SUBSTANCE ABUSE AND ADDICTION

Question 1

negative behavioral, cognitive, and/or physiologic symptoms

due to use of a substance, yet use continues despite these adverse consequences

Answer 1

Substance use disorder

Question 2

reversible substance-specific syndrome due to recent use of a substance

Answer 2

Intoxication:

Question 3

_______ substance-specific behavioral, cognitive, and/or physiologic change due
to the cessation or reduction in heavy or prolonged substance use

Answer 3

Withdrawal:

Question 4

Dev Hx of pts with substance use DO

Answer 4

Poor parenting, childhood physical or sexual abuse, and permissive
attitudes toward drug use.

Question 5

Psychiatric disturbances in pts with substance use DO:

Answer 5

Conduct disorder, ADHD, depression, and low self-esteem.

Question 6

What is the CAGE test for alcoholism

Answer 6

• Have you ever felt that you should cut down your drinking?
• Have you ever felt annoyed by others who have criticized your drinking?
• Have you ever felt guilty about your drinking?
• Have you ever had a morning drink (eye-opener) to steady your nerves or alleviate
a hangover?

Question 7

Tx of alcholism

medications that work on the reward center, such as

Answer 7

naltrexone, varenicline, and bupropion.

Question 8

Behavioral modification techniques for alcholism:

Answer 8

disulfiram (aversive conditioning), patch, gum,

inhaler (fading)

Question 9

Tx of alcholism
______ typically 5-10 days, provide medications to assure safe withdrawal
from substances

Answer 9

Detoxification units:

Question 10

Blood alcohol level

______Thought, judgment, and restraint are
loosened and disrupted

Answer 10

0.05%

Question 11

Blood alcohol level

Motor actions become clumsy

Answer 11

0.1%

Question 12

Blood alcohol level

• Motor area of the brain is depressed
• Emotional behavior is affected

Answer 12

0.2%

Question 13

Blood alcohol level

Confused or stuporous

Answer 13

0.3%

Question 14

Blood alcohol level

• Coma
• At higher levels, death may occur due
to respiratory depression

Answer 14

0.4–0.5%

Question 15

Signs and Symptoms of Intoxication

Amphetamines, cocaine

Answer 15

Euphoria, hypervigilance,
autonomic hyperactivity,
weight loss, papillary
dilatation, perceptual
disturbances

Question 16

Treatment of Intoxication

Amphetamines, cocaine

Answer 16

Short-term use of antipsychotics, benzodiazepines, vitamin C to promote
excretion in urine, anti-hypertensives

Question 17

Signs and Symptoms of Withdrawal

Amphetamines, cocaine

Answer 17

Anxiety, tremulousness, headache, increased

appetite, depression, risk of suicide

Question 18

Treatment of Withdrawal

Amphetamines, cocaine

Answer 18

Antidepressant

Question 19

Signs and Symptoms of Intoxication

Anabolic steroids

Answer 19

Irritability, aggression, mood changes, psychosis, heart problems, liver problems, etc.

Question 20

Signs and Symptoms of Withdrawal

Anabolic steroids

Answer 20

Depression, risk of

suicide

Question 21

TX of Withdrawal

Anabolic steroids

Answer 21

SSRIs

Question 22

Signs and Symptoms of Intoxication

Bath salts

Answer 22

Headache, palpitations, hallucinations, paranoia, violence, increased heart
rate and blood pressure

Question 23

Treatment of Intoxication

Bath salts

Answer 23

Supportive, benzodiazepines

Question 24

Signs and Symptoms of Intoxication

Benzodiazepines

Answer 24

Inappropriate sexual or aggressive behavior,

impairment in memory or concentration

Question 25

TX of Intoxication Benzodiazepines

Answer 25

Flumazenil

Question 26

Signs and Symptoms of Withdrawal BZD

Answer 26

Autonomic hyperactivity, tremors, insomnia, seizures, anxiety

Question 27

Tx of Signs and Symptoms of Withdrawal from BZD

Answer 27

Benzodiazepines

Question 28

Signs and Symptoms of Intoxication Cannabis

Answer 28

Impaired motor coordination, slowed sense of time, social withdrawal, conjunctival injection, increased appetite, dry mouth, tachycardia

Question 29

Tx of Intoxication/Withdrawal Cannabis

Answer 29

None

Question 30

Signs and Symptoms of Intoxication Ecstasy

Answer 30

Euphoria, mild psychedelia, hyponatremia, seizures, death, rhabdomyolisis, increased heart rate, blood pressure, and temperature

Question 31

Tx of Intoxication Ecstasy

Answer 31

Cyproheptadine, benzodiazepines, dantrolene

Question 32

Signs and Symptoms of Intoxication Hallucinogens

Answer 32

``` Ideas of reference, perceptual disturbances, impaired judgment, dissociative symptoms, pupillary dilatation, tremors, incoordination ```

Question 33

Tx of Intoxication Hallucinogens

Answer 33

``` Supportive counseling (talking down), antipsychotics, benzodiazepines ```

Question 34

Withdrawal Sx Hallucinogens

Answer 34

None

Question 35

Signs and Symptoms of Intoxication Inhalants

Answer 35

Belligerence, apathy, assaultiveness, impaired judgment, blurred vision, stupor or coma

Question 36

Signs and Symptoms of Intoxication Opiates

Answer 36

Apathy, dysphoria, papillary constriction, drowsiness, slurred speech, impairment in memory, coma or death

Question 37

Tx of Intoxication Inhalants

Answer 37

Antipsychotics if | delirious or agitated

Question 38

T or F Inhalants can produce withdrawal

Answer 38

False

Question 39

Tx of Intoxication Opiates

Answer 39

Naloxone

Question 40

Withdrawal syndromes of opiates

Answer 40

Fever, chills, lacrimation, runny nose, abdominal cramps, muscle spasms, insomnia, yawning

Question 41

Tx of Withdrawal syndromes of opiates

Answer 41

Clonidine, methadone

Question 42

Signs and Symptoms of Intoxication | Phencyclidine PCP

Answer 42

Belligerence, assaultiveness, psychomotor agitation, nystagmus, hypertension, seizures, coma, hyperacusis

Question 43

Tx of Intoxication | Phencyclidine PCP

Answer 43

Talking down, benzodiazepines, antipsychotics