Substance Abuse and Withdrawal

Question 1

decreased appetite
increase BP and HR
increased GI activity
increased alertness and attention

Answer 1

caffeine or nicotine use

Question 2

lethargy
mild depression of mood
increased appetite
headache

Answer 2

caffeine or nicotine withdrawal

Question 3

significant elevation of mood
increased alertness and attention
aggressiveness
psychotic symptoms
loss of appetite
pupil dilation
increased energy
seizures
reddening of nose
hypersexuality

Answer 3

amphetamines or cocaine use

Question 4

significant depression of mood
strong psychological craving
irritability
hunger
pupil constriction

Answer 4

amphetamines or cocaine withdrawal

Question 5

what substance class is medically indicated in the treatment of ADHD and narcolepsy, and sometimes depression

Answer 5

amphetamines

Question 6

“speed, ice, and ecstasy” are street names for what class of drugs

Answer 6

amphetamines

Question 7

freebase is a smokable form of what substance class

Answer 7

cocaine

Question 8

hyperactivity and growth retardation are seen in newborns of mothers who used what drug class in pregnancy

Answer 8

cocaine

Question 9

tactile hallucinations (ex: bugs crawling on skin) are seen with use of what substance class

Answer 9

cocaine

Question 10

stimulants work by increasing the availability of what neurotransmitter

Answer 10

dopamine

Question 11

what is the effect of amphetamine on dopamine

Answer 11

causes the release of dopamine, increasing its availability

Question 12

what is the effect of cocaine on dopamine

Answer 12

blocks the reuptake of dopamine

Question 13

mild elevation of mood
decreased anxiety
somnolence
sedation
poor coordination
respiratory depression

Answer 13

alcohol, benzodiazepines, or barbiturate usage

Question 14

mild depression of mood
increased anxiety
insomnia
psychotic symptoms (ex: delusions)
disorientation
tremor
seizure
cardiovascular symptoms (tachycardia/hypertension)

Answer 14

alcohol, barbiturate, or benzodiazepine withdrawal

Question 15

legal intoxication is defined as __%-__% blood alcohol concentration

Answer 15

0.08-.15

Question 16

what is the timeline for alcohol withdrawal delirium

Answer 16

may occur during the first week of withdrawal from alcohol and usually occurs in patients who have been drinking heavily for at least 5 years

Question 17

what is a common use of barbiturates

Answer 17

sleeping pills

Question 18

what is a high risk of barbiturate usage

Answer 18

low safety margin- can cause respiratory depression

Question 19

what are 2 medical uses of benzodiazepines

Answer 19

tranquilizers
alcohol withdrawal treatment

Question 20

do benzodiazepines or barbiturates have a higher safety marigin

Answer 20

benzodiazepines

Question 21

what drug can reverse the effects of benzodiazepine in case of overdose

Answer 21

Flumazenil

Question 22

what class of substances includes agents used medically as analgesics

Answer 22

narcotics or opioids

Question 23

*elevation of mood
relaxation
sedation
*analgesia
*respiratory depression
constipation
*pupil constriction

Answer 23

heroin, methadone, or other opioid use

Question 24

depression of mood
anxiety
insomnia
flu like symptoms (sweating, rhinorrhea, piloerection)
stomach cramps/diarrhea
pupil dilation

Answer 24

heroin, methadone, or other opioid withdrawal

Question 25

compared to medically used opioids such as morphine and methadone, abused opioids such as heroin have what 3 characteristics

Answer 25

more potent more euphoric action cross BBB quicker

Question 26

is death from barbiturate or opioid withdrawal more likely to occur

Answer 26

barbiturate

Question 27

what are 2 synthetic opioids used to treat heroin addiction

Answer 27

methadone buprenorphine

Question 28

Cannabis, LSD, PCP, and special K (ketamine) are all what class of substance

Answer 28

hallucinogens

Question 29

increased availability of what neurotransmitter is associated with the effects of some hallucinogens

Answer 29

sertonin

Question 30

altered perception elevation of mood reduced attention span flashbacks sweating

Answer 30

Cannabis, LSD, PCP, or special K (ketamine) use (hallucinogens)

Question 31

nystagmus is associated with the use of __

Answer 31

PCP

Question 32

chronic users of __ experience lung problems and a decrease in motivation

Answer 32

marijuana

Question 33

what is K2/spice

Answer 33

synthetic cannabinoids sprayed on plant material to be smoked or sold as liquid to be vaoprized and inhaled in e-cigarettes

Question 34

between LSD and PCP, which is ingested, which is smoked

Answer 34

LSD= ingested PCP= smoked

Question 35

are episodes of violent behavior seen with LSD or PCP use

Answer 35

PCP

Question 36

what is the immediate treatment for stimulants (caffeine/amphetamines)

Answer 36

benzodiazepines to decrease agitation antipsychotics

Question 37

what drug can be used to stabilize the autonomic nervous system during withdrawal of opioids such as heroin and methadone

Answer 37

clonidine

Question 38

elevated mood self confidence sensory sensitivity feeling of empathy and closeness decreased appetite

Answer 38

ecstacy (MDMA) use

Question 39

what club drug accounts for the greatest hospital admissions

Answer 39

methamphetamine (speed)

Question 40

most deaths attributed to "liquid ecstasy" have been from ___

Answer 40

respiratory depression

Question 41

what is the most frequently used date rape drug

Answer 41

alcohol

Question 42

what type of drug is krocodil (desmomorphine)

Answer 42

opioid derivative of codeine