Substance Abuse Flashcards

1
Q

What contributes to physicians under diagnosing the alcoholic patient

A
  1. they have a job and family
  2. they come for minor physical problems
  3. the physician themselves drink heavily and don’t recognize it.
  4. they consider alcoholism as a weakness not a disease
  5. denial by the pt
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2
Q

Which screening questionnaire screens for sensitivity of alcholism

A
  1. MAST

2. CAGE

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3
Q

If a pt shows up and smells of alcohol we have look at communication, openness and accurate _____taking and listen to their story

A

history

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4
Q

Doing a physical examination tells you a lot such as _____ or atrial fibrillation, or fluctuating BP’s or tremors.

A

rosacia on the face

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5
Q

Lab tests look for what to raise suspicion?

A

comprehensive metabolic panel. If GGT is found that is the most specific acute finding. Also looking at MCB levels that looks at blood cells.

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6
Q

Which is a cholesterol test that raises suspicion.

A

HDL is good cholesterol that prevents heart attacks. Alcohol raises this. Elevated CA125 also raises suspicion.

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7
Q

Intervention needs ____ facts and dates and then you need a plan that is covered by the insurance plan.

A

individual

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8
Q

There could be a detox period for an impatient treatment program. Or a recovery _____

A

home

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9
Q

Chemical dependency is prevalent in our society in every field. What could we do?

A

Don’t use opiod or stimulant to study. Just trying it once can get you addicted? 1 out of 6.

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