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5. Addictions psychiatry > Prevention and public health > Flashcards

Prevention and public health Flashcards

1
Q

Disease model of substance misuse which suggests a loss of control in the patient

A

Disease model

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2
Q

Disease model of substance misuse which views the substance taking as a maladaptive behaviour

A

Social learning model

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3
Q

Safe weekly units of alcohol in males

A

21 units per week

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4
Q

Safe weekly units of alcohol in females

A

14 units per week

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5
Q

Hazardous weekly units of alcohol in males

A

21-49 units per week

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6
Q

Hazardous weekly units of alcohol in females

A

14-35 units per week

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7
Q

Harmful weekly units of alcohol in males

A

More than 49 units per week

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8
Q

Harmful weekly units of alcohol in females

A

More than 35 units per week

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9
Q

Alcohol risk of adoptees compared to biological/adopted family

A

Adoptees retain the risk proportional to their biological family

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10
Q

Sex believed to have a higher heritability of alcoholism

A

Males

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11
Q

Increase in risk of alcoholism with an affected first and second degree family member

A

4x higher

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12
Q

Increase in risk of alcoholism with an affected first degree family member

A

2x higher

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13
Q

Increase in risk of alcoholism with an affected second or third degree family member

A

1.5x higher

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14
Q

Alcohol screening tool suitable for GP use designed to be used as a brief structured interview or self report questionnaire

A

AUDIT

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15
Q

Alcohol screening tool designed to be used in A&E

A

FAST

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16
Q

Most widely used alcohol screening tool

A

CAGE

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17
Q

Time alcohol is present in the urine after ingestion

A

12 hours

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18
Q

Time amphetamines are present in the urine after ingestion

A

48 hours

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19
Q

Time benzodiazepines are present in the urine after ingestion

A

3 days

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20
Q

Time cannabis is present in the urine after ingestion with occasional use

A

3 days

21
Q

Time cannabis is present in the urine after ingestion with regular use

A

4 weeks

22
Q

Time cocaine is present in the urine after ingestion

A

6-8 hours

23
Q

Time cocaine metabolites are present in the urine after ingestion

A

2-4 days

24
Q

Time codeine is present in the urine after ingestion

A

48 hours

25
Q

Time heroin is present in the urine after ingestion

A

1-3 days

26
Q

Time methadone is present in the urine after ingestion

A

3 days or more

27
Q

Time morphine is present in the urine after ingestion

A

2-3 days

28
Q

Time PCP is present in the urine after ingestion

A

3-8 days

29
Q

Time LSD is present in the urine after ingestion

A

Up to 24 hours

30
Q

Substance which can give a false positive for PCP on a urine drug screen

A

Dextromethorphan

31
Q

Substance which can give a false positive for marijuana metabolites on a urine drug screen

A

Ibuprofen

32
Q

Substance which can give a false positive for opiates on a urine drug screen

A

Tonic water

33
Q

Substance which can give a false positive for amphetamines on a urine drug screen

A

Phenylephrine decongestants

34
Q

Direction of IV drug injection associated with reduced harm

A

In the direction of blood flow

35
Q

Main finding from the MATCH trial looking at alcohol dependence

A

Matching patients to treatment options does not significantly impact on income

36
Q

Most appropriate alcohol screening questionnaire for use in GP surgeries

A

AUDIT

37
Q

Number of questions in AUDIT questionnaire

A

10

38
Q

Maximum score in an AUDIT questionnaire

A

40

39
Q

Score in an AUDIT questionnaire suggestive of hazardous or harmful alcohol use

A

8

40
Q

Alcohol screening questionnaire which has four questions

A

CAGE

41
Q

Alcohol screening questionnaire which has four questions but does not ask about frequency of alcohol use

A

CAGE

42
Q

Alcohol screening questionnaire which is a shortened version of the AUDIT questionnaire designed to be used in A&E departments

A

FAST

43
Q

Alcohol screening questionnaire which looks to identify dependent drinkers and focuses more on lifetime than current problems

A

MAST

44
Q

Normal temperature of urine on voiding

A

32-38 degrees celsius

45
Q

Normal specific gravity of urine

A

1.002-1.030

46
Q

Normal pH of urine

A

4.5-8

47
Q

Benzodiazepine most likely to show in a urine drug screen

A

Diazepam

48
Q

Recognised methods of testing for illicit substances

A

Hair
Saliva
Urine
Sweat

5. Addictions psychiatry (10 decks)

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