SPMM Addictions Part 2, SPMM Addictions Part 1:
Questions & Answers (Solved)
Term that refers to neglect of all alternate forms of pleasure apart from
alcohol Right Ans - Salience
Feature of type 1 alcoholism according to Cloninger Right Ans - Starts after
25 years (mileu limited, lacks strong family of alcoholism and do not have high
rates of criminality)
Drug to given prophylactically against irreversible neurological damage in all
patients undergoing inpatient alcohol detoxification Right Ans - Thiamine
Safe limit of weekly alcohol consumption in women Right Ans - 14 units
Amount of alcohol units in 2 pints (2 x 568ml of beer) that has a strength of
4% alcohol by volume (ABV) Right Ans - 4.5U ( multiply ABV% by litres
consumed)
Symptoms of alcohol withdrawal usually subside within Right Ans - 5-7
days after last drink
According to NICE, opioid detox with Buprenorphine in an inpatient setting
should last Right Ans - 7-14 days
Which of the following regarded as most suitable screening tool for hazardous
use of alcohol in primary care Right Ans - AUDIT
For detecting hazardous and dependent drinking in primary care, which is the
best tool Right Ans - AUDIt
Alcohol withdrawal symptoms start within Right Ans - 48 hours
Disulfiram inhibits which enzyme Right Ans - Aldehyde dehydrogenase
Class of drugs recognised as treatment of choice for alcohol withdrawal
Right Ans - BDZ
, Drug of choice in uncomplicated alcohol withdrawal Right Ans -
Chlordiazepoxide (low dependence forming potential. Reducing from 20mg
QDS over 7/7)
Least likely observed in amphetamine withdrawal Right Ans - Decreased
appetite (usually Hyperphagia)
Which drug requires direct supervision by the treating clinician in alcohol
dependence Right Ans - Disulfiram (adverse effects dose-dependent and
may lead to death if large amount of alcohol consumed)
Features of hepatocerebral degeneration (4) Right Ans - Altered
sensorium, frontal release signs, asterixis and hyperreflexia with extensor
plantar responses
Alcohol related neurological damage associated with red wine Right Ans -
Marchiafava-Bignami Disease
Opioid detox in pregnancy Right Ans - Methadone
Rx for methadone OD Right Ans - Naloxone
Feature suggestive of F20 rather than alcoholic hallucinosis Right Ans -
Presence of thought disorder and affect incongruence
A px who was abstinent for a long time went back to the original pattern of
heavy drinking in a surprisingly rapid manner after having a priming dose of
alcohol. State? Right Ans - Reinstatement
Feature of type 2 alcoholism according to Cloninger Right Ans - Seen
usually in males (inheritance of condition from father, onset before 25yrs,
increased association with criminality and poor prognosis with respect to
abstinence)
Drug for alcohol dependence that acts centrally on glutamate and GABA
neurotransmitter system Right Ans - Acamprosate
Sally is 10w pregnant and is taking 70mg methadone and wants to stop taking
it Right Ans - Continue treatment till delivery
Questions & Answers (Solved)
Term that refers to neglect of all alternate forms of pleasure apart from
alcohol Right Ans - Salience
Feature of type 1 alcoholism according to Cloninger Right Ans - Starts after
25 years (mileu limited, lacks strong family of alcoholism and do not have high
rates of criminality)
Drug to given prophylactically against irreversible neurological damage in all
patients undergoing inpatient alcohol detoxification Right Ans - Thiamine
Safe limit of weekly alcohol consumption in women Right Ans - 14 units
Amount of alcohol units in 2 pints (2 x 568ml of beer) that has a strength of
4% alcohol by volume (ABV) Right Ans - 4.5U ( multiply ABV% by litres
consumed)
Symptoms of alcohol withdrawal usually subside within Right Ans - 5-7
days after last drink
According to NICE, opioid detox with Buprenorphine in an inpatient setting
should last Right Ans - 7-14 days
Which of the following regarded as most suitable screening tool for hazardous
use of alcohol in primary care Right Ans - AUDIT
For detecting hazardous and dependent drinking in primary care, which is the
best tool Right Ans - AUDIt
Alcohol withdrawal symptoms start within Right Ans - 48 hours
Disulfiram inhibits which enzyme Right Ans - Aldehyde dehydrogenase
Class of drugs recognised as treatment of choice for alcohol withdrawal
Right Ans - BDZ
, Drug of choice in uncomplicated alcohol withdrawal Right Ans -
Chlordiazepoxide (low dependence forming potential. Reducing from 20mg
QDS over 7/7)
Least likely observed in amphetamine withdrawal Right Ans - Decreased
appetite (usually Hyperphagia)
Which drug requires direct supervision by the treating clinician in alcohol
dependence Right Ans - Disulfiram (adverse effects dose-dependent and
may lead to death if large amount of alcohol consumed)
Features of hepatocerebral degeneration (4) Right Ans - Altered
sensorium, frontal release signs, asterixis and hyperreflexia with extensor
plantar responses
Alcohol related neurological damage associated with red wine Right Ans -
Marchiafava-Bignami Disease
Opioid detox in pregnancy Right Ans - Methadone
Rx for methadone OD Right Ans - Naloxone
Feature suggestive of F20 rather than alcoholic hallucinosis Right Ans -
Presence of thought disorder and affect incongruence
A px who was abstinent for a long time went back to the original pattern of
heavy drinking in a surprisingly rapid manner after having a priming dose of
alcohol. State? Right Ans - Reinstatement
Feature of type 2 alcoholism according to Cloninger Right Ans - Seen
usually in males (inheritance of condition from father, onset before 25yrs,
increased association with criminality and poor prognosis with respect to
abstinence)
Drug for alcohol dependence that acts centrally on glutamate and GABA
neurotransmitter system Right Ans - Acamprosate
Sally is 10w pregnant and is taking 70mg methadone and wants to stop taking
it Right Ans - Continue treatment till delivery
