module 6 part 2

Question 1

Thiamine deficiency leading to decrease mental functioning, paralysis, ataxia, nystagmus, confusion
Can lead to death

Answer 1

Wernicke’s encephalopathy (acute)

Question 2

Thiamine deficiency characterized by targeting the limbic system with severe memory problems, confabulation, disorientation, gait disturbances, neuropathy

Answer 2

Korsakoff syndrome (chronic)

Question 3

CNS stimulants

Answer 3

amphetamines/meth
caffeine
nicotine

Question 4

club drugs

Answer 4

Ecstasy (MDMA)

stimulant and hallucinogens

Question 5

opioid partial agonist

Answer 5

buprenorphine

Question 6

opioid antagonist

Answer 6

naloxone (narcan)

naltrexone

Question 7

short-acting opioid antagonist

Answer 7

naloxone (narcan)

Question 8

long-acting opioid antagonist

Answer 8

naltrexone (Vivitrol - IM injection)

Question 9

can cause immediate withdrawal symptoms in patient currently on opioids

Answer 9

buprenorphrine

Question 10

buprenorphine combined with naloxone

Answer 10

suboxone

Question 11

prevents misuse of medication by crushing and injecting.

poorly absorbed via sublingual route

Answer 11

naloxone

Question 12

patients must be in mild withdrawal state prior to starting

Answer 12

suboxone (buprenorphine/naloxone)

Question 13

Most effective in highly dependent patients

Answer 13

methadone

Question 14

mu opioid receptor agonist that blocks effects of opioids while suppressing withdrawal symptoms

Answer 14

methadone

Question 15

given at treatment centers once daily

40-60 mg daily usually

Answer 15

methadone

Question 16

Vivitrol injection
(long-acting = every 4 weeks)

Answer 16

Naltrexone

Question 17

patients should be opioid free fro 7-10 days before initiating treatment

Answer 17

naltrexone

Question 18

decreases cravings
prevents people from drinking but does not prevent withdrawal symptoms
begin treatment on the 5th day of abstinence

Answer 18

acamprosate

Question 19

side effects of acamprosate

Answer 19

diarrhea, upset stomach, appetite loss, anxiety, dizziness, difficulty sleeping

Question 20

tabs taken 3 times daily

Answer 20

acamprosate

Question 21

Side effects of disulfiram

Answer 21

nausea, headache, vomiting, chest pain, difficulty breathing

Question 22

MOA of Adderall

Answer 22

blocks NET and DET

Transported into DA terminal

Question 23

FDA approved for aggression in children and adolescents

Answer 23

Risperdal

Question 24

FDA approved for pediatric depression

Answer 24

Fluoxetine (prozac)

Question 25

FDA approved for OCD in children

Answer 25

zoloft (sertraline)
Luvox (fluvoxamine)
prozac
clomipramine

Question 26

most appropriate for depression in elderly

Answer 26

desipramine (Norpramin)

nortryptline (pamelar)

Question 27

least likely to cause drug to drug interactions in elderly

Answer 27

venlafaxine (Effexor)