Alcohol misuse

Question 1

What is the recommended number of alcohol units a week?

Answer 1

14 units

Question 2

Treatment to prevent alcohol relapse?

Answer 2

Disulfiram (‘asian flush’)
Acamprosate (reduce urge to drink)
Nalmefine

Question 3

Treatment for acute alcohol withdrawal?

Answer 3

Chlordiazepoxide

Question 4

Questionnaires for alcohol dependence?

Answer 4

AUDIT
CAGE
SADQ

Question 5

Questions you ask in CAGE?

Answer 5

Have you ever felt you needed to Cut down on your drinking?
Have people Annoyed you by criticizing your drinking?
Have you ever felt Guilty about drinking?
Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or to get rid of a hangover?

Question 6

SSx of Wernicke Encephalopathy?

Answer 6

Ophthalmoplegia
Ataxia
Confusion

Question 7

Treatment for Wernicke Encephalopathy

Answer 7

IV Pabrinex (Vit B and C)

Question 8

Most severe form of alcohol withdrawal?

Answer 8

Delirium tremens (Starts 12 - 24 hours after stopping alcohol)

Question 9

Types of alcohol dependence?

Answer 9

Physical dependence - body adapts to presence of the substance and over time needs more and more for same effect
Psychological dependence - i. Feeling that life is impossible / challenges cannot be faced without the drug

Question 10

What is the alcohol harm paradox?

Answer 10

Low SES groups consume less alcohol than higher SES groups but experience greater alcohol-related harm