Exam 4

Question 1

Definition of substance use disorder

Answer 1

Pathological use of a substance that leads to a disorder of use

Question 2

What are the four major groups that symptoms of substance use disorders fall into?

Answer 2

Impaired control
Social impairment
Risky use
Physical effects (Intoxication, tolerance, withdrawal)

Question 3

What is an addiction?

Answer 3

A chronic medical condition

Question 4

What is intoxication?

Answer 4

In the process of using a substance to excess

Question 5

Schedule 1 drugs potential for abuse

Answer 5

High potential for abuse
No acceptable medical uses

Question 6

Schedule 2 drugs potential for abuse

Answer 6

High potential for abuse
Considered dangerous
Only available by prescription

Question 7

Schedule 3 drugs potential for abuse

Answer 7

Low to moderate potential for abuse
Only available by prescription

Question 8

Schedule 4 drugs risk for abuse

Answer 8

Low risk drugs
Available by prescription

Question 9

Schedule 5 drugs risk for abuse

Answer 9

Contain very limited quantities of narcotics
Available over the counter

Question 10

Examples of schedule 1 drugs

Answer 10

Heroin
LSD

Question 11

Examples of schedule 2 drugs

Answer 11

Methadone
Demerol
Ritalin

Question 12

Examples of schedule 3 drugs

Answer 12

Testosterone
Suboxone
Tylenol with codeine

Question 13

Examples of schedule 4 drugs

Answer 13

Xanax
Ativan
Darvocet

Question 14

Examples of schedule 5 drugs

Answer 14

Lomotil
Roubitussin AC

Question 15

What is death from opioid overdose caused by?

Answer 15

Usually due to respiratory distress

Question 16

Treatment for opioid overdose

Answer 16

Promote breathing
Naloxone

Question 17

Medications used for opioid withdrawal

Answer 17

Methadone
Clonidine
Buprenorphine/naloxone
Lofexidine

Question 18

What types of overdoses is gastric lavage used for?

Answer 18

Sleeping medications
Antianxiety drugs

Question 19

How should a pt withdrawal from sedative, hypnotic, and antianxiety medications? Why?

Answer 19

Gradual reduction to prevent seizures

Question 20

Withdrawal treatment for stimulant use disorders

Answer 20

Group and individual therapy
Possible diazepam for agitation
1-2 weeks’ cocaine withdrawal requires no inpatient care
No drugs reduce symptoms
Depression treatment once withdrawal is complete (ex: bupropion)

Question 21

Withdrawal treatment for tobacco

Answer 21

Behavioral therapy
Hypnosis
Nicotine replacement therapies

Question 22

Medications used for nicotine replacement therapy

Answer 22

Bupropion or verenicline

Question 23

Treatment for gambling disorder

Answer 23

Gamblers anonymous
Possibly:
- SSRIs
- bupropion (Wellbutrin)
- mood stabilizers
- anticonvulsants

Question 24

How is alcohol use disorder severity determined?

Answer 24

Based on number of DSM-V symptoms.
2-3 = mild
4-5 = moderate
5+ = severe

Question 25

Who are more likely to have an alcohol use disorder?

Answer 25

Men American Indians/ Alaskan natives

Question 26

What is binge drinking?

Answer 26

Drinking too much alcohol too quickly

Question 27

How many drinks in men/women is considered binge drinking?

Answer 27

Women: 4+ in 2 hours Men: 5+ in 2 hours

Question 28

What is heavy drinking?

Answer 28

Drinking too much too often

Question 29

What amount of drinks in men/women is considered heavy drinking?

Answer 29

Women: 8+ in one week Men: 14+ in one week

Question 30

Legal definition of alcohol concentration in most states

Answer 30

Blood concentration of 80-100mg ethanol per deciliter of blood (0.08-0.10 g/dL)

Question 31

Symptoms of alcohol withdrawal

Answer 31

N & V Increased BP Delirium tremons (can produce seizures)

Question 32

What is Wernicke-Korsakoff syndrome?

Answer 32

Due to lack of thiamine Pt is ataxic, incoordinated. Look drunk while sober, memory issues Can be corrected if permanent damage has not been caused

Question 33

What should you ask every patient that you admit to the hospital?

Answer 33

How much they drink per week Want to find out if there is potential for withdrawal so we can appropriately treat the patient

Question 34

Use of disulfiram

Answer 34

For alcohol disorder Caused pt to throw up when they take a sip of alcohol

Question 35

What is naltrexone used for?

Answer 35

Helps reduce the craving for alcohol

Question 36

What are benzodiazepines used for when treating alcohol disorders?

Answer 36

To reduce withdrawal symptoms and risk of seizures

Question 37

What are the stages in the trans theoretical stages of change theory?

Answer 37

Precontemplation Contemplation Preparation Action Maintenance