Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Psychiatry pro +1700 > Substance Abuse II > Flashcards

Substance Abuse II Flashcards

(83 cards)

Start Studying
1
Q

What are the criteria for caffeine use disorder?

A

No such thing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is considered “high dose” caffeine?

A

250 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the criteria for caffeine intoxication? (non -obvious)? How many are needed?

A

-Flushed face

5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the criteria for caffeine withdrawal? How many within a 24 hours timeframe are needed to diganose?

A

At least 3 within 24 hours:

  • HA
  • Fatigue
  • Dysphoric
  • Flu-like s/sx
  • Difficulty concentring
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the major issue with Li and Caffeine use?

A

Diuretic aspect of caffeine may alter [Li]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the most widely used illicit substance?

A

Marijunana

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the age range that has the highest marijuana use?

A

18-29 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

True or false: regular users of marijuana had concurrent metal disorders

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

True or false: most individuals who use cannabis report that they use it solely for pleasure

A

False–cope with mood, sleep, pain etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the four criteria for marijuana intoxication? How many are needed? Within what time frame?

A

2 within 2 hours:

  • Conjunctival injection
  • Increased appetite
  • Dry mouth
  • Tachycardia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is “K2?

A

Synthetic cannabinoid–sprayed onto herbal/plant matter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the major effects of synthetic cannabinoid?

A
  • Anxious
  • Irritable
  • Cognitive impairment
  • Psychosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How reliable are tox screens for K2?

A

Not very

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the physical effects of K2?

A

Conjunctival injection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the s/sx of cannabis withdrawal?

A
  • Sleep difficulty
  • Anxiety
  • Decreased appetite
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the major phencyclidines?

A
  • PCP

- Ketamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the s/sx of phencyclidine (PCP) use? (5)

A
  • Dissociative symptoms
  • Nystagmus
  • HTN
  • Violent behavior
  • Analgesia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the complications that can result from phencyclidine use?

A
  • Cognitive deficits
  • Szs
  • Intracranial hemorrhage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is MDMA?

A

Ecstasy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the eye findings with phencyclidine use?

A
  • Pupillary dilation

- Nystagmus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the muscle findings of phencyclidine?

A
  • Rigidity
  • Ataxia
  • Dysarthria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the CV effects of Phencyclidine intoxication?

A
  • Tachycardia

- HTN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How mayn diagnostic criteria are needed, and in what timeframe, for phencyclidine intoxication?

A

Within 1 hour, at least 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the ocular s/sx of hallucinogenic intoxication?

