Lifestyle Medicine: Final Exam with correct
answers
Four Principles Plus Scope - CORRECT ANSWERS ✔✔Beneficence: Promote
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patient's best interests
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Non-Maleficence: Do no harm• || || || ||
Autonomy: Respect patient's decisions about their own health
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Justice: Distribute medical benefits fairly
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addiction - CORRECT ANSWERS ✔✔Compulsive need for and use of a habit-
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forming substance (as heroin, nicotine, or alcohol) characterized by tolerance
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and by well-defined physiological symptoms upon withdrawal: Smoking and
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alcohol, Opioid (heroin, morphine, oxycodone, hydrocodone, pain medicine
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prescriptions), Amphetamines (methylphenidate, cocaine, crack),
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Benzodiazepine (diazepam, alprazolam, lorazepam)
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Categories of Substance Abuse: Impaired control - CORRECT ANSWERS
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✔✔Taking substance in larger amounts or longer than meant to, Wanting to
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reduce use but not being able to, Spending excessive time getting, using, or
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recovering from using, Having cravings and urges to use
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Tolerance - CORRECT ANSWERS ✔✔capacity of the body to endure or become
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less responsive to a substance (such as a drug) or a physiological insult
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especially with repeated use or exposure developed a tolerance to painkillers
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,Withdrawal - CORRECT ANSWERS ✔✔Specific signs and symptoms occurring || || || || || || || ||
after discontinuing the given substance
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Dependence - CORRECT ANSWERS ✔✔Physiological dependence if the || || || || || || ||
person shows withdrawal or tolerance; term is not used in the DSM-V -
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Substance Use Disorders, instead.
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1964-WHO introduced the term dependence to replace "addiction" and || || || || || || || ||
"habituation" Effort to reduce stigmatization of those suffering from this
|| || || || || || || || || ||
disease Terminology changed to Substance Use Disorder DSM-V
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ABCDE's of Addiction - CORRECT ANSWERS ✔✔A - Inability to consistently
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Abstain
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B - Impairment in Behavioral control
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C - Craving; or increased "hunger" for drugs or rewarding experiences
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D - Diminished recognition of significant problems with one's behaviors and
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interpersonal relationships
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E - A dysfunctional Emotional response
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Risk Factors for Addiction - CORRECT ANSWERS ✔✔Genetic: 50% genetic,
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Level of dopamine receptors, Age, gender, ethnicity, co-morbid mental illness
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Environmental: Drug availability, Peer pressure, physical abuse, sexual abuse,
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witnessing violence Development: The earlier a person begins using drugs,
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the more likely addiction will develop, Adolescent brains are still developing,
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especially frontal lobe, executive function like decision making and judgment
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Addictive Substances and DSM-V - CORRECT ANSWERS ✔✔Substance Related
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and Addictive Disorders:
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, Tobacco: Tobacco Use Disorder. Alcohol: Alcohol Use Disorders, Opiates:
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Opioid Use Disorder, Caffeine: Caffeine-Related Disorder• Non-substances
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Related Disorders, Gambling• Conditions for Further Study, Internet Gaming
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Disorder• Binge Eating Disorder (New to DSM-V)
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DSM-V: Substance Use Disorder - CORRECT ANSWERS ✔✔A pathological set
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of behaviors related to the use of a substance (e.g., alcohol, opioids,
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stimulants, tobacco, etc.)
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11 diagnostic criteria in 4 broader categories: Impaired control, 2-3 criteria;
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mild, 4-5 criteria; moderate, 6+ criteria; severe
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Categories of Substance Abuse: Social Impairment - CORRECT ANSWERS
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✔✔Not managing work, family, or social obligations because of use•
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Continuing to use even when it causes relationship problems• Giving up
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important activities because of use
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Categories of Substance Abuse: Risky use - CORRECT ANSWERS ✔✔Using in
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physically dangerous situations• Using despite awareness it's causing or
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worsening physical or psychological problems
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Categories of Substance Abuse: Pharmacological indicators - CORRECT
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ANSWERS ✔✔Tolerance and withdrawal symptoms
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Alcohol - CORRECT ANSWERS ✔✔Dietary Guidelines, daily limit
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recommendation:1 drink for women, 2 drinks for men
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answers
Four Principles Plus Scope - CORRECT ANSWERS ✔✔Beneficence: Promote
|| || || || || || || ||
patient's best interests
|| || ||
Non-Maleficence: Do no harm• || || || ||
Autonomy: Respect patient's decisions about their own health
|| || || || || || ||
Justice: Distribute medical benefits fairly
|| || || ||
addiction - CORRECT ANSWERS ✔✔Compulsive need for and use of a habit-
|| || || || || || || || || || ||
forming substance (as heroin, nicotine, or alcohol) characterized by tolerance
|| || || || || || || || ||
and by well-defined physiological symptoms upon withdrawal: Smoking and
|| || || || || || || || ||
alcohol, Opioid (heroin, morphine, oxycodone, hydrocodone, pain medicine
|| || || || || || || ||
prescriptions), Amphetamines (methylphenidate, cocaine, crack),
|| || || || ||
Benzodiazepine (diazepam, alprazolam, lorazepam)
|| || || ||
Categories of Substance Abuse: Impaired control - CORRECT ANSWERS
|| || || || || || || ||
✔✔Taking substance in larger amounts or longer than meant to, Wanting to
|| || || || || || || || || || || ||
reduce use but not being able to, Spending excessive time getting, using, or
|| || || || || || || || || || || || ||
recovering from using, Having cravings and urges to use
|| || || || || || || || ||
Tolerance - CORRECT ANSWERS ✔✔capacity of the body to endure or become
|| || || || || || || || || || ||
less responsive to a substance (such as a drug) or a physiological insult
|| || || || || || || || || || || || ||
especially with repeated use or exposure developed a tolerance to painkillers
|| || || || || || || || || || ||
,Withdrawal - CORRECT ANSWERS ✔✔Specific signs and symptoms occurring || || || || || || || ||
after discontinuing the given substance
|| || || || ||
Dependence - CORRECT ANSWERS ✔✔Physiological dependence if the || || || || || || ||
person shows withdrawal or tolerance; term is not used in the DSM-V -
|| || || || || || || || || || || || ||
Substance Use Disorders, instead.
