DSM5 Substance Use

Question 1

How many hours after using an opioid can they be detected with urine drug tests?

Answer 1

12-36 hours

Question 2

What liver disease occur commonly in those who inject opioids?

Answer 2

Hep C

Question 3

What diseases are of concern for IV drug users?

Answer 3

HIV
Hepatitis
TB
Bacterial Endocarditis

Question 4

Physical Exam Sign seen in Opiate Withdrawal, Hallucinogen Intoxication, and Stimulant Intoxication

Answer 4

Pupillary Dilation

Question 5

What challenge test can you use to diagnose opioid intoxication?

Answer 5

Naloxone (Narcan) Opioid Antagonist Challenge

Question 6

What symptoms are indicative of more severe Opiate Withdrawal?

Answer 6

Piloerection

Fever

Question 7

What is Suboxone?

Answer 7

Combination of Naloxone (Narcan) and Buprenorphine

Question 8

Symptoms of Opiate Withdrawal

Answer 8

Dysphoria
N/V
Muslce Aches
Lacrimation/Rhinorrhea
Pupil Dilation
Piloerection
Fever
Sweating

Question 9

Signs of Opioid Intoxication

Answer 9

Pupillary Constriction
Drowsiness/Coma
Impaired Attention/Memory
Slurred Speech

Question 10

What test do you order to differentiate PCP intoxication and stimulant intoxication

Answer 10

Urine Drug Test

Question 11

What do cocaine users often use to reduce insomnia, nervouseness and other SE?

Answer 11

Sedatives: ALCOHOL

Question 12

What do amphetamine users often use to reduce SE?

Answer 12

Marijuana

Question 13

What is a sign of stimulant withdrawal?

Answer 13

Bradycardia

Question 14

What psych disorders are risk factors for stimulant use disorder?

Answer 14

Antisocial Personality Disorder
Bipolar Disorder
Schizophrenia
Other Substnce Use

Question 15

What can be used to detect a stimulant 90 days after use?

Answer 15

Hair Sample

Question 16

Which forms of administration leads to most rapid onset of action with cocaine?

Answer 16

Inhalation

Injection

Question 17

What is Speedball

Answer 17

Cocaine + Heroin

Question 18

What neurotransmitters are affected with Cocaine?

Answer 18

Dopamine, Glutamate

Both increased

Question 19

Most substance induced disorders resolve within this amount of time after the cessation of acute withdrawal, the cessation of severe intoxication, or the use of the substance.

Answer 19

1 month

Question 20

Which sex has higher prevalence of alcohol use disorder?

Answer 20

Males

2x as much as females

Question 21

For an individual who has a close relative (parent) with an alcohol use disorder, their risk is this many times higher than normal

Answer 21

3-4x

Question 22

Elevations in these two lab test results are sensitive indicators of ongoing heavy drinking and can be used to monitor abstinence

Answer 22

GGT and CDT (Carbohydrate Deficient Transferrin)

Question 23

What can GGT and CDT be useful in detecting?

Answer 23

History of Heavy Drinking
Detect relapse to heavy drinking
Monitor abstinence

Question 24

Can MCV ube used to detect history of heavy drinking or relapse?

Answer 24

No. Not useful for monitoring due to long half life of RBCs

Question 25

Which psych disorders predispose patients with markedly high rate of co-morbid alcohol use disorder?

Answer 25

Bipolar Disorder Schizophrenia Antisocial Personality Disorder

Question 26

Impaired control Social impairment, Risky use Pharmacological criteria Continued use despite persistent or recurring interpersonal problems

Answer 26

Social Impairment

Question 27

Impaired control, Social impairment, Risky use, or Pharmacological criteria A desire to cut down or unsuccessful attempts decrease or stop use refers to this Criterion A

Answer 27

Impaired Control

Question 28

Impaired control, Social impairment, Risky use, or Pharmacological criteria Pharmacological criteria refers to “putting up” with these two phenomenon

Answer 28

Tolerance and Withdrawal

Question 29

Impaired control, Social impairment, Risky use, or Pharmacological criteria Taking the substance in larger amounts or over a longer time period than intended refers to this Criterion A

Answer 29

Impaired Control

Question 30

Impaired control, Social impairment, Risky use, or Pharmacological criteria Use in physically hazardous situations or continued use despite knowledge the substance is causing or worsening a medical problem is called this

Answer 30

Risky Use

Question 31

Impaired control, Social impairment, Risky use, or Pharmacological criteria Spending a great deal of time obtaining, using, or recovering from the substance use refers to this Criterion A

Answer 31

Impaired Control

Question 32

Impaired control, Social impairment, Risky use, or Pharmacological criteria Failure to fulfill major obligations at work, home, or school refers to this Criterion A

Answer 32

Social Impairment

Question 33

Impaired control, Social impairment, Risky use, or Pharmacological criteria Craving refers to this Criterion A

Answer 33

Impaired Control

Question 34

What is phencyclidine and what substance induced disorders can it cause?

Answer 34

Hallucinogen | May induce psychotic disorders, anxiety disorders, delirium, and mood disordesr (both bipolar and depressive)

Question 35

What disorders can opioid intoxication cause?

Answer 35

Sleep Disorders Sexual Dysfunction Delirium Depressive Disorder

Question 36

Opioid intoxication will not, but opioid withdrawal may induce this type of substance disorder

Answer 36

Anxiety

Question 37

Alcohol & sedative/hypnotic intoxication may both induce the same type of substance disorders except sedative/hypnotic intoxication will NOT induce this

Answer 37

Anxiety

Question 38

What can intoxication, but not withdrawal of stimulants like cocaine cause?

Answer 38

Sexual Dysfunction Delirium Substance induced Psychotic Disorders

Question 39

What can intoxication AND withdrawal of stimulants cause?

Answer 39

Anxiety, OCD, Sleep and Mood Disorders

Question 40

What substanes do not cause a withdrawal?

Answer 40

Inhalants | Hallucinogens