neurobio and patho
$200: This specific brain structure, responsible for storing new memories, is the area affected when a patient experiences alcohol-induced "blackouts."
Answer: What is the Hippocampus?
$200: This medication is a full opioid agonist used for withdrawal and maintenance, but it must be tapered because it is a Schedule II controlled substance.
Answer: What is Methadone (Dolophine)?
$200: This drug works via aversion therapy by blocking the conversion of acetaldehyde to acetic acid; patients must wear a medic alert bracelet.
Answer: What is Disulfiram (Antabuse)?
$200: This antidepressant aids smoking cessation by inhibiting the reuptake of dopamine and norepinephrine, usually starting the 2nd week of therapy.
Answer: What is Bupropion (Zyban)?
$200: This schedule of drugs has a high potential for abuse but an accepted medicinal use, including drugs like Cocaine, Methadone, and Adderall.
Answer: What is Schedule II?
$600: Nicotine acts on the reward pathway by binding to these specific receptors in the brain and skeletal muscles.
Answer: What are Nicotinic acetylcholine receptors (nAChRs)?
$600: This medication minimizes autonomic withdrawal symptoms (like sweating and tachycardia) but does not reduce cravings; the nurse must check BP before every dose.
Answer: What is Clonidine (Catapres)?
$600: When using Phenobarbital for alcohol withdrawal, the loading dose for moderate to severe symptoms is this specific amount given IV over 5 minutes.
Answer: What is 260mg?
$600: Activated charcoal is effective for many drugs but will not adsorb these two specific categories of substances (give one example of each).
Answer: What are Electrolytes (magnesium, potassium, sodium) and Metals (iron, lithium)?
$600: Cough syrup containing less than 200 mg of narcotics and Lyrica are examples of this schedule, which has the lowest potential for abuse.
Answer: What is Schedule V?
$800: Chronic alcohol use leads to the poor absorption and distribution of these six specific vitamins.
Answer: What are Vitamins B1, B6, D, E, A, and K?
$800: Buprenorphine is often combined with Naloxone to prevent misuse, but as a standalone, it carries a Black Box Warning for these three risks.
Answer: What are misuse, addiction, and potentially fatal overdose?
$800: This anticonvulsant, used for seizure prophylaxis and anxiety during withdrawal, is dosed at 200mg QID for the first 1–3 days.
Answer: What is Carbamazepine (Tegretol)?
$800: To treat a known or suspected opioid overdose, Naloxone is administered, but it is only effective for this duration, often requiring re-administration.
Answer: What is 30 to 90 minutes?
$800: Anabolic steroids and Ketamine are classified under this schedule, which indicates a low to moderate potential for misuse.
Answer: What is Schedule III?
$1000: The three main parts of the brain involved in the addiction cycle are the prefrontal cortex, the basal ganglia, and this third region.
Answer: What is the extended amygdala?
metoclopromide
$1000: While effective for withdrawal, Chlordiazepoxide (Librium) is classified as this type of benzodiazepine, distinguishing it from shorter-acting alternatives.
Answer: What is a long-acting benzodiazepine?
$1000: The standard dosing formula for Activated Charcoal is this amount per body weight.
Answer: What is 1 g/kg?
$1000: Benzodiazepines like Valium and Xanax fall under this schedule, indicating low risk but potential for limited physical or psychological dependence.
Answer: What is Schedule IV?
$400: While opioids affect opioid receptors, alcohol maintains a substance use disorder by increasing excitability through the absence of this specific inhibitory neurotransmitter input.
Answer: What is GABAergic input (or GABA)?
$400: A patient prescribed Naltrexone for opioid use disorder must be opioid-free for this specific time frame before starting treatment to avoid precipitating withdrawal.
Answer: What is 7 to 10 days?
$400: This medication helps maintain abstinence by decreasing excessive excitation at GABA and NMDA receptors, but it is contraindicated in patients with kidney disease.
Answer: What is Acamprosate (Campral)?
$400: Varenicline (Chantix) reduces the pleasure of smoking but carries these unique neuropsychiatric side effects that the patient must report to an MD.
Answer: What are nightmares and sleepwalking?
$400: Marijuana, LSD, and Ecstasy fall into this schedule because they have no accepted medical use and are not safe for use under supervision.
Answer: What is Schedule I?