1|Page
CARN EXAM AND STUDY GUIDE EXAM NEWEST 2025
TEST BANK| COMPLETE 350 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| BRAND NEW!!
A 66-year-old male presents to the hospital complaining of bilateral
upper extremity tremors, sweating, and nausea. These symptoms have
been present for the last several hours and are worsening in intensity. He
has a history of heavy alcohol use, and his last drink was 12 hours ago.
Which of the following should be anticipated if the patient does not
receive appropriate treatment?
1. Tactile hallucinations
2. Hypotension
3. Bradycardia
4. Hypothermia - ANSWER - Tactile hallucinations
Symptoms of delirium tremens can last up to seven to ten days.
______________, such as diazepam, lorazepam, or chlordiazepoxide,
are used to decrease the symptoms of alcohol withdrawal and to prevent
seizures. - ANSWER - Benzodiazepines
A 67-year-old male presents with a vague history of not feeling well,
anxiety, and restlessness. He has had several admissions over the past
few months for falls, hypoglycemia, and abdominal discomfort. He
simply is unable to provide any type of medical history, and his medical
chart is not yet available. On a physical exam, you note that he has
tachypnea, marked gynecomastia, and spider angiomas. What is the
initial working diagnosis?
pg. 1
,2|Page
1. Opioid abuse
2. Testicular cancer
3. Alcohol use disorder
4. Digoxin overdose - ANSWER - Alcohol use disorder
A 40-year-old male with a history of alcohol use disorder is admitted to
the hospital for skin lacerations following a motor vehicle accident.
Urgent care is given with intravenous fluids and sutures where required.
On physical examination, the blood pressure is 130/82 mmHg. The pulse
is 86/min, respiratory rate is 18/min, and temperature is 98.7 F. After 5
hours, the nurse goes to draw blood, and the patient refuses, citing
restlessness and agitation. The patient yells and states that his heart is
pounding and he would not let anyone come close to him. He has a
previous history of hepatitis C that has been treated. What is the next
step in management?
1. Administer lithium
2. Administer oxazepam
3. Administer lactulose
4. Administer diazepam - ANSWER - Administer oxazepam
A 45-year-old male is brought to the emergency department by the
police. He is being physically restrained by the officers and is
screaming. The officers tell you that a friend told them that the patient
was smoking something from a pipe earlier in the day. He is extremely
agitated, paranoid, and appears very confused. A cursory exam reveals
dyspnea, wheezing, and severe dental caries. What is the first line of
treatment for chemical restraint?
pg. 2
,3|Page
1. Chlorpromazine
2. Lorazepam
3. Ketamine
4. Diphenhydramine - ANSWER - Lorazepam
6% of U.S patients misuse their pain management prescriptions. Three
common patient populations affected are Cancer, MVA and __________
________ - ANSWER - Sickle Cell
This medication acts on the same opioid receptors as commonly abused
opioids without reaching a point of euphoria. Also being long acting it
has been used for over 40 years in countless patients quests towards
recovery. - ANSWER - Methadone
Which of these medications are used for treating alcohol abuse?
Acamprosate
Varenicline
Methadone
Bupropion - ANSWER - Acamprosate
Which of these medications are used for tobacco disorder?
Acamprosate
Varenicline
Methadone
Bupropion - ANSWER – Varenicline, Bupropion
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, 4|Page
This substance is a full agonist of trace amine-associated receptors
(TAAR1). Activation TAAR1 causes the increase of cAMP and
inhibition of serotonin, dopamine, and norepinephrine transporters. The
inhibition of monoamine transporters causes the reuptake and
metabolism of catecholamines. - ANSWER - Methamphetamine
Codeine has an agonistic effect on the opioid receptors where pain relief
is primarily achieved by the action of this drug on opioid receptors in
which organ?
- Cerebral cortex
- Midbrain
- Medulla
- Spinal cord - ANSWER - Midbrain
Which of the following is the longest acting benzodiazepine?
- Clonazepam
- Zolpidem
- Alprazolam
- Diazepam - ANSWER - Diazepam
Serotonin syndrome typically is caused by a combination of an _______
with other serotonergic substances such as serotonin-norepinephrine
reuptake inhibitors, MAOIs, tricyclic antidepressants, amphetamines,
buspirone, triptans, St. John's wort, ecstasy, or cocaine - ANSWER -
SSRI
pg. 4
CARN EXAM AND STUDY GUIDE EXAM NEWEST 2025
TEST BANK| COMPLETE 350 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| BRAND NEW!!
