CARN AP EVALUATION TEST QUESTIONS AND
ANSWERS SET A+
✔✔Laura, if encountering an AUD pt, ask how long in the past few months have you
gone without drinking?
have you gone more than 3 days without drinking?
if so do you have withdrawal symptoms? - ✔✔
✔✔Opioid withdrawal
resembles a ____-like illness characterized by yawning, sneezing, rhinorrhea, nausea,
diarrhea, vomiting, and ______ pupils - ✔✔flu, dilated
✔✔Patients with DT will present __-5 days after last alcohol intake with confusion,
agitation, ______, hallucinations, and ______ autonomic activity like tachycardia, fever,
elevated BP. - ✔✔3
tremors
increased
✔✔PCP is a noncompetitive ______ receptor _______.
PCP also inhibits the reuptake of _______, NE, and ______ - ✔✔NMDA; antagonist
dopamine, serotonin
✔✔_______ are the first-line treatment for significant anxiety for pt on PCP -
✔✔Benzodiazepines
✔✔What can be ordered medically for the patient with PCP psychomotor agitation? -
✔✔Haloperidol and benzos, and even restraints, often are required to control the
psychomotor agitation.
✔✔Patients on PCP benefit most from _________ stimulation - ✔✔decreased
,✔✔For massive ingestion of PCP, ______ _______therapy can be used and should
only be started within one hour from the time of ingestion.
dose is 1 g/kg, with a maximum dose of 50 g. - ✔✔activated charcoal
✔✔If rhabdomyolysis develops in pt using PCP, what is required? - ✔✔IV normal saline
✔✔In a pt with atrophy of the mammillary bodies on CT/MRI, the provider knows this
signifies _________
which will be treated with what medication? - ✔✔Wernicke's encephalopathy
thiamine
ataxia, ophthalmoplegia, and confusion
✔✔Confabulation is divided into categorizations of what ?
Confabulations can occur several ____ to _____ after the diagnosis of Korsakoff
syndrome - ✔✔provoked and spontaneous
days; weeks
✔✔Continuous monitoring is necessary as brexanolone can cause excessive ______
and sudden loss of ________ - ✔✔sedation
consciousness.
✔✔When using Brexanolone and patient loses consciousness patients regain
consciousness within ___-____ minutes of dose interruption.
After recovery, infusion may be resumed at the same or _____ dose as determined by
the health provider.
How often should these patients be montored during non sleep periods? - ✔✔15 to 60
lower
q 2 hours
✔✔Benzos such as ________, _______, _________, and alprazolam will not show up
on many urine drug screens and often yield a false negative result. - ✔✔clonazepam
lorazepam
midazolam
✔✔During cocaine toxicity, clinicians should never use any non-selective _____-
______.
With worsening hypertension, the use of propranolol in treatment will cause extensive
______
, The only BB that can be safely used are those with alpha-blocking activity, such as
_______ - ✔✔beta-blocker
vasoconstriction
labetalol.
✔✔MI is a complication of ________ intoxication, due to the increased demands it
places on the heart. - ✔✔cocaine
✔✔Chronic cocaine use results in the development of _________. This may be
reversible if the patient ceases using cocaine completely.
Endocarditis is more likely if the patient ________ cocaine - ✔✔cardiomyopathy
injects
✔✔________ _________ is a hallmark finding of gamma-hydroxybutyrate (GHB)
toxicity. - ✔✔Respiratory depression
✔✔The half-life of GHB is ___ minutes, and these patients frequently wake up suddenly
without further evidence of intoxication ("_______ Effect"). - ✔✔30
Lazarus
✔✔________ (PEth) testing is a method to help detect alcohol consumption; Binge
drinking can still be detected up to __ weeks after consumption. -
✔✔Phosphatidylethanol
4
✔✔Central sleep apnea may be prevalent in up to 30% of stable ________
maintenance treatment patients. - ✔✔methadone
✔✔Which adverse effect of lithium therapy is most suggestive of toxic blood levels? -
✔✔tinnitus
✔✔In the malnourished alcoholic, the resumption of a regular diet can cause severe
________, ________, and cellular ______ c/b acute ____phosphatemia associated with
the cellular uptake of glucose - ✔✔rhabdomyolysis
hemolysis
hypoxia
hypo
✔✔What 3 electrolyte deficiencies are common in nutritionally compromised alcoholics?
