CARN AP Questions with verified answers
2018 National Survey on Drug Use reports the rates of heavy drinking are
Ans✓✓✓-6-7%
A 35 year old man with opioid use disorder (prescription
opioids which progressed to illicit opioids) has initiated office
-
based treatment with buprenorphine, advanced to 16mg per
day. He reports ceasing opioid use, and his urine toxicologies
are consistently positive for buprenorphine as prescribed with
intermittent results positive for benzodiazepines; he also
describes drinking alcohol two days per week, sometimes to
intoxication.
•
What is the most appropriate next step in his
treatment?
A.
Increase buprenorphine to 24mg
B.
Refer to methadone maintenance
C.
Admit to inpatient detoxification
D.
Start an outpatient long
,-
acting benzodiazepine taper
E.
Obtain more history Ans✓✓✓-Answer:
E
-
Obtain more history
Above what blood alcohol level can be fatal? Ans✓✓✓->600mg%
Acamprosate (Campral) Ans✓✓✓-Helps client abstain from alcohol
-Dampens glutamate activity to curb hyper-excitability associated with alcohol
withdrawal
Acamprosate (Campral) does what to GABA and glutamate levels - Ans✓✓✓-
Brings up the GABA and brings down the glucamate
Acamprosate (Campral) dosing Ans✓✓✓-333mg PO daily
Acamprosate (Campral) Indication Ans✓✓✓-Maintenance of abstinence, reduces
post-acute withdrawal symptoms
Action of benz Ans✓✓✓-Increase GABA activity to reduce excitability associated
with alcohol withdrawal
, Action Stage of Change Model Ans✓✓✓-In this stage, people have recently
changed their behavior (defined as within the last 6 months) and intend to keep
moving forward with that behavior change. People may exhibit this by modifying
their problem behavior or acquiring new healthy behaviors.
Agnonist Ans✓✓✓-a molecule that increases a neurotransmitter's action
Alprazolam (Xanax) Ans✓✓✓-Benzodiazepine
Amphetamine toxicity causes BLANK pupils Ans✓✓✓-Dilated
Amphetamines increase the activity of the neurotransmitters (two) Ans✓✓✓-
Dopamine and norepinephrine
Amphetamines work by blocking the reuptake of what two transmitters?
Ans✓✓✓-Norepinephrine and dopamine
Analeptics Ans✓✓✓-Drugs that stimulate the respiratory center
Antagonist Ans✓✓✓-Opponent, blocks the receptor
At what blood alcohol level can coma occur? Ans✓✓✓-400-600mg%
Baclofen (Lioresal) Ans✓✓✓-muscle relaxants
"back loafin"
2018 National Survey on Drug Use reports the rates of heavy drinking are
Ans✓✓✓-6-7%
A 35 year old man with opioid use disorder (prescription
opioids which progressed to illicit opioids) has initiated office
-
based treatment with buprenorphine, advanced to 16mg per
day. He reports ceasing opioid use, and his urine toxicologies
are consistently positive for buprenorphine as prescribed with
intermittent results positive for benzodiazepines; he also
describes drinking alcohol two days per week, sometimes to
intoxication.
•
What is the most appropriate next step in his
treatment?
A.
Increase buprenorphine to 24mg
B.
Refer to methadone maintenance
C.
Admit to inpatient detoxification
D.
Start an outpatient long
,-
acting benzodiazepine taper
E.
Obtain more history Ans✓✓✓-Answer:
E
-
Obtain more history
Above what blood alcohol level can be fatal? Ans✓✓✓->600mg%
Acamprosate (Campral) Ans✓✓✓-Helps client abstain from alcohol
-Dampens glutamate activity to curb hyper-excitability associated with alcohol
withdrawal
Acamprosate (Campral) does what to GABA and glutamate levels - Ans✓✓✓-
Brings up the GABA and brings down the glucamate
Acamprosate (Campral) dosing Ans✓✓✓-333mg PO daily
Acamprosate (Campral) Indication Ans✓✓✓-Maintenance of abstinence, reduces
post-acute withdrawal symptoms
Action of benz Ans✓✓✓-Increase GABA activity to reduce excitability associated
with alcohol withdrawal
, Action Stage of Change Model Ans✓✓✓-In this stage, people have recently
changed their behavior (defined as within the last 6 months) and intend to keep
moving forward with that behavior change. People may exhibit this by modifying
their problem behavior or acquiring new healthy behaviors.
Agnonist Ans✓✓✓-a molecule that increases a neurotransmitter's action
Alprazolam (Xanax) Ans✓✓✓-Benzodiazepine
Amphetamine toxicity causes BLANK pupils Ans✓✓✓-Dilated
Amphetamines increase the activity of the neurotransmitters (two) Ans✓✓✓-
Dopamine and norepinephrine
Amphetamines work by blocking the reuptake of what two transmitters?
Ans✓✓✓-Norepinephrine and dopamine
Analeptics Ans✓✓✓-Drugs that stimulate the respiratory center
Antagonist Ans✓✓✓-Opponent, blocks the receptor
At what blood alcohol level can coma occur? Ans✓✓✓-400-600mg%
Baclofen (Lioresal) Ans✓✓✓-muscle relaxants
"back loafin"
