Substance Abuse Flashcards Preview

Psychiatry pro +1700 > Substance Abuse > Flashcards

Flashcards in Substance Abuse Deck (78)
Loading flashcards...
1

What is considered risky drinking for men and women under 65 yo? Those over 65?

Men = more than 14 drinks / week
Women, and those over 65 = More than 7 drinks/day

2

What, generally, is meant by the term risky use?

Health consequences may arise from using

3

What is the definition of physical dependence?

A state of adaptation that is manifested by withdrawl syndrome produced by an abrupt cessation

4

What is unhealthy use?

Spectrum from risky use to addiction

5

What is meant by the term abuse in terms of drug use?

Any use or amount that deviates from social norms

6

What is misuse in the context of drugs?

Prescription drugs that are taken in an amount greater than prescribed

7

What is cross-tolerance in the context of drug use?

The ability of one drug to be substituted for another to produce the same effects

8

How, generally, do drugs work?

Activation of the reward system based on:
-Reinforcement of behaviors
-Changes to Memory production

9

True or false: the pathway of reward is difference for each drug, but the mechanism is the same

False-mechanism different, but the pathway is the same

10

What is the pathway of reward activation?

Prefrontal cortex to ventral tegmental area nucleus accumbens, to ventral tegmental area

11

What is the role of the nucleus accumbens?

Motivation and goal-directed behavior

12

What is the area of the brain that produces dopamine?

Ventral tegmental area

13

What is the major neurotransmitter involved in the reward pathway?

Dopamine

14

What are the four major functions of serotonin?

-mood
-Memory processing
-Sleep
-Cognition

15

What are the major functions of dopamine (5)

-Reward
-Pleasure
-Motor function
-Compulsion
-Perseveration

16

What is the MOA of cocaine?

Ester--blocks dopamine reuptake

17

What BP drugs should never be combined with cocaine?

Beta blockers

18

How long must drug use continued for to be called a disorder?

12 months

19

What are the mild, moderate, and severe drug use disorder?

Mild = 2-3
Moderate = 4-5
Severe = 6+

20

What are the "impaired control" diagnostic criteria for abuse disorder (4)?

-Taking substance over longer period, or in larger amounts
-Desire to cut down or unsuccessful efforts
-Spend too much time
-Craving

21

What are the "social impairment" diagnostic criteria for abuse disorder (3)?

-Failure to fulfill role
-Social problems
-Social concerns giving up for use

22

What are the "Risky use" diagnostic criteria for abuse disorder (2)?

-Using when physically hazardous
-Using despite negative health consequences

23

What are the "Pharmacological" diagnostic criteria for abuse disorder (2)?

-tolerance
-Withdrawal

24

True or false: either tolerance or withdrawal are needed for a diagnosis of substance abuse disorder

False

25

What are the major ocular changes with: EtOH?

Nystagmus

26

What are the major ocular changes with: sedatives, hypnotics, anxiolytics

Nystagmus

27

What are the major ocular changes with: inhalents

Nystagmus

28

What are the major ocular changes with: hallucinogens

Dilated pupils

29

What are the major ocular changes with: PCP

Nystagmus

30

What are the major ocular changes with: stimulants

Dilated pupils