Substance Abuse Flashcards

1
Q

Psychoactive” – are substances that can ________ and become active in the ____________, with effects on mood, cognition, psychomotor movement, and personality.

A

pass the Blood Brain Barrier

brain & central nervous system

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2
Q

alcohol is not a drug

T/F

A

F

It is

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3
Q

__________, the most common response to repetitive use of the same drug, can be defined as the reduction in response to the drug after repeated administrations.

A

Tolerance

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4
Q

Drug Dependence is a state that develops as a result of the ___________ produced by a _________ in response to repeated drug use

A

adaptation (tolerance)

resetting of homeostatic mechanisms

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5
Q

Drug Addiction, on the other hand, consists of _______, _____ drug use despite _____tive consequences, at times triggered by cravings that occur in response to contextual cues

A

compulsive

relapsing

nega

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6
Q

Compulsive behaviour
Behaviour is _____ (_______)

Craving
Loss of Control in ________

A

reinforcing (rewarding or pleasurable)

limiting intake

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7
Q

Intolerance

When drugs combine to produce ________________
Example: disulfyram (Antabuse) and ________

A

extremely uncomfortable reactions

and alcohol

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8
Q

Cross-tolerance

Tolerance for one drug creates a ___________
Example: Alcohol and ________

A

similar reaction to another drug

barbiturates

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9
Q

Medication adherence is defined by the World Health Organization as

“The _______________________ .”

A

degree to which the person’s behavior corresponds with the agreed recommendations from a health care provider

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10
Q

Medical adherence is the same as compliance

T/F

A

F

different from compliance)

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11
Q

Drug Interactions

Polydrug Use- Taking ____________

Synergism- Effects are _______
Expressed as 2 + 2 = __
Example: Alcohol and _______

A

several substances simultaneously

multiplied; 10

barbiturates

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12
Q

When the individual eventually needs to consume the addictive substance or enact the behavior to feel normal, he /she is ________

A

Addicted

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13
Q

Addiction is classified by the American Psychiatric Association (APA) as ________

A

A mental disorder

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14
Q

many people abuse and misuse legal drugs

T/F

A

T

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15
Q

Drug misuse—use for ___________

Drug abuse— ______ use

A

purpose not intended

excessive

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16
Q

Misuse and abuse may lead to addiction

T/F

A

T

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17
Q

Drug and alcohol abuse contributes to more than ______ American deaths a year

A

120,000

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18
Q

How Drugs Affect the Brain

Mesolimbic dopamine—neurons relay messages about _______

Psychoactive drugs—affects chemical neurotransmission, either _____ it, ______ it, or _______ it

A

pleasure

enhancing

suppressing

interfering with

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19
Q

Some people’s bodies naturally produce insufficient quantities of neurotransmitters, which predisposes them to addictions such as alcohol, drugs, or exercise

T/F

A

T

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20
Q

Direct application of drugs into the ________ also acts as a strong reinforcer,
and systemic administration of drugs of abuse causes release of _____.

A

Ventral Tegmental Area (VTA)

dopamine

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21
Q

As a general rule, all addictive drugs activate the _____________ system.

A

mesolimbic dopamine

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22
Q

The central problem is that even after successful withdrawal and prolonged drug-free periods, addicted individuals are at (low or high?) risk of _______.

A

High

relapsing

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23
Q

Relapse is typically triggered by one of the following three conditions:

