Diagnosis
Cause of severe dental decay
What is methamphetamine?
The false positive rate for cocaine on a UDS
hint: in general terms (very low, low, high, very high)
What is very low?
Symptoms of cocaine "crash"
HInt: two- 50 points each
what are lack of energy and depression? also acceptable hyperphagia, hypersomnia and psychomotor retardation
Mechanism of action of cocaine
What is dopamine reuptake inhibition?
FDA approved treatments for cocaine disorder
What are none?
Psychiatric diagnoses that overlap with Stimulant Use disorder (two)
What are ADHD and Bipolar disorder?
The false positive rate for amphetamines on urine drug screening.
Hint in general terms- very low, low, high etc
What is high?
Onset and Duration of action of cocaine and amphetamine.
Hint- in general terms- quick, slow, long, short
What are quick and short (cocaine) and slow and long (amphetamine)?
Mechanism of action of amphetamines.
What is increasing the release of monoamines and reducing reuptake?
Using gradually increasing rewards to help obtain and sustain abstinence
What is contingency management?
Number of criteria needed to make a diagnosis of mild, moderate and severe use disorder?
What are 2-3, 4-5 and 6 or more?
Common medications that can cause a false positive for amphetamine on a urine drug test?
Hint- looking for 3 worth 100 points each
What are trazodone, fluoxetine and ranitidine?
symptoms of stimulant intoxication.
hint- up to 6, 50 points each
what are euphoria, increased energy, alertness and sociability along with decreased need for sleep and food.
Factors that make a substance more addictive
what are speed of reaching the brain, and potency?
also acceptable- lipophilic, method of use
Pairing cocaine cues to unpleasant sensations.
What is Aversion Therapy?
Length of time of impairment needed to make a diagnosis of substance use disorder?
What is one year?
Another name for a screening test
What is an immunoassay (also acceptable what is a presumptive test?)
Psychiatric complications of long term excessive use of stimulants?
hint- up to 8- 50 points each
What are anxiety, irritability, interpersonal sensitivity, hypervigilance, suspiciousness, grandiosity, psychosis and stereotyped behavior?
Estimated percent of addiction caused by genetic factors?
what is 50%?
Learning coping skills, refusal skills and root cause analysis.
What is relapse prevention?
11 diagnostic criteria needed to make a diagnosis of substance use disorder?
What are cravings, tolerance, withdrawal, inability to cut down, using more than intended, using despite physical/psychological harm, neglecting role responsibilities, excessive time spent getting/using/recovering substance, using despite social/personal problems, giving up hobbies/activities, use in hazardous situations?
Another name for a confirmatory drug test
what is gas chromotography? or what is a definitive test?
Medical complications of excessive stimulant use.
HInt- up to 12- 50 points each
What are tachycardia, mydriasis, bruxism, diaphoresis, tremor, Chest pain, MI, hypertension, seizure, stroke, hyperthermia and rhabdomyolysis?
long term brain damage caused by methamphetamine
what is destruction of striatal neurons leading to Parkinson's disease including memory loss
<1, 1, 2, 3, 4 (ASAM levels of care)
What are prevention/early intervention, outpatient, intensive outpatient/partial hospitalization, residential and medically managed inpatient (hospital)?
bonus: describe a typical patient with cocaine use disorder matching each level of care