4 Flashcards

1
Q

dynorphins bind to which opioid receptor and causes what

A

kappa –> dysphpria, decreased dopamine

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2
Q

12 mo prevalence of nicotine use disorder in US

A

20%

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3
Q

time to peak plasma concentration and time to peak effect for IV meth use vs smoking meth vs intranasal vs oral

A

IV: 15 min for both

smoking: 2.5 hrs for conc, 18 min for peak effect

intranasal: 3 hrs, 15 min for effect

oral: 3.5 hr (for both)

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4
Q

sertraline is false positive for

A

benzos

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5
Q

what features of urine would you look at to see if its been adulterated

A
  • nitrites
  • pH
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6
Q

what features of urine would you look at to see if its been diluted

A
  • creatinine
  • specific gravity
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7
Q

if someone on methadone needs acute pain management what do you do?

A

give them another opioid for acute pain management

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8
Q

dose of IM naltrexone

A

380 mg q4 weeks

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9
Q

how long is duration of cocaine?

A

30-60 minutes

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10
Q

12 month prevalence of AUD

A

13%

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11
Q

how does topiramate work to help reduce alcohol use?

A

antagonizes glutamate –> suppressed dopamine release in NA –> reduces reward

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12
Q

miscarriage is a possible withdrawal complication from…

A

opioids

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13
Q

after how many hours after drinking can you give disulfiram?

A

12 hours

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14
Q

how long should you wait to drink after getting disulfiram?

A

2 weeks

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15
Q

binge drinking defined as

A

drinking so much w/in 2 hours that BAC reaches 0.08g/DL (typically, 4 drinks for women, 5 for men)

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16
Q

does alcohol use disorder severity correlate with their risk of remission?

A

no

17
Q

do kids with FAS have a hard time making friends?

A

yes

18
Q

are adults with FAS likely to be independent?

A

no

19
Q

which endocrine disorders is associated with cigarette smoking?

A

Graves disease, hypogonadism, DM, SIADH

20
Q

which endocrine disorder is associated with cocaine?

A

hyperprolactinemia

21
Q

which endocrine disorder is associated with anabolic steroid use

A

gynecomastia

22
Q

which endocrine disorder is associated with alcohol use d/o?

A

pancreatic insufficiency

23
Q

among americans who use alcohol, what percent report heavy drinking?

A

12%

24
Q

How defining heavy drinking

A

> 5 drinks on 5 days

25
Q

among americans who use alcohol, what percent report binge drinking?

A

24%

26
Q

which gene associated with higher cocaine addiction susceptibility

A

CAMK4

27
Q

which gene associated with cocaine induced paranoia

A

VNTR