Intro to Substance Use Disorder

Question 1

In a RISK ratio what number is the reference group, comparison group

Answer 1

1/ Equal to greater than or less than 1

Question 2

T/F: If the confidence interval crosses 1, the difference between the reference and comparison group is NOT statistically significant

Answer 2

True

Question 3

When a patient has co-occuring psychiatric illness and SUD how should it be treated

Answer 3

Both disorders should be be treated at the same time

Question 4

What are the patient placement criteria

Answer 4

Level 0.5: Early intervention
Level 1: Regularly-scheduled session
Level 2: Treatment available before or after school/work with 24 hour crisis service
Level 3: 24- hour live in setting to prevent imminent danger
Level 4: Board certified MDs managed intensive inpatient service

Question 5

How is substance use disorder diagnosed

Answer 5

A problematic pattern of use of an intoxicating substance and leading to clinically significant impairment or distress manifested by at least TWO characteristics occuring within a 12-month period

Question 6

What are Behaviorial characteristcs that aid in diagnosis of SUD

Answer 6

The substance is OFTEN TAKEN IN LARGE AMOUNTS or over a longer period than was intended, there is a persistent desire or UNSUCCESSFUL EFFORTS TO CUT DOWN or control use of the substance, A GREAT DEAL OF TIME is spent in activities necessary to obtain the substance, CRAVING or a strong desire or urge to use the substance

Question 7

What are the Functional characteristics that aid in diagnosis of SUD

Answer 7

Recurrent use of the substance resulting in a FAILURE TO FULFILL MAJOR OBLIGATIONS, continue use of the substance despite having PERSISTENT OR RECURRENT SOCIAL OR INTERPERSONAL PROBLEMS caused by or exacerbated by the substance, IMPORTANT ACTIVITIES ARE GIVEN UP OR REDUCED because of use of the substance

Question 8

What are the two definitions of tolerance

Answer 8

A need for markedly increased amounts of the substance to achieve intoxication or desired effect, a markedly diminished effect with continued use of the same amount of the substance

Question 9

What are the two definitions of withdrawal

Answer 9

Withdrawl syndrome from the substance, substance is taken to relieve or avoid withdrawal symptoms

Question 10

T/F: SUD is a spectrum meaning can be mild, moderate, or severe

Answer 10

True

Question 11

T/F: A person cannot be considered to have SUD if there are no withdrawal effects if the substance is not taken or an antagonist is given

Answer 11

True

Question 12

What are the withdrawal effects of alcohol, sedatives, hypnotics, or BZDs

Answer 12

autonomic hyeractivity (sweating or pulse rate greater than 100 bpm), increased hand tremor (alcohol), insomnia, nausea or vomiting, auditory hallucination or illusioins

Question 13

What are the withdrawal effects for caffeine

Answer 13

Headache, marked faituge or drowsiness, mysphoric mood, depressed mood, irrtability, flu like sympomts

Question 14

What are the withdrawal effects of cannapis

Answer 14

Irritability, anger, or agression, anxiety or nervousness, difficulty sleeping, decreased appetite

Question 15

What are the withdrawl sympomts of opiods

Answer 15

dysphoric mood, nausea or vomiting, muscle aches, lacrimation or rhinnorrhea, pupil dilaltion, diarrhea, sweating

Question 16

What are the withdrawal sympomts of stimulants

Answer 16

Fatigue, vivd unpleasant dreams, insomnia or hypersomnia, increaed appetite, pyschomotor retardation or agitation

Question 17

What are the withdrawal symptoms of tobacco

Answer 17

Irritability, frustration, or anger, anxiety, difficulty concentrating, increased appetite, restlessness

Question 18

T/F: Euphoric effects to the same drug dose for people who chronically use is large and people who sporadically use is small

Answer 18

False: a person who chronically uses will have small euphoric effects to the same drug dose while a person who sporadically uses will have a large euphoric effect`

Question 19

How are the levels of dopamine in the reward circuitry diffent for someone who chronically uses compared to someone who sporadically uses

Answer 19

Small, large

Question 20

How does drug use lead to addiction physiologically

Answer 20

The reward experiences in the initial use of the substance is reduced with repeated exposure to the same reward due to downregulation of dopamine signaling

Question 21

What is the Incentive sensitization theiry of addiction

Answer 21

Dopamine cels in the reward circuitry fire in response to conditioned stimulie causing a craving

Question 22

Why do drug not work on addiction at times

Answer 22

Targeting craving are all over the brain

Question 23

What are the two main reasons still take substance even though the they never reach the first high again

Answer 23

Cravings and to prevent withdrawal symptoms

Question 24

What does the employer do if they suspect a pharmacist is using controlled durs

Answer 24

Videotape that employee