Alcohol misuse and dependance

Question 1

According to ICD10 what is a dependence syndrome?

Answer 1

A mental and behavioural disorder due to a psychoactive substance used by drug types

Question 2

What symptoms are under dependance in the ICD 10?

Answer 2

You need three of:

• Craving (A strong desire)
• Difficulties in controlling use
• physiological withdrawal state
• physiological tolerance
• increased salience (progressive neglect of other actvities)
• persistant use despite knowledge of harm

Question 3

what symptoms are in Edawrds and gross definition of alcohol dependence?

Answer 3

• salience of drinking
• increased tolerance to alcohol
• repeated withdrawal symptoms
• awareness of compulsion to drink
• narrowing of repertoire
• relief of withdrawal resolved by further drinking
• reinstatement after abstinence

Question 4

what are the effects of alcohol intoxication?

Answer 4

• impaired co-ordination
• poor judgement
• memory lapse
• nausea and vomiting
• stupor

Question 5

what are the effects of aclohol withdrawal?

Answer 5

• tremor, nausea, vomit, anxiety
• seizures
• DT

Question 6

how long after the last drink can it be before seizures?

Answer 6

within 48 hours

Question 7

how long after the last drink is it until DT?

Answer 7

24-96 hours

Question 8

what are the effects of opiod intoxication?

Answer 8

Euphoria, dry mouth, muscular weakness, decreased respiratory drive

Question 9

what are the effects of opioid withdrawal?

Answer 9

sweating, malaise, piloerection, yawning, diarrhoea, muscular ache, nausea

Question 10

what is the effects of cocaine intoxication?

Answer 10

euphoria, increased energy, anxiety, paranoid, restlessness

Question 11

what are the effects of cocaine withdrawal?

Answer 11

• insomnia, vivid dreams, anger, increased appetite

Question 12

what two investigations can be helpful in alcohol dependance?

Answer 12

MCV

GGT

Question 13

what screening questionnaires can be used for alcohol?

Answer 13

CAGE

AUDIT

Question 14

what features of dependence are important to ask about in an alcohol history?

Answer 14

• craving
• difficulty controlling use
• increased salience
• tolerance
• withdrawal
• continued use despite knowledge of negative effects

Question 15

what questions are important to ask about past alcohol use?

Answer 15

Age of 1st use
pattern since first use
when it became a problem
have they tried treatment
any periods of abstinence

Question 16

what are the main negative physical effects of alcohol?

Answer 16

liver damage