CARN study material question with
answers
5 stages of addiction - -1. First Use
2. Continued use
3. Tolerance
4. Dependence
5. Addiction
-6% of U.S patients misuse their pain management prescriptions. Three common
patient populations affected are Cancer, MVA and __________ ________ - -Sickle Cell
-This medication acts on the same opioid receptors as commonly abused opioids
without reaching a point of euphoria. Also being long acting it has been used for
over 40 years in countless patients quests towards recovery. - -Methadone
-Which of these medications are used for treating alcohol abuse?
Acamprosate
Varenicline
Methadone
Bupropion - -Acamprosate
-Which of these medications are used for tobacco disorder?
Acamprosate
Varenicline
Methadone
Bupropion - -Varenicline
Bupropion
-This substance is a full agonist of trace amine-associated receptors (TAAR1).
Activation TAAR1 causes the increase of cAMP and inhibition of serotonin,
dopamine, and norepinephrine transporters. The inhibition of monoamine
transporters causes the reuptake and metabolism of catecholamines. - -
Methamphetamine
-The following are "_________ _______" for methamphetamine: meth, crystal meth,
crystal, speed, scootie, yellow powder, crank, ice, spoosh, glass, chalk, redneck
cocaine, yellow barn, Tina, and tick-tick. - -street names
-Patients under the influence of methamphetamine can have the following signs or
symptoms: ___________ appetite, nausea, psychosis, tachycardia, hypertension,
___________ body temperature, panic attack, mydriasis, __________ sleep patterns,
violent, bizarre, and erratic behavior, hallucinations, irritability, seizures, and death
from high doses. - -decreased
increased
disturbed
, -A 65-year-old female presents to the clinic to seek a re-prescription of her pain
medication. She had a motor vehicle collision (MVC) 8 months ago that left her with
chronic neuralgia in bilateral arms along with low back pain. She was prescribed
oxycodone/acetaminophen 7.5/325 mg q6 hours. Her last scheduled refill was 20
days ago with a 30 day supply. She returns early claiming she needed multiple
dosages sooner than directed due to unmanaged pain. Current vital signs are
normal, but she is diaphoretic, tearing, restless, and occasionally yawning. When
the provider explains, controlled medications cannot be prescribed in this manner,
the patient states, "You don't understand. I need to feel normal. Without it, I feel
worse than I used to feel at baseline. Please!" What stage of addiction is the patient
in and what medication can be used to help her symptoms?
Choices:
1. Tolerance and acamprosate
2. Tolerance and - -Dependence and methadone
-A patient presents to the emergency department with agitation, mydriasis,
hypertension, and tachycardia. He states that he snorted "some crystals" with
friends and that he feels energetic and anxious. He reports that his friends told him
this is a treatment for weight loss and this is the reason why he tried it. Which is
true of the drug most likely used by this patient?
Choices:
1. Partial agonist of trace amine-associated receptors (TAAR1)
2. Gamma-aminobutyric acid (GABA) receptor agonist
3. Full agonist of trace amine-associated receptors (TAAR1)
4. Full antagonist of dopamine receptors - -Full agonist of trace amine-associated
receptors (TAAR1)
-A 35-year-old woman comes in for her wellness check-up. She has a 13-year-old
son who is going to be starting high school next year and often hear him and his
friends discuss ways to prepare for high school, so they fit in. The mother is
concerned her son may use drugs as he often talks about the partying. She wants to
know what she can do it prepare him to avoid smoking cannabis given its surge in
popularity amongst youth. What is the most common reason for marijuana use,
amongst teenagers and young adults?
Choices:
1. Stress management
2. Experimentation
3. Social conformity
4. Pleasurable sensation - -Social conformity
-A young adult patient is dropped off outside the emergency department by her
friends, and they drive off before any history can be obtained. The patient has
altered mental status and shows signs of intoxication. Sudden dorsiflexion of her
ankle produces a rhythmic reproduction of her ankle jerk reflex. Which of the
following drugs did she most likely ingest?
