Drug Misuse

Question 1

Stimulant drugs?

Answer 1

Cocaine,

Amphetaine

Question 2

How fats does cocaine act?

Answer 2

Smoked- immediately
Injected- 15-30 seconds
Snorting- 3 to 5 mins

Question 3

“Positive” effects of cocaine?

Answer 3

Stimulant and euphoriant
Increased alertness and energy,
Increased confidence and impaired judgement,
Lessens appetite and desire for sleep

Question 4

Negative effects of cocaine?

Answer 4

Damage to nose and airways, 
Convulsions with resp failure, 
Cardiac arrhythmias and MI, 
Hypertension,
Stroke
Toxic confusion,
Paranoid psychosis

Question 5

Cocaine withdrawal effects?

Answer 5

Depression, 
Irritability,
Agitation,
Craving,
Hyperphagia,
Hypersomnia

Question 6

Affect of heroin

Answer 6

Analgesia, 
Drowsiness and sleep, 
Mood change,
Respiratory depression, 
Cough reflex depression,
Sensitisation of the labyrinth with nausea and vomiting, 
Deceased sympathetic outflow (bradycardia and hypotension),
Lower body temperature, 
Pupillary constriction, 
Constipation

Question 7

Signs of opiate overdose?

Answer 7

Respiratory arrest with a pulse,
Pinpoint pupils unreactive to light,
Snoring giving way to shallow respiration (<8 breaths/ min),
Bradycardia and hypotension, 
Reduced consciousness/ coma

Question 8

Side effects of opiates

Answer 8

First time- n/v and headache
Medium term- phlebitis, anorexia, constipation
Longer term- tolerance, withdrawal, social and health problems

Question 9

Opiate withdrawal syndrome?

Answer 9

Craving, 
Insomnia,
Yawning,
Muscle pain and cramps, 
Increased salivary, nasal and lacrimal secretions, 
Dilated pupils, 
Piloerection

Question 10

Ecstasy effects

Answer 10

Euphoria followed by calm feeling,
Increased sociability,
Inability to distinguish between what is and isn’t desirable

Effects after 20 mins and last for 2-4 hours

Question 11

Ecstasy side effects

Answer 11

Nausea and dry mouth, 
Increased blood pressure and temperature, 
Dehydration,
Anxiety and panic, 
Drug induced psychosis,
Liver and brain cell damage

Question 12

What is the psychoactive agent in cannabis?

Answer 12

Tetrahydrocannabinol

Question 13

What is high in content in skunk?

Answer 13

THC content

Question 14

Cannabis psychological effects

Answer 14

Relaxing, 
Stimulating, 
Euphoriant,
Increasing sociability and hilarity, 
Increases appetite, 
Changes in time perception,
Synaesthesia,
Anxiety, 
Panic,
Persecutory, 
Ideation, 
Hallucinatory activity

Question 15

Cannabis ill effects?

Answer 15

Respiratory problems,
Toxic confusion,
Exacerbation of major mental illness,
Cannabis psychosis

Question 16

Novel psychoactive substances

Answer 16

NPS

Legal highs

Question 17

What are anabolic steroids?

Answer 17

Family of drug comprising testosterone and many synthetic analogues

Question 18

Affect of anabolic steroids?

Answer 18

Muscle hypertrophy

Particularly in upper body

Question 19

Steroid side effects

Answer 19

Skin- acne, stretch marks, baldness
Feminisation in males with hypogonadism and gynaecomastia
In woman- hirsutism, deep voice, cliotoral enlargement, menstrual irregularities, hair thinning
Cardio- increased cholesterol, hypertension
Growth deficits
Liver disease- cholestatic jaundice, liver tumours
Psychological-irritability and anger, hypomania and mania, depression and suicidality on withdrawal