CARN STUDY MATERIAL EXAM WITH
FULL PACK SOLUTIONS
5 Wstages Wof Waddiction W- Wcorrect Wanswers-1. WFirst WUse
2. WContinued Wuse
3. WTolerance
4. WDependence W
5. WAddiction
,6% Wof WU.S Wpatients Wmisuse Wtheir Wpain Wmanagement Wprescriptions. WThree
Wcommon Wpatient Wpopulations Waffected Ware WCancer, WMVA Wand
W__________ W________ W- Wcorrect Wanswers-Sickle WCell
This Wmedication Wacts Won Wthe Wsame Wopioid Wreceptors Was Wcommonly
Wabused Wopioids Wwithout Wreaching Wa Wpoint Wof Weuphoria. WAlso Wbeing
Wlong Wacting Wit Whas Wbeen Wused Wfor Wover W40 Wyears Win Wcountless
Wpatients Wquests Wtowards Wrecovery. W- Wcorrect Wanswers-Methadone
Which Wof Wthese Wmedications Ware Wused Wfor Wtreating Walcohol Wabuse? W
Acamprosate W
Varenicline
Methadone W
Bupropion W- Wcorrect Wanswers-Acamprosate
Which Wof Wthese Wmedications Ware Wused Wfor Wtobacco Wdisorder?
Acamprosate W
Varenicline
Methadone W
Bupropion W- Wcorrect Wanswers-Varenicline W
Bupropion
This Wsubstance Wis Wa Wfull Wagonist Wof Wtrace Wamine-associated Wreceptors
W(TAAR1). WActivation WTAAR1 Wcauses Wthe Wincrease Wof WcAMP Wand
Winhibition Wof Wserotonin, Wdopamine, Wand Wnorepinephrine Wtransporters. WThe
Winhibition Wof Wmonoamine Wtransporters Wcauses Wthe Wreuptake Wand
Wmetabolism Wof Wcatecholamines. W- Wcorrect Wanswers-Methamphetamine
The Wfollowing Ware W"_________ W_______" Wfor Wmethamphetamine: Wmeth,
Wcrystal Wmeth, Wcrystal, Wspeed, Wscootie, Wyellow Wpowder, Wcrank, Wice,
Wspoosh, Wglass, Wchalk, Wredneck Wcocaine, Wyellow Wbarn, WTina, Wand Wtick-
tick. W- Wcorrect Wanswers-street Wnames
Patients Wunder Wthe Winfluence Wof Wmethamphetamine Wcan Whave Wthe
Wfollowing Wsigns Wor Wsymptoms: W___________ Wappetite, Wnausea, Wpsychosis,
Wtachycardia, Whypertension, W___________ Wbody Wtemperature, Wpanic Wattack,
Wmydriasis, W__________ Wsleep Wpatterns, Wviolent, Wbizarre, Wand Werratic
Wbehavior, Whallucinations, Wirritability, Wseizures, Wand Wdeath Wfrom Whigh
Wdoses. W- Wcorrect Wanswers-decreased
increased
disturbed
A W65-year-old Wfemale Wpresents Wto Wthe Wclinic Wto Wseek Wa Wre-prescription
Wof Wher Wpain Wmedication. WShe Whad Wa Wmotor Wvehicle Wcollision W(MVC)
,W8 Wmonths Wago Wthat Wleft Wher Wwith Wchronic Wneuralgia Win Wbilateral Warms
Walong Wwith Wlow Wback Wpain. WShe Wwas Wprescribed
Woxycodone/acetaminophen W7.5/325 Wmg Wq6 Whours. WHer Wlast Wscheduled
Wrefill Wwas W20 Wdays Wago Wwith Wa W30 Wday Wsupply. WShe Wreturns Wearly
Wclaiming Wshe Wneeded Wmultiple Wdosages Wsooner Wthan Wdirected Wdue Wto
Wunmanaged Wpain. WCurrent Wvital Wsigns Ware Wnormal, Wbut Wshe Wis
Wdiaphoretic, Wtearing, Wrestless, Wand Woccasionally Wyawning. WWhen Wthe
Wprovider Wexplains, Wcontrolled Wmedications Wcannot Wbe Wprescribed Win Wthis
Wmanner, Wthe Wpatient Wstates, W"You Wdon't Wunderstand. WI Wneed Wto Wfeel
Wnormal. WWithout Wit, WI Wfeel Wworse Wthan WI Wused Wto Wfeel Wat Wbaseline.
