friday flashcards

Question 1

alzheimers

Answer 1

strong MEMORY impairment

Question 2

Frontotemporal degeneration

Answer 2

Behavioral or Language variant

loss of sympathy, decline in speech

Question 3

Lewy Body dz

Answer 3

Visual Hallucinations
REM sleep disorder

SEVERE sensitivity to Antipsychotics

Question 4

Dont give Antipsychotics to

Answer 4

pts with Lewy Body dz

Question 5

Vascular

Answer 5

dementia brought on by TIA or Stroke

Question 6

Vascular dementia, will see on MRI

Answer 6

White matter hyperintensity

Question 7

TBI (concussion)

Answer 7

LOC, post trauma amnesia, confused, neuro signs

can be acute or repeated trauma

Question 8

Poorer outcomes w TBI are

Answer 8

repeated concussion
>40 YO
poor motor fx
non-reactive pupils

Question 9

Prion dz

Answer 9

Insidious onset, but RAPID PROGRESSION

Myoclonus, Ataxia

Question 10

Examples of Prion

Answer 10

Creutzfeldt-Jacob

Mad Cow dz

Question 11

Cholinesterase inhibitors to tx dementia

Answer 11

Aricept
Razadyne
Namenda

Question 12

NMDA antagonist to tx Dementia

Answer 12

Namenda

Question 13

Characteristics of Alcoholism

Answer 13

it's a PRIMARY dz
Progressive and fatal
Impaired control
Preoccupation
Adverse consequences
Denial

Question 14

Four features of Alcoholism

Answer 14

Craving
Impaired control
Physical dependence
Tolerance

Question 15

Bio-Psycho-Social model of Alcoholism

Answer 15

Bio (genetics, cells0
Psycho (cognitive, behavior)
Social (environment, inner circle)

Question 16

Executive control

Answer 16

Prefrontal cortex

Question 17

Nucleus Accumbens

Answer 17

Dopamine system target

alcoholism

Question 18

Imbalance b/w

Answer 18

Pleasure and Control

in alcoholism

Question 19

Dopamine system

Answer 19

Nucleus accumbens

Question 20

Genetic pre-D for Alcoholism

Answer 20

in the Dopamine Transporter

Question 21

Genetic pre-D for Alcoholism

Answer 21

Compulsivity is what runs in the family, surfaces as Alcoholism

Question 22

Screening tools for Alcoholism

Answer 22

CAGE or AUDIT

Question 23

At risk users

“substance misuse”

Answer 23

> 14 /week for men

> 7 /week for females

Question 24

Problem users

“substance abuse”

Answer 24

experience problems related to use

health, legal, family, school, work

Question 25

Dependent users | "addiction"

Answer 25

increased loss of control, alc related consequences, physiological dependence

Question 26

CAGE screening

Answer 26

4 questions | if get +1, consider going to AUDIT

Question 27

ADUT screening

Answer 27

best for Alcohol abuse, problem drinking 10 Qs more sensitive and specific

Question 28

CAGE questionarre

Answer 28

4 questions: - feel like ought to cut down - annoyed by others telling u to quit - feel guilty - need to use first in morning

Question 29

Level of drinking

Answer 29

``` Abstinence Experiment Social/recreational Habit Abuse Addiction ```

Question 30

Diagnostic criteria of Alcoholism

Answer 30

2+ within 12 months

Question 31

4 categories of Alcoholic diagnostic criteria

Answer 31

Impaired Control Social impairment Risky Use Pharm

Question 32

3 motivational techniques for getting patient into Alcohoism treatment

Answer 32

Confrontation Empathy Offering Hope

Question 33

How much is too much alcohol?

Answer 33

Tolerance + Dependence + Compulsion = get help

Question 34

In patient DETOX of alcoholism

Answer 34

Benzos ("pam") Lorazepam PhenoBARBitol

Question 35

Nutritional support for Alc DETOX

Answer 35

Thiamine

Question 36

Extended tx for Alcoholism

Answer 36

Disulfuram Acamprosate Naltrexone

Question 37

Methadone or Buprenorphine (Suboxone) are used to treat

Answer 37

Opioid addiction

Question 38

How does Suboxone work

Answer 38

Bind to mu receptor (same as morphine) but doesn't produce same effects weak partial agonist reduce Craving and Prevents euphoria (low abuse potential)

Question 39

3 derivatives of opium

Answer 39

Morphine Codeine Thebaine

Question 40

Morphine divides into (3)

Answer 40

Hydromomorphone Oxymorphone Heroin

Question 41

Thebaine divides into (2)

Answer 41

Oxycodone | Etorphine

Question 42

Synthetic opiates

Answer 42

``` Methadone Meperidine Propoxyphene LAAM Fentanyl ```

Question 43

Dysphoria

Answer 43

Kappa

Question 44

Sedation

Answer 44

Mu and Kappa

Question 45

Dependencee

Answer 45

Mu and Kappa

Question 46

Rick of continued opioid use increases at

Answer 46

4-5 DAYS

Question 47

Drug seeking behavior

Answer 47

The over reporting/ over fabrication of sx

Question 48

Common drugs that are sought to abuse

Answer 48

``` Euphoria Rapid onset/high potency/short duration High purity Water soluble Brand name ```

Question 49

Specific drugs that are often abused

Answer 49

``` Opiates -percocet, vicodin, morphine Sleep aids -Benzos: xanax, valium, ambien -barbs ```

Question 50

Opioid use disorder

Answer 50

have TWO of criteria

Question 51

Opioid use disorder

Answer 51

Early >3 months | Late remission >12 months

Question 52

Severity of OUD

Answer 52

mild 2-3 sx moderate 4-5 sx severe 6+

Question 53

Tx of OUD

Answer 53

Narcan for OD Clonidine for SNS overstimulation Methadone taper

Question 54

Extended tx of OUD

Answer 54

Methadone or Buprenor (Suboxone)

Question 55

Suboxone

Answer 55

binds to same Mu receptors reduces craving and prevents euphoria long acting, decreased respiratory depression

Question 56

Suboxone requires

Answer 56

DEA 'X' license/ MAT training