CARN study material questions with verified
answers
______ % of people in the United States with substance use disorder go
untreated. Ans✓✓✓-90
_______ opioid receptors are known for antidepressant effects when bound by
agonists. Ans✓✓✓-Delta
_______ opioid receptors are known for pain control, euphoria, and respiratory
depression when bound by agonists. Ans✓✓✓-Mu
________ protection must be maintained. Assisted ventilation will be needed
with a bag valve mask until naloxone reverses the respiratory depression.
Adequate ventilation should be provided before naloxone is given. The half-life of
naloxone in adults is approximately 30 to 80 minutes with an average of 60
minutes. It is about 3 hours in children. Ans✓✓✓-Airway
_________ _____ are caused by estrogen's effects on arteriolar dilation. Lower
extremity edema is due to decreased oncotic pressure secondary to the
decreased synthesis of albumin by the liver. Ans✓✓✓-Spider nevi
__________ ___________ disorder is a pervasive pattern of behavior
characterized by unstable relationships, impulsivity, recurrent suicidal behavior or
gestures, marked reactivity of mood, chronic feelings of emptiness, intense anger,
or inability controlling anger. Patients will often "split" providers, easily
alternating between extremes of idealization and devaluation. Ans✓✓✓-
Borderline personality
,__________ disorder is a mood disorder characterized by the presence of either
mania or hypomania. Ans✓✓✓-Borderline personality
__________ hypertension is due to distorted hepatic architecture causing
resistance to portal flow at the sinusoids. This causes increased hydrostatic
pressure at the portosystemic collateral veins in the anterior abdomen (caput
medusa). Ans✓✓✓-Portal
__________ intoxication is commonly associated with injected conjunctiva and a
temporary increase in appetite. Ans✓✓✓-Cannabis
__________ is a dissociative anesthetic that acts at the NMDA receptors as a
glutamate antagonist. Ans✓✓✓-PCP
__________ ketoacidosis is very common due to a diet of "tea and toast" and
overall malnourishment. Patients may have mild hyperglycemia but the typical
symptoms of diabetic ketoacidosis are not present. Therapy for these patients is
actually to give glucose-containing fluids as well as replete electrolytes and
supplement with multivitamins and thiamine. Ans✓✓✓-Alcoholic
___________ ___________ usually present with autonomic excitation, tremors,
agitation, and an altered sensorium 48 - 96 hours after the last alcohol drink
consumption. Ans✓✓✓-Delirium tremens
___________ also is effective but leads to blood pressure and heart rate
elevation. This may exacerbate the methamphetamine-induced hyperadrenergic
symptoms. _______________________ may worsen tachycardia induced by
methamphetamine. Ans✓✓✓-Ketamine
Diphenhydramine
,___________ is an FDA-approved benzodiazepine used for the treatment of
alcohol withdrawal, management of anxiety disorders, and agitation. Ans✓✓✓-
Oxazepam
___________ substance use disorder (SUD) requires 4-5 symptoms of SUD be
present within a 12 month period.If 2-3 symptoms are present the SUD is
considered mild, and SUD is severe with 6+ symptoms present. Ans✓✓✓-
Moderate
____________ duration of __________ sleep is a commonly seen sleep
abnormality in patients with depression. Ans✓✓✓-Increased
REM
____________ in patients with cirrhosis is believed to arise from hyperestrinism
due to the increased adrenal production of androstenedione with aromatization
and conversion to estradiol. Ans✓✓✓-Gynecomastia
____________ must have at least one manic episode defined as a distinct period
of euphoric, expansive, or irritable mood. Manic patients will exhibit symptoms of
grandiosity, increased self-esteem and confidence, decreased need for sleep,
pressured speech, hypersexuality, distractibility, racing thoughts, and excessive
involvement in pleasurable and possibly dangerous activities. These symptoms
must cause social or occupational dysfunction. Ans✓✓✓-Bipolar I
____________ nervous system depressants like alcohol and opiates can diminish
deep tendon __________ as opposed to producing clonus. Ans✓✓✓-Central
reflexes
, ____________ opioid receptors are known primarily for their dysphoric and
hallucinogenic effects when bound by agonists and can produce sedation.
Ans✓✓✓-Kappa
_____________ _____________ is the best form of communication. Ans✓✓✓-
Active listening
______________ ____________ syndrome is described as a triad of vomiting,
abdominal pain, and compulsive bathing in the setting of chronic cannabis use.
This actually distinguishes it from other causes of cyclic vomiting. These include
cyclic vomiting syndrome, drug withdrawal syndrome, bulimia nervosa, Addison
disease and other metabolic conditions, psychogenic vomiting, and migraine
headaches. Ans✓✓✓-Cannabinoid hyperemesis
______________ ______________ disorder is diagnosed when a patient has at
least 5 of the following symptoms in the same 2-week period: Depressed mood,
anhedonia, weight change, appetite disturbance, sleep disturbance, psychomotor
retardation, fatigue or dimished energy, feeling of worthlessness, diminished
concentration ability, thoughts of death or suicidal ideation. Ans✓✓✓-Major
depressive
______________ (PCP) is a dissociative recreational drug. Patients exhibit bizarre,
agitated, violent behavior, increased strength, and diminished pain response.