, Choices:
1. Alcohol
2. 3,4-Methylenedioxymethamphetamine (MDMA)
3. Phencyclidine
4. Cannabis - -3,4-Methylenedioxymethamphetamine (MDMA)
-Several classes of common street drugs such as cocaine, ecstasy (MDMA), and
amphetamines, increase serotonin levels, which is part of what contributes to the
pleasurable and addictive aspects of their use, and also what can produce a
__________ syndrome and __________. - -serotonin
clonus
-Psychiatric medications such as monoamine oxidase inhibitors (MAOI), selective
serotonin reuptake inhibitors (SSRI), serotonin-norepinephrine reuptake inhibitors
(SNRI), and tricyclic antidepressants (TCA) manipulate serotonin levels to improve
__________, but too much can produce clonus as part of serotonin ____________. - -
mood
syndrome
-____________ nervous system depressants like alcohol and opiates can diminish
deep tendon __________ as opposed to producing clonus. - -Central
reflexes
-A 66-year-old male was prescribed pain medication after a fracture followed by
surgery 6 months ago. Since then, his primary care provider has noticed frequent
visits to the office asking for pain medication and multiple injuries justifying the use
of it. Every time there are different vague complaints, but that of pain is consistent.
On his last visit, the primary care took a firm stand and did not agree to continue
prescribing the opioids. Today he visits in a restless state. Which of the following do
you suspect to see on history or physical exam in this patient?
Choices:
1. Constipation
2. Miosis
3. Dilated pupils
4. Bradycardia - -Dilated pupils
-Opioid withdrawal onset varies with the type of opioid used. Heroin withdrawal
begins in as little as ___ hours, whereas methadone may take 2 to 3 _______. - -5
days
-Opiod withdrawal symptoms may last days to weeks known as protracted
abstinence syndrome. Signs and symptoms of withdrawal include ___________
cramps, agitation, anxiety, cravings, diarrhea, dilated pupils, high blood pressure,
insomnia, goosebumps, muscle pains, ________ nose, shakiness, sneezing, sweating,
tachycardia, and tearing. - -abdominal
runny
-A pregnant female, admitted for possible pyelonephritis, is complaining of
significant anxiety, tremulousness, and irritability. Upon assessment, she is noted to
answers
5 stages of addiction - -1. First Use
2. Continued use
3. Tolerance
4. Dependence
5. Addiction
-6% of U.S patients misuse their pain management prescriptions. Three common
patient populations affected are Cancer, MVA and __________ ________ - -Sickle Cell
-This medication acts on the same opioid receptors as commonly abused opioids
without reaching a point of euphoria. Also being long acting it has been used for
over 40 years in countless patients quests towards recovery. - -Methadone
-Which of these medications are used for treating alcohol abuse?
Acamprosate
Varenicline
Methadone
Bupropion - -Acamprosate
-Which of these medications are used for tobacco disorder?
Acamprosate
Varenicline
Methadone
Bupropion - -Varenicline
Bupropion
-This substance is a full agonist of trace amine-associated receptors (TAAR1).
Activation TAAR1 causes the increase of cAMP and inhibition of serotonin,
dopamine, and norepinephrine transporters. The inhibition of monoamine
transporters causes the reuptake and metabolism of catecholamines. - -
Methamphetamine
-The following are "_________ _______" for methamphetamine: meth, crystal meth,
crystal, speed, scootie, yellow powder, crank, ice, spoosh, glass, chalk, redneck
cocaine, yellow barn, Tina, and tick-tick. - -street names
-Patients under the influence of methamphetamine can have the following signs or
symptoms: ___________ appetite, nausea, psychosis, tachycardia, hypertension,
___________ body temperature, panic attack, mydriasis, __________ sleep patterns,
violent, bizarre, and erratic behavior, hallucinations, irritability, seizures, and death
from high doses. - -decreased
increased
disturbed
, -A 65-year-old female presents to the clinic to seek a re-prescription of her pain
medication. She had a motor vehicle collision (MVC) 8 months ago that left her with
chronic neuralgia in bilateral arms along with low back pain. She was prescribed
oxycodone/acetaminophen 7.5/325 mg q6 hours. Her last scheduled refill was 20
days ago with a 30 day supply. She returns early claiming she needed multiple
dosages sooner than directed due to unmanaged pain. Current vital signs are
normal, but she is diaphoretic, tearing, restless, and occasionally yawning. When
the provider explains, controlled medications cannot be prescribed in this manner,
the patient states, "You don't understand. I need to feel normal. Without it, I feel
worse than I used to feel at baseline. Please!" What stage of addiction is the patient
in and what medication can be used to help her symptoms?
