Chapter_7_ 1_ AUD Flashcards
(50 cards)
According to DSM-5, how many criteria must be met within 12 months to diagnose Alcohol Use Disorder (AUD)?
A) 1
B) 2
C) 4
D) 6
B) 2
Which of the following is NOT included in the DSM-5 criteria for AUD?
A) Cravings
B) Withdrawal symptoms
C) Blackouts
D) Social/interpersonal problems
C) Blackouts
What percentage of U.S. adults meet criteria for AUD at some point in their lifetime?
A) 2–5%
B) 10–15%
C) 20–25%
D) 30–40%
B) 10–15%
Which neurotransmitter system is most affected by alcohol, leading to sedation and disinhibition?
A) GABA
B) Glutamate
C) Dopamine
D) Serotonin
A) GABA
What is the mechanism of alcohol withdrawal symptoms?
A) Increased serotonin activity
B) Upregulation of dopamine receptors
C) Glutamate overactivity due to GABA downregulation
D) Decreased norepinephrine release
C) Glutamate overactivity due to GABA downregulation
A BAC of 200–300 mg/dL is most likely to cause:
A) Euphoria
B) Blackouts
C) Coma
D) Respiratory depression
B) Blackouts
What is the earliest symptom of alcohol intoxication?
A) Slurred speech
B) Nystagmus
C) Mood lability
D) Respiratory depression
C) Mood lability
What is the most serious complication of acute alcohol intoxication?
A) Hallucinations
B) Coma
C) Respiratory depression
D) Seizures
C) Respiratory depression
Alcoholic ketoacidosis occurs due to:
A) Liver failure
B) Excess insulin release
C) Dehydration and starvation
D) Alcohol-induced pancreatitis
C) Dehydration and starvation
A breathalyzer detects alcohol up to:
A) 2 hours
B) 6 hours
C) 12 hours
D) 24 hours
C) 12 hours
Alcohol withdrawal symptoms typically begin:
A) 1 hour after last drink
B) 6–24 hours after last drink
C) 48 hours after last drink
D) 72 hours after last drink
B) 6–24 hours
Which withdrawal symptom peaks at 48 hours?
A) Seizures
B) Tremors
C) Hallucinations
D) Delirium tremens
A) Seizures
Which feature distinguishes alcoholic hallucinosis from delirium tremens (DTs)?
A) Presence of tremors
B) Presence of visual hallucinations
C) Intact orientation
D) Autonomic instability
C) Intact orientation
What is the first-line treatment for alcohol withdrawal?
A) Haloperidol
B) Lorazepam
C) Carbamazepine
D) Valproate
B) Lorazepam
Which lab abnormality is commonly seen in chronic alcoholics?
A) Hypokalemia
B) Hypermagnesemia
C) Thrombocytosis
D) Hyperglycemia
A) Hypokalemia
Which medication reduces cravings in alcohol use disorder?
A) Disulfiram
B) Naltrexone
C) Bupropion
D) Risperidone
B) Naltrexone
Acamprosate works by:
A) Blocking opioid receptors
B) Enhancing GABA activity
C) Modulating NMDA receptors
D) Inhibiting dopamine release
C) Modulating NMDA receptors
Which medication is contraindicated in patients with liver disease?
A) Disulfiram
B) Acamprosate
C) Naltrexone
D) Lorazepam
C) Naltrexone
Which drug causes severe nausea, vomiting, and hypotension if alcohol is consumed?
A) Naltrexone
B) Disulfiram
C) Acamprosate
D) Topiramate
B) Disulfiram
The best treatment for a motivated patient with alcohol dependence is:
A) AA + Disulfiram
B) AA + Acamprosate
C) CBT + Naltrexone
D) Motivational interviewing only
A) AA + Disulfiram
Which vitamin deficiency leads to Wernicke’s encephalopathy?
A) Vitamin B6
B) Vitamin B12
C) Thiamine (B1)
D) Niacin (B3)
C) Thiamine (B1)
The triad of Wernicke’s encephalopathy includes:
A) Confusion, ataxia, ophthalmoplegia
B) Amnesia, confabulation, nystagmus
C) Seizures, tremors, delirium
D) Hypotension, bradycardia, hyperreflexia
A) Confusion, ataxia, ophthalmoplegia
Which alcohol-related disorder involves confabulation and permanent memory loss?
A) Alcoholic hallucinosis
B) Wernicke’s encephalopathy
C) Korsakoff syndrome
D) Hepatic encephalopathy
C) Korsakoff syndrome
Which questionnaire is used to screen for alcohol misuse?
C) CAGE
