CMN 554 MODULE 4 EXAM 2026
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES VERIFIED
GRADED A+
⩥ In some Asian persons, the decreased function of alcohol-
metabolizing enzymes can also lead to easy intoxication and toxic
symptoms.. Answer: How is alcohol metabolized differently in the Asian
population?
⩥ -has an adverse effect on sleep architecture.
-decrease in rapid eye movement sleep (REM or dream sleep)
-decrease in deep sleep (stage 4)
-more sleep fragmentation, with more and longer episodes of awakening.
Therefore, the idea that drinking alcohol helps persons fall asleep is a
myth.. Answer: How does alcohol use affect sleep?
⩥ -Best quick screen for alcoholism remains the tried-and-true CAGE
questionnaire
-A positive response to two or more of the items implies a 95% chance
of alcohol abuse or dependence
-Study suggests that the way interviewers transition to the CAGE
questions profoundly affects the questionnaire's sensitivity. Answer:
What is the CAGE assessment?
,⩥ -Cut down: "Have you felt you should cut down on your drinking?"
-Annoyed: "Have people annoyed you by getting on your case about
your drinking?"
-Guilty: "Have you ever felt bad or guilty about your drinking?"
-Eye-opener: "Have you ever needed to take a drink first thing in the
morning to steady your nerves or get rid of a hangover?". Answer: What
does CAGE stand for?
⩥ -Antabuse
-Naltrexone (Revia)
-acamrosate (Campral). Answer: What are the medications used for the
treatment of alcohol dependence?
⩥ Disulfirarm (Antabuse). Answer: Which medication does the below
describe?
-Action : inhibits alcohol metabolism by irreversibly inhibiting
acetaldehyde dehydrogenase
-Response is proportional to the dose and amount of alcohol ingested
and can occur in 10- 20mts
-Daily dosage range 125- 500 mg.Duration of action up to 14 days,due
to slow restoration rate
-Adverse effect: :Depression,disorientation,neurological toxicity,
elevated liver function test,encephalopathy,Hepatitis, optic
neuritis,peripheral neuropathy,psychotic reactions,
,-Side effects :Metallic aftertaste, dermatitis
-Contraindications: Use of alcohol or alcohol containing precautions,
metronidazole, CAD, MI,Psychosis, hypersensitivity
-Warn the patient should not consume alcohol in the diet ,none of this
med for at least 12 hours after drinking and alcohol reaction can occur
up to 2 weeks
-Monitor liver function tests periodically
⩥ Naltrexone (Revia). Answer: Which medication does the below
describe?
-Blocks opioid receptors, result in reduced craving and reduced reward
in response to drinking
-Dosage : Alcohol dependence -50mg daily
-Side effects ; Nausea, abdominal pain, constipation, dizziness, headache
, fatigue, anxiety,eosinophilia,depression,panic attacks, suicidal thoughts
-Adverse effect: hepatotoxicity, severe withdrawal if pt is on opioids
-Contraindications : currently on opioid withdrawal receiving
opioids,acute hepatitis,liver failure
-Consider to screen for opioids and urine toxicology
-Obtain liver function tests,evaluate for current opioid use
⩥ Acamprosate (Campral). Answer: Which medication does the below
describe?
-Affects glutamate and GABA neurotransmitter systems
, -Dosage: 666 mg three times daily
-Patients with moderate renal impairment reduce to 333 mg three times
daily
-Side effects: Diarrhea, nausea, headache, abdominal pain, flatulence,
back pain, infection ,flu, chills,amnesia,somnolence,confusion,
-Adverse effect: weight gain,palpitations,depression, anxiety,myalgia,
diaphoresis,kidney failure,heart failure,
cardiomyopathy,thrombophlebitis,shock,mesenteric artery occlusion
-Contraindications: Severe renal impairment (CrCl <30 ml/min)
⩥ Disulfiram inhibits alcohol metabolism by irreversibly inhibiting
acetaldehyde dehydrogenase; the accumulating acetaldehyde produces
an unpleasant reaction consisting of headache, sweating, flushing,
choking, nausea, vomiting, tachycardia and hypotension. Answer: How
does disulfiram (Antabuse) effect alcohol metabolism?
⩥ -Tremulousness, although the spectrum of symptoms can expand to
include:
1. psychotic and perceptual symptoms (delusions and hallucinations)
2. seizures
3. delirium tremens (DTs) called alcohol delirium in DSM-5.
