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5 stages of addiction - (answer)1. First Use
2. Continued use
3. Tolerance
4. Dependence
5. Addiction
6% of U.S patients misuse their pain management prescriptions. Three common
patient populations affected are Cancer, MVA and __________ ________ -
(answer)Sickle Cell
This medication acts on the same opioid receptors as commonly abused opioids
without reaching a point of euphoria. Also being long acting it has been used for
over 40 years in countless patients quests towards recovery. - (answer)Methadone
Which of these medications are used for treating alcohol abuse?
Acamprosate
Varenicline
Methadone
Bupropion - (answer)Acamprosate
,Which of these medications are used for tobacco disorder?
Acamprosate
Varenicline
Methadone
Bupropion - (answer)Varenicline
Bupropion
This substance is a full agonist of trace amine-associated receptors (TAAR1).
Activation TAAR1 causes the increase of cAMP and inhibition of serotonin,
dopamine, and norepinephrine transporters. The inhibition of monoamine
transporters causes the reuptake and metabolism of catecholamines. -
(answer)Methamphetamine
The following are "_________ _______" for methamphetamine: meth, crystal
meth, crystal, speed, scootie, yellow powder, crank, ice, spoosh, glass, chalk,
redneck cocaine, yellow barn, Tina, and tick-tick. - (answer)street names
Patients under the influence of methamphetamine can have the following signs or
symptoms: ___________ appetite, nausea, psychosis, tachycardia, hypertension,
___________ body temperature, panic attack, mydriasis, __________ sleep
patterns, violent, bizarre, and erratic behavior, hallucinations, irritability, seizures,
and death from high doses. - (answer)decreased
increased
disturbed
A 65-year-old female presents to the clinic to seek a re-prescription of her pain
medication. She had a motor vehicle collision (MVC) 8 months ago that left her
,with chronic neuralgia in bilateral arms along with low back pain. She was
prescribed oxycodone/acetaminophen 7.5/325 mg q6 hours. Her last scheduled
refill was 20 days ago with a 30 day supply. She returns early claiming she needed
multiple dosages sooner than directed due to unmanaged pain. Current vital signs
are normal, but she is diaphoretic, tearing, restless, and occasionally yawning.
When the provider explains, controlled medications cannot be prescribed in this
manner, the patient states, "You don't understand. I need to feel normal. Without it,
I feel worse than I used to feel at baseline. Please!" What stage of addiction is the
patient in and what medication can be used to help her symptoms?
Choices:
1. Tolerance and acamprosate
2. Tolerance and - (answer)Dependence and methadone
A patient presents to the emergency department with agitation, mydriasis,
hypertension, and tachycardia. He states that he snorted "some crystals" with
friends and that he feels energetic and anxious. He reports that his friends told him
this is a treatment for weight loss and this is the reason why he tried it. Which is
true of the drug most likely used by this patient?
Choices:
1. Partial agonist of trace amine-associated receptors (TAAR1)
2. Gamma-aminobutyric acid (GABA) receptor agonist
3. Full agonist of trace amine-associated receptors (TAAR1)
4. Full antagonist of dopamine receptors - (answer)Full agonist of trace amine-
associated receptors (TAAR1)
, A 35-year-old woman comes in for her wellness check-up. She has a 13-year-old
son who is going to be starting high school next year and often hear him and his
friends discuss ways to prepare for high school, so they fit in. The mother is
concerned her son may use drugs as he often talks about the partying. She wants to
know what she can do it prepare him to avoid smoking cannabis given its surge in
popularity amongst youth. What is the most common reason for marijuana use,
amongst teenagers and young adults?
Choices:
1. Stress management
2. Experimentation
3. Social conformity
4. Pleasurable sensation - (answer)Social conformity
A young adult patient is dropped off outside the emergency department by her
friends, and they drive off before any history can be obtained. The patient has
altered mental status and shows signs of intoxication. Sudden dorsiflexion of her
ankle produces a rhythmic reproduction of her ankle jerk reflex. Which of the
following drugs did she most likely ingest?
Choices:
1. Alcohol
2. 3,4-Methylenedioxymethamphetamine (MDMA)
3. Phencyclidine
4. Cannabis - (answer)3,4-Methylenedioxymethamphetamine (MDMA)
Several classes of common street drugs such as cocaine, ecstasy (MDMA), and
amphetamines, increase serotonin levels, which is part of what contributes to the