CARN STUDY MATERIAL QUESTIONS WITH
ANSWERS UPDATED 2025 - 2026
5,stages,of,addiction,ANS,-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,affec
ted,are,Cancer,,MVA,and,__________,________,ANS,-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.,ANS,-Methadone
Which,of,these,medications,are,used,for,treating,alcohol,abuse?,
Acamprosate,
Varenicline
Methadone,
Bupropion,ANS,-Acamprosate
Which,of,these,medications,are,used,for,tobacco,disorder?
Acamprosate,
Varenicline
Methadone,
Bupropion,ANS,-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,reupta
ke,and,metabolism,of,catecholamines.,ANS,-Methamphetamine
The,following,are,"_________,_______",for,methamphetamine:,meth,,crystal,meth,,crystal,,speed,,scooti
e,,yellow,powder,,crank,,ice,,spoosh,,glass,,chalk,,redneck,cocaine,,yellow,barn,,Tina,,and,tick-tick.,ANS,-
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,,sei
zures,,and,death,from,high,doses.,ANS,-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,wit
h,chronic,neuralgia,in,bilateral,arms,along,with,low,back,pain.,She,was,prescribed,oxycodone/acetaminop
hen,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,ar
e,normal,,but,she,is,diaphoretic,,tearing,,restless,,and,occasionally,yawning.,When,the,provider,explains,,c
ontrolled,medications,cannot,be,prescribed,in,this,manner,,the,patient,states,,"You,don't,understand.,I,ne
ed,to,feel,normal.,Without,it,,I,feel,worse,than,I,used,to,feel,at,baseline.,Please!",What,stage,of,addiction,i
s,the,patient,in,and,what,medication,can,be,used,to,help,her,symptoms?
Choices:,
1.,Tolerance,and,acamprosate
2.,Tolerance,and,ANS,-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,report
s,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,ANS,-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,for,high,school,,so,they,fit,in.,The,mother,is,concerned,her,son,may,use,drugs,as,he,often,talks,ab
out,the,partying.,She,wants,to,know,what,she,can,do,it,prepare,him,to,avoid,smoking,cannabis,given,its,su
rge,in,popularity,amongst,youth.,What,is,the,most,common,reason,for,marijuana,use,,amongst,teenagers,
and,young,adults?
,
Choices:,
1.,Stress,management,
2.,Experimentation,
3.,Social,conformity,
4.,Pleasurable,sensation,ANS,-Social,conformity
A,young,adult,patient,is,dropped,off,outside,the,emergency,department,by,her,friends,,and,they,drive,off,
before,any,history,can,be,obtained.,The,patient,has,altered,mental,status,and,shows,signs,of,intoxication.,
Sudden,dorsiflexion,of,her,ankle,produces,a,rhythmic,reproduction,of,her,ankle,jerk,reflex.,Which,of,the,f
ollowing,drugs,did,she,most,likely,ingest?
Choices:,
1.,Alcohol,
2.,3,4-Methylenedioxymethamphetamine,(MDMA),
3.,Phencyclidine,
4.,Cannabis,ANS,-3,4-Methylenedioxymethamphetamine,(MDMA)
, Several,classes,of,common,street,drugs,such,as,cocaine,,ecstasy,(MDMA),,and,amphetamines,,increase,se
rotonin,levels,,which,is,part,of,what,contributes,to,the,pleasurable,and,addictive,aspects,of,their,use,,and,
also,what,can,produce,a,__________,syndrome,and,__________.,ANS,-serotonin
clonus
Psychiatric,medications,such,as,monoamine,oxidase,inhibitors,(MAOI),,selective,serotonin,reuptake,inhibi
tors,(SSRI),,serotonin-
norepinephrine,reuptake,inhibitors,(SNRI),,and,tricyclic,antidepressants,(TCA),manipulate,serotonin,level
s,to,improve,__________,,but,too,much,can,produce,clonus,as,part,of,serotonin,____________.,ANS,-
mood
syndrome
____________,nervous,system,depressants,like,alcohol,and,opiates,can,diminish,deep,tendon,_________
_,as,opposed,to,producing,clonus.,ANS,-Central
reflexes
A,66-year-
old,male,was,prescribed,pain,medication,after,a,fracture,followed,by,surgery,6,months,ago.,Since,then,,hi
s,primary,care,provider,has,noticed,frequent,visits,to,the,office,asking,for,pain,medication,and,multiple,inj
uries,justifying,the,use,of,it.,Every,time,there,are,different,vague,complaints,,but,that,of,pain,is,consistent.
,On,his,last,visit,,the,primary,care,took,a,firm,stand,and,did,not,agree,to,continue,prescribing,the,opioids.,T
oday,he,visits,in,a,restless,state.,Which,of,the,following,do,you,suspect,to,see,on,history,or,physical,exam,i
n,this,patient?,
Choices:,
1.,Constipation,
2.,Miosis,
3.,Dilated,pupils,
4.,Bradycardia,ANS,-Dilated,pupils
Opioid,withdrawal,onset,varies,with,the,type,of,opioid,used.,Heroin,withdrawal,begins,in,as,little,as,___,h
ours,,whereas,methadone,may,take,2,to,3,_______.,ANS,-5
days
ANSWERS UPDATED 2025 - 2026
5,stages,of,addiction,ANS,-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,affec
ted,are,Cancer,,MVA,and,__________,________,ANS,-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.,ANS,-Methadone
Which,of,these,medications,are,used,for,treating,alcohol,abuse?,
Acamprosate,
Varenicline
Methadone,
Bupropion,ANS,-Acamprosate
Which,of,these,medications,are,used,for,tobacco,disorder?
