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Psychiatry > DSM5 Substance Use > Flashcards

DSM5 Substance Use Flashcards

1
Q

How many hours after using an opioid can they be detected with urine drug tests?

A

12-36 hours

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2
Q

What liver disease occur commonly in those who inject opioids?

A

Hep C

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3
Q

What diseases are of concern for IV drug users?

A

HIV
Hepatitis
TB
Bacterial Endocarditis

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4
Q

Physical Exam Sign seen in Opiate Withdrawal, Hallucinogen Intoxication, and Stimulant Intoxication

A

Pupillary Dilation

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5
Q

What challenge test can you use to diagnose opioid intoxication?

A

Naloxone (Narcan) Opioid Antagonist Challenge

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6
Q

What symptoms are indicative of more severe Opiate Withdrawal?

A

Piloerection

Fever

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7
Q

What is Suboxone?

A

Combination of Naloxone (Narcan) and Buprenorphine

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8
Q

Symptoms of Opiate Withdrawal

A 
Dysphoria
N/V
Muslce Aches
Lacrimation/Rhinorrhea
Pupil Dilation
Piloerection
Fever
Sweating
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9
Q

Signs of Opioid Intoxication

A

Pupillary Constriction
Drowsiness/Coma
Impaired Attention/Memory
Slurred Speech

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10
Q

What test do you order to differentiate PCP intoxication and stimulant intoxication

A

Urine Drug Test

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11
Q

What do cocaine users often use to reduce insomnia, nervouseness and other SE?

A

Sedatives: ALCOHOL

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12
Q

What do amphetamine users often use to reduce SE?

A

Marijuana

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13
Q

What is a sign of stimulant withdrawal?

A

Bradycardia

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14
Q

What psych disorders are risk factors for stimulant use disorder?

A

Antisocial Personality Disorder
Bipolar Disorder
Schizophrenia
Other Substnce Use

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15
Q

What can be used to detect a stimulant 90 days after use?

A

Hair Sample

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16
Q

Which forms of administration leads to most rapid onset of action with cocaine?

A

Inhalation

Injection

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17
Q

What is Speedball

A

Cocaine + Heroin

18
Q

What neurotransmitters are affected with Cocaine?

A

Dopamine, Glutamate

Both increased

19
Q

Most substance induced disorders resolve within this amount of time after the cessation of acute withdrawal, the cessation of severe intoxication, or the use of the substance.

A

1 month

20
Q

Which sex has higher prevalence of alcohol use disorder?

A

Males

2x as much as females

21
Q

For an individual who has a close relative (parent) with an alcohol use disorder, their risk is this many times higher than normal

A

3-4x

22
Q

Elevations in these two lab test results are sensitive indicators of ongoing heavy drinking and can be used to monitor abstinence

A

GGT and CDT (Carbohydrate Deficient Transferrin)

23
Q

What can GGT and CDT be useful in detecting?

A

History of Heavy Drinking
Detect relapse to heavy drinking
Monitor abstinence

24
Q

Can MCV ube used to detect history of heavy drinking or relapse?

A

No. Not useful for monitoring due to long half life of RBCs

25
Q

Which psych disorders predispose patients with markedly high rate of co-morbid alcohol use disorder?

A

Bipolar Disorder
Schizophrenia
Antisocial Personality Disorder

26
Q

Impaired control
Social impairment,
Risky use
Pharmacological criteria

Continued use despite persistent or recurring interpersonal problems

A

Social Impairment

27
Q

Impaired control, Social impairment,
Risky use, or Pharmacological criteria

A desire to cut down or unsuccessful attempts decrease or stop use refers to this Criterion A

A

Impaired Control

28
Q

Impaired control, Social impairment,
Risky use, or Pharmacological criteria

Pharmacological criteria refers to “putting up” with these two phenomenon

A

Tolerance and Withdrawal

29
Q

Impaired control, Social impairment,
Risky use, or Pharmacological criteria

Taking the substance in larger amounts or over a longer time period than intended refers to this Criterion A

A

Impaired Control

30
Q

Impaired control, Social impairment,
Risky use, or Pharmacological criteria

Use in physically hazardous situations or continued use despite knowledge the substance is causing or worsening a medical problem is called this

A

Risky Use

31
Q

Impaired control, Social impairment,
Risky use, or Pharmacological criteria

Spending a great deal of time obtaining, using, or recovering from the substance use refers to this Criterion A

A

Impaired Control

32
Q

Impaired control, Social impairment,
Risky use, or Pharmacological criteria

Failure to fulfill major obligations at work, home, or school refers to this Criterion A

A

Social Impairment

33
Q

Impaired control, Social impairment,
Risky use, or Pharmacological criteria

Craving refers to this Criterion A

A

Impaired Control

34
Q

What is phencyclidine and what substance induced disorders can it cause?

A

Hallucinogen

May induce psychotic disorders, anxiety disorders, delirium, and mood disordesr (both bipolar and depressive)

35
Q

What disorders can opioid intoxication cause?

A

Sleep Disorders
Sexual Dysfunction
Delirium
Depressive Disorder

36
Q

Opioid intoxication will not, but opioid withdrawal may induce this type of substance disorder

A

Anxiety

37
Q

Alcohol & sedative/hypnotic intoxication may both induce the same type of substance disorders except sedative/hypnotic
intoxication will NOT
induce this

A

Anxiety

38
Q

What can intoxication, but not withdrawal of stimulants like cocaine cause?

A

Sexual Dysfunction
Delirium
Substance induced Psychotic Disorders

39
Q

What can intoxication AND withdrawal of stimulants cause?

A

Anxiety, OCD, Sleep and Mood Disorders

40
Q

What substanes do not cause a withdrawal?

A

Inhalants

Hallucinogens

Psychiatry (7 decks)

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