CARN-AP UPDATED ACTUAL Questions
and CORRECT Answers
One of the most common adverse effects seen in patients with ______ alcoholism is alcoholic
neuropathy. - CORRECT ANSWERS chronic
Sensory symptoms often present _____ in alcoholic neuropathy. The first clue may be _____ on
the soles followed by dysesthesia on the feet. - CORRECT ANSWERS early
numbness
Activation of the sympathetic system by LSD causes:
- _______ blood pressure
- piloerection
- _____cardia
- __________ body temperature
- pupillary _______ - CORRECT ANSWERS elevated
tachy
elevated
dilation
________- is known to cause vivid hallucinations with bright colors and geometric objects. -
CORRECT ANSWERS LSD
Flashbacks are associated with ______ use - CORRECT ANSWERS LSD
A 25-year-old female is being admitted to a residential treatment facility for alcohol use disorder.
Her last drink was 12 hours ago. On admission, medication reconciliation is performed and it is
discovered she is taking bupropion for smoking cessation, sertraline for depression, and
ibuprofen as needed for headaches. Which of the following is the most appropriate
,recommendation regarding the patient's medications at this time? - CORRECT
ANSWERS Discontinue bupropion only.
Bupropion can only be administered _____
Injection of dissolved bupropion can result in ____ and death - CORRECT
ANSWERS orally.
seizure
Bupropion should be used with caution in patients with: - CORRECT ANSWERS - CVD
- HTN
- CAD
Cognitive-behavioral groups are useful for changing what? - CORRECT
ANSWERS beliefs and perceptions
This questionnaire is an introspective self-report questionnaire claiming to indicate psychological
preferences in how people make decisions and perceive the world around them. - CORRECT
ANSWERS The Myers-Briggs Type Indicator (MBTI) assessment
Routine urine screens do not detect
- ______ cannabinoids
- _______
- _______
- chemical variants of ______
- _____ - CORRECT ANSWERS synthetic
MDMA
ecstasy
opioids
PCP
,Positive drug screens in patients without clinical symptoms may reflect the detection of
________ and previous use - CORRECT ANSWERS metabolites
What is the name of an acute neurological condition characterized by a clinical triad of:
1. ophthalmoparesis with nystagmus
2. gait ataxia
3. confusion - CORRECT ANSWERS Wernicke encephalopathy (WE)
The areas of the brain most often affected by Wernicke Korsakoff syndrome are where? -
CORRECT ANSWERS 1. thalamus
2. mammillary bodies
3. corpus callosum
The individual with Wernicke Korsakoff syndrome will usually present with ocular disturbances
which may include: - CORRECT ANSWERS - diplopia
- painless vision loss
- strabismus
What causes Wernicke-Korsakoff syndrome? - CORRECT ANSWERS thiamine
deficiency
Korsakoff's syndrome is the reversible stage of Wernicke-Korsakoff syndrome
T or F - CORRECT ANSWERS False; irreversible
Korsokoff's Syndrome- an alcohol related disorder marked by extreme ________ and _______
impairment
, ________ is a fundamental neuropsychiatric symptom of the disorder - CORRECT
ANSWERS confusion
memory
apathy
To start methadone treatment, the patient must be on opioids for at least ___ months, unless
what? - CORRECT ANSWERS 12
Pregnancy is an exception to this criteria, even if the use of opioids is less than a year.
What is the maximum dose of methadone for the worst withdrawal symptoms?
What is the initial dosage for everyone else (i.e. used by most clinics) - CORRECT
ANSWERS 40 mg
30 mg
In the liver, an enzyme called ________ __________ converts alcohol to what__________ -
CORRECT ANSWERS alcohol dehydrogenase (ADH)
acetaldehyde.
