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5 stages of addic on - Answers 1. First Use
2. Con nued use
3. Tolerance
4. Dependence
5. Addic on
6% of U.S pa ents misuse their pain management prescrip ons. Three common pa ent
popula ons affected are Cancer, MVA and __________ ________ - Answers Sickle Cell
This medica on acts on the same opioid receptors as commonly abused opioids without
reaching a point of euphoria. Also being long ac ng it has been used for over 40 years in
countless pa ents quests towards recovery. - Answers Methadone
Which of these medica ons are used for trea ng alcohol abuse?
Acamprosate
Varenicline
Methadone
Bupropion - Answers Acamprosate
Which of these medica ons are used for tobacco disorder?
Acamprosate
Varenicline
,Methadone
Bupropion - Answers Varenicline
Bupropion
This substance is a full agonist of trace amine-associated receptors (TAAR1). Ac va on TAAR1
causes the increase of cAMP and inhibi on of serotonin, dopamine, and norepinephrine
transporters. The inhibi on of monoamine transporters causes the reuptake and metabolism of
catecholamines. - Answers Methamphetamine
The following are "_________ _______" for methamphetamine: meth, crystal meth, crystal,
speed, scoo e, yellow powder, crank, ice, spoosh, glass, chalk, redneck cocaine, yellow barn,
Tina, and ck- ck. - Answers street names
Pa ents under the influence of methamphetamine can have the following signs or symptoms:
___________ appe te, nausea, psychosis, tachycardia, hypertension, ___________ body
temperature, panic a:ack, mydriasis, __________ sleep pa:erns, violent, bizarre, and erra c
behavior, hallucina ons, irritability, seizures, and death from high doses. - Answers decreased
increased
disturbed
A 65-year-old female presents to the clinic to seek a re-prescrip on of her pain medica on. She
had a motor vehicle collision (MVC) 8 months ago that le= 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 mul ple dosages sooner than directed due to unmanaged pain. Current vital signs
are normal, but she is diaphore c, tearing, restless, and occasionally yawning. When the
provider explains, controlled medica ons cannot be prescribed in this manner, the pa ent
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 addic on is the pa ent in and what medica on can be used
to help her symptoms?
,Choices:
1. Tolerance and acamprosate
2. Tolerance and - Answers Dependence and methadone
A pa ent presents to the emergency department with agita on, mydriasis, hypertension, and
tachycardia. He states that he snorted "some crystals" with friends and that he feels energe c
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 pa ent?
Choices:
1. Par al 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 - Answers 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 star ng high school next year and o=en 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
o=en 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. Experimenta on
3. Social conformity
4. Pleasurable sensa on - Answers Social conformity
, A young adult pa ent is dropped off outside the emergency department by her friends, and
they drive off before any history can be obtained. The pa ent has altered mental status and
shows signs of intoxica on. Sudden dorsiflexion of her ankle produces a rhythmic reproduc on
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 - Answers 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 pleasurable and addic ve
aspects of their use, and also what can produce a __________ syndrome and __________. -
Answers serotonin
clonus
Psychiatric medica ons such as monoamine oxidase inhibitors (MAOI), selec ve serotonin
reuptake inhibitors (SSRI), serotonin-norepinephrine reuptake inhibitors (SNRI), and tricyclic
an depressants (TCA) manipulate serotonin levels to improve __________, but too much can
produce clonus as part of serotonin ____________. - Answers mood
syndrome
____________ nervous system depressants like alcohol and opiates can diminish deep tendon
__________ as opposed to producing clonus. - Answers Central
reflexes
A 66-year-old male was prescribed pain medica on a=er a fracture followed by surgery 6
months ago. Since then, his primary care provider has no ced frequent visits to the office
asking for pain medica on and mul ple injuries jus fying the use of it. Every me there are