Alcohol use disorder

Question 1

what is 1 unit of alcohol equivalent to

Answer 1

10ml or 8g

Question 2

what is the alcohol limit for males and females per week

Answer 2

no more than 14 units of alcohol per week ideally spread over 3 days

Question 3

how do you calculate units of alcohol

Answer 3

1000

Question 4

define hazardous drinking

Answer 4

pattern of alcohol consumption that increases the risk of harmful consequences for the user

Question 5

hazardous drinking is a diagnostic term, true or false

Answer 5

false

Question 6

units of alcohol per week consumed for M+F in hazardous drinking

Answer 6

F: between 14-35
M: between 14-50

Question 7

define harmful drinking

Answer 7

pattern of alcohol consumption that is causing mental or physical damage

Question 8

units of alcohol per week consumed for M+F in harmful drinking

Answer 8

F > 35

M > 50

Question 9

define alcohol dependence

Answer 9

behavioural, cognitive and psychological factors that include a strong desire to drink alcohol and difficulties in controlling its use

Question 10

what are the diagnostic terms in DSM4

Answer 10

alcohol abuse

alcohol dependence

Question 11

what is the diagnostic term in DSM5

Answer 11

mild/mod/severe

alcohol use disorder

Question 12

DSM5 general criteria for alcohol use disorder AUD

Answer 12

maladaptive pattern of substance use leading to clinically significant impairment or distress occurring in a 12 month period

Question 13

what are the criteria for AUD

Answer 13

alcohol taken in larger amounts
persistent desire
lot of time spent on alcohol
craving/strong desire
use results in failure to fulfill work...
persistence despite problems caused by it
hobbies/events stopped as a result
use in hazardous situations
persistence despite evidence of harm 
tolerance
withdrawal

Question 14

how many criteria do you need

Answer 14

2 or more

Question 15

what are the subtypes of alcohol use disorder

Answer 15

mild
moderate
severe

Question 16

define mild AUD

Answer 16

2-3 symptoms

Question 17

define moderate AUD

Answer 17

4-5 symptoms

Question 18

define severe AUD

Answer 18

6 or more symptoms

Question 19

what does AUDIT stand for

Answer 19

Alcohol Use Disorder Identification Test

Question 20

what is AUDIT

Answer 20

comprehensive 10Q alcohol harm screening tool made by WHO

Question 21

AUDIT score of __ indicates possible dependence, what is the next step

Answer 21

20 or more

use another tool (SADQ)

Question 22

what does SADQ stand for

Answer 22

Severity of Alcohol Dependence Questionnaire

Question 23

what elements does SADQ measure

Answer 23

physical withdrawal 
affective withdrawal 
withdrawal relief drinking 
alcohol consumption 
rapidity od reinstatement

Question 24

what is CIWA-AR

Answer 24

used in assessment and management of alcohol withdrawal

Question 25

AUDIT score for low risk drinking

Answer 25

6-7

Question 26

AUDIT score for hazardous drinking

Answer 26

8-14

Question 27

AUDIT score for harmful drinking

Answer 27

15-18

Question 28

AUDIT score for possible dependence

Answer 28

>=20

Question 29

what should be done in those with harmful drinking

Answer 29

deliver brief intervention deliver motivational enhancement therapy consider prescribing options

Question 30

what should be done for those with hazardous drinking

Answer 30

deliver brief intervention

Question 31

what is used in brief intervention

Answer 31

``` FRAMES model Feedback Responsibility Advice Menu Empathy Self efficacy ```

Question 32

what is motivational enhancement therapy MET and what is used

Answer 32

Readiness for change questionnaire

Question 33

features of alcohol withdrawal syndrome

Answer 33

``` tremor sweating nausea + retching tachycardia, hypertension, fever anxiety and agitation insomnia, nightmares hallucinations withdrawal seizures delirium tremens ```

Question 34

onset of withdrawal seizures

Answer 34

0-48 hours

Question 35

onset of delirium tremens

Answer 35

48-72 hours

Question 36

features of complicated withdrawal

Answer 36

seizures hallucinations delirium tremens Wernicke-Korsakoff

Question 37

which medication is used for alcohol withdrawal

Answer 37

chlordiazepoxide (BZD) | for symptomatic relief acutely

Question 38

how long should chlordiazepoxide be used

Answer 38

1 week | definitely not more than 1 month

Question 39

what is the kindling effect

Answer 39

severity of withdrawal symptoms tends to increase after each alcohol withdrawal

Question 40

what methods of relapse prevention are there

Answer 40

psychosocial intervention | pharmacological intervention

Question 41

what does psychosocial intervention involve

Answer 41

CBT MET 12 step facilitation therapy family + couple therapy

Question 42

what can be used in pharmacological therapy long term

Answer 42

acamprosate naltrexone disulfiram nalmefene

Question 43

acamprosate mechanism

Answer 43

corrects GABA/glutamate imbalance | reduces cravings

Question 44

acamprosate only works when patient is abstinent, true or false

Answer 44

true

Question 45

mechanism of naltrexone

Answer 45

opioid receptor antagonist | blocks endorphin effect

Question 46

mechanism of disulfiram

Answer 46

creates unpleasant side effects when taken with alcohol | has a low compliance rate

Question 47

mechanism of nalmefene

Answer 47

opioid receptor antagonist | taken a few hours before social drinking

Question 48

can you determine the severity of alcohol dependence from number of units consumed per week

Answer 48

no