Substance related and Addictive disorders

Question 1

alcohol use d/o

Answer 1

“at least 2 of the following occurring in a 12 month period.” EARLY REMISSION = 3-12 MONTHS; SUSTAINED REMISSION = >/= 12 MONTHS; CRAVING MAY CO-OCCUR DURING THAT TIME. Mild (2-3 sxs), moderate (4-5 sxs), severe (6 or more sxs).

Question 2

alcohol intoxication

Answer 2

A-D.

Question 3

alcohol withdrawal

Answer 3

A-D. (B is 2 or more w/d sxs); specify +/- perceptual disturbances.

Question 4

caffeine intoxication

Answer 4

Consumption usually in excess of 250MG. (A-D; B- 5 or more sxs).

Question 5

caffeine withdrawal

Answer 5

Prolonged daily caffeine use with abrupt cessation; followed w/in 24 hr by 3 or more sxs.

Question 6

tobacco use d/o

Answer 6

=”at least 2 of the following occurring in a 12 month period.” EARLY REMISSION = 3-12 MONTHS; SUSTAINED REMISSION = >/= 12 MONTHS; CRAVING MAY CO-OCCUR DURING THAT TIME. Mild (2-3 sxs), moderate (4-5 sxs), severe (6 or more sxs).

Question 7

tobacco withdrawal

Answer 7

irritable, frustration, anger, anxiety, difficulty concentrating, increased appetite, restlessness, depressed mood, insomnia.

Question 8

cannabis use d/o

Answer 8

“at least 2 of the following occurring in a 12 month period.” EARLY REMISSION = 3-12 MONTHS; SUSTAINED REMISSION = >/= 12 MONTHS; CRAVING MAY CO-OCCUR DURING THAT TIME. Mild (2-3 sxs), moderate (4-5 sxs), severe (6 or more sxs).

Question 9

cannabis intoxication

Answer 9

A-D (B- 2 or more Sxs); conjunctival injection, increase appetite, dry mouth, tachycardia. + or - perceptual disturbances.

Question 10

cannabis withdrawal

Answer 10

prolonged ; 3 or more sx within a week: irritable, anger, aggression; nervous, anxious; sleep difficulty (insomnia, disturbing dreams); decreased appetite, wt loss; restlessness; depressed mood; at least one physical sx - abdominal pain, shakiness/tremors, sweating, fever, chills, HA.

Question 11

Phencyclidine use d/o

Answer 11

(Hallucinogen)”at least 2 of the following occurring in a 12 month period.” EARLY REMISSION = 3-12 MONTHS; SUSTAINED REMISSION = >/= 12 MONTHS; CRAVING MAY CO-OCCUR DURING THAT TIME. Mild (2-3 sxs), moderate (4-5 sxs), severe (6 or more sxs).

Question 12

Other hallucinogen use d/o

Answer 12

“at least 2 of the following occurring in a 12 month period.” EARLY REMISSION = 3-12 MONTHS; SUSTAINED REMISSION = >/= 12 MONTHS; CRAVING MAY CO-OCCUR DURING THAT TIME. Mild (2-3 sxs), moderate (4-5 sxs), severe (6 or more sxs).

Question 13

phencyclidine intoxication

Answer 13

Vertical or horizontal nystagmus; HTN/Tachycardia; numbness/diminished pain response; ataxia; dysarthria; muscle rigidity; sz/coma; hyperacusis.

Question 14

Other hallucinogen intoxication

Answer 14

Pupillary dilation; tachycardia; sweating; palpitations; blurring of vision; tremors; incoordination.

Question 15

Hallucinogen persisting perception d/o

Answer 15

think residual perceptual symptoms from LSD.

Question 16

Inhalant use d/o

Answer 16

“at least 2 of the following occurring in a 12 month period.” EARLY REMISSION = 3-12 MONTHS; SUSTAINED REMISSION = >/= 12 MONTHS; CRAVING MAY CO-OCCUR DURING THAT TIME. Mild (2-3 sxs), moderate (4-5 sxs), severe (6 or more sxs).

Question 17

inhalant intoxication

Answer 17

(think toluene/gasoline); 2 or more signs or symptoms: dizzy, nystagmus, incoordination, slurred speech, unsteady gait, lethargy, depressed reflexes, psychomotor agitation, tremor, generalized muscle weakness, blurred vision/diplopia, stupor/coma, euphoria.

Question 18

opioid use d/o

Answer 18

“at least 2 of the following occurring in a 12 month period.” EARLY REMISSION = 3-12 MONTHS; SUSTAINED REMISSION = >/= 12 MONTHS; CRAVING MAY CO-OCCUR DURING THAT TIME. Mild (2-3 sxs), moderate (4-5 sxs), severe (6 or more sxs).

Question 19

opioid intoxication

Answer 19

Pupillary constriction (or dilation in anoxia), drowzy/coma, slurred speech, impairment in attention/memory.

Question 20

opioid w/d

Answer 20

You know.

Question 21

sedative, hypnotic, anxiolytic use disorder

Answer 21

“at least 2 of the following occurring in a 12 month period.” EARLY REMISSION = 3-12 MONTHS; SUSTAINED REMISSION = >/= 12 MONTHS; CRAVING MAY CO-OCCUR DURING THAT TIME. Mild (2-3 sxs), moderate (4-5 sxs), severe (6 or more sxs).

Question 22

sedative, hypnotic, anxiolytic intoxication

Answer 22

Nystagmus, unsteady gait, slurred speech, incoordination, impairment in cognition, stupor or coma.

Question 23

sedative, hypnotic, or anxiolytic w/d

Answer 23

autonomic hyperactivity, hand tremor, insomnia, n/v, transient v/tactile/auditory halluc. or illusions; psychomotor agitation; anxiety; grand mal sz.

Question 24

stimulant use d/o

Answer 24

“at least 2 of the following occurring in a 12 month period.” EARLY REMISSION = 3-12 MONTHS; SUSTAINED REMISSION = >/= 12 MONTHS; CRAVING MAY CO-OCCUR DURING THAT TIME. Mild (2-3 sxs), moderate (4-5 sxs), severe (6 or more sxs).

Question 25

stimulant intoxication

Answer 25

tachy/bradycardia, pupillary dilation, elevated or lowered bp, perspiration or chills, N/V, evidence of wt loss, psychomotor agitation or retardation; muscle weakness, resp. depression, chest pain, cardiac arrhythmias, confusion, sz, dyskinesias, dystonia.

Question 26

stimulant w/d

Answer 26

DYSPHORIC MOOD; fatigue / vivid, unpleasant dreams, insomnia/hypersomnia, increased appetite; psychomotor agitation.

Question 27

Gambling

Answer 27

4 or more symptoms in a 12 month period; episodic periods of symptoms which subside between periods of gambling d/o for at least several months. Persistent = continuous symptoms for multiple years; early remission (3-12 months), sustained remission (12 months or greater); mild (4-5), moderate (6-7), severe (8-9).