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TRANSCRIPT
for the PRITE
is proudis proudto presentto present
And Now Here
Is The Host . . .
Insert Name Here
The categories for today’s Jeopardy on Substance Use will be:
Opioids
Stimulants
Alcohol Use Disorder
Criterion A
Substance Induced
disorders
100 100
200
300
800
700
500
800
Opioids Alcohol Use Disorders
Substance Induced
Disorders
100
700
500
700
400
800
600
100
900 900 900 900
300
500
800
Subst Use Disorders
Criterion A
100
900
500
400
300
200
300
400
600
800
200
300
600
200
500
400
700
600
200
400
700
600
Stimulants
Row 1, Col 1
Opioids can be detected thru a urine drug test for this many hours after
administration of the opioid
What is 12-36 hours?
1,2
This type of liver disease may occur in up to 90% of persons who
inject opioids
What is hepatitis C?
1,3
HIV, hepatitis, tuberculosis, and this cardiac related condition are serious medical problems
for IV opiate users
What is bacterial endocarditis?
1,4
This physical sign of opiate withdrawal is also “seen” in
hallucinogen intoxication and stimulant intoxication
What is pupil dilation?
1,5
Opioid intoxication may be diagnosed by administering this opioid
antagonist challenge
What is naloxone (narcan)?
1,6
These two symptoms are associated with more severe opiate
withdrawal and are often not seen in routine clinical practice
What is piloerection & fever?
1,7
Suboxone is a combination of these two medications
What is naloxone (narcan) & buprenorphine?
1,8
Yawning, insomnia, dizziness, diarrheaThis one is not part of opiate
withdrawal
What is lightneadedness?Withdrawal: dysphoria, N/V, muscle aches,
lacrimation/rhinorrhea, pupil dilation/piloerection, fever, sweating,
1,9
Signs of opioid intoxication are pupil constriction, drowsiness/coma, impaired attention or memory,
and this
What is slurred speech?
2,1
This can differentiate PCP intoxication & stimulant
intoxication from each other
What is a urine drug test?(Clinical picture is similar though rotary nystagmus may be
seen in PCP intoxication but not stimulant)
2,2
Cocaine users often use sedative substances--most often this
substance--to reduce insomnia, nervousness, and other unpleasant side effects
What is alcohol?
2,3
Amphetamine type stimulant users often use sedative substances--most often this substance--to
reduce insomnia, nervousness, and other unpleasant side effects
What is marijuana?
2,4
This sign is often present and is a reliable measure of stimulant
withdrawal
What is a bradycardia?
2,5
Bipolar disorder, schizophrenia, other substance use disorders, and
this personality disorder in particular are risk factors for
stimulant use disorder
What is antisocial personality disorder?
2,6
This type of sample can be used to detect use of a stimulant up to
90 days after the use
What is a hair sample
2,7
These two forms of cocaine administration have the most
rapid onset of action
What is inhalation and injection?
2,8
A speedball is the combination of cocaine and this drug
What is heroin?
2,9
Cocaine increases the levels of glutamate and this neurotransmitter
What is dopamine?
3,1
In terms of operant conditioning, the alcohol induced buzz/high is this;
also tolerance results in the lack of this
What is positive reinforcement?
3,2
In terms of operant conditioning, consuming alcohol to stave off alcohol withdrawal symptoms
results in this
What is negative reinforcement?
3,3
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.
What is 1 month?
(Most improve within days to weeks of abstinence)
3,4
The prevalence of alcohol use disorder in this sex is twice as much as
the other
What is males?Males ~12%, Females ~5%
3,5
For an individual who has a close relative (parent) with an alcohol use
disorder, their risk is this many times higher than normal
What are 3-4 times?
3,6
Alcohol metabolizing enzyme genetic polymorphisms result in flushing,
palpitations, & possibly more severe reactions in individuals
of this race when they consume alcohol
What is Asians?Japanese, Chinese, and Koreans are at lower risk for
Alcohol Use Disorders
3,7
Elevations in these two lab test results are sensitive indicators of ongoing heavy drinking and can be used to
monitor abstinence
What is gamma-glutamyltransferase (GGT) and carbohydrate-deficient transferrin (CDT)?
3,8
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
What is mean corpuscular volume (MCV)?Not useful for monitoring due to long half life of RBC’s
3,9
The patients with bipolar disorder, schizophrenia, & this personality
disorder have a markedly high rate of co-morbid alcohol
use disorder
What is Antisocial Personality Disorder?
4,1
Substance use disorder pts, especially those with severe disorder, have an
underlying change in this which persists even beyond detoxification
What is brain circuitry?
4,2
Impaired control, Social impairment, Risky use, or Pharmacological criteria
Continued use despite persistent or recurring interpersonal problems
What is social impairment?
4,3
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
What is impaired control?
4,4
Impaired control, Social impairment, Risky use, or Pharmacological criteria
Pharmacological criteria refers to “putting up” with these two
phenomenon
What is tolerance & withdrawal?
4,5
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
What is impaired control?
4,6
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
What is risky use? .
4,7
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
What is impaired control?
4,8
Impaired control, Social impairment, Risky use, or Pharmacological criteria
Failure to fulfill major obligations at work, home, or school refers to this
Criterion A
What is social impairment
4,9
Impaired control, Social impairment, Risky use, or Pharmacological criteria
Craving refers to this Criterion A
What is impaired control?
5,1
Caffeine intoxication may induce a sleep disorder or this type of substance induced disorder
What is anxiety?
5,2
Marijuana intoxication may induce anxiety disorders, sleep disorders,
and this type of substance induced disorder
What is Psychotic disorder?
5,3
The hallucinogen phencyclidine may induce psychotic disorders,
anxiety disorders, delirium, & this type of substance
induced disorders
What are mood disorders?(both bipolar & depressive)
5,4
Opioid intoxication may induce sleep disorders, sexual dysfunction,
delirium, & this type of substance induced disorder
What is depressive disorders?
5,5
Opioid intoxication will not, but opioid withdrawal may induce this
type of substance disorder
What are anxiety?
5,6
Alcohol & sedative/hypnotic intoxication may both induce the same type of substance disorders
except sedative/hypnotic intoxication will NOT
induce this
What is anxiety?Psychotic, Bipolar, Depressive, Sleep, Sexual Dysfunction, Delirium, Neurocognitive disorders
5,7
Intoxication, but not withdrawal, of stimulants such as cocaine may induce sexual dysfunction, delirium
& this type of substance induced disorder
What are psychotic disorders?
5,8
Intoxication & withdrawal of stimulants such as cocaine may
induce, anxiety, OCD, sleep, & this type of substance induced disorder
What is mood?(both bipolar & depressive)
5,9
Inhalants and this type of substance do not cause a withdrawal
What is hallucinogens?