CARN STUDY GUIDE 2025 QUESTIONS
AND ANSWERS
5 stages of addiction - correct answer - 1. First Use
2. Continued use
3. Tolerance
4. Dependence
5. Addiction
6% of U.S patients misuse their pain management prescriptions. Three common
patient populations affected are Cancer, MVA and
- correct 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. -
correct answer - Methadone
Which of these medications are used for treating alcohol abuse?
Acamprosate
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Varenicline
Methadone
Bupropion - correct answer - Acamprosate
Which of these medications are used for tobacco disorder?
Acamprosate
Varenicline Methadone
Bupropion - correct answer - Varenicline
Bupropion
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. - correct
answer - Methamphetamine
The following are " " for methamphetamine: meth,
crystal meth, crystal, speed, scootie, yellow powder, crank,
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ice, spoosh, glass, chalk, redneck cocaine, yellow barn, Tina, and tick-tick. -
correct answer - street names
Patients under the influence of methamphetamine can have the following signs
or symptoms: appetite, nausea,
psychosis, tachycardia, hypertension, body
temperature, panic attack, mydriasis, sleep patterns,
violent, bizarre, and erratic behavior, hallucinations, irritability, seizures, and
death from high doses. - correct answer - decreased
increased
disturbed
A 65-year-old female presents to the clinic to seek a re- prescription of her
pain medication. She had a motor vehicle collision (MVC) 8 months ago that left
her with chronic neuralgia in bilateral arms along with low back pain. She was
prescribed oxycodone/acetaminophen 7.5/325 mg q6 hours. Her last
scheduled refill was 20 days ago with a 30 day supply. She returns early
claiming she needed multiple dosages sooner than directed due to unmanaged
pain. Current vital signs are normal, but she is diaphoretic, tearing, restless,
and occasionally yawning. When the provider explains, controlled medications
cannot be prescribed in this manner, the patient states, "You don't understand.
I need to feel normal. Without it, I feel worse than I used to feel at baseline.
Please!" What stage of addiction is the
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patient in and what medication can be used to help her symptoms?
Choices:
1. Tolerance and acamprosate
2. Tolerance and - correct answer - Dependence and methadone
A patient presents to the emergency department with agitation, mydriasis,
hypertension, and tachycardia. He states that he snorted "some crystals" with
friends and that he feels energetic and anxious. He reports that his friends
told him this is a treatment for weight loss and this is the reason why he tried
it. Which is true of the drug most likely used by this patient?
Choices:
1. Partial agonist of trace amine-associated receptors (TAAR1)
2. Gamma-aminobutyric acid (GABA) receptor agonist
3. Full agonist of trace amine-associated receptors (TAAR1)
4. Full antagonist of dopamine receptors - correct answer - Full agonist of
trace amine-associated receptors (TAAR1)
A 35-year-old woman comes in for her wellness check-up. She has a 13-year-
old son who is going to be starting high school next year and often hear him
and his friends discuss ways to prepare