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CADC EXAM

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Exam study book A Contemporary Approach to Substance Use Disorders and Addiction Counseling of Ford Brooks, Bill McHenry - ISBN: 9781119098201 (CADC EXAM)

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CADC EXAM 2024 NEWEST 2 VERSIONS (VERSION A
AND B) COMPLETE 400 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) /ALREADY
GRADED A+
CNS Depressants Action - ANSWER: Increase GABA which slows brain activity

CNS Depressants Class of Drugs - ANSWER: benzodiazepines, barbiturates, sleep aids,
opioids, and alcohol

CNS Stimulants Action - ANSWER: Increasee CNS activity by releasing catecholamines
(epinephrine, norepinephrine, and dopamine)

CNS Stimulants Class of Drugs - ANSWER: amphetamines, cocaine, nicotine, and
caffeine

Hallucinogens Action - ANSWER: affect acetylcholine in the parasympathetic nervous
system, also dopamine, serotonin, and epinephrine

Hallucinogens Class of Drug - ANSWER: LSD, mushrooms, MDMA, ketamine, spice

Cannabis action - ANSWER: Cannabinoid receptors THC and CBD

Inhalants action - ANSWER: suppressing CNS

Inhalants class of drugs - ANSWER: gases, aerosols, and volatile solvents (nitrates
work as vasodilators)

Performance-enhancing drugs action and class - ANSWER: anabolic steroids that
activate androgen receptors and increase calcium levels

Substance withdrawal - ANSWER: The state experienced with the reduction or
cessation of a substance that has been misused for a period of time

Substance-induced mental disorder - ANSWER: when use of a substance creates
behavior similar to that of a mental health disorder such as depression, anxiety, or
psychosis (hallucinations/delirium)

DSM-5 Criteria for SUD (11) - ANSWER: Amount
Control
Time
Cravings
Obligations
Social
Importance

,Risk
Harm
Tolerance
Withdrawal

The 5 Stages of SUD - ANSWER: 1. Abstinence
2. Experimental Use
3. Social Use (Mild SUD)
4. Abuse (Moderate SUD)
5. Chemical Dependency/Addiction (Severe SUD)

Psychological dependence - ANSWER: Cravings, urges, and the desire for substance
use

Physical dependence - ANSWER: the result of brain changes due to drug use, where
the brain starts to require the heightened state of activity produced by the drug and
therefore creates physical reactions when the drug is absent

Dependency - ANSWER: a brain disease characterized by an uncontrollable desire to
consume increased quantities of a psychoactive substance

Tolerance - ANSWER: requiring an increased amount of the substance to attain the
desired effect

Behavioral tolerance - ANSWER: when individuals display behaviors that mask the
effects of substance use from others, including changes in disposition, attitude, or
speech associated with psychoactive substance intoxication

Dispositional or metabolic tolerance - ANSWER: when a person's body tries to
accelerate metabolism to rid itself of chemically toxic substances creating the need
for more and more of the substance to be consumed

Cross-tolerance - ANSWER: when people become tolerant of psychoactive
substances in the same pharmaceutical family as those previously tolerated (heroin
to other opioids)

Pharmacodynamic tolerance or cellular-adaptive tolerance - ANSWER: when
neurotransmitters are altered so that the brain has become desensitized to the
substance which lessens the effects

Reverse tolerance - ANSWER: when a person becomes more sensitive to the
substance because the substance has harmed neuronal activity (alcohol and liver
damage)

Select tolerance - ANSWER: when some effects of a drug are experienced and others
are not (euphoric feeling gone but affects other parts of the body)

,4 Stages of Withdrawal - ANSWER: 1. Stage 1 within hours, varies by substance
2. Stage 2 intensification of symptoms (body aches, sleep disturbances, depression,
tremors, and anxiety)
3. Stage 3 Post-Acute sharp peak and then a decline in symptoms can last weeks or
months and may need a medical professional (insomnia, emotional lability, memory
impairment, and anxiety)
4. Post-Acute Withdrawal can last months to years and affects biopsychosocial
functioning (memory impairment, difficulty thinking clearly, mood swings, cravings,
anhedonia, suicidal ideation, fatigue, muscle aches, social withdrawal, and pain
sensitivity)

Anhedonia - ANSWER: inability to experience pleasure

Medical detox is required when... - ANSWER: detoxing from alcohol and
benzodiazepines

3 steps of detox management - ANSWER: 1. Screening, assessment, evaluation
2. stabilization
3. treatment engagement

What passes through the blood-brain barrier easily? - ANSWER: fat-soluble
substances (alcohol, cocaine)

Half-life - ANSWER: duration of time it takes for half of the substance to be
eliminated from the body

Metabolism - ANSWER: process through which a substance is eliminated from the
body

Peripheral nervous system - ANSWER: somatic and autonomic nervous system

The primary neurotransmitter of the parasympathetic nervous system is - ANSWER:
acetylcholine (inhibiting)

The primary neurotransmitter of the sympathetic nervous system - ANSWER:
norepinephrine (excitatory)

Amygdala - ANSWER: emotion, motivation, and memory formation in relation to the
stress and fear response, most relevant in the withdrawal experience

Reticular activating system - ANSWER: responsible for an individual's state of arousal

Basal ganglia - ANSWER: motivation, movement-related functions, and habit
formation (pleasure/reward pathways)

Cerebellum - ANSWER: coordination, posture, motor skills, and movement

, Prefrontal cortex - ANSWER: thinking, planning, problem solving (especially relevant
in adolescents)

Hypothalamus - ANSWER: hormone production and sends hormones via pituitary
gland (regulates the body's stress response)

Neurons - ANSWER: specialized cell that sends and receives biochemical information
made up of the dendrites, axon, and soma

Synapses - ANSWER: deliver neurotransmitters such as dopamine and serotonin from
neuron to neuron

Dendrites - ANSWER: receive synaptic inputs from axons

Axon - ANSWER: part of the brain cell that determines whether or not a neuron will
be fired to signal the release of a neurotransmitter

Soma - ANSWER: cell body of the neuron that contains the nucleus, sends proteins
through the axon/dendrites

Acetylcholine (responsibility & drug action) - ANSWER: NT that is responsible for
memory, attention, and mood

affected by nicotine, caffeine, and hallucinogens

Dopamine (responsibility & drug action) - ANSWER: responsible for the functions of
movement, memory, concentration, and pleasure

affected by cocaine, methamphetamine, alcohol, and opioids

Serotonin (responsibility & drug action) - ANSWER: responsible for sleep, sexual
desire, emotions, and digestion

affected by MDMA, hallucinogens, and cocaine

Endogenous opioids (endorphins & enkephalines) responsibility & drug action -
ANSWER: responsible for pain, mood, responses to stress, and sedation

affected by heroin, morphine, and prescription meds (oxy, codeine, and
hydrocodone)

Epinephrine i.e. adrenaline (responsibility & drug action) - ANSWER: responsible for
fight or flight response

affected by nicotine, stimulants, MDMA, and hallucinogens

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