Rx Drug Abuse Flashcards

1
Q

Is tolerance to drugs the same as physical dependence?

A

no

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2
Q

What neurotransmitter is most implicated in the neurobiology of addiction?

A

dopamine

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3
Q

Is opioid withdrawal more dangerous than a barbiturate withdrawal?

A

no

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4
Q

Is taking a drug for a pleasurable or euphoric feeling misuse or abuse?

A

abuse

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5
Q

The progression of addictive disorders is faster in __

a. males
b. females

A

b. females

males are more likely to have drug problems

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6
Q

2 drugs with most dependence?

A
  • tobacco

- alcohol

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7
Q

__ is reduction in response to drug after repeated administration

A

tolerance

PD effect

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8
Q

What is most common type of tolerance?

A

alcohol

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9
Q

__ is an increase in response with repetition of the same dose of drug.

A

sensitization/reverse tolerance

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10
Q

Stimulant __ may result from a sensitized response after long intermittent periods of use

A

psychosis

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11
Q

Physical dependence constitutes addiction.

a. true
b. false

A

b. false

does NOT constitute addiction, but often accompanies it

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12
Q

What is the only actual evidence of physical dependence?

A

withdrawal syndrome

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13
Q

Withdrawal syndrome symptoms do not imply misuse or addictive behavior.

a. true
b. false

A

a. true

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14
Q

__ is compulsive engagement in rewarding stimuli, despite adverse consequences

A

addiction

all additive stimuli are reinforcing and intrinsically rewarding

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15
Q

What neurotransmitter and brain area are ultimately responsible for addiction?

A

dopamine

nucleus accumbens

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16
Q

What is the most frequently abused opiate?

A

heroin

17
Q

2 benzo withdrawal Sx following high dose usage?

A
  • seizures

- delirium

18
Q

Which class of meds may change physiology of sleep with subsequent tolerance of drugs?

A

barbiturates

rebound effect with worsened insomnia- detox with gradual dose reduction

19
Q

What two opioids cause themes overdose deaths?

A
  • fentanyl

- heroin