5 stages of addiction - ANSWER 1. First Use
2. Continued use
3. Tolerance
4. Dependence
5. Addiction
6% of U.S patients misuse their pain management prescriptions. Three common patient
populations affected are Cancer, MVA and __________ ________ - ANSWER Sickle Cell
This medication acts on the same opioid receptors as commonly abused opioids without
reaching a point of euphoria. Also being long acting it has been used for over 40 years in
countless patients quests towards recovery. - ANSWER Methadone
Which of these medications are used for treating alcohol abuse?
Acamprosate
Varenicline
Methadone
Bupropion - ANSWER Acamprosate
Which of these medications are used for tobacco disorder?
Acamprosate
Varenicline
1
,Methadone
Bupropion - ANSWER Varenicline
Bupropion
This substance is a full agonist of trace amine-associated receptors (TAAR1). Activation
TAAR1 causes the increase of cAMP and inhibition of serotonin, dopamine, and
norepinephrine transporters. The inhibition of monoamine transporters causes the reuptake
and metabolism of catecholamines. - ANSWER Methamphetamine
The following are "_________ _______" for methamphetamine: meth, crystal meth, crystal,
speed, scootie, yellow powder, crank, ice, spoosh, glass, chalk, redneck cocaine, yellow barn,
Tina, and tick-tick. - ANSWER street names
Patients under the influence of methamphetamine can have the following signs or
symptoms: ___________ appetite, nausea, psychosis, tachycardia, hypertension,
___________ body temperature, panic attack, mydriasis, __________ sleep patterns,
violent, bizarre, and erratic behavior, hallucinations, irritability, seizures, and death from high
doses. - ANSWER decreased
increased
disturbed
A 65-year-old female presents to the clinic to seek a re-prescription of her pain medication.
She had a motor vehicle collision (MVC) 8 months ago that left her with chronic neuralgia in
bilateral arms along with low back pain. She was prescribed oxycodone/acetaminophen
7.5/325 mg q6 hours. Her last scheduled refill was 20 days ago with a 30 day supply. She
returns early claiming she needed multiple dosages sooner than directed due to unmanaged
pain. Current vital signs are normal, but she is diaphoretic, tearing, restless, and occasionally
yawning. When the provider explains, controlled medications cannot be prescribed in this
manner, the patient states, "You don't understand. I need to feel normal. Without it, I feel
worse than I used to feel at baseline. Please!" What stage of addiction is the patient in and
what medication can be used to help her symptoms?
Choices:
2
,1. Tolerance and acamprosate
2. Tolerance and - ANSWER Dependence and methadone
A patient presents to the emergency department with agitation, mydriasis, hypertension,
and tachycardia. He states that he snorted "some crystals" with friends and that he feels
energetic and anxious. He reports that his friends told him this is a treatment for weight loss
and this is the reason why he tried it. Which is true of the drug most likely used by this
patient?
Choices:
1. Partial agonist of trace amine-associated receptors (TAAR1)
2. Gamma-aminobutyric acid (GABA) receptor agonist
3. Full agonist of trace amine-associated receptors (TAAR1)
4. Full antagonist of dopamine receptors - ANSWER Full agonist of trace amine-
associated receptors (TAAR1)
A 35-year-old woman comes in for her wellness check-up. She has a 13-year-old son who is
going to be starting high school next year and often hear him and his friends discuss ways to
prepare for high school, so they fit in. The mother is concerned her son may use drugs as he
often talks about the partying. She wants to know what she can do it prepare him to avoid
smoking cannabis given its surge in popularity amongst youth. What is the most common
reason for marijuana use, amongst teenagers and young adults?
Choices:
1. Stress management
2. Experimentation
3. Social conformity
4. Pleasurable sensation - ANSWER Social conformity
A young adult patient is dropped off outside the emergency department by her friends, and
they drive off before any history can be obtained. The patient has altered mental status and
3
, shows signs of intoxication. Sudden dorsiflexion of her ankle produces a rhythmic
reproduction of her ankle jerk reflex. Which of the following drugs did she most likely
ingest?
Choices:
1. Alcohol
2. 3,4-Methylenedioxymethamphetamine (MDMA)
3. Phencyclidine
4. Cannabis - ANSWER 3,4-Methylenedioxymethamphetamine (MDMA)
Several classes of common street drugs such as cocaine, ecstasy (MDMA), and
amphetamines, increase serotonin levels, which is part of what contributes to the
pleasurable and addictive aspects of their use, and also what can produce a __________
syndrome and __________. - ANSWER serotonin
clonus
Psychiatric medications such as monoamine oxidase inhibitors (MAOI), selective serotonin
reuptake inhibitors (SSRI), serotonin-norepinephrine reuptake inhibitors (SNRI), and tricyclic
antidepressants (TCA) manipulate serotonin levels to improve __________, but too much
can produce clonus as part of serotonin ____________. - ANSWER mood
syndrome
____________ nervous system depressants like alcohol and opiates can diminish deep
tendon __________ as opposed to producing clonus. - ANSWER Central
reflexes
A 66-year-old male was prescribed pain medication after a fracture followed by surgery 6
months ago. Since then, his primary care provider has noticed frequent visits to the office
asking for pain medication and multiple injuries justifying the use of it. Every time there are
different vague complaints, but that of pain is consistent. On his last visit, the primary care
took a firm stand and did not agree to continue prescribing the opioids. Today he visits in a
4
2. Continued use
3. Tolerance
4. Dependence
5. Addiction
6% of U.S patients misuse their pain management prescriptions. Three common patient
populations affected are Cancer, MVA and __________ ________ - ANSWER Sickle Cell
This medication acts on the same opioid receptors as commonly abused opioids without
reaching a point of euphoria. Also being long acting it has been used for over 40 years in
countless patients quests towards recovery. - ANSWER Methadone
Which of these medications are used for treating alcohol abuse?
