Substances Flashcards

1
Q

Use of a single joint can lead to a positive urine marijuana test as many as this number of
days later

A

4 days later

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2
Q

Use of marijuana at an early age may interact with those who have the genetic predisposition & promote the development of this serious mental illness

A

Schizophrenia

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3
Q

The most common psychiatric adverse side effects of marijuana use is psychosis and this

A

anxiety/panic attacks

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4
Q

Cognitive effects of marijuana include amotivation, disorientation, unsteady coordination, altered perception, decreased consciousness and this reason for poor academic performance

A

memory loss

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5
Q

What percent of users become dependent on marijuana?

A

10%

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6
Q

This synthetic Cannabinoid agonist is used to treat anorexia and weight loss in AIDS patients & nausea/vomiting in patients
getting chemo

A

dronabinol (marinol)

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7
Q

Marijuana’s clinical properties include these 3 effects:

A

anti-inflammatory effects
anti-convulsant effects
anti-emetic effects

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8
Q

Which of the following most commonly describes withdrawal from marijuana:

Potentially life threatening,
Significant discomfort, or
Mild symptoms

A

Mild symptoms

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9
Q

What terms describe marijuana use that leads to a reduction in prosocial goal-directed activities that may contribute to poor school or job performance?

A

amotivational syndrome

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10
Q

This non-nicotine agent is thought to increase dopamine and norepinephrine levels and mimic some of the effects of nicotine

A

Bupropion (Wellbutrin)

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11
Q

This smoking cessation medication is a long acting partial agonist
at the α4β2NAR

A

varenicline (chantix)

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12
Q

This tricyclic antidepressant is not first-line but a second line smoking cessation agent due to its side effect profile

A

nortriptyline

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13
Q

It is unusual to rare for an individual to start smoking

after this age

A

21 years old

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14
Q

Nicotine withdrawal from smoking cessation usually begins within 24 hours, and peaks at what time post-cessation?

A

Day 2-3

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15
Q

Nicotine withdrawal from smoking cessation usually will lasts how long?

A

2-3 weeks

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16
Q

This alpha-2 adrenergic agonist is used for treating hypertension but has shown promise for smoking cessation

A

clonidine

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17
Q

What is most common tobacco use product?

A

Cigarettes

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18
Q

Disappearance of nausea and dizziness despite repeated tobacco use is an indication of this

A

Tolerance

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19
Q

For ♀ & older adults, a social or moderate drinker is one who does not binge drink & consumes on average no more than how many drinks per day?

A

One

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20
Q

This type of peptide mediates some of alcohol’s rewarding effects by enhancing the midbrain release of dopamine

21
Q

This medication inhibits aldehyde dehydrogenase leading to a build up of acetaldehyde and negative reinforcement of alcohol use

A

disulfiram (antabuse)

22
Q

This medication is used in the treatment of alcohol dependence and is available in a monthly depot injection.

A

naltrexone (vivitrol)

23
Q

These two medications for alcohol use disorder are contraindicated in pts with significantly compromised
liver function.

A

disulfiram (anatbuse) and naltrexone (vivitrol)

24
Q

For ♂ who are < 65 y/o, a social or moderate drinker is one who does not binge drink & on average consumes no more than how many drinks per day?

25
This alcohol use disorder medication is an opioid mu receptor antagonist as a treatment option
naltrexone (vivitrol)
26
This medication helps prevent relapse, has a common side effect of diarrhea, is safe in hepatic compromised pts, but is contraindicated in pts with severe renal disease
acamprosate (campral)
27
Naltrexone is most effective in treating this aspect of alcohol dependence
cravings
28
Standard drug screens do not detect these drugs and usage typically declines dramatically after the teen years
inhalants
29
The phenylalkylamines class of hallucinogens includes mescaline, DOM, and this most well known drug
MDMA (ecstasy, XTC)
30
First developed as a anesthetic, this drug produces feelings of separation from mind and body-dissociation
Phencylcidine (PCP)
31
Continued use of which hallucinogen has been linked to neurotoxic effects: MDMA, LSD, or PCP
MDMA (ecstasy)
32
Any inhaled volatile hydrocarbons (glues, fuels, paints) may produce “sudden sniffing death” due to what effect?
cardiac arrhythmia
33
Phencylclidine (PCP) can be detected in the urine up to this many days after use
8 days
34
The ergoline class of hallucinogens includes this drug which often produces visual hallucinations which can be frightening to the user
lysergic acid diethylamide (LSD)
35
While lab testing can detect PCP, may or may not be helpful detecting hallucinogens, lab testing is not helpful detecting this
inhalants
36
Intoxication with this drug may produce vertical or horizontal nystagmus, diminished responsiveness to pain, and violent behavior
Phencyclidine (PCP)
37
The proportion of users of this are most likely to become dependent on the substance
nicotine
38
Use of this illicit drug is most commonly involved in ER visits
cocaine
39
When sober, users of this drug(s) may re-experience geometric visual hallucinations, flashes of color, intensified colors, or misperception of objects being too large or too small
hallucinogens (Primarily LSD)
40
About 50% of people who attempt to quit smoking develop withdrawal and commonly complain of irritability, difficulty concentrating, and this
anxiety
41
About 50% of people who attempt to quit smoking develop withdrawal and commonly complain of what symptoms?
irritability, difficulty | concentrating, and anxiety
42
Over 80% of tobacco users attempt to quit, 60% relapse within 1 week, and this proportion succeed and do not ever relapse
1 in 20 (5%)
43
A drink is defined as a 1.5 ounce shot, this 4-6 ounces of wine, or this many ounces of beer
12 ounces
44
A drink is defined as a 12 ounce beer, 4-6 ounces of wine, or this many ounces of a shot
1.5 ounce shot
45
A drink is defined as a 1.5 ounce shot, a 12 ounce beer, or this many ounces of wine
4-6 ounces
46
Psychostimulants specifically worsen these symptoms of schizophrenia
hallucinations and paranoia
47
Use of marijuana, alcohol, or this before age 15 are considered to be the three “Gateway Drugs” to later dependence problems
Nicotine
48
What are the three “Gateway Drugs” to later dependence problems
Nicotine Marijuana Alcohol
49
What is the most common illicit drug used worldwide across all age groups?
Marijuana