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Addiction Medicine Boards EXAM |COMPLETE STUDY GUIDE WITH DETAILED QUESTIONS AND 100% VERIFIED ANSWERS|ALREADY GRADED A

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What factors are a/w increased rates of hep C progression to cirrhosis? - correct answer️️Male age, older age at acquisition, HIV, HBV, DM, obesity, low vit D levels, alcohol use What eating disorder is new to the DSM 5? - correct answer️️Binge eating disorder: eating an increased amount of food in a short period of time, lack of control, causing significant psychological stress, at least 1x/week over 3 months Name 3 major side effects of disulfiram? - correct answer️️CNS/Psych: fatigue, neuropathy, psychosis Liver: fulminant hepatic failure Derm: rash Disulfiram rxn when used with EtOH PCP mechanism - correct answer️️NMDA antagonist, leads to dopamine reuptake What drug causes a false + for PCP on UDS? - correct answer️️Venlafaxine Common false + for amphetamines on UDS? - correct answer️️decongestants, stimulants, bupropion, chlorpromazine, trazodone, TCAs, ranitidine, labetalol, selegiline Define binge drinking - correct answer️️Drinking to get your BAL 0.08. This is typically 5 or more drinks for men or 4 or more drinks for women consumed in 2 hours or less Which dietary supplement + contingency management has been shown to reduce cannabis use? - correct answer️️2400mg NAC What is delay discounting? - correct answer️️Tendency to undervalue, or ignore, future consequences and rewards in favor of immediate gratification (common in addiction and improves with treatment) What is an emerging biomarker for etoh withdrawal seizures - correct answer️️homocysteine Which benzo is preferred to treat alcohol withdrawal in the setting of cirrhosis? - correct answer️️lorazepam (L is for lorazepam and liver!) oxazepam temazepam "LOT" How many standard drinks is a fifth of liquor? - correct answer️️a fifth is 1/5 of a gallon = 750mL Liquor is 40% alcohol & a standard drink is 1.5oz = 44mL 750mL/44mL = SEVENTEEN STANDARD DRINKS Which enzyme metabolizes nicotine - correct answer️️Cyp2A6/cytochrome P450 nicotine -- cotinine -- 3 OH cotinine Corresponds with # of cigarettes smoked but not necessarily with addiction 2 side effects specific to tramadol (compared to other opioids) - correct answer️️seizures and serotonin syndrome What uncommonly used drug is a cathinone - correct answer️️bath salts Is there caffeine use disorder in the DSM? - correct answer️️No, not enough evidence for this What is a higher RF for SUD? Substance use in biologic or adoptive parents, or prenatal exposure? - correct answer️️Sub use in biologic parents...genetics What is mephedrone? - correct answer️️Bath salts (cathanone) Immediate and long term complications of inhalants? - correct answer️️Depends on substance, but "sudden sniffing syndrome" can occur leading to asphyxiation and sudden death. Toluene sniffing/huffing can lead to neurologic abnormalities. Specific inhalants (benzene, toluene, NO, poppers) each have their own issues. What is therapeutic jurisprudence? - correct answer️️Law as a social force (or agent) which inevitably gives rise to unintended consequences, which may be either beneficial (therapeutic) or harmful (anti-therapeutic) Prim prevention - correct answer️️preventing something before disease sets in (exercise to prevent dev of CAD)

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STUDYSAGE



Addiction Medicine Boards EXAM |
COMPLETE STUDY GUIDE WITH
DETAILED QUESTIONS AND 100%
VERIFIED ANSWERS|ALREADY
GRADED A
What factors are a/w increased rates of hep C progression to cirrhosis? - correct
answer✔️✔️Male age, older age at acquisition, HIV, HBV, DM, obesity, low vit D
levels, alcohol use


What eating disorder is new to the DSM 5? - correct answer✔️✔️Binge eating
disorder: eating an increased amount of food in a short period of time, lack of
control, causing significant psychological stress, at least 1x/week over 3 months