ALDH converts acetaldehyde to - CORRECT ANSWERS Acetate
Elevated ________ cause increased flushing, tachycardia, n/v & hyperventilation. - CORRECT
ANSWERS acetaldehyde
What are the 3 MAT for AUD
What are 2 off label MAT? - CORRECT ANSWERS Disulfiram
Acomporstate
and CORRECT Answers
One of the most common adverse effects seen in patients with ______ alcoholism is alcoholic
neuropathy. - CORRECT ANSWERS chronic
Sensory symptoms often present _____ in alcoholic neuropathy. The first clue may be _____ on
the soles followed by dysesthesia on the feet. - CORRECT ANSWERS early
numbness
Activation of the sympathetic system by LSD causes:
- _______ blood pressure
- piloerection
- _____cardia
- __________ body temperature
- pupillary _______ - CORRECT ANSWERS elevated
tachy
elevated
dilation
________- is known to cause vivid hallucinations with bright colors and geometric objects. -
CORRECT ANSWERS LSD
Flashbacks are associated with ______ use - CORRECT ANSWERS LSD
A 25-year-old female is being admitted to a residential treatment facility for alcohol use disorder.
Her last drink was 12 hours ago. On admission, medication reconciliation is performed and it is
discovered she is taking bupropion for smoking cessation, sertraline for depression, and
ibuprofen as needed for headaches. Which of the following is the most appropriate
,recommendation regarding the patient's medications at this time? - CORRECT
ANSWERS Discontinue bupropion only.
Bupropion can only be administered _____
Injection of dissolved bupropion can result in ____ and death - CORRECT
ANSWERS orally.
seizure
Bupropion should be used with caution in patients with: - CORRECT ANSWERS - CVD
- HTN
- CAD
Cognitive-behavioral groups are useful for changing what? - CORRECT
ANSWERS beliefs and perceptions
This questionnaire is an introspective self-report questionnaire claiming to indicate psychological
preferences in how people make decisions and perceive the world around them. - CORRECT
ANSWERS The Myers-Briggs Type Indicator (MBTI) assessment
Routine urine screens do not detect
- ______ cannabinoids
- _______
- _______
- chemical variants of ______
- _____ - CORRECT ANSWERS synthetic
MDMA
ecstasy
opioids
PCP
,Positive drug screens in patients without clinical symptoms may reflect the detection of
________ and previous use - CORRECT ANSWERS metabolites
What is the name of an acute neurological condition characterized by a clinical triad of:
1. ophthalmoparesis with nystagmus
2. gait ataxia
3. confusion - CORRECT ANSWERS Wernicke encephalopathy (WE)
The areas of the brain most often affected by Wernicke Korsakoff syndrome are where? -
CORRECT ANSWERS 1. thalamus
2. mammillary bodies
3. corpus callosum
The individual with Wernicke Korsakoff syndrome will usually present with ocular disturbances
which may include: - CORRECT ANSWERS - diplopia
- painless vision loss
- strabismus
What causes Wernicke-Korsakoff syndrome? - CORRECT ANSWERS thiamine
deficiency
Korsakoff's syndrome is the reversible stage of Wernicke-Korsakoff syndrome
T or F - CORRECT ANSWERS False; irreversible
Korsokoff's Syndrome- an alcohol related disorder marked by extreme ________ and _______
impairment
, ________ is a fundamental neuropsychiatric symptom of the disorder - CORRECT
ANSWERS confusion
memory
apathy
To start methadone treatment, the patient must be on opioids for at least ___ months, unless
what? - CORRECT ANSWERS 12
Pregnancy is an exception to this criteria, even if the use of opioids is less than a year.
What is the maximum dose of methadone for the worst withdrawal symptoms?
What is the initial dosage for everyone else (i.e. used by most clinics) - CORRECT
ANSWERS 40 mg
30 mg
In the liver, an enzyme called ________ __________ converts alcohol to what__________ -
CORRECT ANSWERS alcohol dehydrogenase (ADH)
acetaldehyde.
ALDH converts acetaldehyde to - CORRECT ANSWERS Acetate
Elevated ________ cause increased flushing, tachycardia, n/v & hyperventilation. - CORRECT
ANSWERS acetaldehyde
What are the 3 MAT for AUD
What are 2 off label MAT? - CORRECT ANSWERS Disulfiram
Acomporstate