WPlease!" WWhat Wstage Wof Waddiction Wis Wthe Wpatient Win Wand Wwhat
Wmedication Wcan Wbe Wused Wto Whelp Wher Wsymptoms?
Choices: W
1. WTolerance Wand Wacamprosate
2. WTolerance Wand W- Wcorrect Wanswers-Dependence Wand Wmethadone
A Wpatient Wpresents Wto Wthe Wemergency Wdepartment Wwith Wagitation,
Wmydriasis, Whypertension, Wand Wtachycardia. WHe Wstates Wthat Whe Wsnorted
W"some Wcrystals" Wwith Wfriends Wand Wthat Whe Wfeels Wenergetic Wand
Wanxious. WHe Wreports Wthat Whis Wfriends Wtold Whim Wthis Wis Wa Wtreatment
Wfor Wweight Wloss Wand Wthis Wis Wthe Wreason Wwhy Whe Wtried Wit. WWhich Wis
Wtrue Wof Wthe Wdrug Wmost Wlikely Wused Wby Wthis Wpatient?
WChoices: W
1. WPartial Wagonist Wof Wtrace Wamine-associated Wreceptors W(TAAR1) W
2. WGamma-aminobutyric Wacid W(GABA) Wreceptor Wagonist W
3. WFull Wagonist Wof Wtrace Wamine-associated Wreceptors W(TAAR1) W
4. WFull Wantagonist Wof Wdopamine Wreceptors W- Wcorrect Wanswers-Full Wagonist
Wof Wtrace Wamine-associated Wreceptors W(TAAR1)
A W35-year-old Wwoman Wcomes Win Wfor Wher Wwellness Wcheck-up. WShe Whas
Wa W13-year-old Wson Wwho Wis Wgoing Wto Wbe Wstarting Whigh Wschool Wnext
Wyear Wand Woften Whear Whim Wand Whis Wfriends Wdiscuss Wways Wto Wprepare
Wfor Whigh Wschool, Wso Wthey Wfit Win. WThe Wmother Wis Wconcerned Wher Wson
Wmay Wuse Wdrugs Was Whe Woften Wtalks Wabout Wthe Wpartying. WShe Wwants
Wto Wknow Wwhat Wshe Wcan Wdo Wit Wprepare Whim Wto Wavoid Wsmoking
Wcannabis Wgiven Wits Wsurge Win Wpopularity Wamongst Wyouth. WWhat Wis Wthe
Wmost Wcommon Wreason Wfor Wmarijuana Wuse, Wamongst Wteenagers Wand
Wyoung Wadults?
W
Choices: W
1. WStress Wmanagement W
2. WExperimentation W
3. WSocial Wconformity W
4. WPleasurable Wsensation W- Wcorrect Wanswers-Social Wconformity
, A Wyoung Wadult Wpatient Wis Wdropped Woff Woutside Wthe Wemergency
Wdepartment Wby Wher Wfriends, Wand Wthey Wdrive Woff Wbefore Wany Whistory
Wcan Wbe Wobtained. WThe Wpatient Whas Waltered Wmental Wstatus Wand Wshows
Wsigns Wof Wintoxication. WSudden Wdorsiflexion Wof Wher Wankle Wproduces Wa
Wrhythmic Wreproduction Wof Wher Wankle Wjerk Wreflex. WWhich Wof Wthe
Wfollowing Wdrugs Wdid Wshe Wmost Wlikely Wingest?