Name 3 major side effects of disulfiram? - correct answer✔️✔C
️ NS/Psych:
fatigue, neuropathy, psychosis
Liver: fulminant hepatic failure
Derm: rash
Disulfiram rxn when used with EtOH


PCP mechanism - correct answer✔️✔️NMDA antagonist, leads to dopamine
reuptake


What drug causes a false + for PCP on UDS? - correct answer✔️✔️Venlafaxine




SUCCESS

,STUDYSAGE


Common false + for amphetamines on UDS? - correct
answer✔️✔️decongestants, stimulants, bupropion, chlorpromazine, trazodone,
TCAs, ranitidine, labetalol, selegiline


Define binge drinking - correct answer✔️✔️Drinking to get your BAL >0.08. This is
typically 5 or more drinks for men or 4 or more drinks for women consumed in 2
hours or less


Which dietary supplement + contingency management has been shown to reduce
cannabis use? - correct answer✔️✔️2400mg NAC


What is delay discounting? - correct answer✔️✔️Tendency to undervalue, or
ignore, future consequences and rewards in favor of immediate gratification
(common in addiction and improves with treatment)


What is an emerging biomarker for etoh withdrawal seizures - correct
answer✔️✔️homocysteine


Which benzo is preferred to treat alcohol withdrawal in the setting of cirrhosis? -
correct answer✔️✔️lorazepam
(L is for lorazepam and liver!)


oxazepam


temazepam


"LOT"


SUCCESS

,STUDYSAGE




How many standard drinks is a fifth of liquor? - correct answer✔️✔️a fifth is 1/5
of a gallon = 750mL
Liquor is 40% alcohol & a standard drink is 1.5oz = 44mL


750mL/44mL = SEVENTEEN STANDARD DRINKS


Which enzyme metabolizes nicotine - correct answer✔️✔️Cyp2A6/cytochrome
P450
nicotine --> cotinine --> 3 OH cotinine
Corresponds with # of cigarettes smoked but not necessarily with addiction


2 side effects specific to tramadol (compared to other opioids) - correct
answer✔️✔️seizures and serotonin syndrome


What uncommonly used drug is a cathinone - correct answer✔️✔b
️ ath salts


Is there caffeine use disorder in the DSM? - correct answer✔️✔️No, not enough
evidence for this


What is a higher RF for SUD? Substance use in biologic or adoptive parents, or
prenatal exposure? - correct answer✔️✔️Sub use in biologic parents...genetics


What is mephedrone? - correct answer✔️✔️Bath salts (cathanone)




SUCCESS

, STUDYSAGE


Immediate and long term complications of inhalants? - correct
answer✔️✔️Depends on substance, but "sudden sniffing syndrome" can occur
leading to asphyxiation and sudden death. Toluene sniffing/huffing can lead to
neurologic abnormalities. Specific inhalants (benzene, toluene, NO, poppers) each
have their own issues.


What is therapeutic jurisprudence? - correct answer✔️✔️Law as a social force (or
agent) which inevitably gives rise to unintended consequences, which may be
either beneficial (therapeutic) or harmful (anti-therapeutic)


Prim prevention - correct answer✔️✔️preventing something before disease sets
in (exercise to prevent dev of CAD)


Sec prevention - correct answer✔️✔️A person already has a disease, how do we
prevent it from re-occurring (ASA, statin, for secondary prevention after MI)


Tertiary prevention - correct answer✔️✔️actions taken to contain damage once a
disease or disability has progressed beyond its early stages (i.e. cardiac rehab)


What is normative education? - correct answer✔️✔️Debunking myths about
what peers are doing. For ex, adolescents think their peers drink/drug more than
they actually do. A/w decreased substance use.


What is competence enhancement? - correct answer✔️✔️Teaches coping
skills/assertiveness


The FAA requires substance use disorder reporting by whom? - correct
answer✔️✔️The pilot/patient



SUCCESS

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