|| || || ||
1964-WHO introduced the term dependence to replace "addiction" and || || || || || || || ||
"habituation" Effort to reduce stigmatization of those suffering from this
|| || || || || || || || || ||
disease Terminology changed to Substance Use Disorder DSM-V
|| || || || || || || ||
ABCDE's of Addiction - CORRECT ANSWERS ✔✔A - Inability to consistently
|| || || || || || || || || ||
Abstain
||
B - Impairment in Behavioral control
|| || || || ||
C - Craving; or increased "hunger" for drugs or rewarding experiences
|| || || || || || || || || ||
D - Diminished recognition of significant problems with one's behaviors and
|| || || || || || || || || ||
interpersonal relationships
|| ||
E - A dysfunctional Emotional response
|| || || || ||
Risk Factors for Addiction - CORRECT ANSWERS ✔✔Genetic: 50% genetic,
|| || || || || || || || ||
Level of dopamine receptors, Age, gender, ethnicity, co-morbid mental illness
|| || || || || || || || || ||
Environmental: Drug availability, Peer pressure, physical abuse, sexual abuse,
|| || || || || || || || ||
witnessing violence Development: The earlier a person begins using drugs,
|| || || || || || || || || ||
the more likely addiction will develop, Adolescent brains are still developing,
|| || || || || || || || || || ||
especially frontal lobe, executive function like decision making and judgment
|| || || || || || || || || ||
Addictive Substances and DSM-V - CORRECT ANSWERS ✔✔Substance Related
|| || || || || || || ||
and Addictive Disorders:
|| || || ||
, Tobacco: Tobacco Use Disorder. Alcohol: Alcohol Use Disorders, Opiates:
|| || || || || || || ||
Opioid Use Disorder, Caffeine: Caffeine-Related Disorder• Non-substances
|| || || || || || ||
Related Disorders, Gambling• Conditions for Further Study, Internet Gaming
|| || || || || || || || ||
Disorder• Binge Eating Disorder (New to DSM-V)
|| || || || || || ||
DSM-V: Substance Use Disorder - CORRECT ANSWERS ✔✔A pathological set
|| || || || || || || || ||
of behaviors related to the use of a substance (e.g., alcohol, opioids,
|| || || || || || || || || || || ||
stimulants, tobacco, etc.)
|| || ||
11 diagnostic criteria in 4 broader categories: Impaired control, 2-3 criteria;
|| || || || || || || || || ||
mild, 4-5 criteria; moderate, 6+ criteria; severe
|| || || || || || ||
Categories of Substance Abuse: Social Impairment - CORRECT ANSWERS
|| || || || || || || ||
✔✔Not managing work, family, or social obligations because of use•
|| || || || || || || || || ||
Continuing to use even when it causes relationship problems• Giving up
|| || || || || || || || || || ||
important activities because of use
|| || || || ||
Categories of Substance Abuse: Risky use - CORRECT ANSWERS ✔✔Using in
|| || || || || || || || || ||
physically dangerous situations• Using despite awareness it's causing or
|| || || || || || || || ||
worsening physical or psychological problems
|| || || || ||
Categories of Substance Abuse: Pharmacological indicators - CORRECT
|| || || || || || ||
ANSWERS ✔✔Tolerance and withdrawal symptoms
|| || || || ||
Alcohol - CORRECT ANSWERS ✔✔Dietary Guidelines, daily limit
|| || || || || || ||
recommendation:1 drink for women, 2 drinks for men
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