Acamprosate
Varenicline
Methadone
Bupropion - ANSWER Acamprosate
Which of these medications are used for tobacco disorder?
Acamprosate
Varenicline
1
,Methadone
Bupropion - ANSWER Varenicline
Bupropion
This substance is a full agonist of trace amine-associated receptors (TAAR1). Activation
TAAR1 causes the increase of cAMP and inhibition of serotonin, dopamine, and
norepinephrine transporters. The inhibition of monoamine transporters causes the reuptake
and metabolism of catecholamines. - ANSWER Methamphetamine
The following are "_________ _______" for methamphetamine: meth, crystal meth, crystal,
speed, scootie, yellow powder, crank, ice, spoosh, glass, chalk, redneck cocaine, yellow barn,
Tina, and tick-tick. - ANSWER street names
Patients under the influence of methamphetamine can have the following signs or
symptoms: ___________ appetite, nausea, psychosis, tachycardia, hypertension,
___________ body temperature, panic attack, mydriasis, __________ sleep patterns,
violent, bizarre, and erratic behavior, hallucinations, irritability, seizures, and death from high
doses. - ANSWER decreased
increased
disturbed
A 65-year-old female presents to the clinic to seek a re-prescription of her pain medication.
She had a motor vehicle collision (MVC) 8 months ago that left her with chronic neuralgia in
bilateral arms along with low back pain. She was prescribed oxycodone/acetaminophen
7.5/325 mg q6 hours. Her last scheduled refill was 20 days ago with a 30 day supply. She
returns early claiming she needed multiple dosages sooner than directed due to unmanaged
pain. Current vital signs are normal, but she is diaphoretic, tearing, restless, and occasionally
yawning. When the provider explains, controlled medications cannot be prescribed in this
manner, the patient states, "You don't understand. I need to feel normal. Without it, I feel
worse than I used to feel at baseline. Please!" What stage of addiction is the patient in and
what medication can be used to help her symptoms?
Choices:
2
,1. Tolerance and acamprosate
2. Tolerance and - ANSWER Dependence and methadone
A patient presents to the emergency department with agitation, mydriasis, hypertension,
and tachycardia. He states that he snorted "some crystals" with friends and that he feels
energetic and anxious. He reports that his friends told him this is a treatment for weight loss
and this is the reason why he tried it. Which is true of the drug most likely used by this
patient?
Choices:
1. Partial agonist of trace amine-associated receptors (TAAR1)
2. Gamma-aminobutyric acid (GABA) receptor agonist
3. Full agonist of trace amine-associated receptors (TAAR1)
4. Full antagonist of dopamine receptors - ANSWER Full agonist of trace amine-
associated receptors (TAAR1)
A 35-year-old woman comes in for her wellness check-up. She has a 13-year-old son who is
going to be starting high school next year and often hear him and his friends discuss ways to
prepare for high school, so they fit in. The mother is concerned her son may use drugs as he
often talks about the partying. She wants to know what she can do it prepare him to avoid
smoking cannabis given its surge in popularity amongst youth. What is the most common
reason for marijuana use, amongst teenagers and young adults?
Choices:
1. Stress management
2. Experimentation
3. Social conformity
4. Pleasurable sensation - ANSWER Social conformity
A young adult patient is dropped off outside the emergency department by her friends, and
they drive off before any history can be obtained. The patient has altered mental status and
3
, shows signs of intoxication. Sudden dorsiflexion of her ankle produces a rhythmic
reproduction of her ankle jerk reflex. Which of the following drugs did she most likely
ingest?
Choices:
1. Alcohol
2. 3,4-Methylenedioxymethamphetamine (MDMA)
3. Phencyclidine
4. Cannabis - ANSWER 3,4-Methylenedioxymethamphetamine (MDMA)
Several classes of common street drugs such as cocaine, ecstasy (MDMA), and
amphetamines, increase serotonin levels, which is part of what contributes to the
pleasurable and addictive aspects of their use, and also what can produce a __________
syndrome and __________. - ANSWER serotonin
clonus
Psychiatric medications such as monoamine oxidase inhibitors (MAOI), selective serotonin
reuptake inhibitors (SSRI), serotonin-norepinephrine reuptake inhibitors (SNRI), and tricyclic
antidepressants (TCA) manipulate serotonin levels to improve __________, but too much
can produce clonus as part of serotonin ____________. - ANSWER mood
syndrome
____________ nervous system depressants like alcohol and opiates can diminish deep
tendon __________ as opposed to producing clonus. - ANSWER Central
reflexes
A 66-year-old male was prescribed pain medication after a fracture followed by surgery 6
months ago. Since then, his primary care provider has noticed frequent visits to the office
asking for pain medication and multiple injuries justifying the use of it. Every time there are
different vague complaints, but that of pain is consistent. On his last visit, the primary care
took a firm stand and did not agree to continue prescribing the opioids. Today he visits in a
4
