6 Flashcards

1
Q

itching is form of stimulant intoxication or withdrawal

A

intoxication

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2
Q

bradycardia form of cocaine withdrawal?

A

yes

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3
Q

which benzos should you use for detox in a patient with liver dz?

A

LOT (basically lorazepam)

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4
Q

does early onset smoking increase risk of AUD?

A

yes

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5
Q

selegeline is a false positive for what on UDS

A

methamphetamine

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6
Q

is engaging in extracurriculars for a teen associated with preventing drug use?

A

no…

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7
Q

12 month prevalence of inhalant use in 12-17 y/os

A

2.5%

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8
Q

what’s it called when the physician uses family and friends of patient to help support abstinence?

A

network therapy

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9
Q

which gene associated with alcohol dependence?

A

GABRA2

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10
Q

which TCA is less sedating?

A

desipramine (most potent NE reuptake inhibition)

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11
Q

cardiac defects common in FAS

A

ventricular septal defects
atrial septal defects

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12
Q

medication to treat severe cases of serotonin syndrome

A

cyproheptadine

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13
Q

desipramine is false positive for

A

amphetamines

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14
Q

amantadine is false positive for

A

amphetamines

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15
Q

4 components of the spirit of MI

A

partnership
acceptance
evocation
compassion

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16
Q

69% of cocaine seized in the US in 2009 was cut with what

A

levamisole, a veterinary anti-helminthic

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17
Q

triad of levamisole side effects

A

positive autoimmune markers
leukopenia
purpuric lesions (typically on ears)

18
Q

pregabalin MOA

A

calcium channel antagonist

19
Q

disulfiram MOA in the brain

A

blocks dopamine-beta-hydroxylase –> increasing dopamine and decreasing conversion to NE

20
Q

which brain area has highest percentage of cannabinoid receptors?

A

basal ganglia and hippocampus and cerebellum

21
Q

which opioid does not cause pinpoint pupils and why

A

meperidine - anticholinergic properties cause mydriasis

22
Q

which race associated with opioid use disorder?

A

whites

23
Q

younger or older associated with OUD?

A

younger

24
Q

bath salts derived from

A

synthetic cathinones from khat plants

25
Q

is being depressed a risk factor for using stimulants?

A

no

26
Q

is being in a frat or sorority a risk factor for using stimulants?

A

yes

27
Q

ranitidine false positive for

A

amphetamines

28
Q

which brain area associated with cravings?

A

orbitofrontal cortex

29
Q

how many mg of nicotine in a cigarette?

A

10 mg

30
Q

what is the cog distortion of personalization?

A

assuming an interpretation of a situation when there may be other explanations (eg. he missed my call so he must hate me)

31
Q

mg% of alcohol and associated sxs of intoxication

A

100-150: first signs of intoxication

150-200: drowsy

300-399: amnesia, dysarthria, hypothermia

400-600: coma

> 600: fatal

32
Q

acupressure

A

finger pressure over acupuncture points to relieve pain

33
Q

which personality d/o associated with difficulty with more benzo w/d?

A

dependent personality d/o

34
Q

which club drug can cause hyponatremia and how?

A

MDMA

1) hyperthermia –> primary polydipsia –> low Na

2) SIADH –> low Na

35
Q

mouth sores and stained fingernails associated with what drug

A

inhalants

36
Q

Pantoprazole and Efavirenz cause false positives on what

A

cannabinoids

37
Q

MDMA half life

A

8.5 hrs, excreted by 24 hrs

38
Q

which gene associated with higher risk of tobacco use and lower chance of cocaine dependence?

A

CHRNA5

39
Q

is there clear guideline on what value gift a doc can accept from patient?

A

no

40
Q

phenytoin causes false positive for

A

barbiturates