2025 EXAM AND ANSWERS SET - CARN-AP
1. Babies born to mothers who use opioids may need treatment with what?
________ can be used adjunctively to treat withdrawal seizures.: morphine or
methadone
Phenobarbital
2. Which Neonatal withdrawal syndromes may present weeks after birth?
Name the drug.: Methadone
3. _________ is a safe and effective second-line treatment of symptoms refractory
to opioid therapy in newborns: Clonidine
4. The patient must first be detoxified from opioid dependence before starting
_______
Long acting opioids, such as methadone, require at least how many hours
since last use before initiating buprenorphine?
Short acting opioids (for example, heroin) require approximately ____ hours
since last use for sufficient withdrawal to occur in order to safely initiate
treatment.: naltrexone.
48-72
12
5. Patients with _______ _________ syndrome often present with abdominal
pain and nausea, which may be refractory to standard antiemetics: cannabis
hyperemesis
6. Patients with injection drug abuse are most likely to have _____sided bacterial
endocarditis.
_______ should be used empirically, which can be switched to _______ if
MRSA infection is confirmed.: right
Vancomycin; nafcillin
7. Marijuana use can be detected in the urine up to ___days after exposure for
infrequent users and up to ____ days for chronic or heavy users.: 5
,15
8. The _______ _______ is involved in the sense of reward from cocaine
use.: nucleus accumbens
9. Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia: loperamide
promethazine
ibuprofen
10. Holiday heart syndrome is a syndrome caused by excessive ______ use.
Excessive alcohol use results in gross and microscopic cardiac changes
leading to an atrial _______: alcohol
arrhythmia.
11. Aerosolized glycerol and propylene glycol, chemicals found in vape pens
have been associated with focal _______ _______ of the upper airways: squamous
metaplasia
12. Substance use disorder refers to the excessive use of drugs that tend to
activate which of the following portions of the brain?: Brain reward system
13. In the center of the brain behind the temporal lobe sits the ______ system,
which controls our emotions, instincts, and memories, and includes the
brain's ______ system.
The main job of the________ system is to help us avoid harmful/painful experiences
and to makes us feel good when we engage in behaviors necessary
for our survival: LIMBIC
REWARD
reward
14. A 22-year-old woman is brought into the emergency department by EMS
with a blood pressure of 180/102 mmHg and heart rate of 110/min. She is
, agitated and appears to have paranoid delusions of people chasing her. Her
behavior is hypersexual, and her speech is incoherent. Psychomotor agitation
is present. Which of the following substances is most likely to cause the
patient's presentation?: Methamphetamine
15. _________ therapy- patients with depression.
________ therapy- employed in SUD.
__________ therapy- patients with BiP and SUD
________ ________- PTSD & SUD: Interpersonal
Supportive
Integrated
Seeking safety
16. Cocaine blocks the reuptake of what 3 NT?: dopamine, NE, and serotonin at
the synapse.
17. The vasoconstriction experienced while on cocaine is caused by what
NT?: increase in NE
18. PCP
(Name 3) reuptake is blocked
What 3 receptor stimulation NTs are increased:
Out of the 3 which one leads to lethargy and coma: Dopamine & NE, serotonin
Acetylcholine, GABA, Sigma
Sigma
19. The inhibitory reuptake of dopamine and NE while someone is on PCP
leads to:: HTN/tachy
agitation
bronchodilation
20. Relapse is most likely to occur at the _______stages of recovery.: early
21. What happens when one person enables another person's addictions?: -
Co-dependency
1. Babies born to mothers who use opioids may need treatment with what?
________ can be used adjunctively to treat withdrawal seizures.: morphine or
methadone
Phenobarbital
2. Which Neonatal withdrawal syndromes may present weeks after birth?
Name the drug.: Methadone
3. _________ is a safe and effective second-line treatment of symptoms refractory
to opioid therapy in newborns: Clonidine
4. The patient must first be detoxified from opioid dependence before starting
_______
Long acting opioids, such as methadone, require at least how many hours
since last use before initiating buprenorphine?
Short acting opioids (for example, heroin) require approximately ____ hours
since last use for sufficient withdrawal to occur in order to safely initiate
treatment.: naltrexone.
48-72
12
5. Patients with _______ _________ syndrome often present with abdominal
pain and nausea, which may be refractory to standard antiemetics: cannabis
hyperemesis
6. Patients with injection drug abuse are most likely to have _____sided bacterial
endocarditis.
_______ should be used empirically, which can be switched to _______ if
MRSA infection is confirmed.: right
Vancomycin; nafcillin
7. Marijuana use can be detected in the urine up to ___days after exposure for
infrequent users and up to ____ days for chronic or heavy users.: 5
,15
8. The _______ _______ is involved in the sense of reward from cocaine
use.: nucleus accumbens
9. Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia: loperamide
promethazine
ibuprofen
10. Holiday heart syndrome is a syndrome caused by excessive ______ use.
Excessive alcohol use results in gross and microscopic cardiac changes
leading to an atrial _______: alcohol
arrhythmia.
11. Aerosolized glycerol and propylene glycol, chemicals found in vape pens
have been associated with focal _______ _______ of the upper airways: squamous
metaplasia
12. Substance use disorder refers to the excessive use of drugs that tend to
activate which of the following portions of the brain?: Brain reward system
13. In the center of the brain behind the temporal lobe sits the ______ system,
which controls our emotions, instincts, and memories, and includes the
brain's ______ system.
The main job of the________ system is to help us avoid harmful/painful experiences
and to makes us feel good when we engage in behaviors necessary
for our survival: LIMBIC
REWARD
reward
14. A 22-year-old woman is brought into the emergency department by EMS
with a blood pressure of 180/102 mmHg and heart rate of 110/min. She is
, agitated and appears to have paranoid delusions of people chasing her. Her
behavior is hypersexual, and her speech is incoherent. Psychomotor agitation
is present. Which of the following substances is most likely to cause the
patient's presentation?: Methamphetamine
15. _________ therapy- patients with depression.
________ therapy- employed in SUD.
__________ therapy- patients with BiP and SUD
________ ________- PTSD & SUD: Interpersonal
Supportive
Integrated
Seeking safety
16. Cocaine blocks the reuptake of what 3 NT?: dopamine, NE, and serotonin at
the synapse.
17. The vasoconstriction experienced while on cocaine is caused by what
NT?: increase in NE
18. PCP
(Name 3) reuptake is blocked
What 3 receptor stimulation NTs are increased:
Out of the 3 which one leads to lethargy and coma: Dopamine & NE, serotonin
Acetylcholine, GABA, Sigma
Sigma
19. The inhibitory reuptake of dopamine and NE while someone is on PCP
leads to:: HTN/tachy
agitation
bronchodilation
20. Relapse is most likely to occur at the _______stages of recovery.: early
21. What happens when one person enables another person's addictions?: -
Co-dependency
