Exam Questions and CORRECT Answers
What is one of the most effective and efficient screening tools for
alcoholism? - CORRECT ANSWER- ✔✔Cage Questionnaire
What does a score of 2 or 3
indicate on the Cage
questionnaire? - CORRECT ANSWER- ✔✔high index of suspicion
What does a score of 4 indicate on the Cage questionnaire? - CORRECT ANSWER-
✔✔diagnostic for alcoholism
What are the questions for the Cage Questionnaire? - CORRECT ANSWER- ✔✔-have you
ever felt the need to Cut down on your drinking?
-have you ever felt Annoyed by criticism of your drinking?
-have you ever felt Guilty about your drinking?
-have you ever felt the need to drink a morning Eye-opener?
Withdrawal Onset: - CORRECT ANSWER- ✔✔6-24 hours after last alcohol intake
Withdrawal Duration: - CORRECT ANSWER- ✔✔5-7 days after abstinence
Withdrawal Peak Symptoms: - CORRECT ANSWER- ✔✔1-3 days after abstinence
Severe Withdrawal Risk Factors - CORRECT ANSWER- ✔✔(DELIRIUM TREMENS)
-age greater than 40
-heavy drinking more than 8 years
-alcohol intake greater than 100 grams, 1 pint of liquor, 96 oz of beer
, -pt. experiences withdrawal symptoms when abstinent
-hepatic cirrhosis
-lab abnormalities
What labs would be abnormal with severe withdrawal? - CORRECT ANSWER- ✔✔-
increased MCV
-increased BUN
-blood alcohol level greater than 0.20 g/dl on random draw
General signs of withdrawal: - CORRECT ANSWER- ✔✔-elevated BP, temp. and pulse
-hyper-arousal, agitation or restlessness
-cutaneous flushing or diaphoresis
-dilated pupils
-ataxia
-altered LOC or disorientation
-delirium tremens
Stage 1 Withdrawal Symptoms: - CORRECT ANSWER- ✔✔(6-12 hours post-alcohol)
-anxiety or panic attacks
-paresthesias, shakes or jitters
-chills, sweats, or fevers
-chest pain or palpitations
-insomnia
-headache
-N/V
-abdominal pain
-still coherent
Stage 2 Withdrawal Symptoms: - CORRECT ANSWER- ✔✔(24-72 hours post-alcohol)
-marked agitation, restlessness and diaphoresis