Choices:
1. Tolerance and acamprosate
2. Tolerance and - -Dependence and methadone
-A patient presents to the emergency department with agitation, mydriasis,
hypertension, and tachycardia. He states that he snorted "some crystals" with
friends and that he feels energetic and anxious. He reports that his friends told him
this is a treatment for weight loss and this is the reason why he tried it. Which is
true of the drug most likely used by this patient?
Choices:
1. Partial agonist of trace amine-associated receptors (TAAR1)
2. Gamma-aminobutyric acid (GABA) receptor agonist
3. Full agonist of trace amine-associated receptors (TAAR1)
4. Full antagonist of dopamine receptors - -Full agonist of trace amine-associated
receptors (TAAR1)
-A 35-year-old woman comes in for her wellness check-up. She has a 13-year-old
son who is going to be starting high school next year and often hear him and his
friends discuss ways to prepare for high school, so they fit in. The mother is
concerned her son may use drugs as he often talks about the partying. She wants to
know what she can do it prepare him to avoid smoking cannabis given its surge in
popularity amongst youth. What is the most common reason for marijuana use,
amongst teenagers and young adults?
Choices:
1. Stress management
2. Experimentation
3. Social conformity
4. Pleasurable sensation - -Social conformity
-A young adult patient is dropped off outside the emergency department by her
friends, and they drive off before any history can be obtained. The patient has
altered mental status and shows signs of intoxication. Sudden dorsiflexion of her
ankle produces a rhythmic reproduction of her ankle jerk reflex. Which of the
following drugs did she most likely ingest?
, Choices:
1. Alcohol
2. 3,4-Methylenedioxymethamphetamine (MDMA)
3. Phencyclidine
4. Cannabis - -3,4-Methylenedioxymethamphetamine (MDMA)
-Several classes of common street drugs such as cocaine, ecstasy (MDMA), and
amphetamines, increase serotonin levels, which is part of what contributes to the
pleasurable and addictive aspects of their use, and also what can produce a
__________ syndrome and __________. - -serotonin
clonus
-Psychiatric medications such as monoamine oxidase inhibitors (MAOI), selective
serotonin reuptake inhibitors (SSRI), serotonin-norepinephrine reuptake inhibitors
(SNRI), and tricyclic antidepressants (TCA) manipulate serotonin levels to improve
__________, but too much can produce clonus as part of serotonin ____________. - -
mood
syndrome
-____________ nervous system depressants like alcohol and opiates can diminish
deep tendon __________ as opposed to producing clonus. - -Central
reflexes
-A 66-year-old male was prescribed pain medication after a fracture followed by
surgery 6 months ago. Since then, his primary care provider has noticed frequent
visits to the office asking for pain medication and multiple injuries justifying the use
of it. Every time there are different vague complaints, but that of pain is consistent.
On his last visit, the primary care took a firm stand and did not agree to continue
prescribing the opioids. Today he visits in a restless state. Which of the following do
you suspect to see on history or physical exam in this patient?
Choices:
1. Constipation
2. Miosis
3. Dilated pupils
4. Bradycardia - -Dilated pupils
-Opioid withdrawal onset varies with the type of opioid used. Heroin withdrawal
begins in as little as ___ hours, whereas methadone may take 2 to 3 _______. - -5
days
-Opiod withdrawal symptoms may last days to weeks known as protracted
abstinence syndrome. Signs and symptoms of withdrawal include ___________
cramps, agitation, anxiety, cravings, diarrhea, dilated pupils, high blood pressure,
insomnia, goosebumps, muscle pains, ________ nose, shakiness, sneezing, sweating,
tachycardia, and tearing. - -abdominal
runny
-A pregnant female, admitted for possible pyelonephritis, is complaining of
significant anxiety, tremulousness, and irritability. Upon assessment, she is noted to
