Alcohol Dependence disorders

Question 1

Thiamine deficiency that affects the nervous system

Answer 1

Dry beri- beri

Question 2

Thiamine deficiency that affects the CV system

Answer 2

Wet beri-beri

Question 3

Triad for Wernicke’s encephalopathy

Answer 3

Opthalmoplegia
Ataxia
confusion

Question 4

Korsakoff’s Syndrome

Answer 4

Late manifestation of Wernicke’s and is cerebral atrophy, amnesia and lack of insight

Question 5

FAST screen test

Answer 5

4 Qs with points to give an overall score indicating risk of dependency

Question 6

Audit scoring

Answer 6

multi choice with 0-4 points for each Q

20+ points for dependence being possible

Question 7

Things that indicate dependence (5 items)

Answer 7

strong desire to drink
cant control use
clear evidence of harm
increased tolerance
withdrawal symptoms

Question 8

What is Acamprosate used for

Answer 8

cravings

Question 9

What is Naltrexone used for

Answer 9

desire

Question 10

What is Disulphiram used for

Answer 10

aversion therapy

Question 11

What is what Nalmefene

Answer 11

opiod antagonist

Question 12

When can withdrawal symptoms start

Answer 12

6-8 hours from last drink

Question 13

how long does mild withdrawal last

Answer 13

12-36 hours

Question 14

how long does moderate withdrawal last

Answer 14

12 hours - 5 days

Question 15

how long does severe withdrawal last

Answer 15

12 hours- more than a week

Question 16

How are withdrawal symptoms managed

Answer 16

with diazepam

Question 17

Management of alcohol dependence (7 items)

Answer 17

inpatient detox, benzodiazepine, parabinex, anti-convulsants, fluid, anti-psychotics and antiemetics

Question 18

What condition is a severe form of withdrawal and is a medical emergency

Answer 18

Delirium Tremens

Question 19

when does delirium tremens start

Answer 19

72-96 hours after last drink

Question 20

How long does delirium tremens last

Answer 20

a week to a month

Question 21

what is the mortality for delirium tremens

Answer 21

5%

Question 22

Symptoms of delirium tremens (7 items)

Answer 22

Confusion, hallucinations, autonomic hyperactivity, tachycardia, pyrexia, sweating and tremors