Acute Drug Abuse - Dr. C Flashcards

1
Q

In the liver, alcohol (ethanol) is converted to _____ through alcohol dehydrogenase.

A

Acetaldehyde

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2
Q

In the liver, alcohol is converted to acetaldehyde and then to acetate by this enzyme.

A

Acetaldehyde dehydrogenase

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3
Q

True or False: The acetate formed from alcohol will go into the TCA cycle (Krebs cycle) to form ATP, which is why alcohol has a significant caloric value.

A

True

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4
Q

How does disulfiram (antabuse) work?

A

It blocks acetaldehyde dehydrogenase, which results in accumulation of acetaldehyde, which is why you get terrible feeling with the “antabuse reaction”.

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5
Q

Can breathalyzer testing results be used in court?

A

No, but BAC can be.

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6
Q

______ is a metabolite of alcohol that can be found in urine even 2-3 days after someone has been drinking and is mainly used in outpatient monitoring therapy.

A

Ethyl glucuronide

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7
Q

Flumazenil is a reversal agent for overdose on ______.

A

Benzodiazepines

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8
Q

Is there a reversal agent for barbiturates?

A

No

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9
Q

Rohypnol (flunitrazepam) and GHB are forms of benzodiazepines.

A

FALSE! Rohypnol is but GHB is nothing like it even though they are both date rape drugs.

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10
Q

True or False: There is endogenous GHB in all of us.

A

True

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11
Q

True or False: It is difficult to prove someone gave another person GHB because everyone has endogenous GHB and can vary from person to person.

A

True

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12
Q

According to Dr. C’s lecture, what is the main date rape drug?

A

Ethanol

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13
Q

True or False: Cocaine is a natural versatile drug and comes in many formulations, including chewing the leaves, smoking the paste. snorted or IV administration of the powder, or smoking the free base of it, which is crack.

A

True

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14
Q

The active moiety in marijuana is _____.

A

THC

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15
Q

THC has 2 levels, low dose, which is ethanol-like, and high dose, which is LSD-like. Which is more common?

A

Low-dose

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16
Q

True or False: There are endogenous THC ligands, called anandamide and 2-AG.

A

True

17
Q

Which are the 2 states that have pharmacist involvement in marijuana?

A

Connecticut and Louisiana

18
Q

Where is marijuana legal?

A

Colorado was first, then Washington and Oregon