SUD Flashcards
the MOST common drug of choice in Aus is __________ . Most common illicit drug us ___________.
Alcohol; Cannabis
The majority of the harms associated with substance use arise from substance use disorders.
T/F
FALSE
Diagnosis of a SUD requires person to have _______ symptom count and __________ duration
2+ ; 1 year
What are the classification changes related to SUD in the DSM-5?
Condensed to one diagnosis, from ‘substance abuse + substance dependence’ because of a lack of reliability. Limited evidence for differential diagnosis
DSM-5’s newest criteria for SUD is__________
craving for substance
Gambling disorder is a new addition to the DSM-5
T/F
TRUE
DSM-5 categories of SUD are;
a) depressants, stimulants, gambling
b) legal, prescription, illicit
c) alcohol, opioid, tobacco
C) alcohol, opioid, tobacco
Severity scales for SUD -
a) mild-1-3, mod - 3-5, severe - 5+
b) mild 2-3, mod 4-5, severe 6+
c) mild 2-3, mod 4-6, severe 6+
B) b) mild 2-3, mod 4-5, severe 6+
Which one is INCORRECT about withdrawal;
a) it is one of the physiological symptoms of SUDs
b) separate withdrawal syndromes are defined for each substance in the DSM-5.
c) it involves needing a greater dose to achieve desired results
d) is associated with stopping or reducing the amount of substance use
C - this is a symptom of TOLERANCE, other physiological symptom of SUD.
Alcohol use disorders are most common in;
a) 18+
b) 16-24
c) 25-40
d) 40+
B
The National Health Research Council recommends __________ to reduce lifetime prevalence of alcohol related injury/disease, and __________ to reduce chances of injury on a single occasion
Less than 2 drinks a day;
Less than 4 drinks a day
Lifetime + occasion alcohol abuse is equal among gender
T/F
False, both more common in MALES
Recent findings suggest that the gender gap in alcohol use disorder is closing, which demographic is recommended for early intervention?
Young females
How does Ethnicity // home country influence AUD
Those from non-English speaking countries of birth are 3X less likely to get AUD
How much is classified as 1 standard drink?
10mg pure alcohol
List some factors that blood alcohol concentration depends on
- Volume consumed
- Amount ingested at a time
- Weight + body fat
- Amount of food in stomach
- Efficiency of liver
- Genetics
What produces the relaxing effect of alcohol?
alcohol x GABA interaction. GABA is an inhibitory neurotransmitter, stimulation = ‘relaxing effect’
What produces the pleasurable effects of alcohol?
Increases in DA + 5-HT
What causes the cognitive deficits associated with short-term alcohol consumption?
Glutamate receptor inhibition
Long term alcohol consumption is associated with;
a) digestion of food and absorption of vitamins
b) deficiency of B-complex vitamins
c) structural and functional brain changes
d) all the above
D - ALL
Cirrhosis is _____________
Liver disease after prolonged AUD, cells get enlarged with protein & fat, leads to cell death, inflammation and loss of blood flow
Foetal alchohol syndrome is associated with;
a) mild drinking in pregnancy
b) moderate drinking in pregnancy
c) heavy drinking in pregnancy
d) none of above
C - heavy drinking
Key gestational features and abnormalities associated with FAS
Slowed foetal growth, behavioural + emotional issues, facial, cranial, limb abnormalities
The largest preventable cause of death in Australia is ________________
Smoking
