click below
click below
Normal Size Small Size show me how
Psych 6 Sub Abuse
Substance Abuse
Question | Answer |
---|---|
What is the most serious SE of clozapine? | Agranulocytosis |
What is Todd's paralysis? | Postictal hemiparesis lasting 15-24h |
What is the first line treatment for acute otitis media? | Amox x10d (2nd line is amox+clavulanic acid, 3rd line is ceph) |
Name 5 tx for helping alcoholics prevent relapse. | 1. AA 2. Disulfiram 3. Topiramate (anticonvulsant) 4. Naltrexone 5. Acamprosate |
What are the components of the CAGE questionaire? | Cut back, Annoyance, Guilt, Eye opener |
In which vitamins are alcoholics typically deficient? | B1 (thiamine), B12. ALso B2, B6, folate, Vit C, and Vit A |
What is the most successful tx for alcoholism? | AA |
List the sx assoc'd with the life threatening condition delirium tremens. | Seizures, delirium, agitation, tachycardia, HTN, and diaphoresis |
What is the drug of choice for treating alcohol withdrawal? | Long-acting benzo (diazepam, lorazepam, chlordiazepoxide) |
Name that drug!: post-op constipation and/or respiratory depression | Opioid use |
Name that drug!: severe depression, HA, fatiuge, insominia/hypersomnia, hunger | Cocaine or amphetamine w/d |
Name that drug!: pinpoint pupils, n/v, seizures | opioid OD |
Name that drug!: belligerence, impulsiveness, nystagmus, homicidal ideations, psychosis | PCP tox |
Name that drug!: HA, anxiety/depression, wiehgt gain | Nicotine or caffeine w/d |
Name that drug!: anxiety/depression, delusions, hallucinations, flashbacks | LSD use |
Name that drug!: euphoria, social withdrawal, impaired judgement, hallucinations | Marijuana tox |
Name that drug!: rebound anxiety, tremors, seizures, life-threatening | alcohol, benzo, or barbiturate w/d |
Name that drug!: anxiety, piloerection, yawning, fever, rhinorrhea, nausea, diarrhea | Opioid w/d |
What is the downside of adding bupropion to nicotine replacement in a pt trying to stop smoking? | Increased risk of severe HTN |
Lindsday Lohan presents with recent weight loss and is found to have erythema of her turbinates and nasal septum. What is the cause of her weight loss? | Cocaine use |
Dr. Giraffe, an OB resident, is brought to the ER by police and is restrained after violently attacking a group of unsuspecting 3rd year medical students with a used exam glove. What OD is likely? What is the RX? | PCP. Tx with benzos or haloperidol. Monitor in dark quiet room. Give IVF to prevent rhabdomyolysis. |
What features are unique to PCP intoxication that allow you to distinguish it from LSD intoxication? | Both cause visual hallucinations, but PCP also has agitation and aggression. |
What drugs can be used in the case of HTN in a pt with cocaine or amphetamine intox? | Phentolamine (alpha blocker) or benzos. DON'T give beta blockers-- makes it worse! |
What vaccines should be given to known alcoholic pts? | Pneumovax, flu, hep A, and hep B |
What is one of the earliest signs of alcohol withdrawal? | tachycardia |
What class of organisms do you need to cover when treating an alcoholic with pneumonia? | Anaerobes. Could be aspiration pneumonia. Abx include piperacillin/tazobactam (Zosyn) or imipenem/cilastatin. |