CARN LATEST 2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Developing discrepancy between the patient's current situation and their recovery
goals describes what therapeutic modality? - ✔✔Motivational interviewing
✔✔Both the monotherapy and combined therapy inpatient for OUD contain ________
as the active ingredient - ✔✔buprenorphine
✔✔Both monotherapy and combine therapy inpatient for OUD have the propensity to
precipitate withdrawal
T or F - ✔✔True
✔✔*WARNING*
Assess for SI on what antidepressant?
NEVER _______ abruptly - ✔✔SSRI
discontinue
✔✔NDRI's
Contraindicated in patients undergoing what kind of withdrawal?
May lower _______ threshold
Example of medication: - ✔✔alcohol or benzodiazepine withdrawal
seizure
Bupropion (Wellbutrin)
✔✔SNRI's
Not indicated in patients with ________
If dose is missed, do you make it up? - ✔✔hypertension
NO!
✔✔Examples of SNRIs - ✔✔Duloxetine (Cymbalta)
Venlafaxine (Effexor)
✔✔TCA's:
Contraindicated in patients with what?
Examples Include: - ✔✔urinary retention and narrow angle glaucoma
AmitriptylINE (Elavil)
,DoxepINE (Sinequan)
ClomipramINE (Anafranil)
✔✔TCAs may cause:
- sedation,
- flattened ___ waves
- __________ effects - ✔✔T
anticholinergic
✔✔Trazodone:
- Can cause QT prolongation Do not combine with _________
- Contraindicated in patients with ________ disease - ✔✔METHADONE
hepatic
✔✔A male patient presents in the emergency room with severe hypertension,
diaphoresis, flushing and muscle rigidity. A friend presents with him stating that he was
having a regular "night with the boys" drinking beer and eating cheese dips while
watching football. The patient has a history of depression and social use of cocaine.
What medication might the patient have been taking to induce these symptoms?
what class of medication is it? - ✔✔Phenelzine
MAOI
✔✔MAOI drugs include - ✔✔Isocarboxazid (Marplan)
Phenelzine (Nardil)
Tranylcypromine (Parnate)
✔✔Gabapentin precautions
Great risk for misuse especially when taken in ________ doses and combined
with_________/high sugar content beverages (energy drinks) - ✔✔high
caffeinated
✔✔Stopping lamotrigine (Lamictal) suddenly can cause: - ✔✔Steven Johnson's
Syndrome
✔✔Name the anticonvulsants - ✔✔Carbamazepine (Tegretol)
Divalproex (Depakote)
Lamotrigine (Lamictal)
Oxcarbazepine
✔✔Stevens-Johnson Syndrome - ✔✔A severe, possibly fatal reaction that mimics a
burn; may be due to a medication.
(fever, sore throat, bruising, mucosal membrane rash)
, ✔✔Valproate can cause what 3 adverse effects - ✔✔1. hepatotoxicity
2. pancreatitis
3. thrombocytopenia
✔✔Lithium Precautions
•Monitor lab values -Cr, TSH, CBC, weight
•Monitor _____/fluid intake
•Monitor for _____ toxicity - ✔✔salt
renal
✔✔Clonidine Precautions
- Overuse likely result in ________
- Overdose symptoms -______ pupils, faintness, feeling _____ - ✔✔hypotension
pinpoint
cold
✔✔What respiratory condition are benzos are contraindicated in? - ✔✔sleep apnea
✔✔There is a risk for Metabolic syndrome in what second generation antipsychotic? -
✔✔Olanzapine
✔✔Neuroleptic Malignant Syndrome (NMS) symptoms - ✔✔FEVER
•Fever
•Encephalopathy
•Vital instability
•Elevated enzymes (CPK)
•Rigidity of muscles
✔✔Name 1st gen antipsychotics:
MONITOR: - ✔✔Chlorpromazine (Thorazine), Haloperidol
- QT interval
- Can induce NMS
✔✔Primary prevention:
- addiction ________ in schools
- legislation that prohibits the sales of nicotine products (_______) - ✔✔education
JUUL
✔✔_________ prevention aims to reduce the impact of a disease or injury that has
ALREADY OCCURED
_______ & Treatment! - ✔✔Tertiary
Detection
SOLUTIONS GRADED A+
✔✔Developing discrepancy between the patient's current situation and their recovery
goals describes what therapeutic modality? - ✔✔Motivational interviewing
✔✔Both the monotherapy and combined therapy inpatient for OUD contain ________
as the active ingredient - ✔✔buprenorphine
✔✔Both monotherapy and combine therapy inpatient for OUD have the propensity to
precipitate withdrawal
T or F - ✔✔True
✔✔*WARNING*
Assess for SI on what antidepressant?
