EXAM 1 pt.2

Question 1

What is a schedule 1 drug?

Answer 1

A drug that has no current accepted medical use, high potential for abuse. Examples include, GHB, LSD, marijuana.

Question 2

What is a schedule 2 drug?

Answer 2

A drug that has current accepted medical use but high potential for abuse. Examples include methamphetamines.

Question 3

What is a schedule 3 drug?

Answer 3

A drug that has current accepted medical use, medium potential for abuse. Examples include marinol.

Question 4

What is a schedule 4 drug?

Answer 4

A drug that has current accepted medical use and low potential for abuse. Examples include rohypnol.

Question 5

What is a schedule 5 drug?

Answer 5

A drug that has current accepted medical use and lowest potential for abuse. Examples include robitussin AC

Question 6

What is dependence lethality?

Answer 6

The ratio of dose to death

Question 7

What drug has the highest lethality?

Answer 7

heroin(narcotic)

Question 8

What drug has the lowest lethality?

Answer 8

LSD and psilocybin(hallucinogen)

Question 9

What is substance abuse according to the DSM IV?

Answer 9

a DSM-IV disorder involving recurrent drug use over a 12-month period and involving 1 or more of 4 criteria:
1. failure to fulfill role obligations
2. hazardous use
3. legal problems (drop in DSM 5)
4. social problems

Question 10

What is a substance dependence according to the DSM IV?

Answer 10

a more “severe” DSM-IV disorder involving 3 or more of 7 criteria

Question 11

What are the 7 criteria in the DSM IV?

Answer 11

1. tolerance
2. withdrawal
3. use more than intended
4. desire but inability to quit or cut down
5. consume life
6. other activi. are neglected
7. use results in neg. consequ. but still use

Question 12

What change was done in the DSM V in drug use?

Answer 12

Created a disorder with 11 criteria and deleted legal consequence and added cravings/

Question 13

What was the history of the DSM and drug use?

Answer 13

DSM 1 classified ATOD due to psychopathic personality and DSM II as its own disorder

Question 14

How substance use disorder classified in the DSM V?

Answer 14

2 or more of the following, recurrent use, last 12 months
1. use more than intended
2. desire, inability to quit
3. consumes life
4. craving
5. failure to fulfill role oblig.
6.continued use despite social problems
7.other activities are neglected or given up
8. hazardous use
9. continued use despite psychological or physical problems
10. tolerance
11. withdrawal

Question 15

How is gambling disorder classified in the DSM 5?

Answer 15

4 or more of the following, reccurent behavior, last 12 months(behavior disorder)
1. more money gambled for excitement
2. restless or irritable to quit
3. repeated uncontrol to stop
4. preoccupied with gambling
5. often gambles when feeling distressed
6. chases losses
7. lies to conceal extent of involvement
8. lost relationship, job opportunity bc of gambling
9. relies on others to provide money to relieve debt

Question 16

What is the WHO (ICD) Diagnostic Scheme?

Answer 16

intoxication, harmful use(physical or mental), and dependence syndrome

Question 17

What is the 12 step focus?

Answer 17

It is a program that are not focused on DSM like consequences, or ICD physical/mental harm. AA/NA focuses on what precedes the first drink or drug such as cognition(stinkin thinkin).

Question 18

What term is used to describe dangerous drugs?

Answer 18

Street drugs or names that relate to the context of their use.

Question 19

What is a soft/hard drug?

Answer 19

means legal and illegal or relatively non lethal drugs

Question 20

What are illicit drugs?

Answer 20

drugs that don’t always indicate danger

Question 21

What are designer drugs?

Answer 21

substance analogs

Question 22

What are club drugs?

Answer 22

party drugs in oral forms

Question 23

What are withdrawal symptoms? The hallmark symptoms even in behavioral addictions?

Answer 23

difficulty concentrating or being irritated

Question 24

What is a dual diagnosis?

Answer 24

co-occuring drug and psychiatric problems (conditonal probabilities)

Question 25

What is the breakdown of a drug problem to mental health problem?

Answer 25

If drug problem, then 20% have a mental health problem

Question 26

What is the breakdown of a mental problem to drug problem?

Answer 26

If mental health problem, then 40% have a drug problem

Question 27

Schizophrenia to drug problem percentage?

Answer 27

48% to 64% with schizophrenia have a drug problem

Question 28

Any mood disorder to drug problem percentage?

Answer 28

32% have drug problem with those bipolar have 56% and those unipolar have 30%

Question 29

OCD to drug problem percentage?

Answer 29

Those with OCD have 33% drug problem

Question 30

ASD to drug problem percentage?

Answer 30

36% to 54% have drug problem if they have ASD

Question 31

What is the difference between teens vs adults in substance abuse?

Answer 31

High risk situations differ since theyre not a parent and rates of dual diagnosis are higher among teens. Mostly due to different roles and not a lot of responsibility

Question 32

What is a disease?

Answer 32

Pathological response of bodily structure/system to internal or external factors; somatic phenomena; alteration of the normal state that impairs performance of vital functions; generally, not due to an external immediate injury.

Question 33

What is a disorder?

Answer 33

Disruption to regular bodily structure and function, which may reflect a disease, but less restrictive in intent, less definitive. Examples include substance abuse disorder

Question 34

What is a syndrome?

Answer 34

Collection of signs and symptoms associated with a cause, that may suggest a disease. Ex; down syndrome and trisonomy 21

Question 35

What is a condition?

Answer 35

Abnormal state of health that interferes with activities/feelings of wellbeing/least specific, morbidity such as acne, acidity, allergy

Question 36

What are intentional definitions?

