Substance Use

Question 1

Maintenance for opiate use

Answer 1

Methadone OR buprenorphine

Question 2

Can be used for tobacco USE to help patients stop

Answer 2

Buproprion OR varenicline

Question 3

GIVE IV _______________ for delirium tremens from alcohol withdrawal

Answer 3

IV lorazepam

Question 4

More than _____________ on the CAGE is indicative that an alcohol use disorder is likely

Answer 4

1 yes

Question 5

Disinhibition. Impaired judgment. Emotional lability. Slurred speech. Ataxia. Aggression. Blackouts (retrograde amnesia). Coma

Answer 5

Alcohol intoxication

Question 6

Alcohol intoxication can lead to

Answer 6

Hypoglycemia

Question 7

Tremor, tachycardia, hypertension, seizures, agitation, hallucinations, delirium tremens

Answer 7

Alcohol withdrawal

Question 8

Have a low safety margin and cause respiratory depression

Answer 8

Barbiturates

Question 9

Withdrawal can cause life-threatening cardiovascular collapse. Seizures and delerium

Answer 9

Barbiturates

Question 10

Can have interactions with alcohol

Answer 10

Benzos

Question 11

Amnesia, ataxia, somnolence, mild respiratory depression

Answer 11

Benzo intoxication

Question 12

Withdrawal = rebound anxiety, seizures, tremors, insomnia, hypertension, tachycardia

Answer 12

Benzo withdrawal

Question 13

Intoxication = restlessness, insomnia, anxiety

Answer 13

Nicotine intoxication

Question 14

Withdrawal = irritability, headaches, cravings, weight gain, anxiety

Answer 14

Nicotine withdrawal

Question 15

Intoxication - restlessness, insomnia, diuresis, muscle twitching, arrhythmias, psychomotor agitation

Answer 15

Caffeine intoxication

Question 16

Withdrawal - headache, lethargy, depression, weight gain, irritability, cravings

Answer 16

Caffeine withdrawal

Question 17

Euphoria, slowed sense of time, impaired judgment, “heightened senses”

Answer 17

Marijuana

Question 18

Social withdrawal, increased appetite, dry mouth, diaphoresis (sweating), conjunctival injection (red eyes)

Answer 18

Marijuana

Question 19

Hallucinations, anxiety, paranoia, tachycardia, hypertension, no motivation

Answer 19

Marijuana

Question 20

MARKED anxiety or depression. PUPIL DILATION.
FLASHBACKS are long term consequence.
Delusions, visual hallucinations

Answer 20

LSD

Question 21

Treat - give reassurance and low stimulation environment. Benzos for severe symptoms

Answer 21

LSD

Question 22

Phencyclidine hydrochloride

Answer 22

PCP

Question 23

Belligerence, psychosis, violence, impulsiveness, psychomotor agitation

Answer 23

PCP

Question 24

Vertical and horizontal nystagmus

Answer 24

PCP

Question 25

Fever, tachycardia, ataxia, seizures, delirium

Answer 25

PCP

Question 26

Reassure. | IF SEVERE, give benzos or haloperidol

Answer 26

PCP

Question 27

Recurrence of intoxication symptoms due to reabsorption in GI tract - sudden onset of severe, random violence

Answer 27

PCP

Question 28

Intoxication - Euphoria leading to apathy. CNS depression, constipation, PUPIL CONSTRICTION, respiratory depression

Answer 28

Opioid intoxication

Question 29

Naloxone/Naltrexone will reverse effects

Answer 29

Opioids

Question 30

Long acting opioid

Answer 30

Methadone

Question 31

Withdrawal - anxiety, insomnia, anorexia, diaphoresis (sweating), dilated pupils (blown pupils), fever, rhinorrhea (runny nose), piloerection (goose bumps), nausea, stomach cramps, diarrhea, yawning, myalgia. Extremely uncomfortable, but rarely life threatening

Answer 31

Opioid withdrawal

Question 32

Intoxication - psychomotor agitation, impaired judgment, tachycardia, pupillary dilation (blown pupils), fever, diaphoresis (sweating), hypertension, paranoia, angina, arrhythmias, seizures, hallucinations, sudden death

Answer 32

Amphetamines/cocaine

Question 33

Treat intoxication with sedatives and benzos for severe agitation

Answer 33

Amphetamines/cocaine

Question 34

Post use “crash” with hypersomnolence, dysphoria (uneasy feeling), nightmares, depression, malaise, severe craving, suicidality

Answer 34

Amphetamine/cocaine withdrawal

Question 35

Check vitals signs for this for alcohol withdrawal

Answer 35

Tachycardia and hypertension

Question 36

Palmar erythema and spider angiomata indicate

Answer 36

Liver disease

Question 37

Macrocytosis. | Increased AST and GGT

Answer 37

Alcohol use disorder

Question 38

For alcohol withdrawal, start

Answer 38

Benzo taper (chlordiazepoxide, lorazepam). Give multivitamins and folic acid. Thiamine BEFORE GLUCOSE to prevent wernicke’s encephalopathy

Question 39

Disulfiram, naltrexone, and acamprosate can be used in

Answer 39

Alcohol withdrawal

Question 40

Acute and usually reversible ataxia. Confusion and ophthalmoplegia.

Answer 40

Wernicke’s encephalopathy

Question 41

Chronic. Often irreversible. Anterograde amnesia with OR without confabulation

Answer 41

Korsakoff’s syndrome