Theme 15 derp

Question 1

Addiction Type 1

Answer 1

Low Novelty seeking
High Harm Avoidance
High Reward Dependence

Usually Alcoholic who start drinking after age 25

Question 2

Addiction Type 2

Answer 2

High Novelty Seeking
Low Harm Avoidance
Low Reward Dependence

Usually Alcoholic that start drinking before Age 25

Question 3

Brain Reward System

Answer 3

Dopaminergic neurons in Ventral Tegmentum projects to the Nucleus accumbens “pleasure center”

Question 4

Part of the Reward Path Heroin acts on

Answer 4

Ventral Tegmentum

Question 5

Part of the Reward path Alcohol acts on

Answer 5

Nucleus Accumbens

Question 6

Part of Reward Path Cocaine, Nicotine and THC act on

Answer 6

Nucleus Accumbens

Question 7

Stimulants

Answer 7

Amphetamines
Cocaine
Ecstasy
Nicotine

Question 8

Hallucinogenic

Answer 8

Ketamine
LSD
Phencyclidine(angle dust)
Psilocybin(Shrooms)
Cannabinoids

Question 9

Sedatives

Answer 9

Alcohol
Barbiturates
Benzos
Solvents

Question 10

Alcohol Detox

Answer 10

Tachycardia
Hypertension
Hallucinations

*CAN BE LIFE-THREATENING

Question 11

Cold Opiate Detox

Answer 11

Symptoms like GI flu

*not life threatening, last a week worst is 2nd or 3rd day

Question 12

Warm Opiate Detox

Answer 12

sub opiate for methadone, then reduce methadone

Question 13

Etiology of Drug addiction

Answer 13

Feedback from Mesolimbic pathway

reduced Prefrontal cortex-reduced self control

Question 14

Drinking Limits men

Answer 14

Max a day 4

Max a week 14

Question 15

Drinking limits women

Answer 15

Max a day 3

Max a week 7

Question 16

Sedative Intox

Answer 16

Sedation, Sleepiness, Slurred speech, Respiratory depression

Question 17

Sedative Withdrwal

Answer 17

Agitation, insomnia, ANS hyperactivity, hallucinations
Formication-“bugs on skin”

Delirium Tremens- due to heavy use, associated with high mortality rate

Question 18

Stimulant Intox

Answer 18

Euphoria and grandiosity
Paranoia & hallucinations(MDMA, ECSTASY)

Elevated HR & BP
mydriasis
loss of appetite

Question 19

Stimulant Withdrawal

Answer 19

Dysphoric mood
fatigue
increased appetite

Non-life threatening

Question 20

LSD withdrawal

Answer 20

NONE

Question 21

LSD intox

Answer 21

visual poorly formed hallucinations 
Dilated eyes
Calm
Associated with "flashback"
Last 12 hours

Question 22

Cannabis intox

Answer 22

Perceptual distortion( time slows) 
Dry mouth
Red eyes
Amotivated
Conjunctival injection 
increased appetite

Question 23

Cannabis withdrawal

Answer 23

irritability and nervousness
dysphoric mood
headaches, night sweats
decreased appetite

Question 24

Dissociate Anesthetics Intox

Answer 24

(Phencyclidine(PCP) ) 
*depersonalization
*agitation
*decreased responsiveness to pain
*ataxia, muscle rigidity, seizure coma
Nystagmus 

IS A EMERGENCY cause of violent behavior treat with Benzos/antisphys and reduced stimuli

Question 25

Dissociative Anesthetic withdrawal

Answer 25

NONE

Question 26

Opioid intox

Answer 26

intense rush followed by euphoria then dysphoria as high dissapates Miosis Respiratory depression

Question 27

Test for Nicotine Dependence

Answer 27

Fagerstrom Test (FTND)

Question 28

When is NRT recommended?

Answer 28

* history of withdrawal * relapse less than a week * high FTND

Question 29

Smoking used as social crutch

Answer 29

Assertiveness training

Question 30

Smoking used as relaxor

Answer 30

Relaxation training

Question 31

Smoking used as crisis management

Answer 31

Stress management training

Question 32

High enjoyment from smoking

Answer 32

Aversion therapy