Definitions and classification

Question 1

Class of drugs ecstasy falls into

Answer 1

Class A

Question 2

Class of drugs LSD falls into

Answer 2

Class A

Question 3

Class of drugs heroin falls into

Answer 3

Class A

Question 4

Class of drugs cocaine falls into

Answer 4

Class A

Question 5

Class of drugs crack cocaine falls into

Answer 5

Class A

Question 6

Class of drugs magic mushrooms fall into

Answer 6

Class A

Question 7

Class of drugs methylamphetamine falls into

Answer 7

Class A

Question 8

Class of drugs any amphetamines fall into if they are prepared for injection

Answer 8

Class A

Question 9

Class of drugs amphetamines fall into if they are not prepared for injection (except methylamphetamine)

Answer 9

Class B

Question 10

Class of drugs methylphenidate falls into

Answer 10

Class B

Question 11

Class of drugs pholcodine falls into

Answer 11

Class B

Question 12

Class of drugs cannabis falls into

Answer 12

Class B

Question 13

Class of drugs GHB falls into

Answer 13

Class C

Question 14

Class of drugs ketamine falls into

Answer 14

Class B

Question 15

Class of drugs anabolic steroids fall into

Answer 15

Class C

Question 16

Class of drugs benzodiazepines fall into

Answer 16

Class C

Question 17

Class of drugs khat falls into

Answer 17

Class C

Question 18

Class of drugs codeine falls into

Answer 18

Class B

Question 19

Figure who coined the term alcoholism

Answer 19

Magnus Huss

Question 20

ICD 10 features of alcohol dependence

Answer 20

Intense desire to drink alcohol
Difficulty controlling drinking
Withdrawal symptoms if alcohol is not taken
Use of alcohol to relieve withdrawal
Tolerance - requiring increasing doses for the same effect
Salience - neglecting other interests
Narrowing personal repertoire of alcohol use

Question 21

Number of ICD 10 features a person needs to meet to be diagnosed with alcohol dependence

Answer 21

3 in the last 12 months

Question 22

DSM IV features of alcohol abuse

Answer 22

Drinking of alcohol
1. Despite problems in social, occupational, physical or psychological domains
2. In hazardous situations
3. At least once a month, recurring over a longer period usually
4. But without alcohol dependence

Question 23

DSM IV features of alcohol dependence

Answer 23

Drinking alcohol for longer periods and in larger amounts than intended
Unsuccessful attempts to cut down
Withdrawal
Use of alcohol to relieve withdrawal
Tolerance - requiring at least 50% increase in dose for same effect compared to at the start of drinking
Salience
Failure in role obligations or personal health
Giving up personal pleasures
Continued use despite knowing the harm caused

Question 24

Number of DSM IV features required for a diagnosis of alcohol dependence

Answer 24

At least 3 lasting for at least a month

Question 25

Changes between DSM IV and DSM V for alcohol related diagnoses

Answer 25

DSM V combines substance dependence and substance abuse into substance use disorder which runs on a spectrum from mild (would previously have been abuse) to severe (would previously have been dependence)

Question 26

Edwards and Gross criteria for alcohol dependence in 1976

Answer 26

1. Narrowed repertoire
2. Salience of alcohol seeking behaviour
3. Increased tolerance
4. Repeated withdrawals
5. Drinking to prevent or relieve withdrawals
6. Subjective awareness of compulsion
7. Reinstatement after abstinence

Question 27

Differences between compulsion and craving

Answer 27

Compulsion has an urge element
Craving is a motivational state but the emotional element can be positive or negative i.e. the person might not want to drink but craves alcohol
Craving usually associated with withdrawal

Question 28

Cloningers type I alcoholism features

Answer 28

Both males and females affected
No strong family history
No strong criminality element
Starts age >25

Question 29

Cloningers type II alcoholism features

Answer 29

Males affected
Strong heritability
Strong criminality element
Starts age <25

Question 30

Description of Jellinek’s alpha classification of alcoholism

Answer 30

Psychological dependence
Not progressive
No withdrawals
Issues only in interpersonal domain

Question 31

Description of Jellinek’s beta classification of alcoholism

Answer 31

Physical damage
No dependence

Question 32

Description of Jellinek’s gamma classification of alcoholism

Answer 32

Loss of control
Physical dependence with withdrawals

Question 33

Description of Jellinek’s delta classification of alcoholism

Answer 33

No loss of control but unable to abstain

Question 34

Description of Jellinek’s epsilon classification of alcoholism

Answer 34

Dipsomania - bouts of cravings with associated binges

Question 35

Drug crack is a pure form of

Answer 35

Cocaine

Question 36

ICD11 term for a state where alcohol has caused damage to someone’s mental or physical health, without dependence

Answer 36

Harmful pattern of use

Question 37

Length of time required to make an alcohol dependence diagnosis in a non-daily drinker in ICD 11

Answer 37

12 months

Question 38

Length of time required to make an alcohol dependence diagnosis in a daily/near daily drinker in ICD 11

Answer 38

3 months

Question 39

Formula to calculate units of alcohol in a drink

Answer 39

Volume in litres x percentage alcohol

Question 40

Active ingredient in khat (from the catha edulis plant)

Answer 40

Cathinone

Question 41

Difference between ‘harmful pattern of use’ and ‘hazardous use’ in ICD 11

Answer 41

In harmful pattern of use damage has occurred; in hazardous use damage has not occurred