alcohol symposium

Question 1

alcohol mortality 16-34yrs

Answer 1

accidents, trauma
SH, suicide
poisoning

Question 2

alcohol mortality 34-64yrs

Answer 2

alcohol related liver disease

Question 3

alcohol mortality 64yrs+

Answer 3

alcohol related cancer

Question 4

alcohol effects: low doses

Answer 4

euphoria
reduced anxiety
relaxation
sociability

Question 5

alcohol effects: high doses

Answer 5

intoxication 
slurred speeh
mood instability 
impaire judgement
unsteady 
unconsciouss

Question 6

harmful use of alcohol

Answer 6

pattern of use causing damage to mental, physical health

>1mo or repeatedly over 12mo

Question 7

alcohol dependence

Answer 7

3+ of (for >1mo or repeatedly 12mo)
craving, compulsion
difficulty controlling use
primary 
inc tolerance
physiological withdrawal 
persistence despite harmful consequences

Question 8

alcohol withdrawal

Answer 8

tremor
N&V
weakness
agitation 
anxiety 
seizures
delirium tremens

Question 9

delirium tremens

Answer 9

confusion, tremor, hallucinations, delusions

Question 10

delirium tremens; death

Answer 10

CVS collapse
infection 
seizure
hyperthermia
self injury

Question 11

alcohol effect on mental health

Answer 11

anxiety 
depression 
sleep disruption 
suicidal thoughts, acts, SH
alcoholic hallucinosis 
morbid jealousy

Question 12

wernicke’s encephalopathy

Answer 12

thyamine deficiency

confusion, ataxia, nystagmus, alt mental status, opthalmoplegia

Question 13

korsakoff’s psychosis

Answer 13

following WE
impaired recent and remote memory 
impaired learning 
disorientated
confabulation

Question 14

screening tools

Answer 14

CAGE
AUDIT
FAST
PAT

Question 15

management options

Answer 15

education, harm reduction
social work: benefits, housing, child protection
psychological: CBT, group therapy
medications

Question 16

prevention WE/korsakoff’s

Answer 16

thyamine replacement

Question 17

medication for alcohol withdrawal

Answer 17

benzodiazapine

chlorodiazepoxide

Question 18

medication for aversion/detterent

Answer 18

desulfiram

Question 19

anti-craving medication

Answer 19

acamprostate
naltrexone
nalmefene

Question 20

alcoholic fatty liver

Answer 20

most heavy drinkers have this
20% progress to cirrhosis
can go back to normal liver with alcohol abstinence

Question 21

acute alcoholic hepatitis

Answer 21

drinking >6u/day
jaundice w bilirubin >80

high mortality no specific Rx

Question 22

alcoholic cirrhosis mortality

Answer 22

75% die of liver decompensation

20-25% hepatocellular cancer sequelae

Question 23

alcoholic ketoacidosis: increased lipolysis

Answer 23

due to inc cortisol and catecholamines

causes abundance free fatty acids which are converted to ketones

Question 24

alcoholic ketoacidosis: pt has impaired ability to make….

Answer 24

pt has impaired ability to make Glc and metabolise lactate

drive to hypoglycaemia and acidosis