A 66-year-old male presents to the hospital complaining of bilateral
upper extremity tremors, sweating, and nausea. These symptoms have
been present for the last several hours and are worsening in intensity. He
has a history of heavy alcohol use, and his last drink was 12 hours ago.
Which of the following should be anticipated if the patient does not
receive appropriate treatment?
1. Tactile hallucinations
2. Hypotension
3. Bradycardia
4. Hypothermia - ANSWER - Tactile hallucinations
Symptoms of delirium tremens can last up to seven to ten days.
______________, such as diazepam, lorazepam, or chlordiazepoxide,
are used to decrease the symptoms of alcohol withdrawal and to prevent
seizures. - ANSWER - Benzodiazepines
A 67-year-old male presents with a vague history of not feeling well,
anxiety, and restlessness. He has had several admissions over the past
few months for falls, hypoglycemia, and abdominal discomfort. He
simply is unable to provide any type of medical history, and his medical
chart is not yet available. On a physical exam, you note that he has
tachypnea, marked gynecomastia, and spider angiomas. What is the
initial working diagnosis?
pg. 1
,2|Page
1. Opioid abuse
2. Testicular cancer
3. Alcohol use disorder
4. Digoxin overdose - ANSWER - Alcohol use disorder
A 40-year-old male with a history of alcohol use disorder is admitted to
the hospital for skin lacerations following a motor vehicle accident.
Urgent care is given with intravenous fluids and sutures where required.
On physical examination, the blood pressure is 130/82 mmHg. The pulse
is 86/min, respiratory rate is 18/min, and temperature is 98.7 F. After 5
hours, the nurse goes to draw blood, and the patient refuses, citing
restlessness and agitation. The patient yells and states that his heart is
pounding and he would not let anyone come close to him. He has a
previous history of hepatitis C that has been treated. What is the next
step in management?
1. Administer lithium
2. Administer oxazepam
3. Administer lactulose
4. Administer diazepam - ANSWER - Administer oxazepam
A 45-year-old male is brought to the emergency department by the
police. He is being physically restrained by the officers and is
screaming. The officers tell you that a friend told them that the patient
was smoking something from a pipe earlier in the day. He is extremely
agitated, paranoid, and appears very confused. A cursory exam reveals
dyspnea, wheezing, and severe dental caries. What is the first line of
treatment for chemical restraint?
pg. 2
,3|Page
1. Chlorpromazine
2. Lorazepam
3. Ketamine
4. Diphenhydramine - ANSWER - Lorazepam
6% of U.S patients misuse their pain management prescriptions. Three
common patient populations affected are Cancer, MVA and __________
________ - ANSWER - Sickle Cell
This medication acts on the same opioid receptors as commonly abused
opioids without reaching a point of euphoria. Also being long acting it
has been used for over 40 years in countless patients quests towards
recovery. - ANSWER - Methadone
Which of these medications are used for treating alcohol abuse?
Acamprosate
Varenicline
Methadone
Bupropion - ANSWER - Acamprosate
Which of these medications are used for tobacco disorder?
Acamprosate
Varenicline
Methadone
Bupropion - ANSWER – Varenicline, Bupropion
pg. 3
, 4|Page
This substance is a full agonist of trace amine-associated receptors
(TAAR1). Activation TAAR1 causes the increase of cAMP and
inhibition of serotonin, dopamine, and norepinephrine transporters. The
inhibition of monoamine transporters causes the reuptake and
metabolism of catecholamines. - ANSWER - Methamphetamine
Codeine has an agonistic effect on the opioid receptors where pain relief
is primarily achieved by the action of this drug on opioid receptors in
which organ?
- Cerebral cortex
- Midbrain
- Medulla
- Spinal cord - ANSWER - Midbrain
Which of the following is the longest acting benzodiazepine?
- Clonazepam
- Zolpidem
- Alprazolam
- Diazepam - ANSWER - Diazepam
Serotonin syndrome typically is caused by a combination of an _______
with other serotonergic substances such as serotonin-norepinephrine
reuptake inhibitors, MAOIs, tricyclic antidepressants, amphetamines,
buspirone, triptans, St. John's wort, ecstasy, or cocaine - ANSWER -
SSRI
pg. 4
