6

Question 1

itching is form of stimulant intoxication or withdrawal

Answer 1

intoxication

Question 2

bradycardia form of cocaine withdrawal?

Answer 2

yes

Question 3

which benzos should you use for detox in a patient with liver dz?

Answer 3

LOT (basically lorazepam)

Question 4

does early onset smoking increase risk of AUD?

Answer 4

yes

Question 5

selegeline is a false positive for what on UDS

Answer 5

methamphetamine

Question 6

is engaging in extracurriculars for a teen associated with preventing drug use?

Answer 6

no…

Question 7

12 month prevalence of inhalant use in 12-17 y/os

Answer 7

2.5%

Question 8

what’s it called when the physician uses family and friends of patient to help support abstinence?

Answer 8

network therapy

Question 9

which gene associated with alcohol dependence?

Answer 9

GABRA2

Question 10

which TCA is less sedating?

Answer 10

desipramine (most potent NE reuptake inhibition)

Question 11

cardiac defects common in FAS

Answer 11

ventricular septal defects
atrial septal defects

Question 12

medication to treat severe cases of serotonin syndrome

Answer 12

cyproheptadine

Question 13

desipramine is false positive for

Answer 13

amphetamines

Question 14

amantadine is false positive for

Answer 14

amphetamines

Question 15

4 components of the spirit of MI

Answer 15

partnership
acceptance
evocation
compassion

Question 16

69% of cocaine seized in the US in 2009 was cut with what

Answer 16

levamisole, a veterinary anti-helminthic

Question 17

triad of levamisole side effects

Answer 17

positive autoimmune markers
leukopenia
purpuric lesions (typically on ears)

Question 18

pregabalin MOA

Answer 18

calcium channel antagonist

Question 19

disulfiram MOA in the brain

Answer 19

blocks dopamine-beta-hydroxylase –> increasing dopamine and decreasing conversion to NE

Question 20

which brain area has highest percentage of cannabinoid receptors?

Answer 20

basal ganglia and hippocampus and cerebellum

Question 21

which opioid does not cause pinpoint pupils and why

Answer 21

meperidine - anticholinergic properties cause mydriasis

Question 22

which race associated with opioid use disorder?

Answer 22

whites

Question 23

younger or older associated with OUD?

Answer 23

younger

Question 24

bath salts derived from

Answer 24

synthetic cathinones from khat plants

Question 25

is being depressed a risk factor for using stimulants?

Answer 25

no

Question 26

is being in a frat or sorority a risk factor for using stimulants?

Answer 26

yes

Question 27

ranitidine false positive for

Answer 27

amphetamines

Question 28

which brain area associated with cravings?

Answer 28

orbitofrontal cortex

Question 29

how many mg of nicotine in a cigarette?

Answer 29

10 mg

Question 30

what is the cog distortion of personalization?

Answer 30

assuming an interpretation of a situation when there may be other explanations (eg. he missed my call so he must hate me)

Question 31

mg% of alcohol and associated sxs of intoxication

Answer 31

100-150: first signs of intoxication 150-200: drowsy 300-399: amnesia, dysarthria, hypothermia 400-600: coma >600: fatal

Question 32

acupressure

Answer 32

finger pressure over acupuncture points to relieve pain

Question 33

which personality d/o associated with difficulty with more benzo w/d?

Answer 33

dependent personality d/o

Question 34

which club drug can cause hyponatremia and how?

Answer 34

MDMA 1) hyperthermia --> primary polydipsia --> low Na 2) SIADH --> low Na

Question 35

mouth sores and stained fingernails associated with what drug

Answer 35

inhalants

Question 36

Pantoprazole and Efavirenz cause false positives on what

Answer 36

cannabinoids

Question 37

MDMA half life

Answer 37

8.5 hrs, excreted by 24 hrs

Question 38

which gene associated with higher risk of tobacco use and lower chance of cocaine dependence?

Answer 38

CHRNA5

Question 39

is there clear guideline on what value gift a doc can accept from patient?

Answer 39

no

Question 40

phenytoin causes false positive for

Answer 40

barbiturates