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CARN FINAL COMPLETE EXAM; QUESTIONS AND VERIFIED ANSWERS
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CARN FINAL COMPLETE EXAM; QUESTIONS ANDVERIFIED ANSWERS
5 phases of addiction - ANSWER 1. First Use
2. Continued Use
3. Tolerance
4. Dependence
5. Addiction
6% of patients in the United States abuse their painkiller prescriptions. Cancer,
MVA, and Sickle Cell are the three main patient populations affected.
This medicine acts on the same opioid receptors as commonly misused opioids but
does not provide euphoric effects. It has also been employed for over 40 years in
many patients' quests for recovery due to its long-acting properties. - Answer:
Methadone
Which of these drugs are used to treat alcoholism?
Acamprosate
Varenicline
Methadone
Bupropion - Answer: Acamprosate
Which of these drugs are used to treat tobacco use disorder?
Acamprosate
,Varenicline
Methadone
Bupropion - Varenicline.
Bupropion
This compound is a complete agonist of trace amine-associated receptors
(TAAR1). The activation of TAAR1 increases cAMP and inhibits serotonin,
dopamine, and norepinephrine transporters. Inhibiting monoamine transporters
causes catecholamine reuptake and metabolism. - Answer: Methamphetamine.
The following are "_________ _______" for methamphetamine: meth, crystal,
speed, scootie, yellow powder, crank, ice, spoosh, glass, chalk, redneck cocaine,
yellow barn, Tina, and tick-tick. - Answer street names.
Patients under the influence of methamphetamine may exhibit the following signs
or symptoms: ___________ appetite, nausea, psychosis, tachycardia, hypertension,
___________ body temperature, panic attack, mydriasis, __________ sleep
patterns, violent, bizarre, and erratic behavior, hallucinations, irritability, seizures,
and death from large doses. - Answer reduced.
increased
disturbed
A 65-year-old woman visits the clinic to request a re-prescription for her pain
medication. She was involved in a motor vehicle collision (MVC) eight months
ago, which resulted in persistent neuralgia in both arms as well as low back pain.
She was prescribed oxycodone/acetaminophen 7.5/325 mg every 6 hours. Her last
planned refill was 20 days ago, for a 30-day supply. She returns early, stating that
she needs many tablets sooner than prescribed due to unmanageable agony. Her
current vital signs are OK, however, she is diaphoretic, teary, restless, and
occasionally yawning. When the provider explains that controlled medications
cannot be prescribed in this way, the patient responds, "You don't understand. I
,need to feel normal. Without it, I feel worse than I used to feel at baseline. Please!"
What stage of addiction is the patient in, and what medication can help her
symptoms?
Choices:
1. Tolerance and Acamprosate
2. Tolerance - ANSWER Dependence and Methadone
A patient arrives at the emergency department with agitation, mydriasis,
hypertension, and tachycardia. He says he snorted "some crystals" with buddies and
is feeling energetic and anxious. He claims that his buddies told him that this was a
weight loss procedure, which is why he attempted it. Which of the following is true
about the medicine most likely used by this patient?
Choices:
1. partial agonist of trace amine-associated receptors (TAAR 1)
2. Gamma-aminobutyric acid (GAB) receptor agonist
3. Full agonist of trace amine-associated receptors (TAAR1).
4. Answer: Full agonist of trace amine-associated receptors (TAAR1).
A 35-year-old woman comes in for a wellness checkup. She has a 13-year-old son
who will attend high school next year, and she frequently hears him and his friends
discussing how to prepare for high school so they can fit in. The mother is
apprehensive that her kid may use drugs because he frequently talks about partying.
She wants to know what she can do to help him avoid smoking cannabis,
considering its growing popularity among teenagers. What is the most common
reason for marijuana usage among adolescents and young adults?
Choices:
1. Stress Management
, 2. Experimentation
3. Social conformity
4. Pleasurable sensation: ANSWER Social conformity
A young adult patient is left off outside the emergency department by her pals, who
drive away before any history is taken. The patient's mental state has changed, and
he appears to be intoxicated. Her ankle jerk reaction is rhythmically reproduced
when she suddenly dorsiflexes it. Which of the following drugs did she most likely
take?
Choices:
1. Alcohol
2. 3,4-methylenedioxymethamphetamine (MDMA)
3. Phencyclidine
4. Cannabis - Answer: 3,4-Methylenedioxymethamphetamine (MDMA)
Several kinds of prevalent street drugs, including as cocaine, ecstasy (MDMA), and
amphetamines, raise serotonin levels, which contributes to the pleasurable and
addictive elements of their usage, as well as the possibility of developing a
_________ syndrome and __________. - Answer: serotonin.
clonus
Psychiatric medications such as monoamine oxidase inhibitors (MAOI), selective
serotonin reuptake inhibitors (SSRI), serotonin-norepinephrine reuptake inhibitors
(SNRI), and tricyclic antidepressants (TCA) manipulate serotonin levels to improve
________, but too much can cause clonus as part of the serotonin ____________. -
ANSWER mood.
syndrome
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