RPNCE PART 5 (ADOLESCENT PSYCHIATRY, SUBSTANCE USE) | COMPLETE QUESTIONS WITH
100% RATED CORRECT ANSWERS | GRADED A+ | 2025/2026 LATEST UPDATE
barbs/benzos withdrawal symptoms hand tremors, headache
CNS becomes stimulated (opposite effect of the drug)-->anxiety, tremors, VS changes
(hypertension, tachycardia)
barb/benzos OD symptoms respiratory depression, bradycardia, stupor
Benzodiazepines Originally used for anxiety/depression
Currently used as anti-anxiety, sedatives, muscle relaxation.
Taper with alcohol
NO OD, High therapeutic window
Can cause increased suicidal ideation and depression
Reversible, cross tolerance to alcohol.
The more the use, the severe the withdrawal symptoms
CNS stimulants methylphenidate, dextroamphetamine, methamphetamine
stimulate the central nervous system (brain and spinal cord)
,Ritalin works in the RAS of the brain to improve concentration/focus
Atomoxetine is for ADHD treatment, safer with SUD
amphetamines destroy 50% of dopamine, cause vasoconstriction, reduce saliva, increases
plaque formation leading to CAD
improve action of smooth muscle and increase athletic performance
Anorexic side effect
Cross blood brain barrier
Do not use with MAOIs as it leads to hypertension
CNS stimulants withdrawal symptoms Amphetamines deplete dopamine, so withdrawal
symptoms include depression, insomina, cravings
Paranoia, agitation
cocaine Was used as anesthetic and also used for nasal bleeding/packing
Vasoconstrictive effects
40-60min minute half-life, short acting
Antiviral drugs increase cocaine in the blood
Alcohol prolongs half life
Pt feels bugs under the skin, hallucinations, paranoia, runny nose
,what area of the brain does cocaine work on nucleus accumbens, increases dopamine
cannabis THC is the active ingredient
Rapidly goes to blood rich organs such as brain, heart, lungs
Cannabidiols have antianxiety/antipsychotic properties
Mild analgesic effect
Leads to euphoria, hunger, loose gait, relaxation
Rapid tolerance
INCREASES LITHIUM LEVELS
Withdrawal symptoms: chills, tremors, tachycardia, anxiety, palpation
opioids Opioids have strong psychological dependence, symptoms last weeks-months
3 groups: natural, semi-synthetic, synthetic
Used for moderate to severe pain, cough, severe diarrhea, anti-anxiety
Dependence occurs within a few days
Opioids affect mood, pain, BP, anxiety, temperature increases, appetite decreases, sedation
, Narcotics inhibit pain from the spine to the brain by altering pain perception. They mimic
opioids (opioid agonists)
opioid OD symptoms Pinpoint pupils, respiratory depression
subjective effects of heroin Runny nose/eyes, chills, bone aches, flu-like symptoms
opioid withdrawal symptoms Excessive sweating, restlessness, and dilated pupils
Agitation, goose bumps, tremor, and violent yawning
Increased heart rate and blood pressure
Nausea/vomiting and abdominal cramps and pain
Muscle spasms and weight loss
Muscle aches, cramps, lacrimatron
clonidine Not used in the community due to severe hypotension
Antihypertensive drug used to come off opioids
Reduces symptoms of opioids, such as BP, flushed skin, tachycardia, increased heart rate
Doesn't affect cravings
Can lead to dry mouth, nausea and headache
100% RATED CORRECT ANSWERS | GRADED A+ | 2025/2026 LATEST UPDATE
barbs/benzos withdrawal symptoms hand tremors, headache
CNS becomes stimulated (opposite effect of the drug)-->anxiety, tremors, VS changes
(hypertension, tachycardia)
barb/benzos OD symptoms respiratory depression, bradycardia, stupor
Benzodiazepines Originally used for anxiety/depression
Currently used as anti-anxiety, sedatives, muscle relaxation.
Taper with alcohol
NO OD, High therapeutic window
Can cause increased suicidal ideation and depression
Reversible, cross tolerance to alcohol.
The more the use, the severe the withdrawal symptoms
CNS stimulants methylphenidate, dextroamphetamine, methamphetamine
stimulate the central nervous system (brain and spinal cord)
,Ritalin works in the RAS of the brain to improve concentration/focus
Atomoxetine is for ADHD treatment, safer with SUD
amphetamines destroy 50% of dopamine, cause vasoconstriction, reduce saliva, increases
plaque formation leading to CAD
improve action of smooth muscle and increase athletic performance
Anorexic side effect
Cross blood brain barrier
Do not use with MAOIs as it leads to hypertension
CNS stimulants withdrawal symptoms Amphetamines deplete dopamine, so withdrawal
symptoms include depression, insomina, cravings
Paranoia, agitation
cocaine Was used as anesthetic and also used for nasal bleeding/packing
Vasoconstrictive effects
40-60min minute half-life, short acting
Antiviral drugs increase cocaine in the blood
Alcohol prolongs half life
Pt feels bugs under the skin, hallucinations, paranoia, runny nose
,what area of the brain does cocaine work on nucleus accumbens, increases dopamine
cannabis THC is the active ingredient
Rapidly goes to blood rich organs such as brain, heart, lungs
Cannabidiols have antianxiety/antipsychotic properties
Mild analgesic effect
Leads to euphoria, hunger, loose gait, relaxation
Rapid tolerance
INCREASES LITHIUM LEVELS
Withdrawal symptoms: chills, tremors, tachycardia, anxiety, palpation
opioids Opioids have strong psychological dependence, symptoms last weeks-months
3 groups: natural, semi-synthetic, synthetic
Used for moderate to severe pain, cough, severe diarrhea, anti-anxiety
Dependence occurs within a few days
Opioids affect mood, pain, BP, anxiety, temperature increases, appetite decreases, sedation
, Narcotics inhibit pain from the spine to the brain by altering pain perception. They mimic
opioids (opioid agonists)
opioid OD symptoms Pinpoint pupils, respiratory depression
subjective effects of heroin Runny nose/eyes, chills, bone aches, flu-like symptoms
opioid withdrawal symptoms Excessive sweating, restlessness, and dilated pupils
Agitation, goose bumps, tremor, and violent yawning
Increased heart rate and blood pressure
Nausea/vomiting and abdominal cramps and pain
Muscle spasms and weight loss
Muscle aches, cramps, lacrimatron
clonidine Not used in the community due to severe hypotension
Antihypertensive drug used to come off opioids
Reduces symptoms of opioids, such as BP, flushed skin, tachycardia, increased heart rate
Doesn't affect cravings
Can lead to dry mouth, nausea and headache
