AGENTS, CONTROLLING THE FUNCTIONS OF THE CENTRAL NERVOUS SYSTEM - Ethyl alcohol Flashcards

1
Q

Alcohol may cause

A
  • CNS depression
  • Vasodilatation
  • Hypoglycemia
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2
Q

Alcohol

A

Increases body heat loss

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3
Q

True or False. It is undesirable to take alcohol before going outdoors when it extremely cold, but it may be harmless to take some after coming into a warm place from the cold.

A

TRUE

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4
Q

The most common medical complication of alcohol abuse is

A
  • Liver failure including liver cirrhosis
  • Tolerance and physical dependence
  • Generalized symmetric peripheral nerve injury, ataxia and dementia
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5
Q

Effect of moderate consumption of alcohol on plasma lipoproteins is

A

Raising serum levels of high-density lipoproteins

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6
Q

Which metabolic alterations may be associated with chronic alcohol abuse?

A

Severe loss of potassium and magnesium

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7
Q

Alcohol potentiates

A
  • SNS depressants
  • Vasodilatators
  • Hypoglycemic agents
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8
Q

Which drugs is most commonly used for causing a noxious reaction to alcohol by blocking its
metabolism?

A

Disulfiram

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9
Q

Which agents is an inhibitor of aldehyde dehydrogenase?

A

Disulfiram

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10
Q

Indicate the drug, which alters brain responses to alcohol

A

Naltrexone

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11
Q

Which agents is an opioid antagonist?

A

Naltrexone

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12
Q

Alcohol causes an acute increase in the local concentrations of

A
  • Dopamine
  • Opioid
  • Serotonine
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13
Q

Management of alcohol withdrawal syndrome contains

A
  • Restoration of potassium, magnesium and phosphate balance
  • Thiamine therapy
  • Substituting a long-acting sedative-hypnotic drug for alcohol
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14
Q

Indicate the drug, which decreases the craving for alcohol or blunts pleasurable “high” that comes with renewed drinking

A

Naltrexone

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15
Q

The symptoms resulting from the combination of disulfiram and alcohol are

A

Nausea, vomiting

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16
Q

The combination of disulfiram and ethanol leads to accumulation of

A

Acetaldehyde

17
Q

True or False. The combination of naltrexone and disulfiram should be avoided since both drugs are potential hepatotoxins.

A

TRUE

18
Q

Indicate the “specific” modality of treatment for severe methanol poisoning

A
  • Dialysis to enhance removal of methanol
  • Alkalinization to counteract metabolic acidosis
  • Suppression of metabolism by alcohol dehydrogenase to toxic products
19
Q

Which agents may be used as an antidote for ethylene glycol and methanol poisoning?

A

Fomepizol

20
Q

The principal mechanism of fomepizol action is associated with inhibition of

A

Alcohol dehydrogenase