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1.5 stages of addiction: 1. First Use
2.Continued use
3.Tolerance
4. Dependence
5. Addiction
2.6% of U.S patients misuse their pain management prescriptions. Three
com- mon patient populations affected are Cancer, MVA and -
: Sickle Cell
3.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.:
- Methadone
4.Which of these medications are used for treating alcohol abuse?
Acamprosate
Varenicline
Methadone
Bupropion: Acamprosate
5.Which of these medications are used for tobacco disorder?
Acamprosate
Varenicline
Methadone
Bupropion:
Varenicline
Bupropion
6.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 cate-
cholamines.: Methamphetamine
7.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.: street
names
8.Patients under the influence of methamphetamine can have the follow-
ing signs or symptoms: appetite, nausea, psychosis,
tachycar- dia, hypertension, body temperature, panic attack, mydriasis,
sleep patterns, violent, bizarre, and erratic behavior,
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hallucina- tions, irritability, seizures,
https://quizlet.com/_a91fw6 and death from high doses.:
decreased
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increased
disturbed
9.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 unman-
aged 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 varenicline
3. Dependence and methadone
4. Dependence and bupropion: Dependence and methadone
10.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: Full agonist of trace amine-
associated receptors (TAAR1)
11.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 youn
, CARN study material
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https://quizlet.com/_a91fw6
adults?
Choices:
1. Stress management
2. Experimentation
3. Social conformity
4. Pleasurable sensation: Social conformity
12.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: 3,4-Methylenedioxymethamphetamine (MDMA)
13.Several classes of common street drugs such as cocaine, ecstasy
(MDMA), and amphetamines, increase serotonin levels, which is part of what
con- tributes to the pleasurable and addictive aspects of their use, and also
what can produce a syndrome and .: serotonin
clonus
14.Psychiatric medications such as monoamine oxidase inhibitors (MAOI),
selective serotonin reuptake inhibitors (SSRI), serotonin-norepinephrine re-
uptake inhibitors (SNRI), and tricyclic antidepressants (TCA) manipulate
sero- tonin levels to improve , but too much can produce clonus as
part of serotonin .: mood
syndrome
15. nervous system depressants like alcohol and opiates can
diminish deep tendon as opposed to producing clonus.:
Central reflexes
16.A 66-year-old male was prescribed pain medication after a fracture fol-
lowed 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
Study online at
https://quizlet.com/_a91fw6
1.5 stages of addiction: 1. First Use
2.Continued use
3.Tolerance
4. Dependence
5. Addiction
2.6% of U.S patients misuse their pain management prescriptions. Three
com- mon patient populations affected are Cancer, MVA and -
: Sickle Cell
3.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.:
- Methadone
4.Which of these medications are used for treating alcohol abuse?
Acamprosate
Varenicline
Methadone
Bupropion: Acamprosate
5.Which of these medications are used for tobacco disorder?
Acamprosate
Varenicline
Methadone
Bupropion:
Varenicline
Bupropion
6.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 cate-
cholamines.: Methamphetamine
7.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.: street
names
8.Patients under the influence of methamphetamine can have the follow-
ing signs or symptoms: appetite, nausea, psychosis,
tachycar- dia, hypertension, body temperature, panic attack, mydriasis,
sleep patterns, violent, bizarre, and erratic behavior,
, CARN study material
Study online at
hallucina- tions, irritability, seizures,
https://quizlet.com/_a91fw6 and death from high doses.:
decreased
, CARN study material
Study online at
https://quizlet.com/_a91fw6
increased
disturbed
9.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 unman-
aged 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 varenicline
3. Dependence and methadone
4. Dependence and bupropion: Dependence and methadone
10.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: Full agonist of trace amine-
associated receptors (TAAR1)
11.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 youn
, CARN study material
Study online at
https://quizlet.com/_a91fw6
adults?
Choices:
1. Stress management
2. Experimentation
3. Social conformity
4. Pleasurable sensation: Social conformity
12.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: 3,4-Methylenedioxymethamphetamine (MDMA)
13.Several classes of common street drugs such as cocaine, ecstasy
(MDMA), and amphetamines, increase serotonin levels, which is part of what
con- tributes to the pleasurable and addictive aspects of their use, and also
what can produce a syndrome and .: serotonin
clonus
14.Psychiatric medications such as monoamine oxidase inhibitors (MAOI),
selective serotonin reuptake inhibitors (SSRI), serotonin-norepinephrine re-
uptake inhibitors (SNRI), and tricyclic antidepressants (TCA) manipulate
sero- tonin levels to improve , but too much can produce clonus as
part of serotonin .: mood
syndrome
15. nervous system depressants like alcohol and opiates can
diminish deep tendon as opposed to producing clonus.:
Central reflexes
16.A 66-year-old male was prescribed pain medication after a fracture fol-
lowed 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
