psych - drug intox / withdrawal

Question 1

emotional lability , slurred speech, ataxia, coma, blackouts

mood elevation, dec anxiety, behavioral disinhibition, respiratory depression

Answer 1

alcohol intoxication

Question 2

autonomic hyperactivity - tachycardia, tremors, seizures, anxiety

Answer 2

alcohol withdrawal

DTs: benzodiazepines

Question 3

euphoria, respiratory and CNS depression, decreased gag reflex, pupillary constriction, seizures, constipation

Answer 3

opioid intoxication

trx: naloxone (overdose), naltrexone (maintenance of sobriety)

Question 4

sweating, dilated pupils, piloerection, fever, rhinorrhea, yawning, nausea, stomach cramps, diarrhea

Answer 4

opioid withdrawal

trx: methadone, buprenorphine

Question 5

marked respiratory depression

Answer 5

barbiturate intoxication/overdose

trx: respiratory support

low safety margin

Question 6

sedation, delirium, life-threatening cardiovascular collapse

Answer 6

barbiturate withdrawal

Question 7

sedation, ataxia, minor respiratory depression

Answer 7

benzodiazepine intoxication

trx: flumazenil

Question 8

sleep disturbance, depression, rebound anxiety, seizure

Answer 8

benzodiazepine withdrawal

Question 9

euphoria, grandiosity, pupillary dilation, prolonged wakefulness and attention, hypertension, tachycardia, anorexia, paranoia, fever

cardiac arrest, seizure

Answer 9

amphetamine intoxication

Question 10

anhedonia, increased appetite, hyper-somnolence, existential crisis

Answer 10

amphetamine withdrawal

Question 11

impaired judgement, pupillary dilation, hallucinations, paranoid ideations, angina, sudden cardiac death

Answer 11

cocaine intoxication

trx: a-blockers, benzos, haloperidol

Question 12

hyper-somnolence, malaise, severe psychological craving, depression / suicidality

Answer 12

cocaine withdrawal

Question 13

restlessness, increased diuresis, muscle twitching, arrhythmia

Answer 13

caffeine intoxication

Question 14

lack of concentration, headache

Answer 14

caffeine withdrawal

Question 15

restlessness

Answer 15

nicotine intoxication

Question 16

irritability, anxiety, craving

Answer 16

nicotine withdrawal

Question 17

belligerence, impulsivity, fever, psychomotor agiation, analgesia, vertical and horizontal nystagmus, tachycardia, homicidality, psychosis, delirium, seizures

Answer 17

PCP intoxication

trx: benzos, rapid-acting antipsychotic

Question 18

depression, anxiety, irritability, restlessness, anergia, disturbances of thought and sleep

Answer 18

PCP withdrawal

Question 19

perceptual distortion, delusions, depersonalization, anxiety, paranoia, psychosis, flashbacks

Answer 19

LSD intoxication

Question 20

euphoria, anxiety, paranoid delusions, perception of slowed time, impaired judgment, social withdrawal, increased appetite, dry mouth, conjunctival injection, hallucinations

Answer 20

marijuana intoxication

Question 21

irritability, depression, insomnia, nausea, anorexia

Answer 21

marijuana withdrawal

Question 22

euphoria, decreased anxiety, sense of intimacy with others, tachycardia, jaw clenching, dehydration

Answer 22

ecstasy intoxication