CARN-AP EXAM 2025 UPDATE | 208 QUESTIONS| WITH 100%
VERIFIED ANSWERS GRADED A+ | WITH RATIONALES
1. What is one of the most common adverse effects seen in patients with chronic alcoholism?
A. Liver cirrhosis
B. Alcoholic neuropathy
C. Pancreatitis
D. Gastritis
Answer: B. Alcoholic neuropathy
Rationale: Chronic alcoholism often leads to alcoholic neuropathy, which is characterized by nerve
damage due to prolonged alcohol use.
2. In alcoholic neuropathy, sensory symptoms often present:
A. Late
B. Early
C. Only in severe cases
D. Never
Answer: B. Early
Rationale: Sensory symptoms, such as numbness on the soles of the feet, often appear early in alcoholic
neuropathy.
3. What is the first clue of alcoholic neuropathy?
A. Muscle weakness
B. Numbness on the soles of the feet
C. Joint pain
D. Headaches
Answer: B. Numbness on the soles of the feet
Rationale: Numbness on the soles of the feet is often the first sign of alcoholic neuropathy.
4. Which of the following is a symptom of LSD-induced sympathetic activation?
,A. Hypotension
B. Bradycardia
C. Elevated blood pressure
D. Hypothermia
Answer: C. Elevated blood pressure
Rationale: LSD activates the sympathetic system, leading to elevated blood pressure, tachycardia, and
other symptoms.
5. LSD is known to cause:
A. Vivid hallucinations with bright colors and geometric objects
B. Memory loss
C. Muscle weakness
D. Liver damage
Answer: A. Vivid hallucinations with bright colors and geometric objects
Rationale: LSD is a hallucinogen that causes vivid visual hallucinations, often with bright colors and
geometric patterns.
6. Flashbacks are associated with the use of:
A. Cocaine
B. LSD
C. Alcohol
D. Opioids
Answer: B. LSD
Rationale: Flashbacks, or re-experiencing hallucinations, are a known effect of LSD use.
7. A 25-year-old female with alcohol use disorder is taking bupropion, sertraline, and ibuprofen. What
is the most appropriate recommendation regarding her medications?
A. Discontinue sertraline
B. Discontinue bupropion
C. Continue all medications
D. Discontinue ibuprofen
,Answer: B. Discontinue bupropion
Rationale: Bupropion lowers the seizure threshold and should be discontinued in patients with alcohol
use disorder due to the risk of seizures during withdrawal.
8. Bupropion should only be administered:
A. Orally
B. Intravenously
C. Intramuscularly
D. Subcutaneously
Answer: A. Orally
Rationale: Bupropion is designed for oral administration. Injecting it can cause severe adverse effects,
including seizures and death.
9. Bupropion should be used with caution in patients with:
A. Diabetes
B. Cardiovascular disease (CVD)
C. Asthma
D. Migraines
Answer: B. Cardiovascular disease (CVD)
Rationale: Bupropion can increase blood pressure and heart rate, making it risky for patients with CVD,
hypertension, or CAD.
10. Cognitive-behavioral groups are useful for changing:
A. Physical health
B. Beliefs and perceptions
C. Genetic predispositions
D. Hormonal imbalances
Answer: B. Beliefs and perceptions
Rationale: Cognitive-behavioral therapy (CBT) focuses on changing maladaptive beliefs and perceptions
to improve behavior and mental health.
11. What is the Myers-Briggs Type Indicator (MBTI) used for?
, A. Diagnosing mental illness
B. Assessing psychological preferences in decision-making and perception
C. Measuring intelligence
D. Evaluating physical health
Answer: B. Assessing psychological preferences in decision-making and perception
Rationale: The MBTI is a self-report questionnaire that identifies psychological preferences in how
people perceive the world and make decisions.
12. Routine urine drug screens do NOT detect:
A. Synthetic cannabinoids
B. Cocaine
C. Marijuana
D. Alcohol
Answer: A. Synthetic cannabinoids
Rationale: Routine urine screens often miss synthetic cannabinoids, MDMA, ecstasy, and certain
chemical variants of opioids and PCP.
13. A positive drug screen in a patient without clinical symptoms may indicate:
A. Active drug use
B. Detection of metabolites from previous use
C. Laboratory error
D. Contamination
Answer: B. Detection of metabolites from previous use
Rationale: Positive drug screens may reflect the presence of drug metabolites from prior use, not
necessarily current intoxication.
