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Psychiatry > Alcohol use disorder > Flashcards

Alcohol use disorder Flashcards

1
Q

what is 1 unit of alcohol equivalent to

A

10ml or 8g

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2
Q

what is the alcohol limit for males and females per week

A

no more than 14 units of alcohol per week ideally spread over 3 days

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3
Q

how do you calculate units of alcohol

A

1000

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4
Q

define hazardous drinking

A

pattern of alcohol consumption that increases the risk of harmful consequences for the user

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5
Q

hazardous drinking is a diagnostic term, true or false

A

false

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6
Q

units of alcohol per week consumed for M+F in hazardous drinking

A

F: between 14-35
M: between 14-50

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7
Q

define harmful drinking

A

pattern of alcohol consumption that is causing mental or physical damage

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8
Q

units of alcohol per week consumed for M+F in harmful drinking

A

F > 35

M > 50

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9
Q

define alcohol dependence

A

behavioural, cognitive and psychological factors that include a strong desire to drink alcohol and difficulties in controlling its use

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10
Q

what are the diagnostic terms in DSM4

A

alcohol abuse

alcohol dependence

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11
Q

what is the diagnostic term in DSM5

A

mild/mod/severe

alcohol use disorder

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12
Q

DSM5 general criteria for alcohol use disorder AUD

A

maladaptive pattern of substance use leading to clinically significant impairment or distress occurring in a 12 month period

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13
Q

what are the criteria for AUD

A 
alcohol taken in larger amounts
persistent desire
lot of time spent on alcohol
craving/strong desire
use results in failure to fulfill work...
persistence despite problems caused by it
hobbies/events stopped as a result
use in hazardous situations
persistence despite evidence of harm 
tolerance
withdrawal
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14
Q

how many criteria do you need

A

2 or more

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15
Q

what are the subtypes of alcohol use disorder

A

mild
moderate
severe

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16
Q

define mild AUD

A

2-3 symptoms

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17
Q

define moderate AUD

A

4-5 symptoms

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18
Q

define severe AUD

A

6 or more symptoms

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19
Q

what does AUDIT stand for

A

Alcohol Use Disorder Identification Test

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20
Q

what is AUDIT

A

comprehensive 10Q alcohol harm screening tool made by WHO

21
Q

AUDIT score of __ indicates possible dependence, what is the next step

A

20 or more

use another tool (SADQ)

22
Q

what does SADQ stand for

A

Severity of Alcohol Dependence Questionnaire

23
Q

what elements does SADQ measure

A 
physical withdrawal 
affective withdrawal 
withdrawal relief drinking 
alcohol consumption 
rapidity od reinstatement
24
Q

what is CIWA-AR

A

used in assessment and management of alcohol withdrawal

25
Q

AUDIT score for low risk drinking

A

6-7

26
Q

AUDIT score for hazardous drinking

A

8-14

27
Q

AUDIT score for harmful drinking

A

15-18

28
Q

AUDIT score for possible dependence

A

> =20

29
Q

what should be done in those with harmful drinking

A

deliver brief intervention
deliver motivational enhancement therapy
consider prescribing options

30
Q

what should be done for those with hazardous drinking

A

deliver brief intervention

31
Q

what is used in brief intervention

A 
FRAMES model 
Feedback 
Responsibility 
Advice
Menu
Empathy 
Self efficacy
32
Q

what is motivational enhancement therapy MET and what is used

A

Readiness for change questionnaire

33
Q

features of alcohol withdrawal syndrome

A 
tremor 
sweating
nausea + retching
tachycardia, hypertension, fever
anxiety and agitation 
insomnia, nightmares 
hallucinations
withdrawal seizures
delirium tremens
34
Q

onset of withdrawal seizures

A

0-48 hours

35
Q

onset of delirium tremens

A

48-72 hours

36
Q

features of complicated withdrawal

A

seizures
hallucinations
delirium tremens
Wernicke-Korsakoff

37
Q

which medication is used for alcohol withdrawal

A

chlordiazepoxide (BZD)

for symptomatic relief acutely

38
Q

how long should chlordiazepoxide be used

A

1 week

definitely not more than 1 month

39
Q

what is the kindling effect

A

severity of withdrawal symptoms tends to increase after each alcohol withdrawal

40
Q

what methods of relapse prevention are there

A

psychosocial intervention

pharmacological intervention

41
Q

what does psychosocial intervention involve

A

CBT
MET
12 step facilitation therapy
family + couple therapy

42
Q

what can be used in pharmacological therapy long term

A

acamprosate
naltrexone
disulfiram
nalmefene

43
Q

acamprosate mechanism

A

corrects GABA/glutamate imbalance

reduces cravings

44
Q

acamprosate only works when patient is abstinent, true or false

A

true

45
Q

mechanism of naltrexone

A

opioid receptor antagonist

blocks endorphin effect

46
Q

mechanism of disulfiram

A

creates unpleasant side effects when taken with alcohol

has a low compliance rate

47
Q

mechanism of nalmefene

A

opioid receptor antagonist

taken a few hours before social drinking

48
Q

can you determine the severity of alcohol dependence from number of units consumed per week

A

no

Psychiatry (27 decks)

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