Alcohol Flashcards
Patient with addiction and social anxiety disorder discusses their painful experience of anxiety during their first AA meeting. What reply is consistent with 12 step facilitation therapy?
“you did the most important thing, you went to the meeting, it will get easier”
What does CAGE stand for?
cut down, annoyed, guilty, eye opener
Evaluation of which lab test is most specific for chronic heavy alcohol consumption?
% CDT (percent carbohydrate deficient transferrin)
50 yo with alcohol dependence at ED for confusion, oculomotor disturbances, ataxia, and dysarthria. Give which med first?
thiamine
Alcohol hallucinosis versus DT: alcoholic hallucinosis includes what?
a clear sensorium
Alcoholic on disulfiram reports EtOH cravings. What drug will likely decrease these?
naltrexone
What is a side effect common to both naltrexone and disulfiram?
elevated liver enzymes
What is the function of Al-anon?
helps relatives cope with alcoholics drinking
Evidence that alcoholism is hereditary?
adopted siblings
Lab parameters often elevated in patients with alcohol dependence?
mean corpuscular volume
The best way to ask an adolescent about alcohol abuse?
have you ever ridden in a car driven by someone including yourself who was high or had been using alcohol or drugs?
44 yo patient with EtOH dependence/cirrhosis inquiring about medication to stop drinking. Patient is disappointed in drinking behavior but otherwise shows little evidence of mood disorder. Which medication has the best favorable risk/benefit profile for EtOH cessation for this patient?
acamprosate
Alcohol withdrawal symptoms peak in:
48 hours
Which med reduces acetaldehyde dehydrogenase function?
disulfiram
Molecular mechanism of ethanol causes intoxication?
NMDA antagonism and GABA agonism
