CARN-AP 2nd set 2025 EXAM Questions
and Answers Graded A+
Babies born to mothers who use opioids may need treatment with what?
________ can be used adjunctively to treat withdrawal seizures. - Correct answer-
morphine or methadone
Phenobarbital
Which Neonatal withdrawal syndromes may present weeks after birth? Name the
drug. - Correct answer-Methadone
_________ is a safe and effective second-line treatment of symptoms refractory to
opioid therapy in newborns - Correct answer-Clonidine
The patient must first be detoxified from opioid dependence before starting
_______
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,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. -
Correct answer-naltrexone.
48-72
12
Patients with _______ _________ syndrome often present with abdominal pain
and nausea, which may be refractory to standard antiemetics - Correct answer-
cannabis hyperemesis
Patients with injection drug abuse are most likely to have _____sided bacterial
endocarditis.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,_______ should be used empirically, which can be switched to _______ if MRSA
infection is confirmed. - Correct 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. - Correct answer-5
15
The _______ _______ is involved in the sense of reward from cocaine use. -
Correct answer-nucleus accumbens
Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia - Correct 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
_______ - Correct answer-alcohol
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, arrhythmia.
Aerosolized glycerol and propylene glycol, chemicals found in vape pens have
been associated with focal _______ _______ of the upper airways - Correct
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? - Correct 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.
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 - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
and Answers Graded A+
Babies born to mothers who use opioids may need treatment with what?
________ can be used adjunctively to treat withdrawal seizures. - Correct answer-
morphine or methadone
Phenobarbital
Which Neonatal withdrawal syndromes may present weeks after birth? Name the
drug. - Correct answer-Methadone
_________ is a safe and effective second-line treatment of symptoms refractory to
opioid therapy in newborns - Correct answer-Clonidine
The patient must first be detoxified from opioid dependence before starting
_______
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,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. -
Correct answer-naltrexone.
48-72
12
Patients with _______ _________ syndrome often present with abdominal pain
and nausea, which may be refractory to standard antiemetics - Correct answer-
cannabis hyperemesis
Patients with injection drug abuse are most likely to have _____sided bacterial
endocarditis.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,_______ should be used empirically, which can be switched to _______ if MRSA
infection is confirmed. - Correct 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. - Correct answer-5
15
The _______ _______ is involved in the sense of reward from cocaine use. -
Correct answer-nucleus accumbens
Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia - Correct 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
_______ - Correct answer-alcohol
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, arrhythmia.
Aerosolized glycerol and propylene glycol, chemicals found in vape pens have
been associated with focal _______ _______ of the upper airways - Correct
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? - Correct 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.
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 - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4