Substance Use/Abuse

Question 1

Treatment for DTs in alcohol withdrawal

Answer 1

benzodiazepines

Question 2

Alcoholic lab values

Answer 2

GGT sensitive

AST 2X > ALT

Question 3

Intoxication: Ataxia, minor respiratory depression

Answer 3

Benzos

Question 4

Intoxication: euphoria, respiratory and CNS depression, decreased gag reflex, pinpoint pupils

Answer 4

Opioids (ex. heroin)

Question 5

Intoxication: emotional lability, slurred speech, ataxia, coma, blackouts

Answer 5

Alcohol

Question 6

Intoxication: marked respiratory depression

Answer 6

Barbiturates

Question 7

Intoxication: euphoria, grandiosity, pupillary dilation, prolonged wakefulness and attention, hypertension, tachycardia, anorexia, paranoia, fever

Answer 7

Amphetamines

Question 8

Intoxication: impaired judgement, pupil dilation, hallucinations, paranoid ideations, angina, sudden cardiac death

Answer 8

Cocaine

Question 9

Intoxication: restlessness, increased diuresis, muscle twitching

Answer 9

caffeine

Question 10

Intoxication: restlessness

Answer 10

Nicotine

Question 11

Intoxication: belligerence, impulsiveness, psychomotor agitation, analgesia, vertical and horizontal nystagmus, tachycardia, homicidality, psychosis, delirium, seizures

Answer 11

PCP

Question 12

Intoxication: perceptual distortion, depersonalization, anxiety, paranoia, psychosis, possible flashbacks

Answer 12

LSD

Question 13

Intoxication: euphoria, anxiety, paranoid delusions, perception of slowed time, impaired judgement, social withdrawal, increased appetite, dry mouth, conjunctival injection, hallucinations

Answer 13

Marijuana

Question 14

Withdrawal: autonomic hyperactivity with tachycardia, tremors, anxiety, seizures (2-5 days), psychotic symptoms, confusion

Answer 14

Alcohol

Question 15

Withdrawal: sweating, dilated pupils, fever, piloerection, rhinorrhea, yawning, nausea, stomach cramps, diarrhea

Answer 15

Opioids

Question 16

Withdrawal: delirium, life-threatening CV collapse

Answer 16

barbiturates

Question 17

Withdrawal: sleep disturbance, depression, rebound anxiety, seizure

Answer 17

Benzos

Question 18

Withdrawal: anhedonia, increased appetite, hypersomnolence, extistential crisis

Answer 18

Amphetamines

Question 19

Withdrawal: hypersomnolence, malaise, severe psychological craving, depression/suicidality

Answer 19

cocaine

Question 20

Withdrawal: lack of concentration, HA

Answer 20

caffeine

Question 21

Withdrawal: irritability, anxiety, craving

Answer 21

nicotine

Question 22

Withdrawal: depression, anxiety, irritability, restlessness, anergia, disturbances of thought and sleep

Answer 22

PCP

Question 23

Withdrawal: irritability, depression, insomnia, nausea, anorexia

Answer 23

Marijuana

Question 24

Tx of opioid intoxication

Answer 24

Naloxone

Naltrexone

Question 25

Tx of opioid withdrawal

Answer 25

Methadone

Buprenorphine

Question 26

Tx of benzo intoxication

Answer 26

flumazenil (DO NOT GIVE TO WITHDRAWING PATIENT)

Question 27

Tx of cocaine intoxication

Answer 27

benzos

Question 28

Tx of nicotine withdrawal

Answer 28

Patch, gum, lozenge

Bupropion/Varenicline

Question 29

Tx of PCP intoxication

Answer 29

Benzos

Antipsychotic

Question 30

Tx of alcoholism

Answer 30

disulfiram

Naltrexone