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Substance Use Disorders: Exam Questions and Answers, Exams of Nursing

University of California-RiversideNursing

A series of questions and answers related to substance use disorders, covering topics such as the stages of addiction, medications used to treat alcohol and tobacco disorders, the effects of methamphetamine, and opioid withdrawal symptoms. It also includes questions about screening tools for alcohol use disorder in pregnant females and the management of alcohol withdrawal. Designed to test knowledge and understanding of key concepts in addiction medicine, making it a useful resource for students and healthcare professionals studying or working in this field. It offers practical insights into the diagnosis, treatment, and management of substance use disorders, enhancing the reader's ability to apply this knowledge in real-world clinical scenarios. The content is structured to facilitate learning and retention, with clear questions and concise answers that highlight important clinical considerations.

Typology: Exams

2024/2025

Available from 05/16/2025

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2025 CARN study material Exam
Questions and Correct Answers Solved 100%
1. 5 stages of addiction: 1. First Use
2. Continued use
3. Tolerance
4. Dependence
5. Addiction
2. 6% of U.S patients misuse their pain management prescriptions. Three com- mon patient
populations affected are Cancer, MVA and -
: Sickle Cell
3. 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.: - Methadone
4. Which of these medications are used for treating alcohol abuse?
Acamprosate
Varenicline
Methadone
Bupropion: Acamprosate
5. Which of these medications are used for tobacco disorder?
Acamprosate Varenicline
Methadone Bupropion:
Varenicline Bupropion
6. 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 reuptake and metabolism of cate- cholamines.:
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Download Substance Use Disorders: Exam Questions and Answers and more Exams Nursing in PDF only on Docsity!

2025 CARN study material Exam

Questions and Correct Answers Solved 100%

  1. 5 stages of addiction: 1. First Use
  2. Continued use
  3. Tolerance
  4. Dependence
  5. Addiction
  6. 6% of U.S patients misuse their pain management prescriptions.Three com- mon patient populations affected are Cancer, MVA and - : Sickle Cell
  7. 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.: - Methadone
  8. Which of these medications are used for treating alcohol abuse? Acamprosate Varenicline Methadone Bupropion: Acamprosate
  9. Which of these medications are used for tobacco disorder? Acamprosate Varenicline Methadone Bupropion: Varenicline Bupropion
  10. 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 reuptake and metabolism of cate- cholamines.:

Methamphetamine

  1. The following are " " for methamphetamine: meth, crystal meth, crystal, speed, scootie, yellow powder, crank, ice, spoosh, glass, chalk, redneck cocaine, yellow barn, Tina, and tick-tick.: street names
  2. Patients under the influence of methamphetamine can have the follow- ing signs or symptoms: appetite, nausea, psychosis, tachycar- dia, hypertension, body temperature, panic attack, mydriasis, sleep patterns, violent, bizarre, and erratic behavior, hallucina- tions, irritability, seizures, and death from high doses.: decreased
  1. 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 about the partying. She wants to know what she can do it prepare him to avoid smoking cannabis given its surge 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: Social conformity

  1. 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 following drugs did she most likely ingest? Choices: 1. Alcohol 2. 3,4-Methylenedioxymethamphetamine (MDMA) 3. Phencyclidine 4. Cannabis: 3,4-Methylenedioxymethamphetamine (MDMA)
  2. Several classes of common street drugs such as cocaine, ecstasy (MDMA), and amphetamines, increase serotonin levels, which is part of what con- tributes to the pleasurable and addictive aspects of their use, and also what can produce a syndrome and .: serotonin clonus
  3. Psychiatric medications such as monoamine oxidase inhibitors (MAOI), selective serotonin reuptake inhibitors (SSRI), serotonin-norepinephrine re- uptake inhibitors (SNRI), and tricyclic antidepressants (TCA) manipulate sero- tonin levels to improve , but too much can produce clonus as part of serotonin .: mood syndrome
  4. nervous system depressants like alcohol and opiates can diminish deep tendon as opposed to producing clonus.: Central reflexes
  5. A 66-year-old male was prescribed pain medication after a fracture fol- lowed by

physical exam in this patient? Choices:

