CARN Verified Multiple Choice and Conceptual
Actual Exam Questions With Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
Low HR, Low BP, Low temp, Constricted
pupils (Miosis), Analgesia, Decreased GI
What are s/s of opioid intoxication (10)?
motility (Constipation), Itching, Sedation,
Fatigue, Euphoria
How long after last opioid use can with-
Long acting: 24+ hours
drawal symptoms present? Long acting
Short acting: 8-12 hours
vs Short acting
What 2 criteria must a pt meet before Moderate withdrawal: 13-24
buprenorphine initiation can occur? Must abstain from opioid use for >8-24hr
Acute: Fatigue, Depression, Hallucina-
tions, Suicidal ideation, Irritability
What are s/s of stimulant withdrawal Subacute: Exhaustion, Mood swings, Irri-
(13)? tability, Brain fogginess, Disturbed sleep
Protracted: Anhedonia, Sexual dysfunc-
tion, Decreased libido
PRIMARY INTERVENTION: Safety!!!
Depression assessment
First line Tx is behavioral therapy (CBT,
Contingency management)
How is stimulant use disorder treated?
Other intereventions: Hydration, Nutri-
tion, Symptom managemnet
- Anxiety/Agitation: Clonidine, Tizanidine
-Depression/Anxiety: SSRIs
Sleep: Melatonin, Antihistamines,
Trazadone
What complications can arise from Club
Rapid hyperthermia can cause kid-
drug (Ex. MDMA, Rohypnol, GHB, Keta-
ney/liver/cardiovascular failure
mine) use?
Increased energy, Euphoria, Emotional
What are s/s of MDMA (Ecstasy) intoxi- warmth, Time/Distance distortions, Pe-
cation (7)? ripheral distortions, Tactile disturbances,
Hyperthermia
1/9
, CARN Verified Multiple Choice and Conceptual
Actual Exam Questions With Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
At what point during alcohol withdrawal Occurs in the first 1-2 days of alcohol
can alcohol hallucinosis occur? withdrawal
Within the first 72hrs of decreased alco-
At what point during alcohol withdrawal hol intake/cessation
are seizures common? - If a second seizure occurs, it is often
within the first 6 hours after the first
DT can occur up to 3-4 days after alcohol
cessation
- Characterized by disorientation and au-
At what point during alcohol withdrawal tonomic dysfunction
would Delerium Tremens (DT) present - Risk Factors: Old age, Comorbid
itself? medical/surgical illness, Liver dysfunc-
tion, Severe withdrawal s/s at initial as-
sessment, History of alcohol withdrawal
seizures
Supportive care & benzo taper
- If the Benzo was prescribed, taper slow-
What is treatment for benzodiazepine ly!
withdrawal? If the Benzo was not prescribed, inpa-
tient monitoring and Tx is necessary to
prevent seizures
At what point after discontinuing a Ben- Long Acting: 20-80 hours
zo abruptly, can withdrawal begin? Long
acting vs Short acting Short Acting: 6-20 hours
Interferes with serotonin release
What neurotransmitter is affected by
classic hallucinogens (LSD, Psilocybin)?
Onset of action: 20-90min
When does onset of action occur? How
long do effects last?
Effects can last up to 1hr
Hallucinations, Illusions, Altered percep-
tion of distance/time, Altered mood,
What are s/s of LSD intoxication (8)? Pupillary dilation (Mydriasis), Mild in-
crease in HR and BP, Exaggeration of
patellar reflex, Enhanced introspection
Supportive care- Safety!!!!
2/9
Actual Exam Questions With Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
Low HR, Low BP, Low temp, Constricted
pupils (Miosis), Analgesia, Decreased GI
What are s/s of opioid intoxication (10)?
motility (Constipation), Itching, Sedation,
Fatigue, Euphoria
How long after last opioid use can with-
Long acting: 24+ hours
drawal symptoms present? Long acting
Short acting: 8-12 hours
vs Short acting
What 2 criteria must a pt meet before Moderate withdrawal: 13-24
buprenorphine initiation can occur? Must abstain from opioid use for >8-24hr
Acute: Fatigue, Depression, Hallucina-
tions, Suicidal ideation, Irritability
What are s/s of stimulant withdrawal Subacute: Exhaustion, Mood swings, Irri-
(13)? tability, Brain fogginess, Disturbed sleep
Protracted: Anhedonia, Sexual dysfunc-
tion, Decreased libido
PRIMARY INTERVENTION: Safety!!!
Depression assessment
First line Tx is behavioral therapy (CBT,
Contingency management)
How is stimulant use disorder treated?
Other intereventions: Hydration, Nutri-
tion, Symptom managemnet
- Anxiety/Agitation: Clonidine, Tizanidine
-Depression/Anxiety: SSRIs
Sleep: Melatonin, Antihistamines,
Trazadone
What complications can arise from Club
Rapid hyperthermia can cause kid-
drug (Ex. MDMA, Rohypnol, GHB, Keta-
ney/liver/cardiovascular failure
mine) use?
Increased energy, Euphoria, Emotional
What are s/s of MDMA (Ecstasy) intoxi- warmth, Time/Distance distortions, Pe-
cation (7)? ripheral distortions, Tactile disturbances,
Hyperthermia
1/9
, CARN Verified Multiple Choice and Conceptual
Actual Exam Questions With Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
At what point during alcohol withdrawal Occurs in the first 1-2 days of alcohol
can alcohol hallucinosis occur? withdrawal
Within the first 72hrs of decreased alco-
At what point during alcohol withdrawal hol intake/cessation
are seizures common? - If a second seizure occurs, it is often
within the first 6 hours after the first
DT can occur up to 3-4 days after alcohol
cessation
- Characterized by disorientation and au-
At what point during alcohol withdrawal tonomic dysfunction
would Delerium Tremens (DT) present - Risk Factors: Old age, Comorbid
itself? medical/surgical illness, Liver dysfunc-
tion, Severe withdrawal s/s at initial as-
sessment, History of alcohol withdrawal
seizures
Supportive care & benzo taper
- If the Benzo was prescribed, taper slow-
What is treatment for benzodiazepine ly!
withdrawal? If the Benzo was not prescribed, inpa-
tient monitoring and Tx is necessary to
prevent seizures
At what point after discontinuing a Ben- Long Acting: 20-80 hours
zo abruptly, can withdrawal begin? Long
acting vs Short acting Short Acting: 6-20 hours
Interferes with serotonin release
What neurotransmitter is affected by
classic hallucinogens (LSD, Psilocybin)?
Onset of action: 20-90min
When does onset of action occur? How
long do effects last?
Effects can last up to 1hr
Hallucinations, Illusions, Altered percep-
tion of distance/time, Altered mood,
What are s/s of LSD intoxication (8)? Pupillary dilation (Mydriasis), Mild in-
crease in HR and BP, Exaggeration of
patellar reflex, Enhanced introspection
Supportive care- Safety!!!!
2/9
