CARN-AP 2ND SET PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

CARN-AP 2ND SET PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1) ________ can be used adjunctively to treat withdrawal seizures. - ANSWER morphine or methadone Phenobarbital 2) Which Neonatal withdrawal syndromes may present weeks after birth? Name the drug. - ANSWER Methadone 3) _________ is a safe and effective second-line treatment of symptoms refractory to opioid therapy in newborns - ANSWER Clonidine 6) 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. 7) Patients with _______ _________ syndrome often present with abdominal pain and nausea, which may be refractory to standard antiemetics - ANSWER cannabis hyperemesis 8) _______ should be used empirically, which can be switched to _______ if MRSA infection is confirmed. - ANSWER right Vancomycin; nafcillin 9) 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 10) The _______ _______ is involved in the sense of reward from cocaine use. - ANSWER nucleus accumbens 11) Symptomatic treatment in opioid withdrawal includes: - ________ for diarrhea - ______ for nausea and vomiting - ________for myalgia - ANSWER loperamide Promethazine Ibuprofen 12) 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. 13) Aerosolized glycerol and propylene glycol, chemicals found in vape pens have been associated with focal _______ _______ of the upper airways - ANSWER squamous metaplasia 14) 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 15) 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 16) 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 17) _________ therapy- patients with depression. ________ therapy- employed in SUD. __________ therapy- patients with bip and SUD ________ ________- PTSD & SUD - ANSWER Interpersonal Supportive Integrated Seeking safety 18) Cocaine blocks the reuptake of what 3 NT? - ANSWER dopamine, NE, and serotonin at the synapse. 19) The vasoconstriction experienced while on cocaine is caused by what NT? - ANSWER increase in NE 20) What 3 receptor stimulation nts are increased: Out of the 3 which one leads to lethargy and coma - ANSWER Dopamine & NE, serotonin Acetylcholine, GABA, Sigma Sigma 21) The inhibitory reuptake of dopamine and NE while someone is on PCP leads to: - ANSWER HTN/tachy Agitation Bronchodilation 22) Relapse is most likely to occur at the _______stages of recovery. - ANSWER early 23) What happens when one person enables another person's addictions? - ANSWER Co-dependency 24) The comorbidity of personality disorders with panic disorder is strongly associated with _______ attempts - ANSWER suicide 25) Serotonin syndrome is caused by toxic levels of serotonin. It presents with: SHIVERS - _________ - Hyperreflexia/clonus - Increase temp - Vital signs (HTN/HR) - Encephalopathy (______) - _________ - S___________ 26) Dilated pupils and diarrhea(DD) - ANSWER Shivers AMS Restlessness Sweating 27) Serotonergic drugs include: - ANSWER triptans Maois TCA Buspirone Amphetamines, Cocaine, Levodopa, Dextromethorphan, and Several opioids 28) GABA is the main ________ NT of the CNS - ANSWER inhibitory 29) Benzos work by potentiating the effects of GABA by _______ the frequency of the GABA chloride channel opening - ANSWER increasing 30) Alcohol withdrawal is characterized by ________ glutamatergic neurotransmission & __________GABA functioning - ANSWER excessive Decreased 31) Becoming withdrawn and dysphoric is the rebound effect of _______commonly called comedown or crash. - ANSWER cocaine 32) The tachyphylaxis following administration of indirect-acting sympathomimetic amines such as amphetamines results from what? - ANSWER the rapid emptying of synaptic vesicles containing the nts 33) Which opioids has both agonist and antagonist activity? - ANSWER Nalbuphine 34) Buprenorphine can displace most _____ ______ opiates from mu receptors. - ANSWER full agonist