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CSAM Test Bank Questions Flashcards _ 2024 LATEST QUESTIONS & ANSWERS VERIFIED 100-
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9/21/24, 6:27 PMCSAM Test Bank Questions
Jeremiah
Practice questions for this set
Learn 1 /7 Study with Learn
D
Studies have suggested a genetic risk for euphoric response to benzodiazepines in those
with alcohol use disorders and their offspring. Pat seems to drink regularly. Among
benzodiazepine users, 17.1 % misuse the drug and 2% have a use disorder; and most
people do not find their effects inherently reinforcing Patients who have become
physiologically dependent iatrogenically via adherence with medical treatment (e.g., for
panic disorder, generalized anxiety) should not on that basis alone be considered to
have a substance use disorder. Buspirone is a serotonin 5-HT1a partial agonist that is
ineffective for benzodiazepine withdrawal and for most cases of anxiety in patients with a
history of benzodiazepine use disorder.
Choose matching term
The rate of tuberculosis (TB) infection in the U.S. is 2.9/100,000. The prevalence of tuberculosis in
persons who inject drugs (PWID) has been estimated to be 15,000-39,000/100,000. Which of the
following is FALSE regarding TB prevention?
A. Treating patients for latent TB is SECONDARY prevention, because it provides treatment before TB
progresses from latent to active.
1
B. Screening for TB using the tuberculin skin test or QuantiFERON-TB Gold is an example of PRIMARY
prevention, identifying people at risk of active TB before they are sick.
C. Treating patients with active TB is TERTIARY prevention, stopping disease progression & limiting
the spread of infection to others.
D. Many countries with higher rates of endemic TB utilize vaccinations for TB prevention.
CSAM Test Bank Questions
1/22
,9/21/24, 6:27 PM
Compared to methadone, buprenorphine for treatment of opioid use disorder in pregnancy:
A. Is associated with shorter duration of treatment for neonatal abstinence syndrome
B. Is associated with higher doses of morphine for the neonate in the prevention of neonatal
2
abstinence syndrome
C. Is associated with higher retention rates in treatment
D. Is safe in pregnancy when combined with naloxone (Suboxone)
There is another aspect of Pat's history that you would like to explore. As you reflect on your
conversation with Pat, which of the following statement regarding benzodiazepine use is true?
A. Benzodiazepine effects are pleasurable and reinforcing in a third of those who have anxiety
disorder
3
B. Buspirone is a safe and effective anxiolytic that is a preferred treatment for benzodiazepine
withdrawal anxiety
C. Benzodiazepines are common as primary drugs of misuse in 35% of the adult population
D. Patients with alcohol use disorders and their offspring are more likely to experience mood
elevations with benzodiazepines
Core components of addiction treatment include which of the following?
A. Vocational services
4
B. Educational services
C. Substance use monitoring
D. Mental health services
Don't know?
Terms in this set (70)
Primary & Secondary syphilis cases in the B
U.S. have surged reaching a 20-year record BOTH a nontreponemal test AND a treponemal test are required. The treponemal test
high & cases of congenital syphilis have will be positive in patients with current or past infection. The nontreponemal test may
more than doubled in the past 4 years. All be positive for conditions other than syphilis; when syphilis is present, this test will
the following are true about syphilis EXCEPT: differentiate current infection needing treatment from prior, treated infection.
A. Neonatal symptoms of congenital syphilis Patients with SUDs are in a high-risk group for syphilis. Screening for syphilis is a
include deformed bones, severe anemia, required part of admission to opioid treatment programs.
hepatosplenomegaly, neurological Repeated testing is recommended for pregnant woman at increased risk. Up to 40% of
problems, meningitis, & skin rashes. pregnancies with untreated syphilis result in miscarriage, stillbirth, or early infant death.
