BIPC Substance Abuse and Disorders Practice Exam

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• Which statement about fetal alcohol syndrome and pregnancy is true?
• Which term defines a maladaptive pattern of substance use with recurrent and significant adverse consequences affecting social, physical, or occupational functioning?
• NOT a typical sign of stimulant intoxication?
• Which statement best describes the relationship between Wernicke's encephalopathy and Korsakoff's psychosis?
• Which of the following are signs/symptoms of stimulant (cocaine) withdrawal?
• What are the uses of sedatives?
• Which is a sign of hallucinogen intoxication?
• Kratom is best described as which of the following?
• Which term encompasses natural, semisynthetic, and synthetic opioids?
• Which program duration is described as 28/30 day programs?
• What is the term for the set of symptoms occurring after a drug is discontinued?
• Which description best captures the typical marijuana effects?
• A patient presents with agitation, tremors, and anxiety after missing benzodiazepine doses. Which statement best reflects appropriate next steps?
• Which of the following is a sign of nicotine withdrawal?
• Which vitamin is specifically recommended as part of delirium tremens management?
• A 41-year-old woman with a history of polysubstance use experiences a seizure. Which drug is most likely to precipitate this seizure in the withdrawal/early recovery period?
• Which is a key symptom of hallucinogen intoxication?
• Which is a common complication of benzodiazepine withdrawal?
• Which program collects information on all filled prescriptions for controlled substances to support safe prescribing and restricts access to one's own patients?
• What is the key difference between methadone maintenance therapy (MMT) and Suboxone maintenance therapy (SMT)?
• During the crash after cocaine use, which of the following best describes the dopamine status and associated symptoms?
• Use of crack vs cocaine increases risk of ___.
• Which option best describes outpatient treatment?
• Which of the following is NOT listed as a sign of steroid intoxication?
• What is the primary mechanism by which cocaine produces euphoria?
• What are signs of sedative withdrawal?
• Elevated bilirubin with jaundice is associated with alcohol-related liver injury.
• What detox approach is described for marijuana detox?
• A 24-year-old man with unknown substance use is found unresponsive with slow respirations. What is the next step after contacting emergency services?
• Which is an indication for benzodiazepines?
• Which liver enzyme pattern is typically elevated in alcohol-related liver injury?
• Which sign is commonly observed for injection drug use by opioids?
• What is the term for a reversible syndrome resulting from recent use of a specific drug?
• Post-Acute Withdrawal Symptoms (PAWS) can persist for how long after detox?
• Methamphetamines are described as
• Pupil dilation is most likely associated with which of the following substances?
• Which set of tests is typically included in routine labs for alcohol detox?
• Which of the following are signs of sedative intoxication?
• What is the clinical triad of Wernicke's encephalopathy?
• Which statement is NOT true about Narcan?
• Which symptom is NOT typical of alcohol withdrawal?
• Which term describes needing more of a substance to achieve the same effect?
• Which term describes abuse plus tolerance, withdrawal, or compulsive use?
• Which of the following is a common sign of delirium tremens?
• Which is a withdrawal risk associated with benzodiazepines?
• What is the purpose of adding Naloxone to buprenorphine in opioid taper formulations?
• A CIWA score of 22 falls into which category?
• Which symptom is most concerning and commonly associated with benzodiazepine withdrawal?
• Why might inpatient detox be preferred over outpatient treatment for benzodiazepine dependence?
• PAWS characteristic: PAWS occurs after acute withdrawal and can persist for months. Which option describes this?
• What is the primary purpose of Naloxone in overdose management?
• What is the primary purpose of emergency department–based surveillance data on substance use?
• What are key symptoms of PCP intoxication?
• Which symptom indicates visual perceptual changes associated with hallucinogens?
• In the sequence of actions for suspected opioid overdose, which action comes immediately after recognizing signs?
• Which of the following are signs of nicotine intoxication?
• Xylazine exposure is linked to which cutaneous complication?
• Sedatives are especially dangerous when combined with which substance?
• When should Narcan be used?
• What is the detox process for sedatives?
• Which setting is most appropriate for benzodiazepine withdrawal in a patient with seizure risk?
• What is the recommended treatment for withdrawal from marijuana or stimulants?
• A COWS score of 5-12 is categorized as which level of withdrawal?
• What is a standard approach in a high-risk patient to safely taper off benzodiazepines?
• Which item is listed as a sedative?
• A patient with a history of high-dose benzodiazepine use presents after stopping abruptly. Which management plan is most appropriate?
