CARN-AP Questions with Correct Answers
Rated A+
Aerosolized glycerol and propylene glycol, chemicals found in vape pens have
been associated with focal _______ _______ of the upper airways - ✅✅
squamous metaplasia
Substance use disorder refers to the excessive use of drugs that tend to activate
which of the following portions of the brain? - ✅✅ Brain reward system
In the center of the brain behind the temporal lobe sits the ______ system, which
controls our emotions, instincts, and memories, and includes the brain's ______
system. - ✅✅ limbic
reward
The main job of the________ system is to help us avoid harmful/painful
experiences and to make us feel good when we engage in behaviors necessary for
our survival - ✅✅ reward
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? -
✅✅ Methamphetamine
_________ therapy- patients with depression.
________ therapy- employed in SUD.
__________ therapy- patients with BiP and SUD
________ ________- PTSD & SUD - ✅✅ Interpersonal
Supportive
Integrated
Seeking safety
Cocaine blocks the reuptake of what 3 NT? - ✅✅ dopamine, NE, and serotonin
at the synapse.
,The vasoconstriction experienced while on cocaine is caused by what NT? - ✅✅
increase in NE
The inhibitory reuptake of dopamine and NE while someone is on PCP leads to: -
✅✅ HTN/tachy
agitation
bronchodilation
Relapse is most likely to occur at the _______stages of recovery. - ✅✅ early
What happens when one person enables another person's addictions? - ✅✅ Co-
dependency
The comorbidity of personality disorders with panic disorder is strongly associated
with _______ attempts - ✅✅ suicide
Serotonin syndrome is caused by toxic levels of serotonin. It presents with:
SHIVERS
- _________
- Hyperreflexia/clonus
- Increase temp
- Vital signs (HTN/HR)
- Encephalopathy (______)
- _________
- S___________
dilated pupils and diarrhea(DD) - ✅✅ Shivers
AMS
Restlessness
sweating
Serotonergic drugs include: - ✅✅ triptans
MAOIs
TCA
buspirone
amphetamines,
cocaine,
levodopa,
dextromethorphan, and
several opioids
, Babies born to mothers who use opioids may need treatment with what? - ✅✅
morphine or methadone
________ can be used adjunctively to treat withdrawal seizures. - ✅✅
Phenobarbital
Which Neonatal withdrawal syndromes may present weeks after birth? Name the
drug. - ✅✅ Methadone
_________ is a safe and effective second-line treatment of symptoms refractory to
opioid therapy in newborns - ✅✅ Clonidine
The patient must first be detoxified from opioid dependence before starting
_______✅✅ naltrexone.
Long acting opioids, such as methadone, require at least how many hours since last
use before initiating buprenorphine? ✅✅ 48-72
Short acting opioids (for example, heroin) require approximately ____ hours since
last use for sufficient withdrawal to occur in order to safely initiate treatment. -
✅✅ 12
Patients with _______ _________ syndrome often present with abdominal pain
and nausea, which may be refractory to standard antiemetics - ✅✅ cannabis
hyperemesis
Patients with injection drug abuse are most likely to have _____sided bacterial
endocarditis. ✅✅ right
_______ should be used empirically, which can be switched to _______ if MRSA
infection is confirmed. - ✅✅ Vancomycin; nafcillin
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. - ✅✅ 5
15
Rated A+
Aerosolized glycerol and propylene glycol, chemicals found in vape pens have
been associated with focal _______ _______ of the upper airways - ✅✅
squamous metaplasia
Substance use disorder refers to the excessive use of drugs that tend to activate
which of the following portions of the brain? - ✅✅ Brain reward system
In the center of the brain behind the temporal lobe sits the ______ system, which
controls our emotions, instincts, and memories, and includes the brain's ______
system. - ✅✅ limbic
reward
The main job of the________ system is to help us avoid harmful/painful
experiences and to make us feel good when we engage in behaviors necessary for
our survival - ✅✅ reward
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? -
✅✅ Methamphetamine
_________ therapy- patients with depression.
________ therapy- employed in SUD.
__________ therapy- patients with BiP and SUD
________ ________- PTSD & SUD - ✅✅ Interpersonal
Supportive
Integrated
Seeking safety
Cocaine blocks the reuptake of what 3 NT? - ✅✅ dopamine, NE, and serotonin
at the synapse.
,The vasoconstriction experienced while on cocaine is caused by what NT? - ✅✅
increase in NE
The inhibitory reuptake of dopamine and NE while someone is on PCP leads to: -
✅✅ HTN/tachy
agitation
bronchodilation
Relapse is most likely to occur at the _______stages of recovery. - ✅✅ early
What happens when one person enables another person's addictions? - ✅✅ Co-
dependency
The comorbidity of personality disorders with panic disorder is strongly associated
with _______ attempts - ✅✅ suicide
Serotonin syndrome is caused by toxic levels of serotonin. It presents with:
SHIVERS
- _________
- Hyperreflexia/clonus
- Increase temp
- Vital signs (HTN/HR)
- Encephalopathy (______)
- _________
- S___________
dilated pupils and diarrhea(DD) - ✅✅ Shivers
AMS
Restlessness
sweating
Serotonergic drugs include: - ✅✅ triptans
MAOIs
TCA
buspirone
amphetamines,
cocaine,
levodopa,
dextromethorphan, and
several opioids
, Babies born to mothers who use opioids may need treatment with what? - ✅✅
morphine or methadone
________ can be used adjunctively to treat withdrawal seizures. - ✅✅
Phenobarbital
Which Neonatal withdrawal syndromes may present weeks after birth? Name the
drug. - ✅✅ Methadone
_________ is a safe and effective second-line treatment of symptoms refractory to
opioid therapy in newborns - ✅✅ Clonidine
The patient must first be detoxified from opioid dependence before starting
_______✅✅ naltrexone.
Long acting opioids, such as methadone, require at least how many hours since last
use before initiating buprenorphine? ✅✅ 48-72
Short acting opioids (for example, heroin) require approximately ____ hours since
last use for sufficient withdrawal to occur in order to safely initiate treatment. -
✅✅ 12
Patients with _______ _________ syndrome often present with abdominal pain
and nausea, which may be refractory to standard antiemetics - ✅✅ cannabis
hyperemesis
Patients with injection drug abuse are most likely to have _____sided bacterial
endocarditis. ✅✅ right
_______ should be used empirically, which can be switched to _______ if MRSA
infection is confirmed. - ✅✅ Vancomycin; nafcillin
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. - ✅✅ 5
15
