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Psychiatry > Illicits Jeopardy > Flashcards

Illicits Jeopardy Flashcards

1
Q

Marijuana

A

most common illicit drug used world wide across all age groups

+UA (until 4 days after)

+genetics –> schizophrenia

Anti-Inflammatory
anti-convulsant
anti-emetic

AE - psychosis, anxiety/panic attacks, amotivation, disorientation, unsteady coordination, altered perceptions, dec consciousness, memory loss

10% become dependent

withdrawal - mild sx

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2
Q

Dronabinol

marinol

A

synthetic cannabinoid agonist

TX - anorexia, weight loss in AIDS, N/V in chemo

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3
Q

Amotivational syndrome

A

Marijuana

DEC prosocial goal directed activities that may contribute to poor school or job performance

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4
Q

Varenicline

chantix

A

smoking cessation

long acting partial agonist a2B2NAR

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5
Q

rare to start smoking after age?

A

21

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6
Q

nicotine withdrawal

A

begins within 24hrs
peaks day 2-3 after cessation

last 2-3 weeks

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7
Q

clonidine

A

smoking cessation

HTN

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8
Q

Tolerance - tobacco

A

disappearance of nausea/dizzy

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9
Q

Alcohol

A

female, elderly: social drinker - 1 drink/day

male (

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10
Q

Opioid

A

type of peptide

mediate alcohol rewarding effects - enhance Dopamine release (midbrain)

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11
Q

Disulfiram

antabuse

A

inhibits aldehyde dehydrogenase –> build up of acetaldehyde –> negative reinforcement of alcohol use

CI - Liver pts

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12
Q

Naltrexone

vivitrol

A

tx - alcohol dependence (craving)
opioid mu receptor antagonist

monthly depot injection

CI - Liver pts

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13
Q

Acamprosate

campral

A

prevent relapse
AE - diarrhea

CI - renal pts

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14
Q

inhalants

A

not detected by standard drug screens

dec use after teen years

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15
Q

Hallucinogen/phenylalkylamines class

A

mescaline

DOM

MDMA (ecstasy, XTC) - neurotoxic effect

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16
Q

Phencyclidine (PCP)

A

anesthetic
feelings of separation from mind and body-dissociation

+UA (8 days after)

Vertical/horizontal NYSTAGMUS, diminished responsiveness to pain, violent behavior

17
Q

inhaled volatile hydrocarbons

glues, fuels, paints

A

“sudden sniffing death” bc cardiac arrhythmia

Not detected in labs

18
Q

LSD - lysergic acid diethylamide

A

hallucinogens - ergoline class

visual hallucination (frightening)

When sober, users of this drug(s) may re-experience geometric visual hallucinations, flashes of color, intensified colors, or misperception of objects being too large or too small

19
Q

cocaine

A

most common x ER visits

20
Q

Quit smoking

A

sx in 50% of pts
irritability
difficulty concentrating
anxiety

80% attempt to quit
60% relapse within 1 wk
5% (1 in 20) succeed - no relapse

21
Q

ONE drink

A

1.5 ounce shot
2-4 ounces wine
12 ounces beer

22
Q

psychostimulants worsen sx

A

schizophrenia sx

hallucinations, paranoia

23
Q

“gateway drugs”

A

marijuana, alcohol, nicotine
before age 15
problems to later dependence problems

Psychiatry (9 decks)

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