39 y/o male with significant smoking history is prescribed
Varenicline. What baseline lab test should be obtained before
initiating? - ANSWERS-Urea and Creatinine
A man is considered an "at risk" drinker if he drinks more than 4
drinks per occasion and if he drinks more than _____ drinks a week.
A woman is considered an "at risk" drinker if she drinks more than 3
drinks per occasion. - ANSWERS-14
Buprenorphine is a partial agonist and can cause opiate
_____________ withdrawal after heroin use if administered too soon.
- ANSWERS-precipitated
Cocaine inhibits the reuptake of norepinephrine, dopamine, and
serotonin (monoamines) from the _________ _________ -
ANSWERS-synaptic cleft
Blockage of __________ receptors is the mechanism of action of
phencyclidine (PCP) - ANSWERS-NMDA
Increased affinity of binding to gamma-aminobutyric acid (GABA)
receptors is a mechanism of both ____________ and ___________ -
ANSWERS-benzodiazepines
barbiturates
,Opiods are active on mu, kappa, delta and the __________ receptors.
The sedative effects are due to their activity on the kappa receptors. -
ANSWERS-nociceptin
____________ opioid receptors are known primarily for their
dysphoric and hallucinogenic effects when bound by agonists and can
produce sedation. - ANSWERS-Kappa
_______ opioid receptors are known for pain control, euphoria, and
respiratory depression when bound by agonists. - ANSWERS-Mu
_______ opioid receptors are known for antidepressant effects when
bound by agonists. - ANSWERS-Delta
A patient with alcohol use disorder experiencing delirium tremens can
be treated using a long acting benzodiazepine. Besides Diazepam
what is another long acting benzo used to treat DT? - ANSWERS-
Chlordiazepoxide
PCP can cause dissociative ______________ - ANSWERS-anesthesia
Pressured speech, grandiosity, sleep disturbance, increased activity
and distractibility are all characteristics of _____________. -
ANSWERS-mania
,Schizophrenia is a thought disorder which have characteristics
including hallucinations and _____________. - ANSWERS-delusions
Within 2 to 8 days after abrupt discontinuation of ______________,
nervousness, tremor, agitation and hypotension may occur and is
associated with a fatal withdrawal syndrome. - ANSWERS-
barbiturates
____________ duration of __________ sleep is a commonly seen
sleep abnormality in patients with depression. - ANSWERS-Increased
REM
After achieving abstinence with the aid of Disulfiram, a patient can
possibly start _____________ also known as Campral to reduce the
desire to consume alcohol. - ANSWERS-acamprosate
Long term cannabis use has been associated with ___________
_________ syndrome which is characterized by recurrent episodes of
intense nausea and vomiting lasting from hours to days without any
functional or infectious illness. - ANSWERS-cyclic vomiting
Schizophreniform disorder is diagnosed if psychosis persists up to
____ months - ANSWERS-6
A patient was given a purified protein derivative on the inside of the
forearm 48hrs ago. A 12-mm induration has developed which is most
likely indictive of exposure to _____________. - ANSWERS-
tuberculosis
, Primary sites where addictive drugs act are nucleus accumbens and
___________ tegmental - ANSWERS-ventral
Underlying CNS changes that occur following repeated use such that
person develops tolerance and/or withdrawal is known as what? -
ANSWERS-Neuroadaptation
Biological factors associated with extended vulnerability to relapse
include neurocognitive factors and ___________ factors. -
ANSWERS-Genetic
Behavioral factors associated with extended vulnerability to relapse
include poor coping/life skills and ______________ problems. -
ANSWERS-interpersonal
Environmental factors associated with extended vulnerability to
relapse include poor social support for recovery and high risk
______________ - ANSWERS-neighborhoods
Co-occuring factors associated with extended vulnerability to relapse
may include depression and ____________ - ANSWERS-PTSD
CAGE
MAST
DAST-10