Patients often are hypertensive and tachycardic. Ans✓✓✓-Phencyclidine
______________ disorder where a person experiences a variety of physical
symptoms over an extended period of time. The person needs to have many
symptoms (pain, GI stress, sexual stress, and neurological) Ans✓✓✓-Somatoform
answers
______ % of people in the United States with substance use disorder go
untreated. Ans✓✓✓-90
_______ opioid receptors are known for antidepressant effects when bound by
agonists. Ans✓✓✓-Delta
_______ opioid receptors are known for pain control, euphoria, and respiratory
depression when bound by agonists. Ans✓✓✓-Mu
________ protection must be maintained. Assisted ventilation will be needed
with a bag valve mask until naloxone reverses the respiratory depression.
Adequate ventilation should be provided before naloxone is given. The half-life of
naloxone in adults is approximately 30 to 80 minutes with an average of 60
minutes. It is about 3 hours in children. Ans✓✓✓-Airway
_________ _____ are caused by estrogen's effects on arteriolar dilation. Lower
extremity edema is due to decreased oncotic pressure secondary to the
decreased synthesis of albumin by the liver. Ans✓✓✓-Spider nevi
__________ ___________ disorder is a pervasive pattern of behavior
characterized by unstable relationships, impulsivity, recurrent suicidal behavior or
gestures, marked reactivity of mood, chronic feelings of emptiness, intense anger,
or inability controlling anger. Patients will often "split" providers, easily
alternating between extremes of idealization and devaluation. Ans✓✓✓-
Borderline personality
,__________ disorder is a mood disorder characterized by the presence of either
mania or hypomania. Ans✓✓✓-Borderline personality
__________ hypertension is due to distorted hepatic architecture causing
resistance to portal flow at the sinusoids. This causes increased hydrostatic
pressure at the portosystemic collateral veins in the anterior abdomen (caput
medusa). Ans✓✓✓-Portal
__________ intoxication is commonly associated with injected conjunctiva and a
temporary increase in appetite. Ans✓✓✓-Cannabis
__________ is a dissociative anesthetic that acts at the NMDA receptors as a
glutamate antagonist. Ans✓✓✓-PCP
__________ ketoacidosis is very common due to a diet of "tea and toast" and
overall malnourishment. Patients may have mild hyperglycemia but the typical
symptoms of diabetic ketoacidosis are not present. Therapy for these patients is
actually to give glucose-containing fluids as well as replete electrolytes and
supplement with multivitamins and thiamine. Ans✓✓✓-Alcoholic
___________ ___________ usually present with autonomic excitation, tremors,
agitation, and an altered sensorium 48 - 96 hours after the last alcohol drink
consumption. Ans✓✓✓-Delirium tremens
___________ also is effective but leads to blood pressure and heart rate
elevation. This may exacerbate the methamphetamine-induced hyperadrenergic
symptoms. _______________________ may worsen tachycardia induced by
methamphetamine. Ans✓✓✓-Ketamine
Diphenhydramine
,___________ is an FDA-approved benzodiazepine used for the treatment of
alcohol withdrawal, management of anxiety disorders, and agitation. Ans✓✓✓-
Oxazepam
___________ substance use disorder (SUD) requires 4-5 symptoms of SUD be
present within a 12 month period.If 2-3 symptoms are present the SUD is
considered mild, and SUD is severe with 6+ symptoms present. Ans✓✓✓-
Moderate
____________ duration of __________ sleep is a commonly seen sleep
abnormality in patients with depression. Ans✓✓✓-Increased
REM
____________ in patients with cirrhosis is believed to arise from hyperestrinism
due to the increased adrenal production of androstenedione with aromatization
and conversion to estradiol. Ans✓✓✓-Gynecomastia
____________ must have at least one manic episode defined as a distinct period
of euphoric, expansive, or irritable mood. Manic patients will exhibit symptoms of
grandiosity, increased self-esteem and confidence, decreased need for sleep,
pressured speech, hypersexuality, distractibility, racing thoughts, and excessive
involvement in pleasurable and possibly dangerous activities. These symptoms
must cause social or occupational dysfunction. Ans✓✓✓-Bipolar I
____________ nervous system depressants like alcohol and opiates can diminish
deep tendon __________ as opposed to producing clonus. Ans✓✓✓-Central
reflexes
, ____________ opioid receptors are known primarily for their dysphoric and
hallucinogenic effects when bound by agonists and can produce sedation.
Ans✓✓✓-Kappa
_____________ _____________ is the best form of communication. Ans✓✓✓-
Active listening
______________ ____________ syndrome is described as a triad of vomiting,
abdominal pain, and compulsive bathing in the setting of chronic cannabis use.
This actually distinguishes it from other causes of cyclic vomiting. These include
cyclic vomiting syndrome, drug withdrawal syndrome, bulimia nervosa, Addison
disease and other metabolic conditions, psychogenic vomiting, and migraine
headaches. Ans✓✓✓-Cannabinoid hyperemesis
______________ ______________ disorder is diagnosed when a patient has at
least 5 of the following symptoms in the same 2-week period: Depressed mood,
anhedonia, weight change, appetite disturbance, sleep disturbance, psychomotor
retardation, fatigue or dimished energy, feeling of worthlessness, diminished
concentration ability, thoughts of death or suicidal ideation. Ans✓✓✓-Major
depressive
______________ (PCP) is a dissociative recreational drug. Patients exhibit bizarre,
agitated, violent behavior, increased strength, and diminished pain response.
Patients often are hypertensive and tachycardic. Ans✓✓✓-Phencyclidine
______________ disorder where a person experiences a variety of physical
symptoms over an extended period of time. The person needs to have many
symptoms (pain, GI stress, sexual stress, and neurological) Ans✓✓✓-Somatoform