14. What is the clinical triad of Wernicke encephalopathy?
A. Fever, rash, and joint pain
B. Ophthalmoparesis, gait ataxia, and confusion
C. Headache, vomiting, and blurred vision
D. Chest pain, shortness of breath, and dizziness
VERIFIED ANSWERS GRADED A+ | WITH RATIONALES
1. What is one of the most common adverse effects seen in patients with chronic alcoholism?
A. Liver cirrhosis
B. Alcoholic neuropathy
C. Pancreatitis
D. Gastritis
Answer: B. Alcoholic neuropathy
Rationale: Chronic alcoholism often leads to alcoholic neuropathy, which is characterized by nerve
damage due to prolonged alcohol use.
2. In alcoholic neuropathy, sensory symptoms often present:
A. Late
B. Early
C. Only in severe cases
D. Never
Answer: B. Early
Rationale: Sensory symptoms, such as numbness on the soles of the feet, often appear early in alcoholic
neuropathy.
3. What is the first clue of alcoholic neuropathy?
A. Muscle weakness
B. Numbness on the soles of the feet
C. Joint pain
D. Headaches
Answer: B. Numbness on the soles of the feet
Rationale: Numbness on the soles of the feet is often the first sign of alcoholic neuropathy.
4. Which of the following is a symptom of LSD-induced sympathetic activation?
,A. Hypotension
B. Bradycardia
C. Elevated blood pressure
D. Hypothermia
Answer: C. Elevated blood pressure
Rationale: LSD activates the sympathetic system, leading to elevated blood pressure, tachycardia, and
other symptoms.
5. LSD is known to cause:
A. Vivid hallucinations with bright colors and geometric objects
B. Memory loss
C. Muscle weakness
D. Liver damage
Answer: A. Vivid hallucinations with bright colors and geometric objects
Rationale: LSD is a hallucinogen that causes vivid visual hallucinations, often with bright colors and
geometric patterns.
6. Flashbacks are associated with the use of:
A. Cocaine
B. LSD
C. Alcohol
D. Opioids
Answer: B. LSD
Rationale: Flashbacks, or re-experiencing hallucinations, are a known effect of LSD use.
7. A 25-year-old female with alcohol use disorder is taking bupropion, sertraline, and ibuprofen. What
is the most appropriate recommendation regarding her medications?
A. Discontinue sertraline
B. Discontinue bupropion
C. Continue all medications
D. Discontinue ibuprofen
,Answer: B. Discontinue bupropion
Rationale: Bupropion lowers the seizure threshold and should be discontinued in patients with alcohol
use disorder due to the risk of seizures during withdrawal.
8. Bupropion should only be administered:
A. Orally
B. Intravenously
C. Intramuscularly
D. Subcutaneously
Answer: A. Orally
Rationale: Bupropion is designed for oral administration. Injecting it can cause severe adverse effects,
including seizures and death.
9. Bupropion should be used with caution in patients with:
A. Diabetes
B. Cardiovascular disease (CVD)
C. Asthma
D. Migraines
Answer: B. Cardiovascular disease (CVD)
Rationale: Bupropion can increase blood pressure and heart rate, making it risky for patients with CVD,
hypertension, or CAD.
10. Cognitive-behavioral groups are useful for changing:
A. Physical health
B. Beliefs and perceptions
C. Genetic predispositions
D. Hormonal imbalances
Answer: B. Beliefs and perceptions
Rationale: Cognitive-behavioral therapy (CBT) focuses on changing maladaptive beliefs and perceptions
to improve behavior and mental health.
11. What is the Myers-Briggs Type Indicator (MBTI) used for?
, A. Diagnosing mental illness
B. Assessing psychological preferences in decision-making and perception
C. Measuring intelligence
D. Evaluating physical health
Answer: B. Assessing psychological preferences in decision-making and perception
Rationale: The MBTI is a self-report questionnaire that identifies psychological preferences in how
people perceive the world and make decisions.
12. Routine urine drug screens do NOT detect:
A. Synthetic cannabinoids
B. Cocaine
C. Marijuana
D. Alcohol
Answer: A. Synthetic cannabinoids
Rationale: Routine urine screens often miss synthetic cannabinoids, MDMA, ecstasy, and certain
chemical variants of opioids and PCP.
13. A positive drug screen in a patient without clinical symptoms may indicate:
A. Active drug use
B. Detection of metabolites from previous use
C. Laboratory error
D. Contamination
Answer: B. Detection of metabolites from previous use
Rationale: Positive drug screens may reflect the presence of drug metabolites from prior use, not
necessarily current intoxication.
14. What is the clinical triad of Wernicke encephalopathy?
A. Fever, rash, and joint pain
B. Ophthalmoparesis, gait ataxia, and confusion
C. Headache, vomiting, and blurred vision
D. Chest pain, shortness of breath, and dizziness
