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LCAS TEST QUESTIONS WITH ALL CORRECT ANSWERS

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LCAS TEST QUESTIONS WITH ALL CORRECT ANSWERS Symptoms of Wenickes encephalopathy - Answer- Paralysis of the ocular muscles diploopia ataxia somnolence stupor death (if replacement therapy is not undertaken quickly) Peripheral Neuropathy and Alcoholic Myopathey - Answer- PN: Peripheral ...

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  • October 19, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • lcas
  • lcas test
  • lcas test questions with all correct answers

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LCAS TEST QUESTIONS WITH
ALL CORRECT ANSWERS

Symptoms of Wenickes encephalopathy - Answer- Paralysis of the ocular muscles
diploopia
ataxia
somnolence
stupor
death (if replacement therapy is not undertaken quickly)

Peripheral Neuropathy and Alcoholic Myopathey - Answer- PN: Peripheral nerve
damage, results in pain, burning etc due to lack of Vitamin B in alcoholics. Can lead to
permanent muscle wasting and paralysis, but is reversible with abstinence from alcohol
and restoration of nutritional deficiencies
AM: Acute or chronic. Acute is characterized by sudden onset of muscle pain, swelling,
and a breakdown of muscle product in the urine. Labs show elevations of the enzymes
of creatine phosphokinase(CPK), lactate dehydrogenase,(LDH), and aspartate
aminotransferase (AST). CHRONIC is characterized by general muscle wasting and
weakness in skeletal muscles. Can be reversed by abstinence from alcohol and the
return to a nutritious diet with vitamin supps. Vitamin B deficiency has been linked

Wernickes encephalopathy - Answer- Thiamine deficiency

Korsakoff's Psychosis - Answer- Normally occurs with Wernicke's encephalopathy

Symptoms of Korsakoff's - Answer- Confusion
Loss of recent memory
Confabulation in alcoholics

Treatment of Wernicke-Korsakoff's - Answer- Parenteral or oral Thiamine replacement

Blood alcohol level of intoxication - Answer- 100-200mg/dL

Blood alcohol level of death - Answer- 400-700mg/dL

Disulfiram (Antabuse) - Answer- Class: Aldehyde dehydrogenas inhibitior
Use: tx for alcohol addiction
Action: creates an unpleasant reaction when the pt drinks alcohol

Buprenorphine( Buprenex) - Answer- Class: Opiod analgesic

, Use: Tx for moderate to severe pain

Naltrexone (Revia) - Answer- Class: Opiod antagonist, opiod receptor
Use: tx for heroin abusers & Alcohol abusers
Action:
*works on the same receptors in the brain that cause pleasure, does not produce
"Narcotic high", and non habit forming.
*works the same for alcohol, showed lower overall relapse rates and fewer drinks per
drinking day among those clients
*Can also be used for gambling addictions

Dolophine (Methadone) - Answer- Class: Opiod analgesic
Tx: ATC pain

Lorazepam (Ativan) - Answer- Class: Benzodiazepine, anxiolytic, antiemtic
Tx: Depression, anxiety, and sleep

CNS Depressants.... - Answer- 1) Additive with one another and with the behavior state
of the user
2) Capable of producing physiological addiction
3) Capable of producing psychological addiction
4) Cross tolerance and cross dependence may exist between various CNS Depressants

Look at box 14-8 for intoxication/withdrawals - Answer-

Withdrawal assessment of Alcohol - Answer- Inquire about
1) Nausea & Vomitting, 0-7
2) Tremor- arms extended and fingers spread apart, 0-meaning no tremor, 7- meaning
severe, even when arms not extended
3) Paroxysmal Sweats- 0 no sweat 7 drenching sweats
4) Anxiety; Ask " Do you feel nervous" 0 meaning no anxiety, 7 equivalent to acute
panic attack
5) Tactile disturbances: Ask "Have you any itching, pins and needles sensations, any
burning, or do you feel any bugs crawling under your skin? scale 0-7
6)Auditory Disturbances: Ask "Are you more aware of sounds around you? Are they
harsh? do they frighten you? Are you hearing anything that is disturbing to you?
0= not present
1= very mild hasrshness or ability to frighten
2= mild harshness or ability to frighten
3= moderate
4= moderately severe hallucinations
5= severe
6= extremely severe
7= continuous
7) Visual disturbances; Ask "does the light appear too bright
0= not present

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