1. Constipation 2. Miosis 3. Dilated pupils 4. Bradycardia: Dilated pupils

  1. Opioid withdrawal onset varies with the type of opioid used. Heroin with- drawal begins in as little as hours, whereas methadone may take 2 to 3 .: 5 days
  2. Opiod withdrawal symptoms may last days to weeks known as pro- tracted abstinence syndrome. Signs and symptoms of withdrawal include cramps, agitation, anxiety, cravings, diarrhea, dilated pupils, high blood pressure, insomnia, goosebumps, muscle pains, nose, shakiness, sneezing, sweating, tachycardia, and tearing.: abdominal runny
  3. A pregnant female, admitted for possible pyelonephritis, is complaining of significant anxiety, tremulousness, and irritability. Upon assessment, she is noted to have a blood pressure of 156/94 mmHg, pulse 103 bpm, and is complaining of nausea. Which of the following screening tools for this patient's most likely substance use disorder has been empirically validated for use in pregnant females? Choices: 1. AUDIT 2. CAGE 3. T-ACE/T-ACER- 3 4. PHQ-9: T-ACE/T-ACER- 3
  4. T-ACE and T-ACER-3, CAGE, and AUDIT are screening tools for use disorder.: alcohol
  1. T-ACE andT-ACER- 3 were designed by an obstetrician with a goal of better identifying alcohol use disorder in females.: pregnant
  2. A 66 - year-old male presents to the hospital complaining of bilateral upper extremity tremors, sweating, and nausea.These symptoms have been present for the last several hours and are worsening in intensity. He has a history of heavy alcohol use, and his last drink was 12 hours ago.Which of the following should be anticipated if the patient does not receive appropriate treatment?

3. Alcohol use disorder 4. Digoxin overdose: Alcohol use disorder

  1. When people consume alcohol for at least 1 to 3 months or even consume large quantities for at least 7 to10 days, a response can occur within to 24 hours after cessation of alcohol consumption. The withdrawal response is relieved immediately by consuming additional alcohol.: withdrawal 6
  1. The signs and symptoms of alcohol withdrawal may range from a sim- ple tremor to delirium tremens characterized by autonomic , di- aphoresis, tachypnea, hyperthermia, and diaphoresis. Other features of alco- hol use disorder include ascites, hepatosplenomegaly, and melena. Thinning of hair, spider , and gynecomastia also are seen.: hyperactivity angioma
  2. Combining and treatments can increase smok- ing cessation rates from 8% to14% when compared with minimal behavioral interventions such as brief advice on quitting: behavioral pharmacological
  3. Combination interventions usually include behavioral components deliv- ered by specialized smoking cessation counselors combined with nicotine replacement therapy. Combination interventions are made up of at least four sessions and are more successful with more sessions. Adding interventions to pharmacotherapy increases cessation rates from 18% in per- sons receiving pharmacotherapy alone to 21% in those using a combination of pharmacotherapy and behavioral support.: behavioral
  4. A 16 - year-old white male comes into your office requesting medical mari- juana for his anxiety and depression. He explains that he has been using it for years and acquired it from friends. Whenever he is without it for a few days, he finds his depression and anxiety recur and sometimes even has episodes of severe anxiety with chest tightening, tingling sensations, racing heart, and dizziness. He has never sought mental health resources in the past and denies having similar symptoms in grade school or middle school. Looking back on his life he says his experience growing up at home and school were great and explicitly denies any traumatic experiences. He produces some literature published by an academic university he finds online supporting his reason to use marijuana. What is the most likely cause of his symptoms? Choices: 1. Generalized anxiety disorder 2. Major Depressive Disorder with anxious features 3. Panic disorder
  1. Cannabis withdrawal typically occurs in heavy users and starts within the first , and symptoms usually peak by day .: week three
  2. A 40 - year-old male with a history of alcohol use disorder is admitted to the hospital for skin lacerations following a motor vehicle accident. Urgent care is given with intravenous fluids and sutures where required. On physical exam- ination, the blood pressure is 130/82 mmHg. The pulse is 86/min, respiratory rate is 18/min, and temperature is 98.7 F. After 5 hours, the nurse goes to draw blood, and the patient refuses, citing restlessness and agitation. The patient yells and states that his heart is pounding and he would not let anyone come close to him. He has a previous history of hepatitis C that has been treated. What is the next step in management? Choices: 1. Administer lithium 2. Administer oxazepam 3. Administer lactulose 4. Administer diazepam: Administer oxazepam
  3. is an FDA-approved benzodiazepine used for the treatment of alcohol withdrawal, management of anxiety disorders, and agitation.: Ox- azepam
  4. For alcohol withdrawal in adults, administer oxazepam 15 mg PO TID. Di- azepam should not be used in this patient because it is metabolized in the liver. Oxazepam, on the other hand, is excreted through the .: kidneys
  5. CAGE stands for the following: (1) Have you felt the need to down your drinking?, (2) Have people you or criticized you about your drinking?, (3) Have you felt about your drinking?, (4) Have you ever used alcohol as an opener? A max score is a 4 and a low is 0.: CUT ANNOYED GUILTY EYE
  6. Patients in have not recognized their drinking as an issue and need help to reach that bridge.: precontemplation
  1. Those in recognize the issue but have not prepared a plan to begin crossing the bridge towards recovery.: contemplation
  2. When a patient is in the stage, a provider can help set up a plan of action, such as obtaining a doctors appointment.: preparation
  3. The stage is the joint effort of the doctor and the patient to come up with an appropriate plan.: action

