CARN PRACTICE STUDY GUIDE 2026 SOLVED
QUESTIONS
◉ Which Neonatal withdrawal syndromes may present weeks after
birth? Name the drug. Answer: Methadone
◉ _________ is a safe and effective second-line treatment of symptoms
refractory to opioid therapy in newborns Answer: Clonidine
◉ 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. Answer: naltrexone.
48-72
12
,◉ Patients with _______ _________ syndrome often present with
abdominal pain and nausea, which may be refractory to standard
antiemetics Answer: cannabis hyperemesis
◉ 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. Answer: right
Vancomycin; nafcillin
◉ 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. Answer: 5
15
◉ The _______ _______ is involved in the sense of reward from cocaine
use. Answer: nucleus accumbens
◉ Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia Answer: loperamide
promethazine
,ibuprofen
◉ Holiday heart syndrome is a syndrome caused by excessive ______
use. Excessive alcohol use results in gross and microscopic cardiac
changes leading to an atrial _______ Answer: alcohol
arrhythmia.
◉ Aerosolized glycerol and propylene glycol, chemicals found in
vape pens have been associated with focal _______ _______ of the upper
airways Answer: squamous metaplasia
◉ Substance use disorder refers to the excessive use of drugs that
tend to activate which of the following portions of the brain?
Answer: Brain reward system
◉ 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 Answer: LIMBIC
REWARD
reward
, ◉ 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?
Answer: Methamphetamine
◉ _________ therapy- patients with depression.
________ therapy- employed in SUD.
__________ therapy- patients with BiP and SUD
________ ________- PTSD & SUD Answer: Interpersonal
Supportive
Integrated
Seeking safety
◉ Cocaine blocks the reuptake of what 3 NT? Answer: dopamine, NE,
and serotonin at the synapse.
◉ The vasoconstriction experienced while on cocaine is caused by
what NT? Answer: increase in NE
◉ PCP
QUESTIONS
◉ Which Neonatal withdrawal syndromes may present weeks after
birth? Name the drug. Answer: Methadone
◉ _________ is a safe and effective second-line treatment of symptoms
refractory to opioid therapy in newborns Answer: Clonidine
◉ 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. Answer: naltrexone.
48-72
12
,◉ Patients with _______ _________ syndrome often present with
abdominal pain and nausea, which may be refractory to standard
antiemetics Answer: cannabis hyperemesis
◉ 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. Answer: right
Vancomycin; nafcillin
◉ 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. Answer: 5
15
◉ The _______ _______ is involved in the sense of reward from cocaine
use. Answer: nucleus accumbens
◉ Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia Answer: loperamide
promethazine
,ibuprofen
◉ Holiday heart syndrome is a syndrome caused by excessive ______
use. Excessive alcohol use results in gross and microscopic cardiac
changes leading to an atrial _______ Answer: alcohol
arrhythmia.
◉ Aerosolized glycerol and propylene glycol, chemicals found in
vape pens have been associated with focal _______ _______ of the upper
airways Answer: squamous metaplasia
◉ Substance use disorder refers to the excessive use of drugs that
tend to activate which of the following portions of the brain?
Answer: Brain reward system
◉ 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 Answer: LIMBIC
REWARD
reward
, ◉ 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?
Answer: Methamphetamine
◉ _________ therapy- patients with depression.
________ therapy- employed in SUD.
__________ therapy- patients with BiP and SUD
________ ________- PTSD & SUD Answer: Interpersonal
Supportive
Integrated
Seeking safety
◉ Cocaine blocks the reuptake of what 3 NT? Answer: dopamine, NE,
and serotonin at the synapse.
◉ The vasoconstriction experienced while on cocaine is caused by
what NT? Answer: increase in NE
◉ PCP