• Which of the following is NOT listed as a sign of inhalant intoxication?
• Hyperthermia risk with meth use.
• Before initiating naltrexone therapy, the patient should be opiate-free for 7-14 days and have which test performed?
• Gabapentin may become a Schedule V controlled substance in some jurisdictions. Which option correctly reflects this possibility?
• What are the uses of amphetamines?
• Which of the following is a sign of caffeine intoxication?
• Which substance is commonly known as 'acid'?
• Which of the following is NOT listed as a PAWS symptom?
• Sublocade is an extended-release buprenorphine delivered for one month by which administration route?
• A pregnant patient at 21 weeks on Methadone maintenance reports withdrawal symptoms. Which assessment tool would you use to assess withdrawal severity?
• During overdose management, when breathing is inadequate, what immediate action should be performed after Naloxone administration?
• What does IOP stand for in substance use treatment?
• Which of the following is NOT listed as a sign of PCP intoxication?
• Which term describes the period after cocaine use when dopamine is depleted and psychiatric symptoms may occur due to reduced dopamine activity?
• Which receptor is primarily linked to mood, pain, and reward?
• Treatment for delirium tremens commonly includes which combination?
• Which statement best describes naltrexone's nature and indications?
• Which of the following is a form of nicotine replacement therapy?
• Which substance is categorized as a depressant in standard classifications of drugs?
• What BAC is commonly considered legally impaired for driving in many jurisdictions?
• Naloxone (Narcan) is best described as which type of drug?
• Which liver enzyme is typically the first to increase in chronic alcoholism?
• Which medications are commonly used in an opioid detox taper?
• Which statement is true about Narcan side effects?
• Which metabolite may be elevated in alcohol use affecting the brain?
• What are endogenous opioids?
• Which of the following is NOT listed as a sign of marijuana withdrawal?
• Which of the following is NOT listed as a neonatal abstinence syndrome symptom?
• What is the recommended treatment for Wernicke's encephalopathy?
• What is the recommended withdrawal management approach for alcohol, benzodiazepines, barbiturates, and sleep aids?
• Which term describes Substance abuse plus a mental illness, often referred to as 'co-occurring'?
• Methamphetamine presentation includes which of the following?
• Naloxone reverses overdose by
• Which symptom is commonly associated with acute alcohol intoxication?
• Which statement about Narcan administration is true?
• Chronic alcoholism commonly leads to deficiency of which vitamin that can precipitate Wernicke's encephalopathy?
• Which benzodiazepine is commonly used in alcohol withdrawal detoxification?
• How are steroids described in the material?
• Which of the following is NOT a sign of opioid intoxication?
• Which benzodiazepine is commonly used for taper in alcohol detox due to long half-life?
• Elevated ammonia levels in heavy alcohol use signal risk for what complication?
• A new patient who injects drugs presents with track marks and purulent drainage. Which antibiotic would be appropriate to order?
• Which of the following are key symptoms of inhalant intoxication?
• Which feature is associated with inpatient treatment?
• Which statement about naltrexone is true?
• Bath salts are synthetic stimulants that commonly produce which of the following effects?
• Which is a sign of opioid withdrawal?
• What is the CIWA scale used for?
• Which ocular sign is commonly observed in Wernicke's encephalopathy?
• Which is a possible sign of alcohol withdrawal?
• Which term refers to a treatable, chronic medical disease involving interactions among brain circuits, genetics, the environment, and an individual's life experiences?
• Which substances are listed as hallucinogens?
• Which factor most increases the risk of severe benzodiazepine withdrawal requiring inpatient management?
• Which health risks are commonly monitored in intravenous drug users?
• As part of routine labs during alcohol detox, which test is performed for all women?
• Korsakoff's psychosis is a late manifestation of Wernicke's encephalopathy and is characterized by which features?
• What term describes taking a medication for a reason other than the intended use (for example, using a medication for back pain to get relief, not to get high)?
• Which statement accurately contrasts buprenorphine and methadone?
• Which term refers to a treatment option between inpatient and outpatient?
• Sublocade provides continuous buprenorphine release for a month by which mechanism?
• When discharging a client on Vivitrol, if their UDS is positive for benzodiazepines and opioids, should you start Vivitrol?
• Which term describes behaviors that support an individual's addiction and unhealthy lifestyle, often connected to co-dependency?
• Chronic alcohol use can suppress bone marrow and cause macrocytic anemia; which finding would you expect?
