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Exam (elaborations)

CARN Study Guide for 2025 – Updated Questions and Correct Solutions.

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CARN Study Guide for 2025 – Updated Questions and Correct Solutions.

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Institution
Excel
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Uploaded on
March 9, 2025
Number of pages
25
Written in
2024/2025
Type
Exam (elaborations)
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CARN-AP 2nd SET 2025 UPDATE |19
QUESTIONS| WITH ALREADY SOLVE CORRECTL
ANSWERS!! | ASSURED SUCCESS
1. Babies born to mothers who use opioids may need treatment with what?

________ can be used adjunctively to treat withdrawal seizures.: morphine or
methadone
Phenobarbital
2. Which Neonatal withdrawal syndromes may present weeks after birth?
Name the drug.: Methadone
3. _________ is a safe and effective second-line treatment of symptoms
refractory to opioid therapy in newborns: Clonidine
4. The patient must first be detoxified from opioid dependence before starting
_______

Long acting opioids, such as methadone, require at least how many hours
since last use before initiating buprenorphine?

Short acting opioids (for example, heroin) require approximately ____ hours
since last use for sufficient withdrawal to occur in order to safely initiate
treatment.: naltrexone.

48-72

12
5. Patients with _______ _________ syndrome often present with abdominal
pain and nausea, which may be refractory to standard antiemetics: cannabis
hyperemesis
6. Patients with injection drug abuse are most likely to have _____sided
bacterial endocarditis.

_______ should be used empirically, which can be switched to _______ if
MRSA infection is confirmed.: right
Vancomycin; nafcillin




, CARN-AP 2nd SET 2025 UPDATE |19
QUESTIONS| WITH ALREADY SOLVE CORRECTL
ANSWERS!! | ASSURED SUCCESS
7. 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
8. The _______ _______ is involved in the sense of reward from cocaine use.:
nucleus accumbens
9. Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting - ________for
myalgia: loperamide promethazine ibuprofen
10. Holiday heart syndrome is a syndrome caused by excessive ______
use. Excessive alcohol use results in gross and microscopic cardiac
changes leading to an atrial _______: alcohol arrhythmia.
11. Aerosolized glycerol and propylene glycol, chemicals found in vape
pens have been associated with focal _______ _______ of the upper
airways: squamous metaplasia
12. 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
13. 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.

The main job of the________ system is to help us avoid harmful/painful
experiences and to makes us feel good when we engage in behaviors
necessary for our survival: LIMBIC
REWARD
reward
14. 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 15. _________ therapy- patients
with depression. ________ therapy- employed in SUD.


, CARN-AP 2nd SET 2025 UPDATE |19
QUESTIONS| WITH ALREADY SOLVE CORRECTL
ANSWERS!! | ASSURED SUCCESS
__________ therapy- patients with BiP and SUD
________ ________- PTSD & SUD: Interpersonal
Supportive
Integrated
Seeking safety
16. Cocaine blocks the reuptake of what 3 NT?: dopamine, NE, and serotonin
at the synapse.
17 The vasoconstriction experienced while on cocaine is caused by what NT?:
increase in NE
18. PCP

(Name 3) reuptake is blocked

What 3 receptor stimulation NTs are increased:

Out of the 3 which one leads to lethargy and coma: Dopamine & NE, serotonin
Acetylcholine, GABA, Sigma
Sigma
19. The inhibitory reuptake of dopamine and NE while someone is on PCP
leads to:: HTN/tachy
agitation
bronchodilation
20. Relapse is most likely to occur at the _______stages of recovery.: early
21. What happens when one person enables another person's addictions?:
Co-dependency
22. The comorbidity of personality disorders with panic disorder is strongly
associated with _______ attempts: suicide
23. Serotonin syndrome is caused by toxic levels of serotonin. It presents
with:
SHIVERS
- _________
- Hyperreflexia/clonus

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