Substance DSMV

Question 1

Opioids can be detected through a urine drug test for this many hours after administration of the opioid

Answer 1

12-36 hours

Question 2

This type of liver disease may occur in up to 90% of persons who inject opioids

Answer 2

hepatitis C

Question 3

HIV, hepatitis, tuberculosis, and this cardiac related condition are serious medical problems for IV opiate users

Answer 3

bacterial endocarditis

Question 4

This physical sign of opiate withdrawal is also “seen” in hallucinogen intoxication and stimulant intoxication

Answer 4

pupil dilation

Question 5

Opioid intoxication may be diagnosed by administering this opioid antagonist challenge

Answer 5

naloxone (narcan)

Question 6

These two symptoms are associated with more severe opiate withdrawal and are often not seen in routine clinical practice

Answer 6

piloerection & fever

Question 7

Suboxone is a combination of these two medications

Answer 7

naloxone (narcan) & buprenorphine

Question 8

What are the signs of opiate withdrawal?

Answer 8

Withdrawal: dysphoria, N/V, muscle aches, lacrimation/ rhinorrhea, pupil dilation, piloerection, fever, sweating

Question 9

What are the signs of opioid intoxication?

Answer 9

pupil constriction, drowsiness/ coma, impaired attention or memory, slurred speech

Question 10

Signs of opioid intoxication are pupil constriction, drowsiness/coma, impaired attention or memory,
and this

Answer 10

slurred speech

Question 11

This can differentiate PCP intoxication & stimulant intoxication from each other

Answer 11

A urine drug test

The clinical picture is similar though rotary nystagmus may be seen in PCP intoxication but not stimulant intoxication

Question 12

Cocaine users often use sedative substances–most often this substance–to reduce insomnia, nervousness, and other unpleasant side effects

Answer 12

Alcohol

Question 13

Amphetamine type stimulant users often use sedative substances–most often this substance–to reduce insomnia, nervousness, and other unpleasant side effects

Answer 13

marijuana

Question 14

This sign is often present and is a reliable measure of stimulant withdrawal

Answer 14

bradycardia

Question 15

Bipolar disorder, schizophrenia, other substance use disorders, and this personality disorder in particular are risk factors for stimulant use disorder

Answer 15

antisocial personality disorder

Question 16

This type of sample can be used to detect use of a stimulant up to
90 days after the use

Answer 16

A hair sample

Question 17

These two forms of cocaine administration have the most rapid onset of action

Answer 17

inhalation and injection

Question 18

A speedball is the combination of cocaine and this drug

Answer 18

heroin

Question 19

Cocaine increases the levels of glutamate and this neurotransmitter

Answer 19

dopamine

Question 20

In terms of operant conditioning, the alcohol induced buzz/high is this; also tolerance results in the
lack of this

Answer 20

positive reinforcement

Question 21

In terms of operant conditioning, consuming alcohol to stave off alcohol withdrawal symptoms results in this

Answer 21

negative reinforcement

Question 22

Most substance induced disorders resolve within this amount of time after the cessation of acute withdrawal, the cessation of severe intoxication, or the use of the substance

Answer 22

1 month

Most improve within days to weeks of abstinence

Question 23

The prevalence of alcohol use disorder in this sex is twice as much as the other

Answer 23

males

Males ~12%, Females ~5%

Question 24

For an individual who has a close relative (parent) with an alcohol use disorder, their risk is this many times higher than normal

Answer 24

3-4 times

Question 25

Alcohol metabolizing enzyme genetic polymorphisms result in flushing, palpitations, & possibly more severe reactions in individuals of this race when they consume alcohol

Answer 25

Asians Japanese, Chinese, and Koreans are at lower risk for Alcohol Use Disorders

Question 26

Elevations in these two lab test results are sensitive indicators of ongoing heavy drinking and can be used to monitor abstinence

Answer 26

gamma-glutamyltransferase (GGT) and carbohydrate-deficient transferrin (CDT)

Question 27

While elevation of GGT, CDT, and this test indicates a history of heavy drinking, GGT & CDT test may also be useful in detecting a relapse to heavy drinking, but this test is not

Answer 27

mean corpuscular volume (MCV) Not useful for monitoring due to long half life of RBC’s

Question 28

The patients with bipolar disorder, schizophrenia, & this personality disorder have a markedly high rate of co-morbid alcohol use disorder

Answer 28

Antisocial Personality Disorder

Question 29

Substance use disorder pts, especially those with severe disorder, have an underlying change in this which persists even beyond detoxification

Answer 29

brain circuitry

Question 30

Continued substance use despite persistent or recurring interpersonal problems is referred to as this:

Answer 30

social impairment

Question 31

A desire to cut down or unsuccessful attempts decrease or stop use refers to this Criterion A

Answer 31

impaired control

Question 32

Pharmacological criteria refers to “putting up” with these two phenomenon

Answer 32

tolerance & withdrawal

Question 33

Taking the substance in larger amounts or over a longer time period than intended refers to this Criterion A

Answer 33

impaired control

Question 34

Use in physically hazardous situations or continued use despite knowledge the substance is causing or worsening a medical problem is called this

Answer 34

risky use

Question 35

Spending a great deal of time obtaining, using, or recovering from the substance use refers to this Criterion A

Answer 35

impaired control

Question 36

Failure to fulfill major obligations at work, home, or school refers to this Criterion A

Answer 36

social impairment

Question 37

Craving refers to this Criterion A

Answer 37

impaired control

Question 38

Caffeine intoxication may induce a sleep disorder or this type of substance induced disorder

Answer 38

anxiety

Question 39

Marijuana intoxication may induce anxiety disorders, sleep disorders, and this type of substance induced disorder

Answer 39

Psychotic disorder

Question 40

The hallucinogen phencyclidine | may induce psychotic disorders, anxiety disorders, delirium, & this type of substance induced disorders

Answer 40

mood disorders | both bipolar & depressive

Question 41

Opioid intoxication may induce sleep disorders, sexual dysfunction, delirium, & this type of substance induced disorder

Answer 41

depressive disorders

Question 42

Opioid intoxication will not, but opioid withdrawal may induce this type of substance disorder

Answer 42

anxiety

Question 43

Alcohol & sedative/hypnotic intoxication may both induce the same type of substance disorders except sedative/hypnotic intoxication will NOT induce this

Answer 43

anxiety

Question 44

Alcohol & sedative/hypnotic intoxication may both induce the same type of substance disorders, including:

Answer 44

Psychotic, Bipolar, Depressive, Sleep, Sexual Dysfunction, Delirium, Neurocognitive disorders

Question 45

Intoxication, but not withdrawal, | of stimulants such as cocaine may induce sexual dysfunction, delirium & this type of substance induced disorder

Answer 45

Psychotic disorders

Question 46

Intoxication & withdrawal of stimulants such as cocaine may induce, anxiety, OCD, sleep, & this type of substance induced disorder

Answer 46

mood disorders | both bipolar & depressive

Question 47

Inhalants and this type of substance do not cause a withdrawal

Answer 47

hallucinogens