12

Question 1

disulfiram reaction symptoms

Answer 1

nausea, vomiting
headache
flushing, sweating
tachycardia, chest pain
vertigo
blurred vision

Question 2

how long does disulfiram reaction last?

Answer 2

immediately and then up to 2 hours (however long alcohol still in system)

Question 3

half life of disulfirm

Answer 3

60-120 hours

Question 4

3 benzos with shortest half life

Answer 4

triazolam
midazolam
brotizolam

Question 5

can patients on warfarin do outpatient detox?

Answer 5

no, should do inpatient (bleeding risk with falls from benzos)

Question 6

Old ASAM criteria 6 dimensions

Answer 6

1: Intoxication and withdrawal
2: Biomedical conditions
3. Emotional, behavioral, cog conditions
4: Readiness to change
5. Relapse potentail
6. Living environment

Question 7

newborn with lethargy, hypotonia, sucking difficulty, loss of cardiac beat to beat variability means mother used what?

Answer 7

diazepam

Question 8

duration of inhaled marijuana

Answer 8

2-4 hours

Question 9

what percent of americans misuse prescription opioids?

Answer 9

6%

Question 10

can meth induced psychosis be months?

Answer 10

yes

Question 11

percent of stimulant diversion amongst highschoolers

Answer 11

5-10%

Question 12

does light sensitivity happen in cocaine intoxication?

Answer 12

yes - dilated pupils

Question 13

what is the name of the validated instrument for adults with SUDs and eating disorders?

Answer 13

Yale Food Addiction Scale (YFAS)

Question 14

COMBINE study gist

Answer 14

Assess varying combinations of naltrexone po, acamprosate, behavioral intervention, and med mgmt

• all groups improved abstinent days
• naltrexone + med mgmt was best
• acamprosate not better than placebo

Question 15

barbiturate affect on CYP 450 system

Answer 15

inducers

Question 16

do you legally need patient’s consent for UDS?

Answer 16

no but it builds trust and helps the patient acknowledge the problem!

Question 17

is gateway theory for using harder drugs real?

Answer 17

mixed empirical evidence

Question 18

demographic risk factors of cocaine use

Answer 18

men
urban
15-35 y/o

Question 19

men or women more likely to become alcohol dependent?

Answer 19

men

Question 20

Ofloxacin causes false positive for

Answer 20

opioids and amphetamines

Question 21

marijuana mostly eliminated by

Answer 21

feces

Question 22

severity levels for bulimia based on frequency per week. What are those frequencies per each level?

Answer 22

mild: 1-3
moderate: 4-7
severe: 8-13
extreme: >14

Question 23

if patient does not consent to an independent medical examination by an insurance company, do they have to proceed anyway?

Answer 23

no, only if court ordered