Exam (elaborations)
SPMM Addictions Part 1, SPMM Addictions Part 2 – Questions And Answers
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SPMM Addictions Part 1, SPMM Addictions Part 2 – Questions And Answers
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SPMM Addictions Part 1, SPMM Addictions Part 2 –Questions And Answers
Current prevalence of heroin in UK Right Ans - 1%
% of px taking BDZ for a year develop dependence syndrome Right Ans -
40%
Typical heroin consumption in dependence Right Ans - 0.25-2.0g/day
(median value £50-100 per gram, most commonly smoked)
Ice street name for stronger form of Right Ans - Amphetamines
Bad trips are an acute effect of Right Ans - LSD
Preferred maintenance RX for opiate detoxification Right Ans -
Buprenorphine
Drugs with evidence base for treatment of opioid withdrawal symptoms (4)
Right Ans - Methadone, Buprenorphine, Clonidine and Lofexidine
Nasal septal perforation Right Ans - Cocaine
Most consistence evidence base among all psychosocial interventions for
cocaine users Right Ans - Contingency Management (eg receiving a
exchangeable voucher whenever they submit a negative urine drug test)
Most common side effect of BDZ Right Ans - Dizziness (and drowsiness)
BDZ implicated for date rape Right Ans - Flunitrazepam
According to ICD 10 which term used for state where alcohol causes actual
physical or mental damage but there is no dependence pattern yet Right
Ans - Harmful use
Most commonly used opioid in Uk Right Ans - Heroin
, Drug for opioid detox no longer used due to prolonged QT intervals associated
with fatal torsades des pointes Right Ans - LAAM
(Levoalphaacetylmethadol)
Alpha-2-adrenergic agonist licences for opiate withdrawal Right Ans -
Lofexidine
Mr Z presents to A&E believing he can fly. Offending illicit substance? Right
Ans - LSD
First choice by NICE guidelines for opioid dependence Right Ans -
Methadone
Cold turkey refers to Right Ans - Opiate withdrawal
Most common cause of death in BDZ OD? Right Ans - Respiratory
Depression
Common side effect of clonidine Right Ans - Sedation
LSD detectable in urine for up to how many days in average user Right Ans
- 1 day
Risk of seizures with bupropion estimated as Right Ans - 1 in 1000
Untreated heroin withdrawal symptoms typically reach their peak within how
many hours after last dose Right Ans - 32-72h
Nicotine replacement therapy for how long Right Ans - 8-12 weeks
Kinaesthetic hallucinations reported in Right Ans - BDZ withdrawal
Atypical antidepressant for smoking cessation Right Ans - Bupropion
Illicit substance associated with amotivational syndrome Right Ans -
Cannabis
Agent associated with carcinoma of the lung Right Ans - Cannabis
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