Addiction Medicine Exam UPDATED
ACTUAL Exam Questions and CORRECT
Answers
sustained recovery - CORRECT ANSWER - no symptoms in past year
According to the NESARC, - CORRECT ANSWER - Only with minority with substance
abuse or dependence report using treatment services
8.1% of those with lifetime drug abuse report receiving treatment
37.9% of those with lifetime drug dependence report receiving treatment
For alcohol it's even lower:
7.0% among those with lifetime alcohol abuse
24.1% for those with lifetime alcohol dependence
Among those with illicit drug use disorders treatment is positively associated with having
psychiatric disorder comorbidity
Percentage of people with alcohol or other drug-use-disorders who do not seek professional
treatment - CORRECT ANSWER - 75 to 90%
This has led some epidemiologists to label alcohol and drug abuse disorders as self-limiting
Moos & Finney christened this way of thinking as, the "epidemiologist's illusion"
What proportion of people who resolve alcohol-related problems do so without formal
treatment? - CORRECT ANSWER - Most (as many as 75%)
,Dawson et al. reported from a national U.S. community sample that: - CORRECT
ANSWER - 3.1% of persons meeting lifetime criteria for alcohol dependence had attended
12-Step meetings
5.4% had had treatment only, and 17% had participated in both 12- Step meetings and treatment.
% of people with SUDs who enter sustained recovery - CORRECT ANSWER - 58%
how many people with SUDs who enter sustained recovery participated in treatment -
CORRECT ANSWER - the majority
how many people with SUDs who eventually abstain or manage to control their use WITHOUT
professional help - CORRECT ANSWER - Most
In a study a former alcoholics and smokers what percent reached the state of no temptation and
total self-sufficiency? - CORRECT ANSWER -
marijuana use - CORRECT ANSWER - NO difference in use among different races
the National Survey on Drug Use and Health
and
the Monitoring the Future Study.
One important difference between these studies - CORRECT ANSWER - The Monitoring
the Future Study documents the association between beliefs about drugs and use of drugs
,acamprosate - CORRECT ANSWER - Acamprosate levels increase when given with
naltrexone
heroin overdose syndrome - CORRECT ANSWER - consists of a symptom triad:
1. altered mental status
2. depressed respirations and
3. miotic pupils
heroin overdose syndrome most closely resembles - CORRECT ANSWER - 1. end-stage
liver disease
2. severe electrolyte disorders
3. conditions associated with acidemia
In twins who both abuse cannabis the concordance rates, respectively, for monozygotic male
twins vs. dizygotic male twins - CORRECT ANSWER - 28%, 9%
How long do the effects of ingested marijuana last after eating it? - CORRECT
ANSWER - 6 hours
%patients who abuse cocaine who eventually develope cocaine dependence - CORRECT
ANSWER - ~ 25%
an example of harmful drinking, as described by the National Institute on Alcohol Abuse and
Alcoholism - CORRECT ANSWER - 3-5 drinks on an episodic or daily basis
, Bupropion (Wellbutrin) - CORRECT ANSWER - Increases dopamine and norepinephrine
When methamphetamines are ingested orally, peak plasma concentrations are achieved after -
CORRECT ANSWER - ~ 2 hours
Six dimensions of ASAM placement criteria - CORRECT ANSWER - 1: Acute
Intoxication and/or Withdrawal Potential Dimension
2: Biomedical Conditions / Complications Dimension
3: Emotional, Behavioral or Cognitive Conditions / Complications Dimension
4: Readiness to Change Dimension
5: Relapse, Continued Use or Continued Problem Potential Dimension
6: Recovery/Living Environment
actoins of ETOH - CORRECT ANSWER - acts on NMDA subtype of glutamate receptor
mechanism of action: uncompetitive NMDA channel antagonist
besides ETOH, other known NMDA antagonists are - CORRECT ANSWER - PCP
ketamine
nitrous oxide
- CORRECT ANSWER - different types of NMDA channel antagonists
breathalyzer test analyzes breath samples for metabolites of disulfiram. These metabolites are: -
CORRECT ANSWER - carbon disulfide and acetone
