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Exam (elaborations)

Carn-Ap 2Nd Set

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Exam of 30 pages for the course CARN-AP 2nd at CARN-AP 2nd (CARN-AP 2nd SET)

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CARN-AP 2nd SET





Babies born to mothers who use opioids may need treatment with what?



________ can be used adjunctively to treat withdrawal seizures. - (answer)morphine or methadone

Phenobarbital



Which Neonatal withdrawal syndromes may present weeks after birth? Name the drug. -
(answer)Methadone



_________ is a safe and effective second-line treatment of symptoms refractory to opioid therapy in
newborns - (answer)Clonidine



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. - (answer)naltrexone.



48-72



12



Patients with _______ _________ syndrome often present with abdominal pain and nausea, which may
be refractory to standard antiemetics - (answer)cannabis hyperemesis



Patients with injection drug abuse are most likely to have _____sided bacterial endocarditis.

,CARN-AP 2nd SET





_______ should be used empirically, which can be switched to _______ if MRSA infection is confirmed. -
(answer)right

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. - (answer)5

15



The _______ _______ is involved in the sense of reward from cocaine use. - (answer)nucleus accumbens



Symptomatic treatment in opioid withdrawal includes:

- ________ for diarrhea

- ______ for nausea and vomiting

- ________for myalgia - (answer)loperamide

promethazine

ibuprofen



Holiday heart syndrome is a syndrome caused by excessive ______ use. Excessive alcohol use results in
gross and microscopic cardiac changes leading to an atrial _______ - (answer)alcohol

arrhythmia.



Aerosolized glycerol and propylene glycol, chemicals found in vape pens have been associated with focal
_______ _______ of the upper airways - (answer)squamous metaplasia



Substance use disorder refers to the excessive use of drugs that tend to activate which of the following
portions of the brain? - (answer)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.

, CARN-AP 2nd SET






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 - (answer)LIMBIC

REWARD

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? -
(answer)Methamphetamine



_________ therapy- patients with depression.

________ therapy- employed in SUD.

__________ therapy- patients with BiP and SUD

________ ________- PTSD & SUD - (answer)Interpersonal

Supportive

Integrated

Seeking safety



Cocaine blocks the reuptake of what 3 NT? - (answer)dopamine, NE, and serotonin at the synapse.



The vasoconstriction experienced while on cocaine is caused by what NT? - (answer)increase in NE



PCP



(Name 3) reuptake is blocked



What 3 receptor stimulation NTs are increased:

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