6 Flashcards
itching is form of stimulant intoxication or withdrawal
intoxication
bradycardia form of cocaine withdrawal?
yes
which benzos should you use for detox in a patient with liver dz?
LOT (basically lorazepam)
does early onset smoking increase risk of AUD?
yes
selegeline is a false positive for what on UDS
methamphetamine
is engaging in extracurriculars for a teen associated with preventing drug use?
no…
12 month prevalence of inhalant use in 12-17 y/os
2.5%
what’s it called when the physician uses family and friends of patient to help support abstinence?
network therapy
which gene associated with alcohol dependence?
GABRA2
which TCA is less sedating?
desipramine (most potent NE reuptake inhibition)
cardiac defects common in FAS
ventricular septal defects
atrial septal defects
medication to treat severe cases of serotonin syndrome
cyproheptadine
desipramine is false positive for
amphetamines
amantadine is false positive for
amphetamines
4 components of the spirit of MI
partnership
acceptance
evocation
compassion
69% of cocaine seized in the US in 2009 was cut with what
levamisole, a veterinary anti-helminthic
triad of levamisole side effects
positive autoimmune markers
leukopenia
purpuric lesions (typically on ears)
pregabalin MOA
calcium channel antagonist
disulfiram MOA in the brain
blocks dopamine-beta-hydroxylase –> increasing dopamine and decreasing conversion to NE
which brain area has highest percentage of cannabinoid receptors?
basal ganglia and hippocampus and cerebellum
which opioid does not cause pinpoint pupils and why
meperidine - anticholinergic properties cause mydriasis
which race associated with opioid use disorder?
whites
younger or older associated with OUD?
younger
bath salts derived from
synthetic cathinones from khat plants
is being depressed a risk factor for using stimulants?
no
is being in a frat or sorority a risk factor for using stimulants?
yes
ranitidine false positive for
amphetamines
which brain area associated with cravings?
orbitofrontal cortex
how many mg of nicotine in a cigarette?
10 mg
what is the cog distortion of personalization?
assuming an interpretation of a situation when there may be other explanations (eg. he missed my call so he must hate me)
mg% of alcohol and associated sxs of intoxication
100-150: first signs of intoxication
150-200: drowsy
300-399: amnesia, dysarthria, hypothermia
400-600: coma
> 600: fatal
acupressure
finger pressure over acupuncture points to relieve pain
which personality d/o associated with difficulty with more benzo w/d?
dependent personality d/o
which club drug can cause hyponatremia and how?
MDMA
1) hyperthermia –> primary polydipsia –> low Na
2) SIADH –> low Na
mouth sores and stained fingernails associated with what drug
inhalants
Pantoprazole and Efavirenz cause false positives on what
cannabinoids
MDMA half life
8.5 hrs, excreted by 24 hrs
which gene associated with higher risk of tobacco use and lower chance of cocaine dependence?
CHRNA5
is there clear guideline on what value gift a doc can accept from patient?
no
phenytoin causes false positive for
barbiturates
