CARN-AP 2nd SET 2025 UPDATE |194
QUESTIONS
Babies born to mothers who use opioids may need treatment with what?
________ can be used adjunctively to treat withdrawal seizures. - ANS morphine
or methadone
Phenobarbital
Which Neonatal withdrawal syndromes may present weeks after birth? Name the drug. -
ANS Methadone
_________ is a safe and effective second-line treatment of symptoms refractory to
opioid therapy in newborns - ANS 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. - ANS
naltrexone.
48-72
12
Patients with _______ _________ syndrome often present with abdominal pain and
nausea, which may be refractory to standard antiemetics - ANS cannabis
hyperemesis
Patients with injection drug abuse are most likely to have _____sided bacterial
endocarditis.
_______ should be used empirically, which can be switched to _______ if MRSA
infection is confirmed. - ANS 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. - ANS 5
15
The _______ _______ is involved in the sense of reward from cocaine use. - ANS
nucleus accumbens
Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia - ANS 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
_______ - ANS alcohol
arrhythmia.
Aerosolized glycerol and propylene glycol, chemicals found in vape pens have been
associated with focal _______ _______ of the upper airways - ANS squamous
metaplasia
Substance use disorder refers to the excessive use of drugs that tend to activate which
of the following portions of the brain? - ANS 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 -
ANS 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? - ANS
Methamphetamine
_________ therapy- patients with depression.
________ therapy- employed in SUD.
__________ therapy- patients with BiP and SUD
________ ________- PTSD & SUD - ANS Interpersonal
Supportive
Integrated
Seeking safety
Cocaine blocks the reuptake of what 3 NT? - ANS dopamine, NE, and serotonin
at the synapse.
The vasoconstriction experienced while on cocaine is caused by what NT? - ANS
increase in NE
PCP
(Name 3) reuptake is blocked
What 3 receptor stimulation NTs are increased:
Out of the 3 which one leads to lethargy and coma - ANS Dopamine & NE,
serotonin
Acetylcholine, GABA, Sigma
Sigma
The inhibitory reuptake of dopamine and NE while someone is on PCP leads to: -
ANS HTN/tachy
agitation
bronchodilation
Relapse is most likely to occur at the _______stages of recovery. - ANS early
What happens when one person enables another person's addictions? - ANS
Co-dependency
The comorbidity of personality disorders with panic disorder is strongly associated with
_______ attempts - ANS suicide
QUESTIONS
Babies born to mothers who use opioids may need treatment with what?
________ can be used adjunctively to treat withdrawal seizures. - ANS morphine
or methadone
Phenobarbital
Which Neonatal withdrawal syndromes may present weeks after birth? Name the drug. -
ANS Methadone
_________ is a safe and effective second-line treatment of symptoms refractory to
opioid therapy in newborns - ANS 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. - ANS
naltrexone.
48-72
12
Patients with _______ _________ syndrome often present with abdominal pain and
nausea, which may be refractory to standard antiemetics - ANS cannabis
hyperemesis
Patients with injection drug abuse are most likely to have _____sided bacterial
endocarditis.
_______ should be used empirically, which can be switched to _______ if MRSA
infection is confirmed. - ANS 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. - ANS 5
15
The _______ _______ is involved in the sense of reward from cocaine use. - ANS
nucleus accumbens
Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia - ANS 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
_______ - ANS alcohol
arrhythmia.
Aerosolized glycerol and propylene glycol, chemicals found in vape pens have been
associated with focal _______ _______ of the upper airways - ANS squamous
metaplasia
Substance use disorder refers to the excessive use of drugs that tend to activate which
of the following portions of the brain? - ANS 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 -
ANS 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? - ANS
Methamphetamine
_________ therapy- patients with depression.
________ therapy- employed in SUD.
__________ therapy- patients with BiP and SUD
________ ________- PTSD & SUD - ANS Interpersonal
Supportive
Integrated
Seeking safety
Cocaine blocks the reuptake of what 3 NT? - ANS dopamine, NE, and serotonin
at the synapse.
The vasoconstriction experienced while on cocaine is caused by what NT? - ANS
increase in NE
PCP
(Name 3) reuptake is blocked
What 3 receptor stimulation NTs are increased:
Out of the 3 which one leads to lethargy and coma - ANS Dopamine & NE,
serotonin
Acetylcholine, GABA, Sigma
Sigma
The inhibitory reuptake of dopamine and NE while someone is on PCP leads to: -
ANS HTN/tachy
agitation
bronchodilation
Relapse is most likely to occur at the _______stages of recovery. - ANS early
What happens when one person enables another person's addictions? - ANS
Co-dependency
The comorbidity of personality disorders with panic disorder is strongly associated with
_______ attempts - ANS suicide