B. Screening for syphilis requires use of a Potential symptoms of congenital syphilis include deformed bones, severe anemia,
nontreponemal test (e.g. VDRL or RPR) or a hepatosplenomegaly, jaundice, neurological problems, meningitis, & skin rashes.
treponemal test (e.g. EIA, FTA-ABS, TPPA, or Usually, symptoms emerge within the first few weeks of life, but baby may be
MHA-TP), but not both. asymptomatic only to have symptoms occur years later, causing serious problems (such
C. Up to 40% of pregnancies with untreated as those listed above), developmental delay, seizures, or death. The global pooled
syphilis will result in miscarriage, stillbirth, or syphilis prevalence amongst men having sex with men has risen to unacceptable levels
early infant death. and was estimated at 7.5% (95% CI 7·0–8·0, 345 data points; n=606, 232) between 2000
D. Known risk factors for syphilis include: and 2020
multiple sex partners, substance use
disorders, poverty, exchanging sex for drugs,
money, or housing, & a history of
incarceration.
Next
2/22
, 9/21/24, 6:27 PM
A 57-year-old woman is evaluated in ICU for B
rapidly progressive renal failure that may Patient has hepatorenal syndrome. The diagnosis is made in the absence of other
require dialysis. Patient had been causes of renal disease in the setting of advanced liver disease. Key point: The
hospitalized for advanced liver disease hepatorenal syndrome resolves with liver transplantation but can be prevented
including mental status changes secondary proactively by careful monitoring of renal function and avoidance of renal toxic
to encephalopathy. She has ascites. Liver medications when signs of worsening renal insufficency are detected. Other causes of
disease is the result of chronic hepatitis C renal failure should be excluded by performing a careful history and physical
virus infection. Patient has no history of renal examination, obtaining basic laboratory tests, and ruling out an infectious process
insufficiency and has not received (especially spontaneous bacterial peritonitis). Failure to improve following withdrawal
antibiotics, intravenous contrast agents, or of diuretics and administration of 1–1.5 L of normal saline is indicative of the hepatorenal
other nephrotoxic agents. Medications syndrome. Dialysis is indicated for patients with clinically significant volume overload or
include lactulose, nadolol, midodrine, severe electrolyte abnormalities. Two types: Type 1, occurs over a short period of 1-2
octreotide, and albumin. She does not drink weeks and leads to dialysis. Type 2 more commonly occurs in the outpatient setting in
alcohol. VITAL SIGNS: Temperature 36.6 C. patients who also have diuretic-resistant ascites. The hepatorenal syndrome is purely a
(97.8 F.), blood pressure 110/70 mmHg, pulse reflection of advanced liver disease caused by severe renal vascular vasoconstriction in
97, respirations 12. BMI is 22. LABORATORY the setting of profound splanchnic vasodilation. The syndrome is not usually due to
Creatinine 5.4 mg/dL (412.0 μmol/L), Urea intrinsic renal disease and reverses with liver transplantation. Therefore, this patient
nitrogen 120 mg/dL (42.8 mmol/L), Urine should proceed with liver transplant alone, and the kidney function will return after liver
sodium less than 5 mEq/L (5 mmol/L), function is restored. Angiotensin-converting enzyme (ACE) inhibitors such as lisinopril
Urinalysis Negative. ULTRASOUND: Normal- have been used in the treatment of hepatorenal syndrome without success. Prevention
size kidneys and no obstruction. Which of with careful monitoring of subtle changes in renal function, avoid renal toxins and
the following is the most appropriate management of fluids including paracentesis for ascites to not over diurese patients
management? with advanced liver disease e is the best approach. (Source: Arroyo V, Fernandez J,
A. Kidney transplantation Ginès P. Pathogenesis and treatment of hepatorenal syndrome. Lenz K. Treatment and
B. Liver transplantation management of ascites and hepatorenal syndrome: an update. Therap Adv
C. Add lisinopril Gastroenterol. 2015 Mar; 8(2): 83–100.)
D. Increase the paracentesis volumes to
drain all detectable ascites
3/22
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