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 ...
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
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
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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