Other symptoms of withdrawal:
-general irritability
-gastorintestinal symptoms (nausea and vomiting)
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES VERIFIED
GRADED A+
⩥ In some Asian persons, the decreased function of alcohol-
metabolizing enzymes can also lead to easy intoxication and toxic
symptoms.. Answer: How is alcohol metabolized differently in the Asian
population?
⩥ -has an adverse effect on sleep architecture.
-decrease in rapid eye movement sleep (REM or dream sleep)
-decrease in deep sleep (stage 4)
-more sleep fragmentation, with more and longer episodes of awakening.
Therefore, the idea that drinking alcohol helps persons fall asleep is a
myth.. Answer: How does alcohol use affect sleep?
⩥ -Best quick screen for alcoholism remains the tried-and-true CAGE
questionnaire
-A positive response to two or more of the items implies a 95% chance
of alcohol abuse or dependence
-Study suggests that the way interviewers transition to the CAGE
questions profoundly affects the questionnaire's sensitivity. Answer:
What is the CAGE assessment?
,⩥ -Cut down: "Have you felt you should cut down on your drinking?"
-Annoyed: "Have people annoyed you by getting on your case about
your drinking?"
-Guilty: "Have you ever felt bad or guilty about your drinking?"
-Eye-opener: "Have you ever needed to take a drink first thing in the
morning to steady your nerves or get rid of a hangover?". Answer: What
does CAGE stand for?
⩥ -Antabuse
-Naltrexone (Revia)
-acamrosate (Campral). Answer: What are the medications used for the
treatment of alcohol dependence?
⩥ Disulfirarm (Antabuse). Answer: Which medication does the below
describe?
-Action : inhibits alcohol metabolism by irreversibly inhibiting
acetaldehyde dehydrogenase
-Response is proportional to the dose and amount of alcohol ingested
and can occur in 10- 20mts
-Daily dosage range 125- 500 mg.Duration of action up to 14 days,due
to slow restoration rate
-Adverse effect: :Depression,disorientation,neurological toxicity,
elevated liver function test,encephalopathy,Hepatitis, optic
neuritis,peripheral neuropathy,psychotic reactions,
,-Side effects :Metallic aftertaste, dermatitis
-Contraindications: Use of alcohol or alcohol containing precautions,
metronidazole, CAD, MI,Psychosis, hypersensitivity
-Warn the patient should not consume alcohol in the diet ,none of this
med for at least 12 hours after drinking and alcohol reaction can occur
up to 2 weeks
-Monitor liver function tests periodically
⩥ Naltrexone (Revia). Answer: Which medication does the below
describe?
-Blocks opioid receptors, result in reduced craving and reduced reward
in response to drinking
-Dosage : Alcohol dependence -50mg daily
-Side effects ; Nausea, abdominal pain, constipation, dizziness, headache
, fatigue, anxiety,eosinophilia,depression,panic attacks, suicidal thoughts
-Adverse effect: hepatotoxicity, severe withdrawal if pt is on opioids
-Contraindications : currently on opioid withdrawal receiving
opioids,acute hepatitis,liver failure
-Consider to screen for opioids and urine toxicology
-Obtain liver function tests,evaluate for current opioid use
⩥ Acamprosate (Campral). Answer: Which medication does the below
describe?
-Affects glutamate and GABA neurotransmitter systems
, -Dosage: 666 mg three times daily
-Patients with moderate renal impairment reduce to 333 mg three times
daily
-Side effects: Diarrhea, nausea, headache, abdominal pain, flatulence,
back pain, infection ,flu, chills,amnesia,somnolence,confusion,
-Adverse effect: weight gain,palpitations,depression, anxiety,myalgia,
diaphoresis,kidney failure,heart failure,
cardiomyopathy,thrombophlebitis,shock,mesenteric artery occlusion
-Contraindications: Severe renal impairment (CrCl <30 ml/min)
⩥ Disulfiram inhibits alcohol metabolism by irreversibly inhibiting
acetaldehyde dehydrogenase; the accumulating acetaldehyde produces
an unpleasant reaction consisting of headache, sweating, flushing,
choking, nausea, vomiting, tachycardia and hypotension. Answer: How
does disulfiram (Antabuse) effect alcohol metabolism?
⩥ -Tremulousness, although the spectrum of symptoms can expand to
include:
1. psychotic and perceptual symptoms (delusions and hallucinations)
2. seizures
3. delirium tremens (DTs) called alcohol delirium in DSM-5.
Other symptoms of withdrawal:
-general irritability
-gastorintestinal symptoms (nausea and vomiting)
