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Jeopardy. for the PRITE. And Now Here Is The Host. is proud to present. Insert Name Here. The categories for today’s Jeopardy on Substance Use will be:. Opioids. Stimulants. Alcohol Use Disorder. Criterion A. Substance Induced disorders. Opioids. Substance Induced Disorders.

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  1. Jeopardy for the PRITE

  2. And Now Here Is The Host . . . is proud to present Insert Name Here

  3. The categories for today’s Jeopardy on Substance Use will be:

  4. Opioids

  5. Stimulants

  6. Alcohol Use Disorder

  7. Criterion A

  8. Substance Induced disorders

  9. Opioids Substance Induced Disorders Stimulants Alcohol Use Disorders Subst Use Disorders Criterion A 100 100 100 100 100 200 200 200 200 200 300 300 300 300 300 400 400 400 400 400 500 500 500 500 500 600 600 600 600 600 700 700 700 700 700 800 800 800 800 800 900 900 900 900 900

  10. Row 1, Col 1 What is 12-36 hours? Opioids can be detected thru a urine drug test for this many hours after administration of the opioid

  11. 1,2 What is hepatitis C? This type of liver disease may occur in up to 90% of persons who inject opioids

  12. 1,3 What is bacterial endocarditis? HIV, hepatitis, tuberculosis, and this cardiac related condition are serious medical problems for IV opiate users

  13. 1,4 What is pupil dilation? This physical sign of opiate withdrawal is also “seen” in hallucinogen intoxication and stimulant intoxication

  14. 1,5 What is naloxone (narcan)? Opioid intoxication may be diagnosed by administering this opioid antagonist challenge

  15. 1,6 What is piloerection & fever? These two symptoms are associated with more severe opiate withdrawal and are often not seen in routine clinical practice

  16. 1,7 What is naloxone (narcan) & buprenorphine? Suboxone is a combination of these two medications

  17. 1,8 What is lightneadedness? Withdrawal: dysphoria, N/V, muscle aches, lacrimation/rhinorrhea, pupil dilation/piloerection, fever, sweating, Yawning, insomnia, dizziness, diarrhea This one is not part of opiate withdrawal

  18. 1,9 What is slurred speech? Signs of opioid intoxication are pupil constriction, drowsiness/coma, impaired attention or memory, and this

  19. 2,1 What is a urine drug test? (Clinical picture is similar though rotary nystagmus may be seen in PCP intoxication but not stimulant) This can differentiate PCP intoxication & stimulant intoxication from each other

  20. 2,2 What is alcohol? Cocaine users often use sedative substances--most often this substance--to reduce insomnia, nervousness, and other unpleasant side effects

  21. 2,3 What is marijuana? Amphetamine type stimulant users often use sedative substances--most often this substance--to reduce insomnia, nervousness, and other unpleasant side effects

  22. 2,4 What is a bradycardia? This sign is often present and is a reliable measure of stimulant withdrawal

  23. 2,5 What is antisocial personality disorder? Bipolar disorder, schizophrenia, other substance use disorders, and this personality disorder in particular are risk factors for stimulant use disorder

  24. 2,6 What is a hair sample This type of sample can be used to detect use of a stimulant up to 90 days after the use

  25. 2,7 What is inhalation and injection? These two forms of cocaine administration have the most rapid onset of action

  26. 2,8 What is heroin? A speedball is the combination of cocaine and this drug

  27. 2,9 What is dopamine? Cocaine increases the levels of glutamate and this neurotransmitter

  28. 3,1 What is positive reinforcement? In terms of operant conditioning, the alcohol induced buzz/high is this; also tolerance results in the lack of this

  29. 3,2 What is negative reinforcement? In terms of operant conditioning, consuming alcohol to stave off alcohol withdrawal symptoms results in this

  30. 3,3 What is 1 month? (Most improve within days to weeks of abstinence) Most substance induced disorders resolve within this amount of time after the cessation of acute withdrawal, the cessation of severe intoxication, or the use of the substance.

  31. 3,4 What is males? Males ~12%, Females ~5% The prevalence of alcohol use disorder in this sex is twice as much as the other

  32. 3,5 What are 3-4 times? For an individual who has a close relative (parent) with an alcohol use disorder, their risk is this many times higher than normal

  33. 3,6 What is Asians? Japanese, Chinese, and Koreans are at lower risk for Alcohol Use Disorders Alcohol metabolizing enzyme genetic polymorphisms result in flushing, palpitations, & possibly more severe reactions in individuals of this race when they consume alcohol

  34. 3,7 What is gamma-glutamyltransferase (GGT) and carbohydrate-deficient transferrin (CDT)? Elevations in these two lab test results are sensitive indicators of ongoing heavy drinking and can be used to monitor abstinence

  35. 3,8 What is mean corpuscular volume (MCV)? Not useful for monitoring due to long half life of RBC’s While elevation of GGT, CDT, and this test indicates a history of heavy drinking, GGT & CDT test may also be useful in detecting a relapse to heavy drinking, but this test is not

  36. 3,9 What is Antisocial Personality Disorder? The patients with bipolar disorder, schizophrenia, & this personality disorder have a markedly high rate of co-morbid alcohol use disorder

  37. 4,1 What is brain circuitry? Substance use disorder pts, especially those with severe disorder, have an underlying change in this which persists even beyond detoxification

  38. 4,2 What is social impairment? Impaired control, Social impairment, Risky use, or Pharmacological criteria Continued use despite persistent or recurring interpersonal problems

  39. 4,3 What is impaired control? Impaired control, Social impairment, Risky use, or Pharmacological criteria A desire to cut down or unsuccessful attempts decrease or stop use refers to this Criterion A

  40. 4,4 What is tolerance & withdrawal? Impaired control, Social impairment, Risky use, or Pharmacological criteria Pharmacological criteria refers to “putting up” with these two phenomenon

  41. 4,5 What is impaired control? Impaired control, Social impairment, Risky use, or Pharmacological criteria Taking the substance in larger amounts or over a longer time period than intended refers to this Criterion A

  42. 4,6 What is risky use? . Impaired control, Social impairment, Risky use, or Pharmacological criteria Use in physically hazardous situations or continued use despite knowledge the substance is causing or worsening a medical problem is called this

  43. 4,7 What is impaired control? Impaired control, Social impairment, Risky use, or Pharmacological criteria Spending a great deal of time obtaining, using, or recovering from the substance use refers to this Criterion A

  44. 4,8 What is social impairment Impaired control, Social impairment, Risky use, or Pharmacological criteria Failure to fulfill major obligations at work, home, or school refers to this Criterion A

  45. 4,9 What is impaired control? Impaired control, Social impairment, Risky use, or Pharmacological criteria Craving refers to this Criterion A

  46. 5,1 What is anxiety? Caffeine intoxication may induce a sleep disorder or this type of substance induced disorder

  47. 5,2 What is Psychotic disorder? Marijuana intoxication may induce anxiety disorders, sleep disorders, and this type of substance induced disorder

  48. 5,3 What are mood disorders? (both bipolar & depressive) The hallucinogen phencyclidine may induce psychotic disorders, anxiety disorders, delirium, & this type of substance induced disorders

  49. 5,4 What isdepressive disorders? Opioid intoxication may induce sleep disorders, sexual dysfunction, delirium, & this type of substance induced disorder

  50. 5,5 What are anxiety? Opioid intoxication will not, but opioid withdrawal may induce this type of substance disorder

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