Babies born to mothers who use opioids may need treatment with what?
________ can be used adjunctively to treat withdrawal seizures. - ANSWER morphine or
methadone
Phenobarbital
Which Neonatal withdrawal syndromes may present weeks after birth? Name the drug. -
ANSWER Methadone
_________ is a safe and effective second-line treatment of symptoms refractory to opioid
therapy in newborns - ANSWER Clonidine
The patient must first be detoxified from opioid dependence before starting _______
Long acting opioids, such as methadone, require at least how many hours since last use be-
fore initiating buprenorphine?
Short acting opioids (for example, heroin) require approximately ____ hours since last use
for sufficient withdrawal to occur in order to safely initiate treatment. - ANSWER naltrex-
one.
48-72
12
1
,Patients with _______ _________ syndrome often present with abdominal pain and nausea,
which may be refractory to standard antiemetics - ANSWER cannabis hyperemesis
Patients with injection drug abuse are most likely to have _____sided bacterial endocarditis.
_______ should be used empirically, which can be switched to _______ if MRSA infection is
confirmed. - ANSWER right
Vancomycin; nafcillin
Marijuana use can be detected in the urine up to ___days after exposure for infrequent us-
ers and up to ____ days for chronic or heavy users. - ANSWER 5
15
The _______ _______ is involved in the sense of reward from cocaine use. - ANSWER nu-
cleus accumbens
Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia - ANSWER loperamide
promethazine
ibuprofen
Holiday heart syndrome is a syndrome caused by excessive ______ use. Excessive alcohol
use results in gross and microscopic cardiac changes leading to an atrial _______ - AN-
SWER alcohol
arrhythmia.
2
,Aerosolized glycerol and propylene glycol, chemicals found in vape pens have been associ-
ated with focal _______ _______ of the upper airways - ANSWER squamous metaplasia
Substance use disorder refers to the excessive use of drugs that tend to activate which of the
following portions of the brain? - ANSWER Brain reward system
In the center of the brain behind the temporal lobe sits the ______ system, which controls
our emotions, instincts, and memories, and includes the brain's ______ system.
The main job of the________ system is to help us avoid harmful/painful experiences and to
makes us feel good when we engage in behaviors necessary for our survival - ANSWER
LIMBIC
REWARD
reward
A 22-year-old woman is brought into the emergency department by EMS with a blood pres-
sure of 180/102 mmHg and heart rate of 110/min. She is agitated and appears to have para-
noid delusions of people chasing her. Her behavior is hypersexual, and her speech is incoher-
ent. Psychomotor agitation is present. Which of the following substances is most likely to
cause the patient's presentation? - ANSWER Methamphetamine
_________ therapy- patients with depression.
________ therapy- employed in SUD.
__________ therapy- patients with BiP and SUD
________ ________- PTSD & SUD - ANSWER Interpersonal
Supportive
Integrated
Seeking safety
3
, Cocaine blocks the reuptake of what 3 NT? - ANSWER dopamine, NE, and serotonin at
the synapse.
The vasoconstriction experienced while on cocaine is caused by what NT? - ANSWER in-
crease in NE
PCP
(Name 3) reuptake is blocked
What 3 receptor stimulation NTs are increased:
Out of the 3 which one leads to lethargy and coma - ANSWER Dopamine & NE, serotonin
Acetylcholine, GABA, Sigma
Sigma
The inhibitory reuptake of dopamine and NE while someone is on PCP leads to: - AN-
SWER HTN/tachy
agitation
bronchodilation
Relapse is most likely to occur at the _______stages of recovery. - ANSWER early
What happens when one person enables another person's addictions? - ANSWER Co-de-
pendency
The comorbidity of personality disorders with panic disorder is strongly associated with
_______ attempts - ANSWER suicide
4
________ can be used adjunctively to treat withdrawal seizures. - ANSWER morphine or
methadone
Phenobarbital
Which Neonatal withdrawal syndromes may present weeks after birth? Name the drug. -
ANSWER Methadone
_________ is a safe and effective second-line treatment of symptoms refractory to opioid
therapy in newborns - ANSWER Clonidine
The patient must first be detoxified from opioid dependence before starting _______
Long acting opioids, such as methadone, require at least how many hours since last use be-
fore initiating buprenorphine?
Short acting opioids (for example, heroin) require approximately ____ hours since last use
for sufficient withdrawal to occur in order to safely initiate treatment. - ANSWER naltrex-
one.
48-72
12
1
,Patients with _______ _________ syndrome often present with abdominal pain and nausea,
which may be refractory to standard antiemetics - ANSWER cannabis hyperemesis
Patients with injection drug abuse are most likely to have _____sided bacterial endocarditis.
_______ should be used empirically, which can be switched to _______ if MRSA infection is
confirmed. - ANSWER right
Vancomycin; nafcillin
Marijuana use can be detected in the urine up to ___days after exposure for infrequent us-
ers and up to ____ days for chronic or heavy users. - ANSWER 5
15
The _______ _______ is involved in the sense of reward from cocaine use. - ANSWER nu-
cleus accumbens
Symptomatic treatment in opioid withdrawal includes:
- ________ for diarrhea
- ______ for nausea and vomiting
- ________for myalgia - ANSWER loperamide
promethazine
ibuprofen
Holiday heart syndrome is a syndrome caused by excessive ______ use. Excessive alcohol
use results in gross and microscopic cardiac changes leading to an atrial _______ - AN-
SWER alcohol
arrhythmia.
2
,Aerosolized glycerol and propylene glycol, chemicals found in vape pens have been associ-
ated with focal _______ _______ of the upper airways - ANSWER squamous metaplasia
Substance use disorder refers to the excessive use of drugs that tend to activate which of the
following portions of the brain? - ANSWER Brain reward system
In the center of the brain behind the temporal lobe sits the ______ system, which controls
our emotions, instincts, and memories, and includes the brain's ______ system.
The main job of the________ system is to help us avoid harmful/painful experiences and to
makes us feel good when we engage in behaviors necessary for our survival - ANSWER
LIMBIC
REWARD
reward
A 22-year-old woman is brought into the emergency department by EMS with a blood pres-
sure of 180/102 mmHg and heart rate of 110/min. She is agitated and appears to have para-
noid delusions of people chasing her. Her behavior is hypersexual, and her speech is incoher-
ent. Psychomotor agitation is present. Which of the following substances is most likely to
cause the patient's presentation? - ANSWER Methamphetamine
_________ therapy- patients with depression.
________ therapy- employed in SUD.
__________ therapy- patients with BiP and SUD
________ ________- PTSD & SUD - ANSWER Interpersonal
Supportive
Integrated
Seeking safety
3
, Cocaine blocks the reuptake of what 3 NT? - ANSWER dopamine, NE, and serotonin at
the synapse.
The vasoconstriction experienced while on cocaine is caused by what NT? - ANSWER in-
crease in NE
PCP
(Name 3) reuptake is blocked
What 3 receptor stimulation NTs are increased:
Out of the 3 which one leads to lethargy and coma - ANSWER Dopamine & NE, serotonin
Acetylcholine, GABA, Sigma
Sigma
The inhibitory reuptake of dopamine and NE while someone is on PCP leads to: - AN-
SWER HTN/tachy
agitation
bronchodilation
Relapse is most likely to occur at the _______stages of recovery. - ANSWER early
What happens when one person enables another person's addictions? - ANSWER Co-de-
pendency
The comorbidity of personality disorders with panic disorder is strongly associated with
_______ attempts - ANSWER suicide
4
