Psych intox and withdrawal

Question 1

sensitive indicator for alcohol use

Answer 1

GGT

Question 2

AST/ALT ratio in alcohol

Answer 2

AST is twice as high as ALT

Question 3

treatment for delirium tremens

Answer 3

benzodiazepines

Question 4

treatment for opioid OD

Answer 4

naloxone

naltrexone

Question 5

long term support for opioid withdrawal

Answer 5

methadone, buprenophine

Question 6

complication of barbiturate withdrawal

Answer 6

life-threatening CV collapse

Question 7

benzo OD treatment

Answer 7

flumazenil (competitive inhibitor)

Question 8

treatment for cocaine OD

Answer 8

benzodiazepines

Question 9

treatment for PCP OD

Answer 9

benzos, rapid-acting antipsychotics

Question 10

Belligerence, vertical and horizontal nystagmus, tachycardia, psychosis. what drug is he on?

Answer 10

PCP

Question 11

Naloxone + buprenorphine MoA

Answer 11

Partial agonist and long lasting. Naloxone is not active when taken orally, so withdrawal symptoms occur only if injected

Question 12

when is delirium tremens likely to occur

Answer 12

2-5 days after last drink

Question 13

treatment for DT

Answer 13

benzos