1|Page
CARN EXAM QUESTION BANK
2025/2026 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALL ANSWERED
{270 Q & A} ALREADY GRADED A+/
CARN STUDY GUIDE | BRAND NEW!
A 66-year-old male was prescribed pain medication after a
fracture followed by surgery 6 months ago. Since then, his
primary care provider has noticed frequent visits to the office
asking for pain medication and multiple injuries justifying the use
of it. Every time there are different vague complaints, but that of
pain is consistent. On his last visit, the primary care took a firm
stand and did not agree to continue prescribing the opioids. Today
he visits in a restless state. Which of the following do you
suspect to see on history or physical exam in this patient?
Choices:
1. Constipation
2. Miosis
3. Dilated pupils
4. Bradycardia - ✔✔✔ Correct Answer > Dilated pupils
,2|Page
A 65-year-old female presents to the clinic to seek a re-
prescription of her pain medication. She had a motor vehicle
collision (MVC) 8 months ago that left her with chronic neuralgia
in bilateral arms along with low back pain. She was prescribed
oxycodone/acetaminophen 7.5/325 mg q6 hours. Her last
scheduled refill was 20 days ago with a 30 day supply. She
returns early claiming she needed multiple dosages sooner than
directed due to unmanaged pain. Current vital signs are normal,
but she is diaphoretic, tearing, restless, and occasionally
yawning. When the provider explains, controlled medications
cannot be prescribed in this manner, the patient states, "You don't
understand. I need to feel normal. Without it, I feel worse than I
used to feel at baseline. Please!" What stage of addiction is the
patient in and what medication can be used to help her
symptoms?
Choices:
1. Tolerance and acamprosate
2. Tolerance and - ✔✔✔ Correct Answer > Dependence and methadone
A 66-year-old male presents to the hospital complaining of
bilateral upper extremity tremors, sweating, and nausea. These
symptoms have been present for the last several hours and are
worsening in intensity. He has a history of heavy alcohol use, and
,3|Page
his last drink was 12 hours ago. Which of the following should be
anticipated if the patient does not receive appropriate treatment?
Choices:
1. Tactile hallucinations
2. Hypotension
3. Bradycardia
4. Hypothermia - ✔✔✔ Correct Answer > Tactile hallucinations
A patient presents to the emergency department with agitation,
mydriasis, hypertension, and tachycardia. He states that he
snorted "some crystals" with friends and that he feels energetic
and anxious. He reports that his friends told him this is a
treatment for weight loss and this is the reason why he tried it.
Which is true of the drug most likely used by this patient?
Choices:
1. Partial agonist of trace amine-associated receptors (TAAR1)
2. Gamma-aminobutyric acid (GABA) receptor agonist
3. Full agonist of trace amine-associated receptors (TAAR1)
4. Full antagonist of dopamine receptors - ✔✔✔ Correct Answer > Full
agonist of trace amine-associated receptors (TAAR1)
, 4|Page
A 35-year-old woman comes in for her wellness check-up. She
has a 13-year-old son who is going to be starting high school
next year and often hear him and his friends discuss ways to
prepare for high school, so they fit in. The mother is concerned
her son may use drugs as he often talks about the partying. She
wants to know what she can do it prepare him to avoid smoking
cannabis given its surge in popularity amongst youth. What is the
most common reason for marijuana use, amongst teenagers and
young adults?
Choices:
1. Stress management
2. Experimentation
3. Social conformity
4. Pleasurable sensation - ✔✔✔ Correct Answer > Social conformity
A young adult patient is dropped off outside the emergency
department by her friends, and they drive off before any history
can be obtained. The patient has altered mental status and
shows signs of intoxication. Sudden dorsiflexion of her ankle
produces a rhythmic reproduction of her ankle jerk reflex. Which
of the following drugs did she most likely ingest?
Choices:
1. Alcohol
CARN EXAM QUESTION BANK
2025/2026 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALL ANSWERED
{270 Q & A} ALREADY GRADED A+/
CARN STUDY GUIDE | BRAND NEW!
A 66-year-old male was prescribed pain medication after a
fracture followed by surgery 6 months ago. Since then, his
primary care provider has noticed frequent visits to the office
asking for pain medication and multiple injuries justifying the use
of it. Every time there are different vague complaints, but that of
pain is consistent. On his last visit, the primary care took a firm
stand and did not agree to continue prescribing the opioids. Today
he visits in a restless state. Which of the following do you
suspect to see on history or physical exam in this patient?
Choices:
1. Constipation
2. Miosis
3. Dilated pupils
4. Bradycardia - ✔✔✔ Correct Answer > Dilated pupils
,2|Page
A 65-year-old female presents to the clinic to seek a re-
prescription of her pain medication. She had a motor vehicle
collision (MVC) 8 months ago that left her with chronic neuralgia
in bilateral arms along with low back pain. She was prescribed
oxycodone/acetaminophen 7.5/325 mg q6 hours. Her last
scheduled refill was 20 days ago with a 30 day supply. She
returns early claiming she needed multiple dosages sooner than
directed due to unmanaged pain. Current vital signs are normal,
but she is diaphoretic, tearing, restless, and occasionally
yawning. When the provider explains, controlled medications
cannot be prescribed in this manner, the patient states, "You don't
understand. I need to feel normal. Without it, I feel worse than I
used to feel at baseline. Please!" What stage of addiction is the
patient in and what medication can be used to help her
symptoms?
Choices:
1. Tolerance and acamprosate
2. Tolerance and - ✔✔✔ Correct Answer > Dependence and methadone
A 66-year-old male presents to the hospital complaining of
bilateral upper extremity tremors, sweating, and nausea. These
symptoms have been present for the last several hours and are
worsening in intensity. He has a history of heavy alcohol use, and
,3|Page
his last drink was 12 hours ago. Which of the following should be
anticipated if the patient does not receive appropriate treatment?
Choices:
1. Tactile hallucinations
2. Hypotension
3. Bradycardia
4. Hypothermia - ✔✔✔ Correct Answer > Tactile hallucinations
A patient presents to the emergency department with agitation,
mydriasis, hypertension, and tachycardia. He states that he
snorted "some crystals" with friends and that he feels energetic
and anxious. He reports that his friends told him this is a
treatment for weight loss and this is the reason why he tried it.
Which is true of the drug most likely used by this patient?
Choices:
1. Partial agonist of trace amine-associated receptors (TAAR1)
2. Gamma-aminobutyric acid (GABA) receptor agonist
3. Full agonist of trace amine-associated receptors (TAAR1)
4. Full antagonist of dopamine receptors - ✔✔✔ Correct Answer > Full
agonist of trace amine-associated receptors (TAAR1)
, 4|Page
A 35-year-old woman comes in for her wellness check-up. She
has a 13-year-old son who is going to be starting high school
next year and often hear him and his friends discuss ways to
prepare for high school, so they fit in. The mother is concerned
her son may use drugs as he often talks about the partying. She
wants to know what she can do it prepare him to avoid smoking
cannabis given its surge in popularity amongst youth. What is the
most common reason for marijuana use, amongst teenagers and
young adults?
Choices:
1. Stress management
2. Experimentation
3. Social conformity
4. Pleasurable sensation - ✔✔✔ Correct Answer > Social conformity
A young adult patient is dropped off outside the emergency
department by her friends, and they drive off before any history
can be obtained. The patient has altered mental status and
shows signs of intoxication. Sudden dorsiflexion of her ankle
produces a rhythmic reproduction of her ankle jerk reflex. Which
of the following drugs did she most likely ingest?
Choices:
1. Alcohol