A

Dilation

Blurred vision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
True or false: there is no withdrawal with inhalant use
True
26
What are the general features of inhalant intoxication?
- Belligerence - lethargy - Impaired judgement
27
What are the the ocular findings of inhalant use?
- Nystagmus - Blurred vision - Diplopia
28
What are the motor findings of inhalant intoxication? (4)
- Incoordination - Psychomotor retardation - Tremor - Generalized weakness
29
What is the common cause of death with inhalant use?
Cardiac arrhythmias
30
What is the general MOA of opioids?
Mu-opioid receptor agonist
31
What happens after the euphoric-Perceptual motor phase with opioid use?
Apathy and dysphoria
32
What happens to motor function with opioid intoxication?
Agitation or retardation
33
What are the diagnostic criteria for opioid intoxication? (4)
Pupillary constriction + 1 or more of: - Slurred speech - Drowsiness - Impairment in attention or memory
34
How many criteria are needed to diagnose opioid withdrawal? In what timeframe?
3 or more within minutes to days
35
What are the ocular findings with opioid withdrawal?
Pupillary dilation
36
What are the general s/sx of opioid withdrawal?
- Dysphoria - N/v - myalgias
37
What are the ANS findings of opioid withdrawal? (3)
- Lacrimation / rhinorrhea - Piloerection - Diaphoresis
38
What are the GI findings of opioid withdrawal?
Diarrhea
39
What is the name of the diagnostic algorithm used to diagnose opioid withdrawal?
COWS
40
What are the three major medication used in opioid withdrawal?
- Methadone - Buprenorphine - Naltrexone
41
What is the MOA of methadone?
Long acting synthetic opioid agonist
42
What s the MOA of buprenorphine?
Synthetic partial agonist of opioid receptors
43
What is the MOA of naltrexone?
opioid antagonist
44
Why give buprenorphine and naloxone as a combination?
Naloxone is not enterically absorbed, so if used PO, then the buprenorphine will give only a small high. If injected, then naloxone will cause withdrawal symptoms
45
True or false: craving is not typical with Sedatives / hypnotics / Anxiolytic use
False
46
Sedatives / hypnotics / Anxiolytic use appears very similar to what other substance?
EtOH
47
True or false: if you experience withdrawal from prescribed use of Sedatives / hypnotics / Anxiolytic, then you are diagnosed with use disorder
False
48
What are the s/sx of Sedatives / hypnotics / Anxiolytic intoxication?
- Impaired judgement - Mood lability - Inappropriate or sexual behavior
49
What are the motor findings of Sedatives / hypnotics / Anxiolytic use?
- Slurred speech - Incoordination - Unsteady gait
50
What are the ocular findings of Sedatives / hypnotics / Anxiolytic intoxication?
Nystagmus
51
How many diagnostic criteria are needed for Sedatives / hypnotics / Anxiolytic intoxication?
1 or more
52
What are the cognitive effects of Sedatives / hypnotics / Anxiolytic intoxication?
- Impairment | - Stupor/coma
53
What is the reversal agent for benzos? MOA?
- Flumazenil | - GABA antagonist
54
How many diagnostic criteria are needed to diagnose anxiolytic/sedative withdrawal? In what timeframe?
2 or more within hour to days
55
What are the nervous system withdrawal symptoms of anxiolytic withdrawal?
- ANS hyperactivity - Psychomotor agitation - Hallucinations - Seizures
56
True or false: reality testing is intact with withdrawal from anxiolytic use
True
57
What are the results of long term use of stimulants? (4)
- Chaotic behavior - Social isolation - Sexual dysfunction - Aggressive behavior
58
What are the non-obvious s/sx of stimulant use intoxication?
- Stereotyped and repetitive behavior | - Tension and anxiety
59
What are the pupillary findings of stimulant use?
Dilation
60
What are the CV criteria for stimulant intoxication?
- Tachycardia or bradycardia - HTN or hypotension - Cardiac arrhythmias
61
What are the psychomotor criteria for stimulant intoxication?
Retardation or agitation
62
What are the GI criteria for stimulant intoxication?
- n/v | - Weight loss
63
NDMA is structurally similar to what other illicit drug?
Methamphetamine
64
What are the CNS complications from cocaine use?
- SAH - HA - CVA - Szs
65
What is the major muscular complication from cocaine use?
Rhabdomyolysis
66
What are the GI complications from cocaine use?
Intestinal ischemia | -gangrene
67
What are the OB complications from cocaine use?
- Abruptio placenta - Spontaneous abortion - Premature labor - Perinatal mortality
68
True or false: cocaine can cause DKA
True
69
What are the diagnostic criteria for stimulant withdrawal (1 + 5)
Dysphoric mood + - Fatigue - Vivid dreams - Sleep changes - Increased appetite - Psychomotor retardation
70
True or false: there is NO tobacco intoxication
True
71
What are the criteria for tobacco use disorder?
Daily use
72
What are some of the intranasal complications from cocaine use?
- Anosmia | - Necrosis and perforation of the nasal septum
73
What is the timeframe and symptoms amount needed to diagnose tobacco withdrawal?
Within 24 hours | 4 or more
74
What happens to appetite with tobacco withdrawal?
INcreased
75
What happens to mood with tobacco withdrawal?
Depression / dysphoria
76
What is the first step in the treatment of withdrawal? What are the limitations of this?
Detox | -Does not address social/psych concerns
77
What is the hopsital model for short term residential rehab?
- 3-6 week hospital inpt tratment - outpatient care - self help group
78
What is the long term residental model for rehab?
- 6-12 months - Resocialization - Struturalization
79
What are the focuses of outpatient rehab programs?
- group counseling | - Intensive day treatment
80
What are the focuses of individual rehab counseling?
- Areas of impaired functioning | - Short term behavioral goals
81
What is the cost for alcoholics anonymous?
Free
82
What are the three keys to alcoholics anonymous?
- Acceptance - Surrender- - 12 step program
83
What is the role of Gas chromatography and mass spec in drug testing?
Confirmatory

Psychiatry pro +1700 (28 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions