Addiction Medicine in Practice

Question 1

is addiction a chronic relapsing brain disease?

Answer 1

yass

Question 2

importance of addiction subtypes

Answer 2

1. age of onset
2. co-occurring psychiatric disorders
3. Gender

Question 3

preventation

Answer 3

1. primary: patient education
2. secondary- screen high risk patients
3. teriary- prevention of progression and reduction of morbidity/mortality where substance use disorders exist

Question 4

single alcohol screening question

Answer 4

how many times in the past year have you had more than 5 in men/ 4 in woman in a day?

Question 5

managed care categories:

outpatient tx

Answer 5

level 1

Question 6

managed care categories:

intensive outpatient program (partial hospitalization)

Answer 6

level 2

Question 7

managed care categories:

medically monitored program (freestanding/hospital base)

Answer 7

level 3

Question 8

managed care categories:

medically managed program (hospital based)

Answer 8

level 4

Question 9

disulfram

Answer 9

inhibits aldehyde DH

Question 10

naltrexone

Answer 10

oral opioid antagonist

Question 11

acamprosate

Answer 11

NMDA antaagonist

Question 12

buprenorphine

Answer 12

partial opioid agonist for office-based tx.

Question 13

XR- naltroxone

Answer 13

IM opioid antagonist

Question 14

Varenicline

Answer 14

nicotine receptor partial agonist for smoking cessation

Question 15

genetic substance abuse

Answer 15

1. D2 allele evidence
2. differences in ADH or ACDH enzymes
3. differences in dopaminergic, endorphinergic or serotonergic pathway