______
_________
___________

A

reexposure to the drug of abuse
stress
a context that recalls prior drug use

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24
Q

All illegal drugs are psychoactive

T/F

A

T

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25
prescription needed for Over-the-counter (OTC) drugs T/F
F None needed
26
How drugs enter the body Orally /Sublingual (drinking, swallowing , etc.) It usually takes approx. ____-_____ for full reaction time. Snorting (sniffing) It takes approx. __-_____ for full reaction
20-30 minutes 3-5 minutes
27
How drugs enter the body Inhaling (smoking, huffing) ____-_____ for full reaction time Injection (IV or IM- mainlining or skin popping) IV takes approx. ____-_____ where IM takes approx. ___-____ for full reaction time.
7-10 seconds 15-30 seconds, 3-5 minutes
28
Since all addictive drugs increase dopamine concentrations in target structures of the mesolimbic projections, We classify them on the basis of their __________ and __________
molecular targets and the underlying mechanisms.
29
Opioids use ______ receptor
Gio protein-coupled receptors.
30
cannabinoids use ______ receptor
Gio protein-coupled receptors.
31
Hallucinogens use _____ receptor
Gio protein-coupled receptors.
32
g-hydroxybutyric acid (GHB), use ___________ receptor
Gio protein-coupled receptors.
33
nicotine use _______ receptors
ionotropic receptors or ion channels.
34
Alcohol use __________ receptors
ionotropic receptors or ion channels.
35
the benzodiazepines use _______ receptors
ionotropic receptors or ion channels.
36
dissociative anesthetics use _____ receptors
ionotropic receptors or ion channels
37
some inhalants use ________ receptors
ionotropic receptors or ion channels
38
Cocaine use ______ receptor
monoamine transporters.
39
amphetamines use ______ receptors
monoamine transporters.
40
ecstasy use _______ receptors
monoamine transporters.
41
CATEGORIES OF DRUGS OF ABUSE List 4
Stimulants Depressants Hallucinogens Narcotics
42
Stimulants – Cocaine White _______ Derived from the leaves of the South American ________ Cocaine (slowly or rapidly?) enters bloodstream
crystalline powder coca shrub; rapidly
43
Cocaine Exposed fetus is likely to suffer damage T/F
T
44
Treatment for cocaine addiction involves mainly _________ and _______
psychiatric counseling and 12-step programs.
45
______ is used in attention deficit/hyperactivity disorder (ADHD) with High potential for abuse
Amphetamines
46
Some Amphetamines used for medicinal purposes T/F
T
47
Methamphetamine Affects _________ Euphoria lasts _________ Methods of use: snorted, injected, smoked, and ingested
brain and CNS 6 to 8 hours
48
When ingested, meth can lead to ________
meth-induced tooth decay
49
Most popular and widely consumed drug in the United States is _________
Caffeine
50
Caffeine is derived from the chemical family called ______, which are found in plant products such as coffee, tea, and chocolate.
xanthines
51
Side effects of caffeine include wakefulness, insomnia, irregular _____, dizziness, nausea, indigestion, mild _____, and heartburn.
heartbeat delirium
52
Caffeine Enhance _______ and reduce ____
mental alertness
53
Caffeine meets the requirements for addiction T/F
T
54
Marijuana and Other Cannabinoids Derived from ________ or _______(hemp) _____________ is the active ingredient
Cannabis sativa or Cannabis indica Tetrahydrocannabinol (THC)
55
________ , a potent cannabis preparation, is derived from the resin of the plant.
Hashish
56
Marijuana and Medicine – Helps with ______ and _____ during chemotherapy – Improves _______ of those with AIDS related wasting syndrome – Aids those with multiple sclerosis by ____________________ – Reduces eye pressure of _____
severe nausea and vomiting appetite reducing pain and spasticity glaucoma
57
Effects of Chronic Marijuana Use –___________ in blood stream causes stress on the heart – Contains high levels of ______ – __________ of the immune system – Pregnant women at higher risk for ______ or _______
Carbon monoxide carcinogens Suppression stillbirth or miscarriage
58
Depressants Opiates – Cause drowsiness, relieve pain, and induce euphoria – Called _____ – Derived from ______ – Depress ____ and lower heart rate, respiration, and blood pressure –_______ sex drive
