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SPMM Substance Misuse – Questions And Answers (A+)
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SPMM Substance Misuse – Questions And Answers (A+)
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SPMM Substance Misuse – Questions And Answers (A+)How much heroin does a typical dependent user take in a day? Right Ans -
0.25-2g
Cost of heroin per gram Right Ans - £50-£100
Which psychosocial intervention has the most evidence for cocaine users
Right Ans - contingency management
Most common side effects of benzos Right Ans - - dizziness
- drowsiness
- ataxia
Most common side effects of clonidine Right Ans - - dry mouth and eyes
- fatigue
- sedation
- dizziness
- nausea
- hypotension
- constipation
How long can LSD be detected in the urine? Right Ans - 4 days
risk of seizures with bupropion MR Right Ans - 1 in 1000
Peak time for opioid withdrawal Right Ans - 32-72 hours
For smoking cessation NRT should be offered for how long? Right Ans - 8-
12 weeks
Kinaesthetic hallucinations are noted in withdrawal from what? Right Ans -
benzos
which drug is associated with amotivational syndrome? Right Ans -
cannabis
common side effects of varenicline Right Ans - - nausea
- sleep disturbance
, - vivid dreams
symptoms of PCP intoxication Right Ans - - nystagmus
- numbness or diminished responsiveness to pain
- ataxia
- dysarthria
- muscle rigidity
- repeated vomiting
- occasionally users become assaultive, suicidal or homicidal
normal length of alcohol detox Right Ans - 5-7 days
starting dose of acamprosate Right Ans - 333mg TDS under 60kg
666mg TDS over 60kg
Onset of DT after last frink Right Ans - 72-96 hours
which alcohol relapse prevention drug is not licensed in elderly? Right Ans
- acamprosate
alcohol withdrawal treatment that can cause increased risk of misuse and
respiratory depression Right Ans - chlormethiazole
Edward and Gross criteria for alcohol dependence Right Ans - - narrowing
of repertoire
- salience/ primary alcohol seeking behaviour
- tolerance
- repeated withdrawal symptoms
- relief of withdrawal by drinking
- awareness of compulsion to drink
- reinstatement after abstinence
common side effects of disulfiram Right Ans - hallitosis
headache
medication for alcohol detox in someone with respiratory disease? Right
Ans - shorter acting benzos
Cloninger's classification for type 1 alcoholism Right Ans - (late onset)
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