- ✔✔Potassium, magnesium, and phosphate
ANSWERS SET A+
✔✔Laura, if encountering an AUD pt, ask how long in the past few months have you
gone without drinking?
have you gone more than 3 days without drinking?
if so do you have withdrawal symptoms? - ✔✔
✔✔Opioid withdrawal
resembles a ____-like illness characterized by yawning, sneezing, rhinorrhea, nausea,
diarrhea, vomiting, and ______ pupils - ✔✔flu, dilated
✔✔Patients with DT will present __-5 days after last alcohol intake with confusion,
agitation, ______, hallucinations, and ______ autonomic activity like tachycardia, fever,
elevated BP. - ✔✔3
tremors
increased
✔✔PCP is a noncompetitive ______ receptor _______.
PCP also inhibits the reuptake of _______, NE, and ______ - ✔✔NMDA; antagonist
dopamine, serotonin
✔✔_______ are the first-line treatment for significant anxiety for pt on PCP -
✔✔Benzodiazepines
✔✔What can be ordered medically for the patient with PCP psychomotor agitation? -
✔✔Haloperidol and benzos, and even restraints, often are required to control the
psychomotor agitation.
✔✔Patients on PCP benefit most from _________ stimulation - ✔✔decreased
,✔✔For massive ingestion of PCP, ______ _______therapy can be used and should
only be started within one hour from the time of ingestion.
dose is 1 g/kg, with a maximum dose of 50 g. - ✔✔activated charcoal
✔✔If rhabdomyolysis develops in pt using PCP, what is required? - ✔✔IV normal saline
✔✔In a pt with atrophy of the mammillary bodies on CT/MRI, the provider knows this
signifies _________
which will be treated with what medication? - ✔✔Wernicke's encephalopathy
thiamine
ataxia, ophthalmoplegia, and confusion
✔✔Confabulation is divided into categorizations of what ?
Confabulations can occur several ____ to _____ after the diagnosis of Korsakoff
syndrome - ✔✔provoked and spontaneous
days; weeks
✔✔Continuous monitoring is necessary as brexanolone can cause excessive ______
and sudden loss of ________ - ✔✔sedation
consciousness.
✔✔When using Brexanolone and patient loses consciousness patients regain
consciousness within ___-____ minutes of dose interruption.
After recovery, infusion may be resumed at the same or _____ dose as determined by
the health provider.
How often should these patients be montored during non sleep periods? - ✔✔15 to 60
lower
q 2 hours
✔✔Benzos such as ________, _______, _________, and alprazolam will not show up
on many urine drug screens and often yield a false negative result. - ✔✔clonazepam
lorazepam
midazolam
✔✔During cocaine toxicity, clinicians should never use any non-selective _____-
______.
With worsening hypertension, the use of propranolol in treatment will cause extensive
______
, The only BB that can be safely used are those with alpha-blocking activity, such as
_______ - ✔✔beta-blocker
vasoconstriction
labetalol.
✔✔MI is a complication of ________ intoxication, due to the increased demands it
places on the heart. - ✔✔cocaine
✔✔Chronic cocaine use results in the development of _________. This may be
reversible if the patient ceases using cocaine completely.
Endocarditis is more likely if the patient ________ cocaine - ✔✔cardiomyopathy
injects
✔✔________ _________ is a hallmark finding of gamma-hydroxybutyrate (GHB)
toxicity. - ✔✔Respiratory depression
✔✔The half-life of GHB is ___ minutes, and these patients frequently wake up suddenly
without further evidence of intoxication ("_______ Effect"). - ✔✔30
Lazarus
✔✔________ (PEth) testing is a method to help detect alcohol consumption; Binge
drinking can still be detected up to __ weeks after consumption. -
✔✔Phosphatidylethanol
4
✔✔Central sleep apnea may be prevalent in up to 30% of stable ________
maintenance treatment patients. - ✔✔methadone
✔✔Which adverse effect of lithium therapy is most suggestive of toxic blood levels? -
✔✔tinnitus
✔✔In the malnourished alcoholic, the resumption of a regular diet can cause severe
________, ________, and cellular ______ c/b acute ____phosphatemia associated with
the cellular uptake of glucose - ✔✔rhabdomyolysis
hemolysis
hypoxia
hypo
✔✔What 3 electrolyte deficiencies are common in nutritionally compromised alcoholics?
- ✔✔Potassium, magnesium, and phosphate
