CARN-AP: Questions With Solutions (100% Correct)
One of the most common adverse effects seen in patients with ______
alcoholism is alcoholic neuropathy. Right Ans - chronic
Sensory symptoms often present _____ in alcoholic neuropathy. The first clue
may be _____ on the soles followed by dysesthesia on the feet. Right Ans -
early
numbness
Activation of the sympathetic system by LSD causes:
- _______ blood pressure
- piloerection
- _____cardia
- __________ body temperature
- pupillary _______ Right Ans - elevated
tachy
elevated
dilation
________- is known to cause vivid hallucinations with bright colors and
geometric objects. Right Ans - LSD
Flashbacks are associated with ______ use Right 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? Right
Ans - Discontinue bupropion only.
Bupropion can only be administered _____
Injection of dissolved bupropion can result in ____ and death Right Ans -
orally.
seizure
Bupropion should be used with caution in patients with: Right Ans - - CVD
,- HTN
- CAD
Cognitive-behavioral groups are useful for changing what? Right 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. Right Ans - The Myers-Briggs Type Indicator
(MBTI) assessment
Routine urine screens do not detect
- ______ cannabinoids
- _______
- _______
- chemical variants of ______
- _____ Right Ans - synthetic
MDMA
ecstasy
opioids
PCP
Positive drug screens in patients without clinical symptoms may reflect the
detection of ________ and previous use Right 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 Right Ans - Wernicke encephalopathy (WE)
The areas of the brain most often affected by Wernicke Korsakoff syndrome
are where? Right Ans - 1. thalamus
2. mammillary bodies
3. corpus callosum
The individual with Wernicke Korsakoff syndrome will usually present with
ocular disturbances which may include: Right Ans - - diplopia
- painless vision loss
, - strabismus
What causes Wernicke-Korsakoff syndrome? Right Ans - thiamine
deficiency
Korsakoff's syndrome is the reversible stage of Wernicke-Korsakoff syndrome
T or F Right Ans - False; irreversible
Korsokoff's Syndrome- an alcohol related disorder marked by extreme ________
and _______ impairment
________ is a fundamental neuropsychiatric symptom of the disorder Right
Ans - confusion
memory
apathy
To start methadone treatment, the patient must be on opioids for at least ___
months, unless what? Right 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) Right
Ans - 40 mg
30 mg
In the liver, an enzyme called ________ __________ converts alcohol to
what__________ Right Ans - alcohol dehydrogenase (ADH)
acetaldehyde.
ALDH converts acetaldehyde to Right Ans - Acetate
Elevated ________ cause increased flushing, tachycardia, n/v & hyperventilation.
Right Ans - acetaldehyde
One of the most common adverse effects seen in patients with ______
alcoholism is alcoholic neuropathy. Right Ans - chronic
Sensory symptoms often present _____ in alcoholic neuropathy. The first clue
may be _____ on the soles followed by dysesthesia on the feet. Right Ans -
early
numbness
Activation of the sympathetic system by LSD causes:
- _______ blood pressure
- piloerection
- _____cardia
- __________ body temperature
- pupillary _______ Right Ans - elevated
tachy
elevated
dilation
________- is known to cause vivid hallucinations with bright colors and
geometric objects. Right Ans - LSD
Flashbacks are associated with ______ use Right 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? Right
Ans - Discontinue bupropion only.
Bupropion can only be administered _____
Injection of dissolved bupropion can result in ____ and death Right Ans -
orally.
seizure
Bupropion should be used with caution in patients with: Right Ans - - CVD
,- HTN
- CAD
Cognitive-behavioral groups are useful for changing what? Right 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. Right Ans - The Myers-Briggs Type Indicator
(MBTI) assessment
Routine urine screens do not detect
- ______ cannabinoids
- _______
- _______
- chemical variants of ______
- _____ Right Ans - synthetic
MDMA
ecstasy
opioids
PCP
Positive drug screens in patients without clinical symptoms may reflect the
detection of ________ and previous use Right 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 Right Ans - Wernicke encephalopathy (WE)
The areas of the brain most often affected by Wernicke Korsakoff syndrome
are where? Right Ans - 1. thalamus
2. mammillary bodies
3. corpus callosum
The individual with Wernicke Korsakoff syndrome will usually present with
ocular disturbances which may include: Right Ans - - diplopia
- painless vision loss
, - strabismus
What causes Wernicke-Korsakoff syndrome? Right Ans - thiamine
deficiency
Korsakoff's syndrome is the reversible stage of Wernicke-Korsakoff syndrome
T or F Right Ans - False; irreversible
Korsokoff's Syndrome- an alcohol related disorder marked by extreme ________
and _______ impairment
________ is a fundamental neuropsychiatric symptom of the disorder Right
Ans - confusion
memory
apathy
To start methadone treatment, the patient must be on opioids for at least ___
months, unless what? Right 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) Right
Ans - 40 mg
30 mg
In the liver, an enzyme called ________ __________ converts alcohol to
what__________ Right Ans - alcohol dehydrogenase (ADH)
acetaldehyde.
ALDH converts acetaldehyde to Right Ans - Acetate
Elevated ________ cause increased flushing, tachycardia, n/v & hyperventilation.
Right Ans - acetaldehyde