Choices:

1. Chlorpromazine 2. Lorazepam 3. Ketamine 4. Diphenhydramine: Lorazepam

  1. Benzodiazepines are the first-line treatment for
    • agitation. They are safe and can be titrated with escalating and more frequent doses as required. There is no risk of QTc prolongation or extrapyramidal effects.: methamphetamine-induced
  2. Some antipsychotics such as are effective but have side effects. Other antipsychotics such as haloperidol may affect the QTc interval.: chlorpromazine anticholinergic
  3. also is effective but leads to blood pressure and heart rate elevation. This may exacerbate the methamphetamine-induced hyperadrener- gic symptoms. may worsen tachycardia induced by methamphetamine.: Ketamine Diphenhydramine
  4. The last stage of methamphetamine abuse happens when the person who abuse methamphetamine become and irritable because of lack of sleep for about 3 to 15 days. This behavior is called "tweaking," and the person with this behavior is known as the " ": paranoid tweaker
  5. A toxicology study may provide important information as to why the patient has been experiencing these symptoms. Many substances, specifically cannabis, cocaine, and amphetamines, can induce severe psy- chotic symptoms.: urinary
  6. Antipsychotics and to a lesser extent, antidepressants, can cause . It can present mildly whereby patients may tolerate it without wanting any intervention whatsoever, or severely such that a person cannot cope whatsoever. A rapidly absorbed benzodiazepine could be: akathisia
  7. A 32-year-old young male presents to the emergency department with complaints of rhinorrhea, diarrhea, and malaise. History reveals that he had recent surgery for an ankle fracture after a fall and required intensive physical therapy along with high doses of opiate medications for pain control. On examination, he is afebrile with normal blood pressure and heart rate. The physical exam is essentially normal except for mild pupil dilation. What is the next step in the management of this patient?

4. Prescribe tapering dose of methadone: Prescribe clonidine for symptoms control

  1. Opiate withdrawal is usually mild and not life-threatening. It usually resem- bles a flu- like illness characterized by yawning, sneezing, rhinorrhea, nausea, diarrhea, vomiting, and dilated pupils. Depending on the half-life of the drug, the symptoms may last for three to ten days. For mild symptoms, can be prescribed on an as needed basis.: clonidine
  2. For severe Opiate withdrawal, usually from long term high potency opiate abuse, patients may require a methadone or taper.: buprenor- phine
  3. intoxication is commonly associated with injected conjunctiva and a temporary increase in appetite.: Cannabis
  4. Cannabis use has also been shown to cause lethargy, impairment of attention, memory, executive functioning, and short-term memory, which can lead to problems in school for students. Chronic use may lead to long-term effects on performance, "amotivational syndrome," a loss of energy and will to work.: cognitive
  5. Urine drug screen is the most efficient test to assess for THC toxicity, as positive results for THC have been reported up to days after weekly use and up to days after daily use.: 10 56
  6. A 17-year-old female with borderline personality disorder is in an inpa- tient psychiatric unit secondary to a recent heroin overdose. Upon a routine physical exam, she is found to have superficial skin scratches on her forearm bilaterally. What is the appropriate management? Choices: 1. Seclude and restrain her to prevent further self-harm 2. First aid, then a team conference to confront her 3. First aid, then explore preceding emotions and actions with her 4. Restrict her to her room to provide an opportunity to reflect on her behav- ior: First aid, then explore preceding emotions and actions with her
  7. Evidence suggests that patients who are of the gender, of ado-

lescent age, or age older than 50 years are at increased risk of persistent use. A pre-existing history of depression or illicit drug, alcohol, antidepressant, or benzodiazepine use are also at increased risk: female opioid