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DESCRIPTION
Jeopardy. for the PRITE. And Now Here Is The Host. is proud to present. Insert Name Here. The categories for today’s Jeopardy on Substance Use will be:. Opioids. Stimulants. Alcohol Use Disorder. Criterion A. Substance Induced disorders. Opioids. Substance Induced Disorders. - PowerPoint PPT PresentationTRANSCRIPT
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for the PRITE
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is proudis proudto presentto present
And Now Here
Is The Host . . .
Insert Name Here
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The categories for today’s Jeopardy on Substance Use will be:
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Opioids
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Stimulants
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Alcohol Use Disorder
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Criterion A
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Substance Induced
disorders
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Opioids Alcohol Use Disorders
Substance Induced
Disorders
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900 900 900 900
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800
Subst Use Disorders
Criterion A
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900
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Stimulants
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Row 1, Col 1
Opioids can be detected thru a urine drug test for this many hours after
administration of the opioid
What is 12-36 hours?
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1,2
This type of liver disease may occur in up to 90% of persons who
inject opioids
What is hepatitis C?
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1,3
HIV, hepatitis, tuberculosis, and this cardiac related condition are serious medical problems
for IV opiate users
What is bacterial endocarditis?
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1,4
This physical sign of opiate withdrawal is also “seen” in
hallucinogen intoxication and stimulant intoxication
What is pupil dilation?
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1,5
Opioid intoxication may be diagnosed by administering this opioid
antagonist challenge
What is naloxone (narcan)?
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1,6
These two symptoms are associated with more severe opiate
withdrawal and are often not seen in routine clinical practice
What is piloerection & fever?
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1,7
Suboxone is a combination of these two medications
What is naloxone (narcan) & buprenorphine?
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1,8
Yawning, insomnia, dizziness, diarrheaThis one is not part of opiate
withdrawal
What is lightneadedness?Withdrawal: dysphoria, N/V, muscle aches,
lacrimation/rhinorrhea, pupil dilation/piloerection, fever, sweating,
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1,9
Signs of opioid intoxication are pupil constriction, drowsiness/coma, impaired attention or memory,
and this
What is slurred speech?
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2,1
This can differentiate PCP intoxication & stimulant
intoxication from each other
What is a urine drug test?(Clinical picture is similar though rotary nystagmus may be
seen in PCP intoxication but not stimulant)
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2,2
Cocaine users often use sedative substances--most often this
substance--to reduce insomnia, nervousness, and other unpleasant side effects
What is alcohol?
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2,3
Amphetamine type stimulant users often use sedative substances--most often this substance--to
reduce insomnia, nervousness, and other unpleasant side effects
What is marijuana?
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2,4
This sign is often present and is a reliable measure of stimulant
withdrawal
What is a bradycardia?
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2,5
Bipolar disorder, schizophrenia, other substance use disorders, and
this personality disorder in particular are risk factors for
stimulant use disorder
What is antisocial personality disorder?
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2,6
This type of sample can be used to detect use of a stimulant up to
90 days after the use
What is a hair sample
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2,7
These two forms of cocaine administration have the most
rapid onset of action
What is inhalation and injection?
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2,8
A speedball is the combination of cocaine and this drug
What is heroin?
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2,9
Cocaine increases the levels of glutamate and this neurotransmitter
What is dopamine?
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3,1
In terms of operant conditioning, the alcohol induced buzz/high is this;
also tolerance results in the lack of this
What is positive reinforcement?
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3,2
In terms of operant conditioning, consuming alcohol to stave off alcohol withdrawal symptoms
results in this
What is negative reinforcement?
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3,3
Most substance induced disorders resolve within this amount of time after the cessation of acute withdrawal, the cessation of severe
intoxication, or the use of the substance.
What is 1 month?
(Most improve within days to weeks of abstinence)
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3,4
The prevalence of alcohol use disorder in this sex is twice as much as
the other
What is males?Males ~12%, Females ~5%
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3,5
For an individual who has a close relative (parent) with an alcohol use
disorder, their risk is this many times higher than normal
What are 3-4 times?
