1 | Page
CARN-AP 2nd set Questions and Correct
Answers
Babies born to mothers who use opioids may need treatment with
what?
________ can be used adjunctively to treat withdrawal seizures.
Ans: morphine or methadone
Phenobarbital
Which Neonatal withdrawal syndromes may present weeks after
birth? Name the drug. Ans: Methadone
_________ is a safe and effective second-line treatment of
symptoms refractory to opioid therapy in newborns Ans:
Clonidine
The patient must first be detoxified from opioid dependence
before starting _______
Long acting opioids, such as methadone, require at least how many
hours since last use before initiating buprenorphine?
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, 2 | Page
Short acting opioids (for example, heroin) require approximately
____ hours since last use for sufficient withdrawal to occur in
order to safely initiate treatment. Ans: naltrexone.
48-72
12
Patients with _______ _________ syndrome often present with
abdominal pain and nausea, which may be refractory to standard
antiemetics Ans: cannabis hyperemesis
Patients with injection drug abuse are most likely to have
_____sided bacterial endocarditis.
_______ should be used empirically, which can be switched to
_______ if MRSA infection is confirmed. Ans: right
Vancomycin; nafcillin
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, 3 | Page
Marijuana use can be detected in the urine up to ___days after
exposure for infrequent users and up to ____ days for chronic or
heavy users. Ans: 5
15
The _______ _______ is involved in the sense of reward from
cocaine use. Ans: nucleus accumbens
Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia Ans: loperamide
promethazine
ibuprofen
Holiday heart syndrome is a syndrome caused by excessive ______
use. Excessive alcohol use results in gross and microscopic cardiac
changes leading to an atrial _______ Ans: alcohol
arrhythmia.
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, 4 | Page
Aerosolized glycerol and propylene glycol, chemicals found in
vape pens have been associated with focal _______ _______ of the
upper airways Ans: squamous metaplasia
Substance use disorder refers to the excessive use of drugs that
tend to activate which of the following portions of the brain? Ans:
Brain reward system
In the center of the brain behind the temporal lobe sits the ______
system, which controls our emotions, instincts, and memories, and
includes the brain's ______ system.
The main job of the________ system is to help us avoid
harmful/painful experiences and to makes us feel good when we
engage in behaviors necessary for our survival Ans: LIMBIC
REWARD
reward
A 22-year-old woman is brought into the emergency department
by EMS with a blood pressure of 180/102 mmHg and heart rate of
110/min. She is agitated and appears to have paranoid delusions
of people chasing her. Her behavior is hypersexual, and her speech
is incoherent. Psychomotor agitation is present. Which of the
© 2025 All rights reserved
CARN-AP 2nd set Questions and Correct
Answers
Babies born to mothers who use opioids may need treatment with
what?
________ can be used adjunctively to treat withdrawal seizures.
Ans: morphine or methadone
Phenobarbital
Which Neonatal withdrawal syndromes may present weeks after
birth? Name the drug. Ans: Methadone
_________ is a safe and effective second-line treatment of
symptoms refractory to opioid therapy in newborns Ans:
Clonidine
The patient must first be detoxified from opioid dependence
before starting _______
Long acting opioids, such as methadone, require at least how many
hours since last use before initiating buprenorphine?
© 2025 All rights reserved
, 2 | Page
Short acting opioids (for example, heroin) require approximately
____ hours since last use for sufficient withdrawal to occur in
order to safely initiate treatment. Ans: naltrexone.
48-72
12
Patients with _______ _________ syndrome often present with
abdominal pain and nausea, which may be refractory to standard
antiemetics Ans: cannabis hyperemesis
Patients with injection drug abuse are most likely to have
_____sided bacterial endocarditis.
_______ should be used empirically, which can be switched to
_______ if MRSA infection is confirmed. Ans: right
Vancomycin; nafcillin
© 2025 All rights reserved
, 3 | Page
Marijuana use can be detected in the urine up to ___days after
exposure for infrequent users and up to ____ days for chronic or
heavy users. Ans: 5
15
The _______ _______ is involved in the sense of reward from
cocaine use. Ans: nucleus accumbens
Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia Ans: loperamide
promethazine
ibuprofen
Holiday heart syndrome is a syndrome caused by excessive ______
use. Excessive alcohol use results in gross and microscopic cardiac
changes leading to an atrial _______ Ans: alcohol
arrhythmia.
© 2025 All rights reserved
, 4 | Page
Aerosolized glycerol and propylene glycol, chemicals found in
vape pens have been associated with focal _______ _______ of the
upper airways Ans: squamous metaplasia
Substance use disorder refers to the excessive use of drugs that
tend to activate which of the following portions of the brain? Ans:
Brain reward system
In the center of the brain behind the temporal lobe sits the ______
system, which controls our emotions, instincts, and memories, and
includes the brain's ______ system.
The main job of the________ system is to help us avoid
harmful/painful experiences and to makes us feel good when we
engage in behaviors necessary for our survival Ans: LIMBIC
REWARD
reward
A 22-year-old woman is brought into the emergency department
by EMS with a blood pressure of 180/102 mmHg and heart rate of
110/min. She is agitated and appears to have paranoid delusions
of people chasing her. Her behavior is hypersexual, and her speech
is incoherent. Psychomotor agitation is present. Which of the
© 2025 All rights reserved
