Substance use disorder

Question 1

definition

Answer 1

pathological collection of cognitive, behavioural and physiological symptoms related to use of a substance

Question 2

epidemiology

Answer 2

males

alcohol and nicotine most common

Question 3

4 main criteria

Answer 3

impaired control
social impairment
risky use
pharmacological indicators eg tolerance and withdrawl

Question 4

Impaired control

Answer 4

Using for longer time
larger amounts 
failed attempts to cut down use
substance related activities taking up time 
craving

Question 5

social impairment

Answer 5

work, school, family
social obligations not met
interpersonal relationship problems
reduced social activities

Question 6

Risky use

Answer 6

physical hazard eg driving

use despite awareness of physical problems

Question 7

tolerance

Answer 7

continuously increase dose to achieve same effect

Question 8

heroin intoxication vs withdrawl

Answer 8

sedation and constipation

anxiety, insomnia and diarrhoea

Question 9

What drugs lead to dilation of pupil?

Answer 9

cannabinoids
cocaine
amphetamines
hallucinogens

Question 10

mydriasis

Answer 10

dilated pupils

Question 11

heroin withdrawl management

Answer 11

methadone

buprenorphine