One of the most common adverse effects seen in patients with ______ alcoholism is
alcoholic neuropathy. - ANSWER chronic
Sensory symptoms often present _____ in alcoholic neuropathy. The first clue may
be _____ on the soles followed by dysesthesia on the feet. - ANSWER early
numbness
Activation of the sympathetic system by LSD causes:
- _______ blood pressure
- piloerection
- _____cardia
- __________ body temperature
- pupillary _______ - ANSWER elevated
tachy
elevated
dilation
________- is known to cause vivid hallucinations with bright colors and geometric
objects. - ANSWER LSD
Flashbacks are associated with ______ use - ANSWER LSD
A 25-year-old female is being admitted to a residential treatment facility for alcohol
use disorder. Her last drink was 12 hours ago. On admission, medication
reconciliation is performed and it is discovered she is taking bupropion for smoking
cessation, sertraline for depression, and ibuprofen as needed for headaches. Which
of the following is the most appropriate recommendation regarding the patient's
medications at this time? - ANSWER Discontinue bupropion only.
Bupropion can only be administered _____
Injection of dissolved bupropion can result in ____ and death - ANSWER orally.
seizure
Bupropion should be used with caution in patients with: - ANSWER - CVD
- HTN
- CAD
Cognitive-behavioral groups are useful for changing what? - ANSWER beliefs and
perceptions
This questionnaire is an introspective self-report questionnaire claiming to indicate
psychological preferences in how people make decisions and perceive the world
around them. - ANSWER The Myers-Briggs Type Indicator (MBTI) assessment
Routine urine screens do not detect
- ______ cannabinoids
- _______
- _______
- chemical variants of ______
- _____ - ANSWER synthetic
,CARN-AP HUMAN GEOGRAPHY S1 EXAM TEST RATED TO PASS.
MDMA
ecstasy
opioids
PCP
Positive drug screens in patients without clinical symptoms may reflect the detection
of ________ and previous use - ANSWER metabolites
What is the name of an acute neurological condition characterized by a clinical triad
of:
1. ophthalmoparesis with nystagmus
2. gait ataxia
3. confusion - ANSWER Wernicke encephalopathy (WE)
The areas of the brain most often affected by Wernicke Korsakoff syndrome are
where? - ANSWER 1. thalamus
2. mammillary bodies
3. corpus callosum
The individual with Wernicke Korsakoff syndrome will usually present with ocular
disturbances which may include: - ANSWER - diplopia
- painless vision loss
- strabismus
What causes Wernicke-Korsakoff syndrome? - ANSWER thiamine deficiency
Korsakoff's syndrome is the reversible stage of Wernicke-Korsakoff syndrome
T or F - ANSWER False; irreversible
Korsokoff's Syndrome- an alcohol related disorder marked by extreme ________
and _______ impairment
________ is a fundamental neuropsychiatric symptom of the disorder - ANSWER
confusion
memory
apathy
To start methadone treatment, the patient must be on opioids for at least ___
months, unless what? - ANSWER 12
Pregnancy is an exception to this criteria, even if the use of opioids is less than a
year.
What is the maximum dose of methadone for the worst withdrawal symptoms?
What is the initial dosage for everyone else (i.e. used by most clinics) - ANSWER 40
mg
30 mg
, CARN-AP HUMAN GEOGRAPHY S1 EXAM TEST RATED TO PASS.
In the liver, an enzyme called ________ __________ converts alcohol to
what__________ - ANSWER alcohol dehydrogenase (ADH)
acetaldehyde.
ALDH converts acetaldehyde to - ANSWER Acetate
Elevated ________ cause increased flushing, tachycardia, n/v & hyperventilation. -
ANSWER acetaldehyde
What are the 3 MAT for AUD
What are 2 off label MAT? - ANSWER Disulfiram
Acomporstate
Naltrexone
Gabapentin & Topiramate
Disulfiram (________)
Discourages drinking by:
Must be taken at least _____ hours after their las drink to minimize the reaction will
occur - ANSWER Antabuse
making the patient physically ill when alcohol is consumed
12
Individuals must be highly motivated to take ________ - ANSWER Disulfiram
What 3 drug substances are approved by the FDA for MAT? - ANSWER Alcohol,
Opioid, Nicotine
A 57-year-old man with a longstanding history of alcohol use presents with
confusion, disorientation, and gait imbalance. Other than disorientation, bilateral
paresis of conjugate gaze is noted. CT head is negative. Which vitamin deficiency is
most likely? - ANSWER Thiamine (B1)
What medication used in AUD inhibits ALDH? - ANSWER Disulfiram
Disulfiram action causes an excess of what enzyme?
This enzyme has a vasodilatory effect that causes: - ANSWER Acetaldehyde
tachycardia and hypotension.
4 NTs associated with drinking are - ANSWER Glutamate
GABA
Dopamine
Endogenous opioids
When alcohol is consumed there is a release of