narcotics opium CNS Decrease
59
Mention 6 examples of opiates
morphine, codeine, tramadol, heroin, pentazocine, pethidine
60
Heroin is a _______ derived from ______.
white powder morphine
61
Black tar heroin is a ____,_______ foul smelling form of heroin that is relatively _____ and ____
sticky, dark brown Pure and inexpensive
62
Heroin withdrawal is distinct, including an ___________, _____ disturbances, ____ pupils, and muscle tremors
intense desire for the drug sleep dilated
63
______________ of powdered heroin mixed in a solution and is the most common route of administration
Mainlining—intravenous injection
64
Codeine is a (short or long?) -acting narcotic _____ often prescribed by physicians for _______ and as an ______
Short analgesic pain relief and as an antitussive
65
Codeine can be highly addictive and provides the user with an overall sense of ______ and feelings of _____
calm pleasure
66
Symptoms of codeine abuse Mood symptoms: _____ Calm ______[ Anxiety ________
Euphoria Depression Mood swings
67
Symptoms of codeine abuse Behavioral symptoms: Drowsiness Increase in _________ Decreased _______ Apathy – lack of interest No longer ___________ “_____ shopping” or visiting a number of doctors to obtain more codeine prescriptions. _________ forgery
amount of time sleeping appetite caring for loved ones – uncaring attitude Doctor Prescription
68
Symptoms of codeine abuse Physical symptoms: contd Rashes _____ retention ____tension Respiratory _____ Decreased ______ _____ ________ to lips and fingernails
Urinary Hypo depression libido; Seizures Blue tinge
69
Signs and symptoms of opioid withdrawal Anxiety _____ness _____lity Alternating ____________ Wetness: _________________________________________ At peak intensity of withdrawal, patients may experience: – Nausea and vomiting – Abdominal cramps – Insomnia – _____________ or ________ (rare)
Nervous; Irritabi chills and hot flushes salivation, watery eyes, runny nose, sneezing, sweating, and gooseflesh Multifocal myoclonus abrupt spasms
70
Depressants: Opiates Treatment of Opiates –_________ –__________ –_____________
Methadone Naltrexone Buprenorphine
71
Depressants: Opiates Treatment of Opiates – Methadone Blocks ___________ – Naltrexone Opiate _______ Lose ______________ – Buprenorphine Blocks _________ for heroin
effects of opiates withdrawal antagonist compulsion to use heroin cravings
72
Methadone , a ___________ is potentially addictive itself T/F
T Treatment of opiates
73
Buprenophine is addictive itself T/F
F Nonaddictive
74
Benzodiazepines and Barbiturates – Benzodiazepines ( _______ ) They include the most common ____________ drugs
tranquilizers sedative-hypnotic
75
Benzodiazepines and Barbiturates – Barbiturates _________ drugs __________
Sedative-hypnotic Phenobarbital
76
Barbiturates and benzodiazepines Which is more safe
benzodiazepines
77
Barbiturates has Synergistic effect when combined with _____, can lead to _______ and _______
alcohol respiratory failure and death
78
Barbiturates Can produce physical and psychological dependence in ______
several weeks
79
Cross-tolerance is a complication specific to ________
sedatives
80
The most common sedative-hypnotic drugs include : _____,______, and _______
Valium, Ativan, and Xanax
81
Rohypnol A ______ and _____ drug Produces a _____ effect, _____, muscle _____, and slowed psychomotor responses
tranquilizer and “date rape” sedative; amnesia; relaxation
82
_________ Has gained notoriety as a growing problem on college campuses as it has been added to punch and other drinks at parties in hopes of lowering women’s inhibitions and facilitating potential sexual conquests
Rohypnol
83
Gamma-hydroxybutyrate (GHB) CNS _____ known to have _____,_______, and _______ effects Side effects include loss of memory, unconsciousness, amnesia, hallucinations, and death
depressant euphoric, sedative, and anabolic (bodybuilding)
84
_______________________ (GHB)
Gamma-hydroxybutyrate
85
Mention 2 date rape drugs
Rohypnol GHB
86
Hallucinogens – Scramble messages coming to _______ Synesthesia— __________
reticular formation mixing of sensory messages
87
In synesthesia, you may _______________________
