CARN-AP 2ND EXAM QUESTIONS AND ANSWERS
Babies born to opioid-using moms may require treatment with what?
________ can be used as an additional treatment for withdrawal seizures. -
ANSWER Morphine or methadone?
Phenobarbital
Which neonatal withdrawal disorders can develop weeks after birth? Name the
medication. - ANSWER Methadone
_________ is a safe and effective second-line treatment of symptoms in neonates
that are resistant to opioid medication. - 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 the
last dose before starting buprenorphine?
Short-acting opioids (such as heroin) require roughly ____ hours from last use for
adequate withdrawal to occur to properly commence treatment. - The answer is
naltrexone.
48-72
12
,Patients with __________ syndrome frequently report with abdominal discomfort
and nausea, which may be unresponsive to typical antiemetics. ANSWER:
Cannabis Hyperemesis
Patients who overuse injectable drugs are more likely to get _____sided bacterial
endocarditis.
_______ should be administered experimentally but can be changed to _______ if
MRSA infection is confirmed. - Answer correctly.
Vancomycin; Nafcillin.
Marijuana use can be found in the urine up to ___days after exposure for infrequent
users and up to ___days for chronic or frequent users. - Answer: 5
15
The _______ _______ contributes to the sense of reward associated with cocaine
use. - ANSWER nucleus accumbens.
Symptomatic treatment for opioid withdrawal includes the following:
- _______ for diarrhea.
- ______ to treat nausea and vomiting.
- ______ for myalgia. - ANSWER: Loperamide
promethazine
ibuprofen
,Holiday heart syndrome is a condition caused by excessive ______ use. Excessive
alcohol usage causes macroscopic and microscopic heart abnormalities, which lead
to an atrial _______.
arrhythmia.
Aerosolized glycerol and propylene glycol, substances contained in vape pens,
have been related to localized _______ _______ of the upper airways--ANSWER
squamous metaplasia.
Substance use disorder is defined as the excessive use of drugs that activate which
of the following regions of the brain? - ANSWER Brain reward system
The ______ system, which governs our emotions, instincts, and memories, is
located in the brain's center behind the temporal lobe. It also includes the brain's
______ system.
The primary function of the ________ system is to assist us avoid harmful/painful
experiences and to make us feel good when we engage in actions important for our
survival - ANSWER LIMBIC
REWARD
reward
A 22-year-old lady is taken to the emergency department by EMS with a blood
pressure of 180/102 mmHg and a heart rate of 110 beats per minute. She is
disturbed and appears to have paranoid ideas about persons pursuing her. Her
behavior is very sexual, and her discourse is incomprehensible. Psychomotor
agitation is evident. Which of the following drugs is most likely to cause the
patient's symptoms? - Answer: Methamphetamine.
_________ treatment is for depressed patients.
________ treatment is used in SUD.
, Therapy for patients with BiP and SUD
___________- PTSD & SUD - ANSWER Interpersonal
Supportive
Integrated
Seeking safety.
Cocaine inhibits the reuptake of which three neurotransmitters? - ANSWER
dopamine, NE, and serotonin at the synapse.
What NT causes the vasoconstriction that cocaine users experience? - ANSWER
rise in NE
PCP
(Name 3) reuptake is inhibited.
What three receptor stimulation NTs have increased?
Which of the three causes lethargy and coma? Answer: Dopamine, NE, and
serotonin.
Acetylcholine, GABA, and Sigma
Sigma
Babies born to opioid-using moms may require treatment with what?
________ can be used as an additional treatment for withdrawal seizures. -
ANSWER Morphine or methadone?
Phenobarbital
Which neonatal withdrawal disorders can develop weeks after birth? Name the
medication. - ANSWER Methadone
_________ is a safe and effective second-line treatment of symptoms in neonates
that are resistant to opioid medication. - 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 the
last dose before starting buprenorphine?
Short-acting opioids (such as heroin) require roughly ____ hours from last use for
adequate withdrawal to occur to properly commence treatment. - The answer is
naltrexone.
48-72
12
,Patients with __________ syndrome frequently report with abdominal discomfort
and nausea, which may be unresponsive to typical antiemetics. ANSWER:
Cannabis Hyperemesis
Patients who overuse injectable drugs are more likely to get _____sided bacterial
endocarditis.
_______ should be administered experimentally but can be changed to _______ if
MRSA infection is confirmed. - Answer correctly.
Vancomycin; Nafcillin.
Marijuana use can be found in the urine up to ___days after exposure for infrequent
users and up to ___days for chronic or frequent users. - Answer: 5
15
The _______ _______ contributes to the sense of reward associated with cocaine
use. - ANSWER nucleus accumbens.
Symptomatic treatment for opioid withdrawal includes the following:
- _______ for diarrhea.
- ______ to treat nausea and vomiting.
- ______ for myalgia. - ANSWER: Loperamide
promethazine
ibuprofen
,Holiday heart syndrome is a condition caused by excessive ______ use. Excessive
alcohol usage causes macroscopic and microscopic heart abnormalities, which lead
to an atrial _______.
arrhythmia.
Aerosolized glycerol and propylene glycol, substances contained in vape pens,
have been related to localized _______ _______ of the upper airways--ANSWER
squamous metaplasia.
Substance use disorder is defined as the excessive use of drugs that activate which
of the following regions of the brain? - ANSWER Brain reward system
The ______ system, which governs our emotions, instincts, and memories, is
located in the brain's center behind the temporal lobe. It also includes the brain's
______ system.
The primary function of the ________ system is to assist us avoid harmful/painful
experiences and to make us feel good when we engage in actions important for our
survival - ANSWER LIMBIC
REWARD
reward
A 22-year-old lady is taken to the emergency department by EMS with a blood
pressure of 180/102 mmHg and a heart rate of 110 beats per minute. She is
disturbed and appears to have paranoid ideas about persons pursuing her. Her
behavior is very sexual, and her discourse is incomprehensible. Psychomotor
agitation is evident. Which of the following drugs is most likely to cause the
patient's symptoms? - Answer: Methamphetamine.
_________ treatment is for depressed patients.
________ treatment is used in SUD.
, Therapy for patients with BiP and SUD
___________- PTSD & SUD - ANSWER Interpersonal
Supportive
Integrated
Seeking safety.
Cocaine inhibits the reuptake of which three neurotransmitters? - ANSWER
dopamine, NE, and serotonin at the synapse.
What NT causes the vasoconstriction that cocaine users experience? - ANSWER
rise in NE
PCP
(Name 3) reuptake is inhibited.
What three receptor stimulation NTs have increased?
Which of the three causes lethargy and coma? Answer: Dopamine, NE, and
serotonin.
Acetylcholine, GABA, and Sigma
Sigma