• A patient presents with benzodiazepine withdrawal after running out of medication. What is the most appropriate treatment setting?
• When gabapentin is combined with opioids, which is a potential risk?
• Delirium tremens management often requires what setting for care?
• What is the purpose of CAGE screening?
• Delirium tremens typically appears within what time frame after the last drink?
• Which Hepatitis types are most commonly seen in intravenous drug users, and what is the vaccine status for these types?
• In alcohol use, which pancreatic enzymes may be elevated?
• Which statement best describes the rationale for inpatient benzodiazepine withdrawal management?
• What does DAWN stand for in the context of emergency department surveillance for substance use?
• Which receptor is primarily associated with mood and is distinct from mu's pain relief?
• What is the standard treatment for opioid use disorder during pregnancy?
• Which of the following captures the commonly reported effects of marijuana?
• Bath salts are synthetic stimulants that can produce which of the following symptoms?
• Which of the following is a criterion for fetal alcohol syndrome?
• Which of the following are signs/symptoms of stimulant (cocaine) intoxication?
• Which of the following is an unacceptable approach to benzodiazepine withdrawal management?
• A patient with severe alcohol use disorder is on a diazepam (Valium) taper. Three days after initiation, the patient becomes drowsy and off-balance. Which change to the treatment plan is most appropriate?
• Which of the following is a reported risk of opioid use in pregnancy?
• Methadone maintenance during pregnancy is associated with which outcome?
• Which lab finding is commonly seen in alcohol use due to decreased insulin effectiveness?
• Which benzodiazepine is preferred for withdrawal taper due to a relatively short half-life and lower sedation risk?
• Which signs are associated with caffeine withdrawal?
• What is a recommended treatment approach for caffeine withdrawal symptoms?
• Which of the following is NOT listed as a treatment option for post-acute withdrawal symptoms (PAWS)?
• Which description best describes methamphetamine?
• Which medication is commonly used in detoxification to manage withdrawal symptoms and can also lower blood pressure?
• What is a common detox treatment for nicotine addiction?
• Which symptom would most strongly indicate the need for inpatient benzodiazepine withdrawal management?
• A CIWA score of 12 falls into which category?
• Which Hepatitis types are most commonly seen in intravenous drug users, and are there vaccines available for these types?
• Xylazine is often referred to as 'tranq dope' and is best described as which?
• What is the mainstay pharmacologic approach for alcohol detoxification?
• Which term refers to the combination of substance use disorder and another mental health disorder?
• PCP is categorized as which type of substance?
• Which term describes behaviors that support an individual's addiction and an unhealthy lifestyle?
• Which of the following is a hallucinogen derived from seeds?
• Which activity is commonly part of outpatient treatment?
• Which term describes a treatable, chronic medical disease involving brain circuits, genetics, the environment, and life experiences?
• Which of the following is NOT a metabolite of diazepam?
• Which of the following is a sign of steroid withdrawal?
• Which term describes actions that shield a person from the consequences of their substance use, helping maintain the addiction cycle?
• What is unique about inhalants in terms of brain effects?
• Which statement about benzodiazepine taper strategies is true?
• On the DSM-V scale for substance use, which category corresponds to 4-5 symptoms?
• What is a key reason for admitting a patient for benzodiazepine withdrawal treatment?
• Which assessment tool is used to quantify alcohol withdrawal symptoms?
• Which of the following is NOT a CAGE screening question?
• Fetal alcohol syndrome is defined as physical and behavioral abnormalities associated with maternal alcohol use during pregnancy.
• Which statement about steroids best matches the material?
• What is the main psychoactive component of marijuana?
• Methamphetamine presentation
• What is recommended during benzodiazepine detox to avoid seizures?
• Pupil dilation is most commonly associated with which category of substances?
• Which term describes the body's naturally occurring opioids?
• Are vaccines available for Hepatitis A and Hepatitis B, and what is the vaccine status for Hepatitis C?
• On the Clinical Opiate Withdrawal Scale (COWS), which score range indicates Moderate withdrawal?
• Which of the following is a withdrawal symptom?
• Which medication is commonly used to manage opiate withdrawal?
• Inhalants cross which barrier?
• Street names associated with amphetamines?
• Which item is NOT typically included in routine labs for opioid detox assessment?
• Which substance is a hallucinogen that is seed-derived?
• What is the first step in the five essential steps for first responders when opioid overdose is suspected?
• Which CIWA score range corresponds to Severe withdrawal?
• Kratom can produce effects similar to which drug classes?