May “hear colors” and “smell tastes”
88
Lysergic acid diethylamide (LSD) Also called ______ Common hallucinogen used to _____________ Used to ___________________ the world In 1970 it was placed on controlled substances list Over 11 million
acid “unlock secrets” of the mind “turn on” and “tune out”
89
_______________________ (LSD)
Lysergic acid diethylamide
90
Americans have tried acid Commonly sold as a “ ______ ” on paper
blotter
91
Ecstasy Most common ____ drug Side effects include ______,______,_______ Causes death in some cases, especially when combined with ______🙊 Chronic use can damage the brain
club hallucination, paranoia, and amnesia alcohol
92
Ecstasy Aka _____________
methylene-dioxymethamphetamine (MDMA)
93
Mescaline Derived from ______ Native Americans use it for _______ purposes Users typically swallow ___________ Generally induces immediate _______
peyote cactus religious 10 to 12 dried peyote buttons vomiting
94
Psilocybin Effects generally wear off in ___________ Cultivated from spores or harvested wild Similar to ____ in effect Mushroom varieties can be easily _____ , and mistakes can be ____
4 to 6 hours LSD misidentified Fatal
95
Psilocybin aka _________
Magic mushrooms
96
Phencyclidine (PCP) Originally used as a ________ Side effects such as _____ led doctors to abandon use May cause ____ or ______ Known to cause _____,_______ and overall ______
dissociative anesthetic amnesia euphoria or dysphoria hallucinations, delusions, delirium
97
Ketamine (Special K) Used as ________ in many hospital and veterinary clinics Causes __________ and _______
an anesthetic hallucinations and sensory distortions
98
Inhalants (Legal or illegal?) to purchase and not commonly recognized as _____, though dangerous when used incorrectly – Includes: ________,_____,______
Legal drugs glue, paint thinner, and rubber cement
99
Inhalants Amyl Nitrate and Nitrous Oxide – Commonly known as ________ – An overdose of fumes from inhalants can cause ________ and _______
laughing gas unconsciousness and death
100
Anabolic Steroids __________________________________ that promote muscle growth and strength They include _____ drugs
Artificial forms of the male hormone testosterone Ergogenic
101
Performance-enhancing steroid alternatives include __________ _______________
Gamma-hydroxybutyrate (GHB) Clenbuterol
102
Approximately _____ percent of drug users receive treatment
10
103
Detoxification—an early ______ period during which an addict adjusts _______ and ________ to being free from the addiction’s influence
abstinence physically and cognitively
104
Receptors used Inhalants- ______ Canabinoids- ____ Cocaine-________ Ecstasy- ________
ionotropic Gi monoamine transporters monoamine transporters
105
Receptors used Benzodiazepines- _____ Nicotine- _____ Dissociative anesthesia -_______ Alcohol- _______
ionotropic ionotropic ionotropic ionotropic
106
Receptors used Amphetamines- _______ Opioids- ____ GHB-____ Hallucinogens- ___
monoamine transporters Gi Gi Gi
107
Answer with stimulant, depressant, or hallucinogen Caffeine
Stimulants
108
Answer with stimulant, depressant, or hallucinogen Cocaine
Stimulants
109
Answer with stimulant, depressant, or hallucinogen amphetamines
Stimulants
110
Answer with stimulant, depressant, or hallucinogen meth
Depressants
111
Answer with stimulant, depressant, or hallucinogen marijuana
Stimulants
112
Answer with stimulant, depressant, or hallucinogen opiates
Depressants
113
Answer with stimulant, depressant, or hallucinogen alcohol
Depressants
114
Answer with stimulant, depressant, or hallucinogen barbiturates
Depressants
115
Answer with stimulant, depressant, or hallucinogen meth
Depressants
116
Answer with stimulant, depressant, or hallucinogen codeine
Depressants
117
Answer with stimulant, depressant, or hallucinogen GHB
Depressants
118
Answer with stimulant, depressant, or hallucinogen LSD
Hallucinogens
119
Answer with stimulant, depressant, or hallucinogen ecstasy
Hallucinogens
120
Answer with stimulant, depressant, or hallucinogen PCP
Hallucinogens
121
Answer with stimulant, depressant, or hallucinogen psilocybin
Hallucinogens
122
Answer with stimulant, depressant, or hallucinogen ketamine
Hallucinogens