Answer 36

rule based, causal story-based such as poison or flu equates fever

Question 37

What is extensional definitions?

Answer 37

listing type, social constructivism such as DSM V criteria

Question 38

Is drug abuse a disease?

Answer 38

Depends, according to DSM 1 and others, addicts have been considered immoral or weak willed. Addicts used to be the domain of courts or religion

Question 39

What does AA think of drug abuse as a disease? What about other organizations?

Answer 39

AA believes it is a disease (abstinence goal). Most professional organizations: brain disease

Question 40

What are relapse rates?

Answer 40

first attempt at quitting are 75-80%

Question 41

What are other factors or thoughts surrounding drug abuse as a disease?

Answer 41

Addiction is not voluntary and genetic may be involve. It impairs functioning and insurance payment justification

Question 42

What is the CAGE screener?

Answer 42

A 4 item consequence of use related to one's response to other's perception of his/her use, resultant feelings and attempts to quit

Question 43

What questions does CAGE ask?

Answer 43

CUT down on drinking. ANNOYANCE with criticism of drinking. GUILT feelings about drinking. And use of alcohol as a morning EYE opener.

Question 44

What is the CRAFFT test?

Answer 44

Where the person is in the ..Car, Relax, Alone, Forget, Family, or Friends complain, Trouble. Derives from RAFFT test

Question 45

Answer 45

CRAFFT test

Question 46

What is the chemical dependency asssessment profile(CDAP)?

Answer 46

235 item(T/F) self report questionnaire of substance use, dependence problems, treatment need among teens/adults. Test quantity/frequency use, antiosocial behaviora, interpersonal problems, affective dysfunction

Question 47

What is the Michigan Alcohol Screening Test (MAST)?

Answer 47

25 item self-report of early, middle, or late-stage impairment. A 10-item Brief MAST exists

Question 48

What is the Alcohol Use Inventory (AUI)?

Answer 48

228-item multiple choice self-report; 24 subscales with 17 primary scales grouped via (1) benefits from drinking, (2) drinking styles, (3) drinking consequences, and (4) concerns about a drinking problem. Three general profiles: low impairment (later onset, social, married, work, lower level of use), medium impairment, high impairment

Question 49

What is the Addiction Severity Index (ASI)?

Answer 49

Structured interview of problem areas due to drug use (medical, legal, alcohol use, drug use, employment, family, mental health

Question 49

What is the MacAndrew Alcoholism Scale (MAC-R)?

Answer 49

49 item self-report from MMPI. Not good for type of use, gender differences. Not developed specifically as a measure of drug abuse

Question 50

What is Drug Use Screening Inventory (DUSI)?

Answer 50

Self-report of problem areas (drug use, mental and physical health, behavior, family, peers, work, school, social skills, leisure

Question 51

What does a 29+ score in the MAST score?

Answer 51

0% where it means no chance of becoming a controlled drinker

Question 52

What is the Personal Experience Inventory (PEI)?

Answer 52

276-item self-report questionnaire designed to detect problem consequences and potential risk factors believed to predispose youth to substance use. Level of involvement with a variety of drugs; severity of problems in personal, family & psychosocial domains

Question 53

What is a mental status exam?

Answer 53

Examining the person such as their orientation to place, time, situation

Question 54

Should marijuana be legal? What are some arguments for it to be illegal?

Answer 54

1. lung lining damage, health risk like addiction, compromised immune system 2. stepping stone drug 3. social risks 4. memory effects 5. accidents and other monetary costs 6. productivity decrease 7. healthcare cost can rise 8.unhealthy rise in use 9. may interfere with brain development 10. panic episodes

Question 55

Should marijuana be legal? What are some arguments for it to be legal?

Answer 55

1. demand for marijuana is inelastic as a function of law 2. can be regulated and harm reduced 3. most users don't move to harder drugs 4. government tax revenue source 5. source of revenue for aspiring business people 6. decrease enforcement cost 7. alcohol is legal 8. free will 9. encourages research 10. may be a means of harm reduction

Question 56

What are some cons of viewing drug abuse as a disease?

Answer 56

1. Difficult to distinguish factors (causes of disease) from symptoms (e.g., high temperature—poison or COVID-19) 2. context/culturally defined in part 3. not known if variations reflect same underlying process 4. self management implications 5. may limit options 6. stigma is reduced very little 7. is any behavior or physical structure or process that is disabling a disease?

Question 57

What is extensional definition?

Answer 57

listing the set; member of set, family resemblance. In the DSM V it may include different entities within one net

Question 58

What is an intentional definition?

Answer 58

rule-based: exposure, mediation, outcome

Question 59

What are the 6 main types of assessment?

Answer 59

1. mental health status 2. check drug history 3. drug use measure-frequency, quantity of recent use 4. structured assessments of addiction-bried screeners(CAGE,CRAFFT), long structured interviews 5. structured clinical interview for the DSM V, decision trees, clinical exploration 6. biochemical assessment of recent use

Question 60

What is the drug use measure-frequency?

Answer 60

Measures frequency, quantity of recent use, method of use, and family use

Question 61

Answer 61

PEI-PCS for teens and problem consequences subscale

Question 62

What determines biochemical assessments and false +/- and retention times?

Answer 62

1. type and amount of drug 2. frequency 3. method of use 4. metabolic rates and excretion 5. diet 6. acidity of urine 7. fluid intake 8. time of day

Question 63

What is the cut off for opiate urine test?

Answer 63

300 ng/ml

Question 64

What is the reading for one bagel?

Answer 64

250 ng/ml

Question 65

What is the percentage of F+ of drug tests?

Answer 65

5% to 10%

Question 66

What is the percentage of F-?

Answer 66

10 to 15%