Choices: W
1. WAlcohol W
2. W3,4-Methylenedioxymethamphetamine W(MDMA) W
3. WPhencyclidine W
4. WCannabis W- Wcorrect Wanswers-3,4-Methylenedioxymethamphetamine W(MDMA)
Several Wclasses Wof Wcommon Wstreet Wdrugs Wsuch Was Wcocaine, Wecstasy
W(MDMA), Wand Wamphetamines, Wincrease Wserotonin Wlevels, Wwhich Wis Wpart
Wof Wwhat Wcontributes Wto Wthe Wpleasurable Wand Waddictive Waspects Wof
Wtheir Wuse, Wand Walso Wwhat Wcan Wproduce Wa W__________ Wsyndrome Wand
W__________. W- Wcorrect Wanswers-serotonin
clonus
Psychiatric Wmedications Wsuch Was Wmonoamine Woxidase Winhibitors W(MAOI),
Wselective Wserotonin Wreuptake Winhibitors W(SSRI), Wserotonin-norepinephrine
Wreuptake Winhibitors W(SNRI), Wand Wtricyclic Wantidepressants W(TCA)
Wmanipulate Wserotonin Wlevels Wto Wimprove W__________, Wbut Wtoo Wmuch
Wcan Wproduce Wclonus Was Wpart Wof Wserotonin W____________. W- Wcorrect
Wanswers-mood
syndrome
____________ Wnervous Wsystem Wdepressants Wlike Walcohol Wand Wopiates Wcan
Wdiminish Wdeep Wtendon W__________ Was Wopposed Wto Wproducing Wclonus.
W- Wcorrect Wanswers-Central
reflexes
A W66-year-old Wmale Wwas Wprescribed Wpain Wmedication Wafter Wa Wfracture
Wfollowed Wby Wsurgery W6 Wmonths Wago. WSince Wthen, Whis Wprimary Wcare
Wprovider Whas Wnoticed Wfrequent Wvisits Wto Wthe Woffice Wasking Wfor Wpain
Wmedication Wand Wmultiple Winjuries Wjustifying Wthe Wuse Wof Wit. WEvery Wtime
Wthere Ware Wdifferent Wvague Wcomplaints, Wbut Wthat Wof Wpain Wis Wconsistent.
WOn Whis Wlast Wvisit, Wthe Wprimary Wcare Wtook Wa Wfirm Wstand Wand Wdid
Wnot Wagree Wto Wcontinue Wprescribing Wthe Wopioids. WToday Whe Wvisits Win Wa
Wrestless Wstate. WWhich Wof Wthe Wfollowing Wdo Wyou Wsuspect Wto Wsee Won
Whistory Wor Wphysical Wexam Win Wthis Wpatient? W
Choices: W
1. WConstipation W
2. WMiosis W
FULL PACK SOLUTIONS
5 Wstages Wof Waddiction W- Wcorrect Wanswers-1. WFirst WUse
2. WContinued Wuse
3. WTolerance
4. WDependence W
5. WAddiction
,6% Wof WU.S Wpatients Wmisuse Wtheir Wpain Wmanagement Wprescriptions. WThree
Wcommon Wpatient Wpopulations Waffected Ware WCancer, WMVA Wand
W__________ W________ W- Wcorrect Wanswers-Sickle WCell
This Wmedication Wacts Won Wthe Wsame Wopioid Wreceptors Was Wcommonly
Wabused Wopioids Wwithout Wreaching Wa Wpoint Wof Weuphoria. WAlso Wbeing
Wlong Wacting Wit Whas Wbeen Wused Wfor Wover W40 Wyears Win Wcountless
Wpatients Wquests Wtowards Wrecovery. W- Wcorrect Wanswers-Methadone
Which Wof Wthese Wmedications Ware Wused Wfor Wtreating Walcohol Wabuse? W
Acamprosate W
Varenicline
Methadone W
Bupropion W- Wcorrect Wanswers-Acamprosate
Which Wof Wthese Wmedications Ware Wused Wfor Wtobacco Wdisorder?
