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