FISDAP OPERATIONS ACTUAL TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
▶ What is given to prevent Wernicke's encephalopathy??
Answer:Thiamine (Vit B1) to compensate for Vit B1 deficiency
▶ What should be given to pts with alcohol use disorder for nutritional
deficiencies? Answer:thiamine, folate/folic acid,
▶ First line treatment in alcohol withdrawal? Answer:Benzodiazepines
▶ Long acting benzo for etoh withdrawal? Answer:diazepam (Valium)
▶ Short acting benzo for etoh withdrawal? Answer:lorazepam (Ativan)
▶ Additional medications to use in mild to moderate alcohol withdrawal?
Answer:carbamazepine (Tegretol), Valproic acid or gabapentin
▶ MOA of Naloxone (Narcan)? Answer:competitive opioid receptor
antagonist
▶ MOA of naltrexone? Answer:competitive opioid receptor antagonist
▶ MOA of Methadone (Dolophine)? Answer:long acting FULL opioid
receptor agonist (at mu receptor)
▶ MOA of Suboxone (buprenorphine and naloxone)? Answer:partial opioid
agonist + competitive opioid antagonist
▶ Medication used in opioid overdose? Answer:naloxone
▶ Medication used in patients with chronic pain and opioid use disorder?
Answer:Suboxone (buprenorphine and naloxone)
▶ Which medications for opioid use disorder can precipitate withdrawal?
Answer:naloxone, naltrexone, Suboxone (buprenorphine)
, ▶ Which medication used to treat opioid use disorder has a "ceiling
effect"?? Answer:Buprenorphine... increasing the dose does not result in
increasing effects
▶ Which medication is available sublingual film/tab and buccal film for
opioid patients? Answer:Suboxone
▶ Which medication is available as sublingual tab, implant, and subQ
injection for opioid patients? Answer:Buprenorphine
▶ Which medication is available as a oral tablet and a monthly IM injection
for opioid patients?? Answer:Naltrexone
▶ Which medication is treatment of choice for highly motivated opioid use
disorder patients?? Answer:Naltrexone
▶ Inappropriate use of opioids may indicate? Answer:the patient's pain is
not well managed
▶ S/S of opioid intoxication? Answer:miosis (pinpoint pupils), hypotension,
bradycardia, low RR, unconsciousness
▶ S/S of opioif withdrawal? Answer:anxiety, lacrimation, muscle aches,
abdominal cramps, diarrhea, seizures
▶ When detoxing a patient from opioids, which medication is more effective
at suppressing and controlling withdrawal symptoms as the taper nears
completion- methadone or buprenorphine?? Answer:Buprenorphine
▶ Drugs used in opioid withdrawal? Answer:Suboxone, Clonidine, bentyl
▶ S/S Cocaine Intoxication? Answer:Auditory hallucinations, agitation,
violent behavior, muscle twitching, HTN, bradycardia
▶ S/S cocaine overdose? Answer:can cause acute heart failure, stroke,
seizures
▶ S/S of cocaine withdrawal? Answer:extreme fatigue, anhedonia (loss of
pleasure), depression, fatigue, brain fog, intense cravings,
QUESTIONS WITH SOLUTIONS GRADED A+
▶ What is given to prevent Wernicke's encephalopathy??
Answer:Thiamine (Vit B1) to compensate for Vit B1 deficiency
▶ What should be given to pts with alcohol use disorder for nutritional
deficiencies? Answer:thiamine, folate/folic acid,
▶ First line treatment in alcohol withdrawal? Answer:Benzodiazepines
▶ Long acting benzo for etoh withdrawal? Answer:diazepam (Valium)
▶ Short acting benzo for etoh withdrawal? Answer:lorazepam (Ativan)
▶ Additional medications to use in mild to moderate alcohol withdrawal?
Answer:carbamazepine (Tegretol), Valproic acid or gabapentin
▶ MOA of Naloxone (Narcan)? Answer:competitive opioid receptor
antagonist
▶ MOA of naltrexone? Answer:competitive opioid receptor antagonist
▶ MOA of Methadone (Dolophine)? Answer:long acting FULL opioid
receptor agonist (at mu receptor)
▶ MOA of Suboxone (buprenorphine and naloxone)? Answer:partial opioid
agonist + competitive opioid antagonist
▶ Medication used in opioid overdose? Answer:naloxone
▶ Medication used in patients with chronic pain and opioid use disorder?
Answer:Suboxone (buprenorphine and naloxone)
▶ Which medications for opioid use disorder can precipitate withdrawal?
Answer:naloxone, naltrexone, Suboxone (buprenorphine)
, ▶ Which medication used to treat opioid use disorder has a "ceiling
effect"?? Answer:Buprenorphine... increasing the dose does not result in
increasing effects
▶ Which medication is available sublingual film/tab and buccal film for
opioid patients? Answer:Suboxone
▶ Which medication is available as sublingual tab, implant, and subQ
injection for opioid patients? Answer:Buprenorphine
▶ Which medication is available as a oral tablet and a monthly IM injection
for opioid patients?? Answer:Naltrexone
▶ Which medication is treatment of choice for highly motivated opioid use
disorder patients?? Answer:Naltrexone
▶ Inappropriate use of opioids may indicate? Answer:the patient's pain is
not well managed
▶ S/S of opioid intoxication? Answer:miosis (pinpoint pupils), hypotension,
bradycardia, low RR, unconsciousness
▶ S/S of opioif withdrawal? Answer:anxiety, lacrimation, muscle aches,
abdominal cramps, diarrhea, seizures
▶ When detoxing a patient from opioids, which medication is more effective
at suppressing and controlling withdrawal symptoms as the taper nears
completion- methadone or buprenorphine?? Answer:Buprenorphine
▶ Drugs used in opioid withdrawal? Answer:Suboxone, Clonidine, bentyl
▶ S/S Cocaine Intoxication? Answer:Auditory hallucinations, agitation,
violent behavior, muscle twitching, HTN, bradycardia
▶ S/S cocaine overdose? Answer:can cause acute heart failure, stroke,
seizures
▶ S/S of cocaine withdrawal? Answer:extreme fatigue, anhedonia (loss of
pleasure), depression, fatigue, brain fog, intense cravings,