Acamprosate W
Varenicline
Methadone W
Bupropion W- Wcorrect Wanswers-Varenicline W
Bupropion
This Wsubstance Wis Wa Wfull Wagonist Wof Wtrace Wamine-associated Wreceptors
W(TAAR1). WActivation WTAAR1 Wcauses Wthe Wincrease Wof WcAMP Wand
Winhibition Wof Wserotonin, Wdopamine, Wand Wnorepinephrine Wtransporters. WThe
Winhibition Wof Wmonoamine Wtransporters Wcauses Wthe Wreuptake Wand
Wmetabolism Wof Wcatecholamines. W- Wcorrect Wanswers-Methamphetamine
The Wfollowing Ware W"_________ W_______" Wfor Wmethamphetamine: Wmeth,
Wcrystal Wmeth, Wcrystal, Wspeed, Wscootie, Wyellow Wpowder, Wcrank, Wice,
Wspoosh, Wglass, Wchalk, Wredneck Wcocaine, Wyellow Wbarn, WTina, Wand Wtick-
tick. W- Wcorrect Wanswers-street Wnames
Patients Wunder Wthe Winfluence Wof Wmethamphetamine Wcan Whave Wthe
Wfollowing Wsigns Wor Wsymptoms: W___________ Wappetite, Wnausea, Wpsychosis,
Wtachycardia, Whypertension, W___________ Wbody Wtemperature, Wpanic Wattack,
Wmydriasis, W__________ Wsleep Wpatterns, Wviolent, Wbizarre, Wand Werratic
Wbehavior, Whallucinations, Wirritability, Wseizures, Wand Wdeath Wfrom Whigh
Wdoses. W- Wcorrect Wanswers-decreased
increased
disturbed
A W65-year-old Wfemale Wpresents Wto Wthe Wclinic Wto Wseek Wa Wre-prescription
Wof Wher Wpain Wmedication. WShe Whad Wa Wmotor Wvehicle Wcollision W(MVC)
,W8 Wmonths Wago Wthat Wleft Wher Wwith Wchronic Wneuralgia Win Wbilateral Warms
Walong Wwith Wlow Wback Wpain. WShe Wwas Wprescribed
Woxycodone/acetaminophen W7.5/325 Wmg Wq6 Whours. WHer Wlast Wscheduled
Wrefill Wwas W20 Wdays Wago Wwith Wa W30 Wday Wsupply. WShe Wreturns Wearly
Wclaiming Wshe Wneeded Wmultiple Wdosages Wsooner Wthan Wdirected Wdue Wto
Wunmanaged Wpain. WCurrent Wvital Wsigns Ware Wnormal, Wbut Wshe Wis
Wdiaphoretic, Wtearing, Wrestless, Wand Woccasionally Wyawning. WWhen Wthe
Wprovider Wexplains, Wcontrolled Wmedications Wcannot Wbe Wprescribed Win Wthis
Wmanner, Wthe Wpatient Wstates, W"You Wdon't Wunderstand. WI Wneed Wto Wfeel
Wnormal. WWithout Wit, WI Wfeel Wworse Wthan WI Wused Wto Wfeel Wat Wbaseline.
WPlease!" WWhat Wstage Wof Waddiction Wis Wthe Wpatient Win Wand Wwhat
Wmedication Wcan Wbe Wused Wto Whelp Wher Wsymptoms?
Choices: W
1. WTolerance Wand Wacamprosate
2. WTolerance Wand W- Wcorrect Wanswers-Dependence Wand Wmethadone
A Wpatient Wpresents Wto Wthe Wemergency Wdepartment Wwith Wagitation,
Wmydriasis, Whypertension, Wand Wtachycardia. WHe Wstates Wthat Whe Wsnorted
W"some Wcrystals" Wwith Wfriends Wand Wthat Whe Wfeels Wenergetic Wand
Wanxious. WHe Wreports Wthat Whis Wfriends Wtold Whim Wthis Wis Wa Wtreatment
Wfor Wweight Wloss Wand Wthis Wis Wthe Wreason Wwhy Whe Wtried Wit. WWhich Wis
Wtrue Wof Wthe Wdrug Wmost Wlikely Wused Wby Wthis Wpatient?
WChoices: W
1. WPartial Wagonist Wof Wtrace Wamine-associated Wreceptors W(TAAR1) W
2. WGamma-aminobutyric Wacid W(GABA) Wreceptor Wagonist W
3. WFull Wagonist Wof Wtrace Wamine-associated Wreceptors W(TAAR1) W
4. WFull Wantagonist Wof Wdopamine Wreceptors W- Wcorrect Wanswers-Full Wagonist
Wof Wtrace Wamine-associated Wreceptors W(TAAR1)
A W35-year-old Wwoman Wcomes Win Wfor Wher Wwellness Wcheck-up. WShe Whas
Wa W13-year-old Wson Wwho Wis Wgoing Wto Wbe Wstarting Whigh Wschool Wnext
Wyear Wand Woften Whear Whim Wand Whis Wfriends Wdiscuss Wways Wto Wprepare
Wfor Whigh Wschool, Wso Wthey Wfit Win. WThe Wmother Wis Wconcerned Wher Wson
Wmay Wuse Wdrugs Was Whe Woften Wtalks Wabout Wthe Wpartying. WShe Wwants
Wto Wknow Wwhat Wshe Wcan Wdo Wit Wprepare Whim Wto Wavoid Wsmoking
Wcannabis Wgiven Wits Wsurge Win Wpopularity Wamongst Wyouth. WWhat Wis Wthe
Wmost Wcommon Wreason Wfor Wmarijuana Wuse, Wamongst Wteenagers Wand
Wyoung Wadults?