ACTUAL Exam Questions and CORRECT
Answers
sustained recovery - CORRECT ANSWER - no symptoms in past year
According to the NESARC, - CORRECT ANSWER - Only with minority with substance
abuse or dependence report using treatment services
8.1% of those with lifetime drug abuse report receiving treatment
37.9% of those with lifetime drug dependence report receiving treatment
For alcohol it's even lower:
7.0% among those with lifetime alcohol abuse
24.1% for those with lifetime alcohol dependence
Among those with illicit drug use disorders treatment is positively associated with having
psychiatric disorder comorbidity
Percentage of people with alcohol or other drug-use-disorders who do not seek professional
treatment - CORRECT ANSWER - 75 to 90%
This has led some epidemiologists to label alcohol and drug abuse disorders as self-limiting
Moos & Finney christened this way of thinking as, the "epidemiologist's illusion"
What proportion of people who resolve alcohol-related problems do so without formal
treatment? - CORRECT ANSWER - Most (as many as 75%)
,Dawson et al. reported from a national U.S. community sample that: - CORRECT
ANSWER - 3.1% of persons meeting lifetime criteria for alcohol dependence had attended
12-Step meetings
5.4% had had treatment only, and 17% had participated in both 12- Step meetings and treatment.
% of people with SUDs who enter sustained recovery - CORRECT ANSWER - 58%
how many people with SUDs who enter sustained recovery participated in treatment -
CORRECT ANSWER - the majority
how many people with SUDs who eventually abstain or manage to control their use WITHOUT
professional help - CORRECT ANSWER - Most
In a study a former alcoholics and smokers what percent reached the state of no temptation and
total self-sufficiency? - CORRECT ANSWER -
marijuana use - CORRECT ANSWER - NO difference in use among different races
the National Survey on Drug Use and Health
and
the Monitoring the Future Study.
One important difference between these studies - CORRECT ANSWER - The Monitoring
the Future Study documents the association between beliefs about drugs and use of drugs
,acamprosate - CORRECT ANSWER - Acamprosate levels increase when given with
naltrexone
heroin overdose syndrome - CORRECT ANSWER - consists of a symptom triad:
1. altered mental status
2. depressed respirations and
3. miotic pupils
heroin overdose syndrome most closely resembles - CORRECT ANSWER - 1. end-stage
liver disease
2. severe electrolyte disorders
3. conditions associated with acidemia
In twins who both abuse cannabis the concordance rates, respectively, for monozygotic male
twins vs. dizygotic male twins - CORRECT ANSWER - 28%, 9%
How long do the effects of ingested marijuana last after eating it? - CORRECT
ANSWER - 6 hours
%patients who abuse cocaine who eventually develope cocaine dependence - CORRECT
ANSWER - ~ 25%
an example of harmful drinking, as described by the National Institute on Alcohol Abuse and
Alcoholism - CORRECT ANSWER - 3-5 drinks on an episodic or daily basis
, Bupropion (Wellbutrin) - CORRECT ANSWER - Increases dopamine and norepinephrine
When methamphetamines are ingested orally, peak plasma concentrations are achieved after -
CORRECT ANSWER - ~ 2 hours
Six dimensions of ASAM placement criteria - CORRECT ANSWER - 1: Acute
Intoxication and/or Withdrawal Potential Dimension
2: Biomedical Conditions / Complications Dimension
3: Emotional, Behavioral or Cognitive Conditions / Complications Dimension
4: Readiness to Change Dimension
5: Relapse, Continued Use or Continued Problem Potential Dimension
6: Recovery/Living Environment
actoins of ETOH - CORRECT ANSWER - acts on NMDA subtype of glutamate receptor
mechanism of action: uncompetitive NMDA channel antagonist
besides ETOH, other known NMDA antagonists are - CORRECT ANSWER - PCP
ketamine
nitrous oxide
- CORRECT ANSWER - different types of NMDA channel antagonists
breathalyzer test analyzes breath samples for metabolites of disulfiram. These metabolites are: -
CORRECT ANSWER - carbon disulfide and acetone
