome and __________. - CoRRect SoluTion serotonin clonus Psychiatric medications such as monoamine oxidase inhibitors (MAOI), selective serotonin reuptake inhibitors (SSRI), serotonin-norepinephrine reuptake inhibitors (SNRI), and tricyclic antidepressants (TCA) manipulate serotonin levels to improve __________, but too much can produce clonus as part of serotonin ____________. - CoRRect SoluTion mood syndrome ____________ nervous system depressants like alcohol and opiates can diminish deep tendon __________ as opposed to producing clonus. - CoRRect SoluTion Central reflexes A 66-year-old male was prescribed pain medication after a fracture followed by surgery 6 months ago. Since then, his primary care provider has noticed frequent visits to the office asking for pain medication and multiple injuries justifying the use of it. Every time there are different vague complaints, but that of pain is consistent. On his last visit, the primary care took a firm stand and did not agree to continue prescribing the opioids. Today he visits in a restless state. Which of the following do you suspect to see on history or physical exam in this patient?