NEVER _______ abruptly - ✔✔SSRI
discontinue
✔✔NDRI's
Contraindicated in patients undergoing what kind of withdrawal?
May lower _______ threshold
Example of medication: - ✔✔alcohol or benzodiazepine withdrawal
seizure
Bupropion (Wellbutrin)
✔✔SNRI's
Not indicated in patients with ________
If dose is missed, do you make it up? - ✔✔hypertension
NO!
✔✔Examples of SNRIs - ✔✔Duloxetine (Cymbalta)
Venlafaxine (Effexor)
✔✔TCA's:
Contraindicated in patients with what?
Examples Include: - ✔✔urinary retention and narrow angle glaucoma
AmitriptylINE (Elavil)
,DoxepINE (Sinequan)
ClomipramINE (Anafranil)
✔✔TCAs may cause:
- sedation,
- flattened ___ waves
- __________ effects - ✔✔T
anticholinergic
✔✔Trazodone:
- Can cause QT prolongation Do not combine with _________
- Contraindicated in patients with ________ disease - ✔✔METHADONE
hepatic
✔✔A male patient presents in the emergency room with severe hypertension,
diaphoresis, flushing and muscle rigidity. A friend presents with him stating that he was
having a regular "night with the boys" drinking beer and eating cheese dips while
watching football. The patient has a history of depression and social use of cocaine.
What medication might the patient have been taking to induce these symptoms?
what class of medication is it? - ✔✔Phenelzine
MAOI
✔✔MAOI drugs include - ✔✔Isocarboxazid (Marplan)
Phenelzine (Nardil)
Tranylcypromine (Parnate)
✔✔Gabapentin precautions
Great risk for misuse especially when taken in ________ doses and combined
with_________/high sugar content beverages (energy drinks) - ✔✔high
caffeinated
✔✔Stopping lamotrigine (Lamictal) suddenly can cause: - ✔✔Steven Johnson's
Syndrome
✔✔Name the anticonvulsants - ✔✔Carbamazepine (Tegretol)
Divalproex (Depakote)
Lamotrigine (Lamictal)
Oxcarbazepine
✔✔Stevens-Johnson Syndrome - ✔✔A severe, possibly fatal reaction that mimics a
burn; may be due to a medication.
(fever, sore throat, bruising, mucosal membrane rash)
, ✔✔Valproate can cause what 3 adverse effects - ✔✔1. hepatotoxicity
2. pancreatitis
3. thrombocytopenia
✔✔Lithium Precautions
•Monitor lab values -Cr, TSH, CBC, weight
•Monitor _____/fluid intake
•Monitor for _____ toxicity - ✔✔salt
renal
✔✔Clonidine Precautions
- Overuse likely result in ________
- Overdose symptoms -______ pupils, faintness, feeling _____ - ✔✔hypotension
pinpoint
cold
✔✔What respiratory condition are benzos are contraindicated in? - ✔✔sleep apnea
✔✔There is a risk for Metabolic syndrome in what second generation antipsychotic? -
✔✔Olanzapine
✔✔Neuroleptic Malignant Syndrome (NMS) symptoms - ✔✔FEVER
•Fever
•Encephalopathy
•Vital instability
•Elevated enzymes (CPK)
•Rigidity of muscles
✔✔Name 1st gen antipsychotics:
MONITOR: - ✔✔Chlorpromazine (Thorazine), Haloperidol
- QT interval
- Can induce NMS
✔✔Primary prevention:
- addiction ________ in schools
- legislation that prohibits the sales of nicotine products (_______) - ✔✔education
JUUL
✔✔_________ prevention aims to reduce the impact of a disease or injury that has
ALREADY OCCURED
_______ & Treatment! - ✔✔Tertiary
Detection
