CARN-AP 2ND SET 2025/ 2026
QUESTIONS WITH VERIFIED
ANSWERS
Benzodiazepines are the first-line treatment for
_______________-_________ agitation. They are safe and can
be titrated with escalating and more frequent doses as required.
There is no risk of QTc prolongation or extrapyramidal effects. -
correct answer -methamphetamine-induced
This drug is effective in treating meth-induced agitation however it
leads to BP and HR elevation. This may exacerbate the
methamphetamine-induced hyperadrenergic symptoms.
This antihistamine may worsen tachycardia induced by
methamphetamine. - correct answer -Ketamine
benadryl
A 32-year-old young male presents to the emergency department
with complaints of rhinorrhea, diarrhea, and malaise. History
reveals that he had recent surgery for an ankle fracture after a fall
and required intensive physical therapy along with high doses of
,opiate medications for pain control. On examination, he is afebrile
with normal blood pressure and heart rate. The physical exam is
essentially normal except for mild pupil dilation. What is the next
step in the management of this patient? - correct answer -
prescribe clonidine for symptom control
Opiate withdrawal is usually mild and not life-threatening. It
usually resembles a flu-like illness characterized by yawning,
sneezing, rhinorrhea, nausea, diarrhea, vomiting, and dilated
pupils. Depending on the half-life of the drug, the symptoms may
last for three to ten days. For mild symptoms, __________ can be
prescribed on an as needed basis - correct answer -Clonidine
Lower extremity edema in liver damage is due to _______ oncotic
pressure secondary to the decreased synthesis of ________ by
the liver. - correct answer -decreased, albumin
Alcohol Withdrawal Stage: Time and symptoms
Stage 1: ___ to ____ hours after last drink
Stage 2: ___ to ____ hours after last drink
Stage 3: ___ to ____ hours after last drink
,The greatest risk for seizure or arrest from sedative-hypnotics is
during when? - correct answer -6-12- anxiety, nausea, abdominal
pain, insomnia
12-48- HTN, tachypnea, hallucinations, temp
48-72- can progress to DT!!- sweating, tachy, seizures
days three to five after stopping the drug
DSM V- Criteria for Anxiety:
Excessive anxiety and worry (apprehensive expectation),
occurring more days than not for at least ___ months, about a
number of events or activities (such as work or school
performance).
3 of the following 6 symptoms:
Note: Only one item required in children.
1. ________, feeling keyed up or on edge.
2. easily __________
3. Difficulty ________ or mind going blank.
4. Irritability.
5. Muscle tension.
, 6. Sleep disturbance (difficulty falling or staying asleep, or
restless, unsatisfying sleep). - correct answer -3
Restlessness
fatigued.
concentrating
This medication is used as an alternative to benzos for anxiety;
poorly understood MOA?
Take _________ (not PRN) - correct answer -Buspirone
consistently
Antihistamines may cause
_____Prolongation
CNS _________ - correct answer -QT
Depression
QUESTIONS WITH VERIFIED
ANSWERS
Benzodiazepines are the first-line treatment for
_______________-_________ agitation. They are safe and can
be titrated with escalating and more frequent doses as required.
There is no risk of QTc prolongation or extrapyramidal effects. -
correct answer -methamphetamine-induced
This drug is effective in treating meth-induced agitation however it
leads to BP and HR elevation. This may exacerbate the
methamphetamine-induced hyperadrenergic symptoms.
This antihistamine may worsen tachycardia induced by
methamphetamine. - correct answer -Ketamine
benadryl
A 32-year-old young male presents to the emergency department
with complaints of rhinorrhea, diarrhea, and malaise. History
reveals that he had recent surgery for an ankle fracture after a fall
and required intensive physical therapy along with high doses of
,opiate medications for pain control. On examination, he is afebrile
with normal blood pressure and heart rate. The physical exam is
essentially normal except for mild pupil dilation. What is the next
step in the management of this patient? - correct answer -
prescribe clonidine for symptom control
Opiate withdrawal is usually mild and not life-threatening. It
usually resembles a flu-like illness characterized by yawning,
sneezing, rhinorrhea, nausea, diarrhea, vomiting, and dilated
pupils. Depending on the half-life of the drug, the symptoms may
last for three to ten days. For mild symptoms, __________ can be
prescribed on an as needed basis - correct answer -Clonidine
Lower extremity edema in liver damage is due to _______ oncotic
pressure secondary to the decreased synthesis of ________ by
the liver. - correct answer -decreased, albumin
Alcohol Withdrawal Stage: Time and symptoms
Stage 1: ___ to ____ hours after last drink
Stage 2: ___ to ____ hours after last drink
Stage 3: ___ to ____ hours after last drink
,The greatest risk for seizure or arrest from sedative-hypnotics is
during when? - correct answer -6-12- anxiety, nausea, abdominal
pain, insomnia
12-48- HTN, tachypnea, hallucinations, temp
48-72- can progress to DT!!- sweating, tachy, seizures
days three to five after stopping the drug
DSM V- Criteria for Anxiety:
Excessive anxiety and worry (apprehensive expectation),
occurring more days than not for at least ___ months, about a
number of events or activities (such as work or school
performance).
3 of the following 6 symptoms:
Note: Only one item required in children.
1. ________, feeling keyed up or on edge.
2. easily __________
3. Difficulty ________ or mind going blank.
4. Irritability.
5. Muscle tension.
, 6. Sleep disturbance (difficulty falling or staying asleep, or
restless, unsatisfying sleep). - correct answer -3
Restlessness
fatigued.
concentrating
This medication is used as an alternative to benzos for anxiety;
poorly understood MOA?
Take _________ (not PRN) - correct answer -Buspirone
consistently
Antihistamines may cause
_____Prolongation
CNS _________ - correct answer -QT
Depression
