Substance Use Disorders

Question 1

1 1 designated classes of pharmacological

agents

Answer 1

Alcohol
amphetamines or similarly acting agents
caffeine
cannabis
cocaine
hallucinogens
inhalants
nicotine
opioids
phencyclidine (PCP) or similar agents
- And a group that includes sedatives, hypnotics, and anxiolytics.

Question 2

12th category includes a variety of agents not in the 1 1 designated classes

Answer 2

Such as anabolic steroids and nitrous oxide.

Question 3

The four major diagnostic categories

Answer 3

(1) Substance Use Disorder
(2) Substance Intoxication
(3) Substance Withdrawal
(4) Substance-Induced Mental Disorder.

Question 4

Substance use disorder

Answer 4

The diagnostic term applied to the specific substance abused (e.g., alcohol use disorder, opioid use disorder) that results from the prolonged use of the substance.

Question 5

Substance intoxication

Answer 5

The diagnosis used to describe a syndrome (e.g., alcohol intoxication or simple drunkenness) characterized by specific signs and symptoms resulting from recent ingestion or exposure to the substance.

Question 6

Substance withdrawal

Answer 6

The diagnosis used to describe a substance specific syndrome that results from the abrupt cessation of heavy and prolonged use of a substance (e.g., opioid withdrawal).

Question 7

The serious temporary psychological symptoms that alcohol abuse can produce

Answer 7

Anxiety
Depression
Psychoses

Question 8

Long term use of alcohol consumption leads to withdrawal symptoms marked by:

Answer 8

Insomnia, evidence of hyperactivity of the autonomic nervous system, and feelings of anxiety.

Question 9

Classic sign of alcohol withdrawal

Answer 9

Tremulousness (commonly called the “shakes” or the “jitters”) develops 6 to 8 hours after the cessation of drinking

Question 10

Spectrum of symptoms of alcohol withdrawal

Answer 10

psychotic and perceptual symptoms (e.g., delusions and hallucinations), seizures, and the symptoms of delirium tremens (DTs ), called alcohol delirium.

the psychotic and perceptual symptoms begin in 8 to 12 hours, seizures in 12 to 24 hours, and DTs anytime during the first 72 hours

Question 11

Other symptoms of withdrawal

Answer 11

include general irritability, gastrointestinal symptoms (e.g., nausea and vomiting), and sympathetic autonomic hyperactivity, including anxiety, arousal, sweating, facial flushing, mydriasis, tachycardia, and mild hypertension. Patients experiencing alcohol withdrawal are generally alert but may startle easily.

Question 12

What is the most severe form of Alcohol withdrawal syndrome

Answer 12

Delirium Tremens

Patients may be unpredictable
Assaultive
Suicidal
or may act on hallucinations or delusional thoughts as if they were in genuine danger