1

Question 1

5 R’s of MI

Answer 1

relevance
risk
rewards
roadblocks
repetition

Question 2

neonatal abstinence syndrome (from opioids) symptoms

Answer 2

poor feeding
irritability
high pitched cry
vomiting, diarrhea
seizures

Question 3

treatment for neonatal abstinence syndrome

Answer 3

opioids

or benzos for immediate seizure

Question 4

how does topiramate affect CYP?

Answer 4

CYP3A4 inducer

Question 5

MOA varenicline

Answer 5

alpha4 beta 2 nicotonic ach partial agonist

Question 6

fetal alcohol syndrome symptoms

Answer 6

thin upper lip
behavioral disturbances
growth delay
microcephaly

Question 7

what should you next do if you suspect FAS?

Answer 7

MRI (high incidence of midline brain anomalies) and genetic testing (r/o other d/o’s)

Question 8

order the races in the US from highest to lowest prevalance of AUD

Answer 8

1. Native americans
2. white
3. latinx
4. black
5. asian

Question 9

is there high or low perceived risk with youth and vaping?

Answer 9

low

Question 10

anxiety disorder with highest prevalance of AUD

Answer 10

GAD

Question 11

prevalence of lifetime substance use disorder in people with GAD

Answer 11

50%

Question 12

whats most common type of cell in the striatum that expresses dopamine

Answer 12

medium spiny neurons

Question 13

whats the name of the gov agency that prohibits discrimination of any kind?

Answer 13

Rehabilitation Act of 1973

Question 14

how has prevalance changed for AUD in all racial groups?

Answer 14

increased

Question 15

Levels of Care

Answer 15

2.1: IOP (6-9 hours/week)

2.5: Partial hospitalization services (20 hours)

3.1: Low intensive residential, detox (lives, support 5 days/week)

3.7: (Residential) -Medically monitored high intensive inpatient services withdrawal management (24/7)

4: Inpatient (medically managed)

Question 16

normal specific gravity for UDS

Answer 16

1.001-1.030

Question 17

normal temp for UDS

Answer 17

90-100 degrees F

Question 18

normal pH for UDS

Answer 18

4.6-8 (book says 3-11)

Question 19

normal creatinine for UDS

Answer 19

> 20 mg/dL

Question 20

normal nitrites for UDS

Answer 20

less than 500 μg/mL (50 mg/dL)

Question 21

Do Physician Health Programs have to report suspected abuse to licensing boards?

Answer 21

no

Question 22

gene involved in respiratory depression in europeans who misuse codeine

Answer 22

CYP2D6

Question 23

lifetime risk of becoming dependent on cannabis

Answer 23

9%

Question 24

specific metabolite for heroin

Answer 24

6-MAM

Question 25

first line for treatment of nicotine use disorder during pregnancy

Answer 25

psychological and behavioral interventions

Question 26

CAGE questions

Answer 26

C: Have you ever felt you should cut down on your drinking?
A: Have people annoyed you by criticizing your drinking?
G: Have you ever felt bad or guilty about your drinking?
E: Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover?

Question 27

probability of becoming dependent on cocaine after one use

Answer 27

17%

Question 28

probability of becoming dependent on meth after one use

Answer 28

11%

Question 29

current marijuana class schedule

Answer 29

I