What term described the need to take larger amounts of the drug to produce the familiar high?
Tolerance
What two things can you never eat before breakfast?
Lunch and dinner
What criteria is the most widely used and comprehensive set of guidelines for placement, continued stay, transfer, or discharge of patients with addiction and co-occurring conditions?
The ASAM
How many months in the year have 28 days?
All of them
What city did the Olympics first taken place?
Athens, Greece
What impact does alcohol have on your body temperature?
"It lowers it. When alcohol reaches your bloodstream, it causes your small blood vessels to expand. This increases the flow of blood in your body. Although you may feel warm, your body temperature actually drops. This is why it is not a good idea to drink alcohol to “warm up” when you are exposed to cold air or water. It slows down the heart rate and dilates blood vessels, which can make you feel warmer but increases risk of hypothermia."
What goes up but never comes down?
Your age.
A risk factor for relapse, according to the ASAM, would be...
-Impulsivity/risk-taking behaviors
-Nonadherence to medication
-Current cravings
- Demographic risks: under 25 years of age, never married or having lived as married, unemployed, no high school diploma or GED.
-Overconfidence
-History of relapse
- History of sobriety attempts
Substances are known to "hijack" what center in the brain during addiction?
Reward/Pleasure center
What is the birthstone for the month of July?
Ruby
More research is coming out that I am more dangerous than people may assume, as several studies have found that more frequent use of me is associated with a higher risk of psychosis. What am I?
Cannabis/Marijuana
What word becomes shorter when you add two letters to it?
Short
What does ASAM stand for?
American Society of Addiction Medicine
What stage of change is someone in if the user is not considering change, is aware of few negative consequences, and is unlikely to take action soon.
Precontemplation
Which continent is in all four hemispheres?
Africa
At low doses, I produce stimulant effects, with users reporting increased alertness, physical energy, and talkativeness. At high doses, I produce sedative effects. Although you can buy me legally, I am addictive and should be avoided if in recovery.
Kratom
What has four wheels and flies?
A garbage truck
What are the five Stages of Change? 50 points per correct answer. Extra 100 points if you can name them in order.
Precontemplation, Contemplation, Preparation, Action, Maintenance
____ _____ is a model of treatment used to decrease negative consequences of recreational drug use without requiring abstinence.
Harm Reduction
________ are the deadliest animal in the world: They kill more people than any other creature
Mosquitos
What 3 parts of the brain are most impacted by substance use? (Hint: one answer is general area)
1.) Basal Ganglia: "Drugs over-activate this circuit, producing the euphoria of the drug high. But with repeated exposure, the circuit adapts to the presence of the drug, diminishing its sensitivity and making it hard to feel pleasure from anything besides the drug."
2.) Amygdala: "Plays a role in stressful feelings like anxiety, irritability, and unease, which characterize withdrawal after the drug high fades and thus motivates the person to seek the drug again. This circuit becomes increasingly sensitive with increased drug use. Over time, a person with substance use disorder uses drugs to get temporary relief from this discomfort rather than to get high."
3.) The Prefrontal Cortex/Frontal Lobe: "Powers the ability to think, plan, solve problems, make decisions, and exert self-control over impulses...Shifting balance between this circuit and the circuits of the basal ganglia and extended amygdala make a person with a substance use disorder seek the drug compulsively with reduced impulse control.
What grows when it eats, but dies when it drinks?
A fire
What six assessment criteria make up the ASAM model? You will get 50 points per correct answer but only 500 if you can name all six.
1. Acute Intoxication/Withdrawal potential
2. Biomedical Issues and/or complications
3. Emotional, Cognitive, Behavioral Conditions/Complications
4. Readiness to Change (Stage of Change)
5. Relapse, Continued use, or Continued problem potential
6. Recovery Environment
The DEA is warning the American public of a sharp increase in the trafficking of fentanyl mixed with this other substance, which is increasing overdoses and is resistant to Narcan; it is often used for sedation in veterinary medicine.
Xylazine aka "Tranq"
These mammals burp when they're happy
Gorillas