HBM 09a: Smoking, EtOH, Caffeine Flashcards

1
Q

(X)% of all cigarettes are smoked by adults with mental illness.

A

X = 31

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2
Q

(X)% of schizophrenia patients are heavy smokers.

A

X = 85

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3
Q

On average, it takes an individual (X) attempts to quit smoking for one year.

A

X = 30

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4
Q

T/F: All patients should be screened for tobacco use, advised to quit, and offered intervention.

A

True

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5
Q

What are the 5 major steps to intervention for tobacco use?

A

The 5 A’s

  1. Ask
  2. Advise
  3. Assess
  4. Assist
  5. Arrange
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6
Q

With help from clinician, odds of quitting tobacco use (increases/decreases) by factor of (X).

A

Increases;

X = 2

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7
Q

List the three general tools used to help cessation of tobacco use.

A
  1. Medication
  2. Nicotine replacement therapy
  3. Therapeutic interventions (counseling)
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8
Q

List a medication that’s approved for smoking cessation.

A

Bupropion (Zyban)

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9
Q

Maladaptive pattern of substance use, leading to impairment of occupational, physical, social functioning.

A

Substance misuse

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10
Q

To qualify for substance use disorder: at least (X) number of specific symptoms must be present over (Y) period of time

A
X = 2
Y = 12-month
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11
Q

Severity of substance use disorder is based on:

A

number of symptoms endorsed

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12
Q

Substance dependence is best defined as:

A

substance misuse PLUS withdrawal, tolerance, or pattern of compulsive use

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13
Q

T/F: You can be dependent on a drug and not have a disorder.

A

True

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14
Q

Which drug causes the most harm?

A

Alcohol

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15
Q

Delirium tremens are present on (X) day of (Y) (addiction/withdrawal).

A

X = 3rd
Y = EtOH
Withdrawal

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16
Q

T/F: Alcohol withdrawal is very uncomfortable, but not life-threatening.

A

False - mortality rate in alcohol withdrawal delirium is 20%

17
Q

Alcohol (increases/suppresses) which NT?

A
  1. Increases GABA

2. Suppresses Glu

18
Q

T/F: Evidence of brain damage from alcohol use exists.

A

True

19
Q

(X) syndrome is seen in alcoholics, and is a result of (Y).

A
X = wernicke-korsakoff
Y = Vit B1 (thiamine) deficiency
20
Q

List the diagnostic developmental features of FAS.

A
  1. Fetal growth retardation
  2. Cognitive/behavioral problems
  3. Learning difficulties
21
Q

List the diagnostic physical (facial) features of FAS.

A
  1. Skin folds at eyes
  2. Low nasal bridge
  3. Small head circumference
  4. Small mid face
  5. Thin upper lip
22
Q

(Men/women) who drink face greater risk of developing diseases related to alcohol abuse.

A

Women

23
Q

(X)% of Americans report binge-drinking in past month.

A

X = 23

24
Q

A woman’s “binge drink” is (X) drinks in (Y) hours.

A
X = 4 or more
Y = 2
25
Q

(X)% of alcohol consumed by youth under 21 in US is in the form of binge drinks.

A

X = 90

26
Q

T/F: Alcohol causes aggression in typical person.

A

False - but increases likelihood of impulsive/impaired action

27
Q

First step in treating alcohol dependence:

A

4-7 days inpatient for detox/withdrawal

28
Q

Which meds are used for alcohol dependence treatment?

A
  1. Antabuse

2. Naltrexone

29
Q

Which counseling/support is recommended for alcohol dependence treatment?

A
  1. Psych counseling (Family/couples therapy)

2. Support groups (AA)

30
Q

Most commonly used psychoactive substance:

A

Caffeine

31
Q

Moderate caffeine doses (in mgs and cups)

A

200-300 mg (2-3 cups)

32
Q

T/F: Heavy doses of caffeine cause drowsiness.

A

True

33
Q

Heavy caffeine doses (in mgs and cups)

A

500-600 mg (4 cups or more)

34
Q

Emergency treatment of DTs includes:

A
  1. Oral/intravenous fluids for dehydration

2. Benzodiazepines for withdrawal symptoms