W
Choices: W
1. WStress Wmanagement W
2. WExperimentation W
3. WSocial Wconformity W
4. WPleasurable Wsensation W- Wcorrect Wanswers-Social Wconformity
, A Wyoung Wadult Wpatient Wis Wdropped Woff Woutside Wthe Wemergency
Wdepartment Wby Wher Wfriends, Wand Wthey Wdrive Woff Wbefore Wany Whistory
Wcan Wbe Wobtained. WThe Wpatient Whas Waltered Wmental Wstatus Wand Wshows
Wsigns Wof Wintoxication. WSudden Wdorsiflexion Wof Wher Wankle Wproduces Wa
Wrhythmic Wreproduction Wof Wher Wankle Wjerk Wreflex. WWhich Wof Wthe
Wfollowing Wdrugs Wdid Wshe Wmost Wlikely Wingest?
Choices: W
1. WAlcohol W
2. W3,4-Methylenedioxymethamphetamine W(MDMA) W
3. WPhencyclidine W
4. WCannabis W- Wcorrect Wanswers-3,4-Methylenedioxymethamphetamine W(MDMA)
Several Wclasses Wof Wcommon Wstreet Wdrugs Wsuch Was Wcocaine, Wecstasy
W(MDMA), Wand Wamphetamines, Wincrease Wserotonin Wlevels, Wwhich Wis Wpart
Wof Wwhat Wcontributes Wto Wthe Wpleasurable Wand Waddictive Waspects Wof
Wtheir Wuse, Wand Walso Wwhat Wcan Wproduce Wa W__________ Wsyndrome Wand
W__________. W- Wcorrect Wanswers-serotonin
clonus
Psychiatric Wmedications Wsuch Was Wmonoamine Woxidase Winhibitors W(MAOI),
Wselective Wserotonin Wreuptake Winhibitors W(SSRI), Wserotonin-norepinephrine
Wreuptake Winhibitors W(SNRI), Wand Wtricyclic Wantidepressants W(TCA)
Wmanipulate Wserotonin Wlevels Wto Wimprove W__________, Wbut Wtoo Wmuch
Wcan Wproduce Wclonus Was Wpart Wof Wserotonin W____________. W- Wcorrect
Wanswers-mood
syndrome
____________ Wnervous Wsystem Wdepressants Wlike Walcohol Wand Wopiates Wcan
Wdiminish Wdeep Wtendon W__________ Was Wopposed Wto Wproducing Wclonus.
W- Wcorrect Wanswers-Central
reflexes
A W66-year-old Wmale Wwas Wprescribed Wpain Wmedication Wafter Wa Wfracture
Wfollowed Wby Wsurgery W6 Wmonths Wago. WSince Wthen, Whis Wprimary Wcare
Wprovider Whas Wnoticed Wfrequent Wvisits Wto Wthe Woffice Wasking Wfor Wpain
Wmedication Wand Wmultiple Winjuries Wjustifying Wthe Wuse Wof Wit. WEvery Wtime
Wthere Ware Wdifferent Wvague Wcomplaints, Wbut Wthat Wof Wpain Wis Wconsistent.
WOn Whis Wlast Wvisit, Wthe Wprimary Wcare Wtook Wa Wfirm Wstand Wand Wdid
Wnot Wagree Wto Wcontinue Wprescribing Wthe Wopioids. WToday Whe Wvisits Win Wa
Wrestless Wstate. WWhich Wof Wthe Wfollowing Wdo Wyou Wsuspect Wto Wsee Won
Whistory Wor Wphysical Wexam Win Wthis Wpatient? W
Choices: W
1. WConstipation W
2. WMiosis W
