Substance Use

Question 1

16 yo made multiple attempts to get sober, but fails. Example of negative reinforcement in this situation?

Answer 1

Using alcohol and drugs for emotional distress

Question 2

Adolescent with alcohol use. Striatum impacts what part of addiction to alcohol?

Answer 2

Reinforces alcohol-seeking behavior

Question 3

Most reliable tool in assessing an adolescent for substance use disorder, who just crashed their car and has an elevated ethanol level?

Answer 3

Clinical history

Question 4

What would be included as a therapeutic intervention in an adolescent that presents to the ER with depression, self-harm, passive SI, alcohol use to ease pain, seeing a psychiatrist - but not on medication, patient and mother able to create a safety plan and agree to remove all lethal methods in the home?

Answer 4

Counsel patient and caregiver about substance use disinhibition

Question 5

Symptom after discontinuing long term high dose stimulant abuse within 48 hrs?

Answer 5

Vivid Dreams

Question 6

Recovery of youth in substance use support groups optimized if peers are matched by? (2x)

Answer 6

Age

Question 7

What data is substance abuse prevention programs based upon? (2x)

Answer 7

Social Learning paradigms

Question 8

In psychosocial treatment of substance use, what is the goal of stimulus control? (2x)

Answer 8

Helping patient avoid situations related to drug use

Question 9

Neighborhood characteristic that protects against adolescent substance abuse?

Answer 9

Community prohibition against substances

Question 10

Barrier to implementing family-focused model of drug programs for children and adolescents?

Answer 10

Limited parent participation

Question 11

A 14 yo girl in treatment for anxiety mentions drinking alcohol more frequently. She pledges to her parents to stop drinking, but the parents complain that she is becoming increasingly secretive about her social activities, has declining grades, and reports anxiety about college. How should you approach the parents’ concerns?

Answer 11

Allow the patient to engage in social activities contingent on school performance

Question 12

16 yo male started using cigarettes in 6th grade, then alcohol, marijuana in 7th grade, and amphetamines and cocaine in 10th grade. Pt has kept a B average but is associating with peers using substances. Pt has older sibling that binge drank in college and maternal aunt and grandmother with depression. History best illustrates this etiology of abuse?

Answer 12

Stage Theory

Question 13

Universal prevention programs that try to decrease risky behavior and increase function focus on?

Answer 13

Skill development in self-management and problem solving