Acamprosate,
Varenicline
Methadone,
Bupropion,ANS,-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,reupta
ke,and,metabolism,of,catecholamines.,ANS,-Methamphetamine
The,following,are,"_________,_______",for,methamphetamine:,meth,,crystal,meth,,crystal,,speed,,scooti
e,,yellow,powder,,crank,,ice,,spoosh,,glass,,chalk,,redneck,cocaine,,yellow,barn,,Tina,,and,tick-tick.,ANS,-
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,,sei
zures,,and,death,from,high,doses.,ANS,-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,wit
h,chronic,neuralgia,in,bilateral,arms,along,with,low,back,pain.,She,was,prescribed,oxycodone/acetaminop
hen,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,ar
e,normal,,but,she,is,diaphoretic,,tearing,,restless,,and,occasionally,yawning.,When,the,provider,explains,,c
ontrolled,medications,cannot,be,prescribed,in,this,manner,,the,patient,states,,"You,don't,understand.,I,ne
ed,to,feel,normal.,Without,it,,I,feel,worse,than,I,used,to,feel,at,baseline.,Please!",What,stage,of,addiction,i
s,the,patient,in,and,what,medication,can,be,used,to,help,her,symptoms?
Choices:,
1.,Tolerance,and,acamprosate
2.,Tolerance,and,ANS,-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,report
s,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,ANS,-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,for,high,school,,so,they,fit,in.,The,mother,is,concerned,her,son,may,use,drugs,as,he,often,talks,ab
out,the,partying.,She,wants,to,know,what,she,can,do,it,prepare,him,to,avoid,smoking,cannabis,given,its,su
rge,in,popularity,amongst,youth.,What,is,the,most,common,reason,for,marijuana,use,,amongst,teenagers,
and,young,adults?
,
Choices:,
1.,Stress,management,
2.,Experimentation,
3.,Social,conformity,
4.,Pleasurable,sensation,ANS,-Social,conformity
A,young,adult,patient,is,dropped,off,outside,the,emergency,department,by,her,friends,,and,they,drive,off,
before,any,history,can,be,obtained.,The,patient,has,altered,mental,status,and,shows,signs,of,intoxication.,
Sudden,dorsiflexion,of,her,ankle,produces,a,rhythmic,reproduction,of,her,ankle,jerk,reflex.,Which,of,the,f
ollowing,drugs,did,she,most,likely,ingest?
Choices:,
1.,Alcohol,
2.,3,4-Methylenedioxymethamphetamine,(MDMA),
3.,Phencyclidine,
4.,Cannabis,ANS,-3,4-Methylenedioxymethamphetamine,(MDMA)
, Several,classes,of,common,street,drugs,such,as,cocaine,,ecstasy,(MDMA),,and,amphetamines,,increase,se
rotonin,levels,,which,is,part,of,what,contributes,to,the,pleasurable,and,addictive,aspects,of,their,use,,and,
also,what,can,produce,a,__________,syndrome,and,__________.,ANS,-serotonin
clonus
Psychiatric,medications,such,as,monoamine,oxidase,inhibitors,(MAOI),,selective,serotonin,reuptake,inhibi
tors,(SSRI),,serotonin-
norepinephrine,reuptake,inhibitors,(SNRI),,and,tricyclic,antidepressants,(TCA),manipulate,serotonin,level
s,to,improve,__________,,but,too,much,can,produce,clonus,as,part,of,serotonin,____________.,ANS,-
mood
syndrome
____________,nervous,system,depressants,like,alcohol,and,opiates,can,diminish,deep,tendon,_________
_,as,opposed,to,producing,clonus.,ANS,-Central
reflexes
A,66-year-
old,male,was,prescribed,pain,medication,after,a,fracture,followed,by,surgery,6,months,ago.,Since,then,,hi
s,primary,care,provider,has,noticed,frequent,visits,to,the,office,asking,for,pain,medication,and,multiple,inj
uries,justifying,the,use,of,it.,Every,time,there,are,different,vague,complaints,,but,that,of,pain,is,consistent.
,On,his,last,visit,,the,primary,care,took,a,firm,stand,and,did,not,agree,to,continue,prescribing,the,opioids.,T
oday,he,visits,in,a,restless,state.,Which,of,the,following,do,you,suspect,to,see,on,history,or,physical,exam,i
n,this,patient?,
Choices:,
1.,Constipation,
2.,Miosis,
3.,Dilated,pupils,
4.,Bradycardia,ANS,-Dilated,pupils
Opioid,withdrawal,onset,varies,with,the,type,of,opioid,used.,Heroin,withdrawal,begins,in,as,little,as,___,h
ours,,whereas,methadone,may,take,2,to,3,_______.,ANS,-5
days
