SubstanceAbuse

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Anonymous
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90946
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SubstanceAbuse
Updated:
2011-06-16 20:52:46
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Med psych substance abuse
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Med Psych Substance Abuse
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  1. In 2009, ___million americans aged 12 or older were current illicit drug users. Of these users, ___% actually undergo treatment.
    • 21.8 million
    • 20%
  2. Less than ___ of primary care physicians carefully screen for substance abuse.
    1/3
  3. Define drug abuse, addiction, tolerance, physical dependence, psychological dependence, withdrawal, cross-dependence.
    • Drug abuse: the use, usually by self-administration, of any drug in a manner that deviates from the approved medical or social patterns within a given culture.
    • Addiction: behavior pattern of drug use, characterized by overwhelming involvement with the use of a drug (compulsive use), the securing of its supply, and a high tendency to relapse after withdrawal.
    • Tolerance: when increased dosages are necessary to have the same effect.
    • Physical dependence: a state in which a substance must be present to maintain "normal" physiologic functioning
    • Psychological dependence: indicated by the frequency of using a drug or by the amount of time an individual spends in drug-seeking behavior.
    • Withdrawal: a condition resulting from abstinence froma particular substance that may involve gastric upset, sleep disturbances, anxiety and a craving for the substance involved.
    • Cross-dependence: when one substance can replace the actions of another.
  4. What does the ICD-10 test?
    Diagnostic guidelines for substance dependence syndrome
  5. What does the DSM IV-TR test?
    Criteria for substance dependence or criteria for substance abuse
  6. Alcohol prevalence:
    Sex?
    Ethnicity?
    Age?
    Military rank?
    • Men > women
    • White > all other races
    • Younger adults (21-29) > older adults (60+)
    • Enlisted > officers
  7. (T/F) Rate of heaving drinking among military service members is 3times greater than the rate for civlians of the same age.
    True
  8. What is the CAGE questionnaire?
    • Most widely used alcohol screening tool in primary care.
    • C-Have you ever felt you should cut down your drinking?
    • A-Have people annoyed yoou by criticising your drinking?
    • G-Have you ever felt guilty about your drinking?
    • E-Have you ever had an eyeopening?
  9. What is the AUDIT?
    • Alcohol use disorders identification test.
    • 10 questions scored on scale of 0-4
  10. How are steroids different from other drugs of abuse in terms of its effects in the brain?
    Doesn't trigger rapid increases in dopamine (no euphoria)
  11. What is the most commonly used illicit drug in the US?
    Marijuana
  12. What is "spice"
    Dried, shredded plant material and chemical additives that produce psychoactive (mind-altering) effects
  13. How do nitrites differ from volatile silvents, aerosols and gases?
    They dilate blood vessels and relax muscles (stimulate CNS). The other three directly affect (depress) the CNS. Used as a gateway drug.
  14. What is the most widely used treatment for substance abuse?
    CBT - Cognitive Behavioral Therapy. One of the most cost-effective treatment options.
  15. Define/give examples of opioids.
    Opium (contains morphine), morphine, heroine (morphine mixed with acetic acid), codeine. Synthetics: dolophine, demerol, oxycontin
  16. What is the addiction potential for opioids?
    50%
  17. What is the addiction potential for cocaine?
    >50% for smoked, low potential for chewed or snorted cocaine
  18. What are examples of sedative hypnotics?
    Barbituates, benzodiazapines
  19. What is the addiction potential for sedative hypnotics?
    When mixed with alcohol, raises addiction potential. Otherwise it is minimal. Requires in patient detox (death or seizures with sudden withdrawal)
  20. What are examples of hallucinogens and psychedelics?
    LSD (lysergic acid diethlyamide); peyote, mescaline, psilocybin ("shrooms"); low addiction potential
  21. What are examples of dissociate drugs?
    Phencyclidine (PCP), angel dust; ketamine, special K, cat tranquilizers; dextromethorphan, cough syrups and suppressants
  22. Which drug gives you "superhuman strenght"?
    PCP (dissociative drugs)
  23. Which drugs have FDA approved medications for their treatment?
    Alcohol, opiates (=narcotics)
  24. Calm, not psychotic, constricted pupils, sweaty, warm, not flushed
    Sedative/tranquilizer intoxification
  25. Calm, not psychotic, dry, dilated pupils, dry, warm, not flushed skin
    Opiate intoxification
  26. Calm, psychotic, constricted pupils, diaphoretic, warm, flushed skin
    Stimulant withdrawal
  27. Calm, psychotic, dilated pupils, dry, warm, flushed skin
    Stimulant intoxification
  28. Excited, not psychotic, constricted pupils, diaphoretic, warm/cool, flushed skin
    Opiate withdrawal
  29. Excited, not psychotic, constricted pupils, dry, cool, not flushed skin
    Sedative withdrawal
  30. Excited, not psychotic, dilated pupils, dry, cool, flushed skin
    Chronic stimulant withdrawal
  31. Excited, psychotic, dilated pupils, diaphoretic, warm/not flushed skin
    Tranquilizer withdrawal
  32. Excited, psychotic, dilated pupils, diaphoretic, warm/flushed skin
    Dissociative intoxification
  33. Excited, psychotic, dilated pupils, diaphoretic, cold/not flushed skin
    Psychedilic intoxification
  34. Excited, psychotic, dilated pupils, dry, warm/flushed skin
    Acute stimulant intoxification

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