Substance Use, Abuse And Dependence
In the world today, many people have been hooked to use of drugs to a very bad extent. Children as young as 14years old are addicts. Gauge your knowledge on substance abuse and dependence below.
- 1.Which of the following is the most widely used illicit drug in the country?
- A.
Heroin
- B.
Methamphetamines
- C.
Cocaine
- D.
Vicodin
- E.
Marijuana
- 2.Over _________ of America's teenagers have tried an illicit drug by the time they finish high school.
- A.
76%
- B.
98%
- C.
24%
- D.
51%
- 3.___________ is among the most commonly abused drugs based on an annual abuse of 9.5 percent among 12th graders in 2005.
- A.
Heroin
- B.
Alcohol
- C.
Cocaine
- D.
Marijuana
- E.
Vicodin
- 4.The substance-related disorders are divided into two group, ___________ and ___________.
- A.
Substance-use disorders; substance-infused disorders
- B.
Substance-use disorders; substance-dependence disorders
- C.
Substance-use disorders; substance-independence
- D.
Substance-use disorders; substance-induced disorders
- 5.Withdrawal falls under what type of substance-related disorder group?
- A.
Substance-related disorder
- B.
Substance-use disorder
- C.
Substance-induced disorder
- D.
Substance-abuse-disorder
- 6.Substance abuse falls under what substance-related disorder group?
- A.
Substance-related
- B.
Substance-intoxication
- C.
Substance-use
- D.
Substance-induced
- 7.Which of the following substance-related disorders does not fall under the substance-induced group?
- A.
Sleep disorder
- B.
Anxiety disorder
- C.
Delirium
- D.
Substance dependence
- E.
Mood disorder
- 8.Which of the following criteria for SUBSTANCE DEPENDENCE if manifested, will not lead to significant impairment or distress? (*hint: which of the following would not be part of the "three or more" patterns in a 12 month period to diagnose someone with a substance dependence disorder)
- A.
Tolerance
- B.
Withdrawal
- C.
Substance is often taken in larger amounts or over a longer period than was intended
- D.
Important social, occupational, or recreational activities are not given up or reduced because of substance abuse
- E.
The substance use is continued despite knowledge of having persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance.
- 9.A patient presents with the following patterns: (1) a great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects; (2) persistent desire or unsuccessful efforts to cut down or control substance abuse; (3) a need for markedly increased amounts of the substance to achieve desired effects. What type of substance-related disorder do you suspect?
- A.
Intoxication
- B.
Sexual dysfunction
- C.
Substance abuse
- D.
Substance dependence
- E.
Psychotic disorder
- 10.A patient presents with the following patterns in a 12-month period: (1) important social, occupational, or recreational activities are given up or reduced because of the substance use; (2) the same (or a closely related) substance is taken to relieve or avoid withdrawal symptoms; (3) markedly diminished effect with continued use of the same amount of the substance (tolerance). What type of substance-related disorder do you suspect?
- A.
Substance abuse
- B.
Substance dependence
- C.
Delirium
- D.
Substance independence
- E.
Persisting amnestic disorder
- 11.A patient presents with the following patterns in a 12-month period: (1) recurrent substance use in situations in which it is physically hazardous; (2) recurrent substance use resulting in a failure to fulfill major role obligations at school, work, or home. What type of substance-related disorder do you suspect?
- A.
Substance abuse
- B.
Substance dependence
- C.
Substance interdependence
- D.
Mood disorder
- E.
Substance induced
- 12.A patient presents with the following patterns in a 12-month period: (1) recurrent substance-related legal problems; (2) continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance. What type of substance-related disorder do you suspect?
- A.
Substance dependence
- B.
Substance intoxication
- C.
Substance abuse
- D.
Delirium
- E.
Substance-induced
- 13.Which of the following is NOT a criteria for substance intoxication?
- A.
Symptoms are not due to a general medical condition and are not better accounted for by another mental disorder
- B.
The development of a reversible substance-specific syndrome due to recent ingestion of a substance
- C.
The substance specific syndrome causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
- D.
Clinically significant maladaptive behavioral or psychological changes that are due to the effect of the substance on the central nervous system
- 14.Which of the following is NOT a criteria for substance withdrawal?
- A.
Symptoms are not due to a general medical condition and are not better accounted for by another mental disorder
- B.
The development of a reversible substance-specific syndrome due to recent ingestion of a substance
- C.
The substance specific syndrome causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
- D.
The development of a substance-specific syndrome due to the cessation of (or reduction in) substance use that has been heavy and prolonged.
- 15.If a patient is under the influence of sedatives or opioids what may you find during the ocular exam?
- A.
Mydriasis
- B.
Miosis
- C.
Nystagmus
- D.
Amblyopia
- E.
B & C
- 16.If a patient is under the influence of ETOH what may you find during the ocular exam?
- A.
Mydriasis
- B.
Miosis
- C.
Nystagmus
- D.
Amblyopia
- E.
B & C
- 17.If a patient is under the influence of cocaine, TCA's, or stimulants what may you find during the ocular exam?
- A.
Mydriasis
- B.
Miosis
- C.
Nystagmus
- D.
Amblyopia
- E.
B & C
- 18.If a patient is under the influence of PCP or phenytoin what may you find during the ocular exam?
- A.
Mydriasis
- B.
Miosis
- C.
Nystagmus
- D.
Amblyopia
- E.
B & C
- 19.Which of the following combinations is found in a "coma cocktail"?
- A.
Thiamine, atropine, naloxone
- B.
Thiamine, atropine, timolol
- C.
Niacin, dextrose, naloxone
- D.
Thiamine, dextrose, naloxone
- 20.What is something you should always be thinking of during the PHYSICAL EXAM in an intoxicated patient?
- A.
Urine output
- B.
Toxidromes
- C.
Current medications
- D.
Phlebitis
- E.
Mental illness
- 21.True or False? If an intoxicated patient presents to the ER intubated and has a need for continuous infusion of naloxone, this is considered a proper indication for ICU admission.
- A.
True
- B.
False
- 22.Which of the following is NOT an indication for admission into the ICU for an intoxicated patient?
- A.
Systolic BP < 100 mmHg
- B.
Need for dialysis
- C.
Severely high temperature
- D.
Body packers
- E.
Digoxin overdose
- 23.True of False? If an intoxicated patient has severe metabolic alkalosis they can be admitted the ICU.
- A.
True
- B.
False
- 24.Which of the following is NOT an indication for admission into the ICU for an intoxicated patient?
- A.
TCA overdose
- B.
Glasgow coma scale < 20
- C.
Intubated
- D.
Unresponsive
- E.
None of the above
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