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3,6
Alcohol metabolizing enzyme genetic polymorphisms result in flushing,
palpitations, & possibly more severe reactions in individuals
of this race when they consume alcohol
What is Asians?Japanese, Chinese, and Koreans are at lower risk for
Alcohol Use Disorders
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3,7
Elevations in these two lab test results are sensitive indicators of ongoing heavy drinking and can be used to
monitor abstinence
What is gamma-glutamyltransferase (GGT) and carbohydrate-deficient transferrin (CDT)?
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3,8
While elevation of GGT, CDT, and this test indicates a history of heavy drinking, GGT & CDT test may also
be useful in detecting a relapse to heavy drinking, but
this test is not
What is mean corpuscular volume (MCV)?Not useful for monitoring due to long half life of RBC’s
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3,9
The patients with bipolar disorder, schizophrenia, & this personality
disorder have a markedly high rate of co-morbid alcohol
use disorder
What is Antisocial Personality Disorder?
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4,1
Substance use disorder pts, especially those with severe disorder, have an
underlying change in this which persists even beyond detoxification
What is brain circuitry?
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4,2
Impaired control, Social impairment, Risky use, or Pharmacological criteria
Continued use despite persistent or recurring interpersonal problems
What is social impairment?
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4,3
Impaired control, Social impairment, Risky use, or Pharmacological criteria
A desire to cut down or unsuccessful attempts decrease or stop use refers
to this Criterion A
What is impaired control?
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4,4
Impaired control, Social impairment, Risky use, or Pharmacological criteria
Pharmacological criteria refers to “putting up” with these two
phenomenon
What is tolerance & withdrawal?
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4,5
Impaired control, Social impairment, Risky use, or Pharmacological criteria
Taking the substance in larger amounts or over a longer time
period than intended refers to this Criterion A
What is impaired control?
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4,6
Impaired control, Social impairment, Risky use, or Pharmacological criteria
Use in physically hazardous situations or continued use despite knowledge the substance is causing or worsening a
medical problem is called this
What is risky use? .
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4,7
Impaired control, Social impairment, Risky use, or Pharmacological criteria
Spending a great deal of time obtaining, using, or recovering from the substance
use refers to this Criterion A
What is impaired control?
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4,8
Impaired control, Social impairment, Risky use, or Pharmacological criteria
Failure to fulfill major obligations at work, home, or school refers to this
Criterion A
What is social impairment
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4,9
Impaired control, Social impairment, Risky use, or Pharmacological criteria
Craving refers to this Criterion A
What is impaired control?
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5,1
Caffeine intoxication may induce a sleep disorder or this type of substance induced disorder
What is anxiety?
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5,2
Marijuana intoxication may induce anxiety disorders, sleep disorders,
and this type of substance induced disorder
What is Psychotic disorder?
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5,3
The hallucinogen phencyclidine may induce psychotic disorders,
anxiety disorders, delirium, & this type of substance
induced disorders
What are mood disorders?(both bipolar & depressive)
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5,4
Opioid intoxication may induce sleep disorders, sexual dysfunction,
delirium, & this type of substance induced disorder
What is depressive disorders?
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5,5
Opioid intoxication will not, but opioid withdrawal may induce this
type of substance disorder
What are anxiety?
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5,6
Alcohol & sedative/hypnotic intoxication may both induce the same type of substance disorders
except sedative/hypnotic intoxication will NOT
induce this
What is anxiety?Psychotic, Bipolar, Depressive, Sleep, Sexual Dysfunction, Delirium, Neurocognitive disorders
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5,7
Intoxication, but not withdrawal, of stimulants such as cocaine may induce sexual dysfunction, delirium
& this type of substance induced disorder
What are psychotic disorders?
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5,8
Intoxication & withdrawal of stimulants such as cocaine may
induce, anxiety, OCD, sleep, & this type of substance induced disorder
What is mood?(both bipolar & depressive)
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5,9
Inhalants and this type of substance do not cause a withdrawal
What is hallucinogens?