Alcohol use disorders

Question 1

Detailed questionnaires about alcohol misuse

Answer 1

AUDIT

SADQ

Question 2

How should harmful/hazardous drinking initally be dealth with?

Answer 2

Brief intervention should be tried- advice about alcohol e.g. units of alcohol, details about local groups etc, agree strategies to try and reduce the amount of alcohol e.g. weaker drinks, “spacing”

Question 3

Recommended units

Answer 3

Men and women- no more than 14/week, ideally spread across at least three days

Question 4

How should the brief intervention be followed up in harmful drinkers?

Answer 4

Motivational enhancement therapy

Question 5

What is SADQ?

Answer 5

Part of a comprehensive assessment which should be carried out in patients with AUDIT >=15- assesses severity of dependence

Question 6

Which drug is used for medically assisted withdrawal?

Answer 6

Chlordiazepoxide (benzo)

Question 7

Co-morbidities caused by Vitamin B1 deficiency (4)

Answer 7

Wernicke’s encephalopathy
Korsakoff’s encephalopathy
Peripheral neuropathy
Cerebellar degeneration

Question 8

How should Wernicke and Korsakoff be treated?

Answer 8

Pabrinex ( contains thiamine, riboflavin)

Question 9

Effective treatments for relapse prevention

Answer 9

Acamprosate and naltrexone

Question 10

How does dilsufiram work?

Answer 10

Induces an unpleasant reaction in response to drinking alcohol

Question 11

Triad of Wernicke’s

Answer 11

Nystgamus
Opthalmoplegia
Ataxia

Question 12

Other features of Wernicke’s (2)

Answer 12

Confusion

Peripheral sensory neuropathy