Chapter 31 - Misused Drugs

25 July 2022
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question
The side effects of smoking cessation include all of the following EXCEPT belching, hiccups, and indigestion hoarseness, soreness of the mouth and throat, and watering of the mouth tachycardia and insomnia decreased appetite, nausea, and diarrhea skin eruptions
answer
decreased appetite, nausea, and diarrhea
question
Which is NOT true of drugs used with alcoholism? Disulfiram is used for only alcoholism. Benzodiazepines are used for alcoholism. Disulfiram has many drug interactions. Disulfiram should be given to a person who abuses alcohol whether the person desires to stop consuming alcohol or not. All of the above statements are true.
answer
Disulfiram should be given to a person who abuses alcohol whether the person desires to stop consuming alcohol or not. [ DO NOT GIVE THIS TO PATIENTS WHO ARE NOT SERIOUS OF QUITTING BECAUSE IT CAUSES ADVERSE SIDE EFFECTS]
question
The half-life of cocaine is fairly long, leading to toxicity and the chance of acute intoxication. True False
answer
FALSE- cocaine has a short half life
question
Which of the following is NOT true of abused central nervous system stimulants? There is an antidote for amphetamine and cocaine toxicity that stops the toxic effects with few side effects. Signs of amphetamine toxicity include pallor of the skin, palpitations, tremors, extreme fluctuations in blood pressure and pulse, and chest pain. Abrupt withdrawal of central nervous system stimulants will produce prolonged sleep. Pharmacological effects of cocaine are similar to those of amphetamines. Tolerance occurs with central nervous system stimulants.
answer
There is an antidote for amphetamine and cocaine toxicity that stops the toxic effects with few side effects.- THERE IS NO ANTIDOTE
question
Which of the following is NOT a hallucinogen, psychedelic, or psychomimetic? LSD ecstasy PCP marijuana mescaline
answer
marijuana
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Factors in drug abuse and misuse
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Curiosity/peer pressure physical dependence psychologic dependence social status/social approval drug availability vulnerability psychosocial disorders genetics tolerance to otherwise intolerable situations
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Physical signs of drug abuse
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changes in sleeping habits/weight/vital signs lack of muscle coordination with slurring words lethargy and illnesses on a more frequent basis
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psychologic signs
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depression apathy anxiety overreaction concentration impairment and shortened memory inability to organize and infexibility to changes in planned schd illogical thinking/confusion
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social signs of drug abuse
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mood swings, irrability, anger defensiveness and overreaction to social situations decreased school work or work performance/absenteeism feelings of inadequacy disrespect to authorities casting away of old friends
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drug withdrawal symptoms
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nervousness runny nose stuffiness sweating bloodshot/puffy eyes inability to stay still changes in vital signs (variations in BP, pusle, rapid respirtations)
question
what is the leading cause of beginning drug abuse?
answer
curiosity
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drugs not requiring prescriptions
answer
nicotine, alcohol
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drugs that require prescription use that are abused
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opiates/opioids
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abused CNS stimulants
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amphetamines , cocaine,nicotine
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drugs that are called "uppers" or "speed" and have medicinal and illicit implications
answer
amphetamines
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Treatment for amphetamines or cocaine toxcitity must be symptomatic as no antidote is known
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true
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CNS depressants
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barbiturates, benzodiazepines, marijuana/hashish
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hallucinogens, psychedelics, psychotomimetics
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mind altering drugs producing auditory, visual hallucinations ex: LSD, DMT, PCP (angel dust,purple haze, acid) Mescaline, psilocybin, MDMA (ecstacy)
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most dangerous and unpredictable drug that is often abused in street substances
answer
PCP
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examples of inhalants
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Benzine,acetone, carbon tetrachloride,gasoline, trichloroethylene, toulene
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what is bagging, huffing, sniffing? [ all produce same effect as CNS depression with ineberation, dizziness, light headedness, intense feelings of intoxication]
answer
bagging:pouring solvents into a bag and inhaling vapors huffing: pouring solvent into rag and inhale vapors sniffing: inhaling from original container
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tolerance with inhalants normally occurs: true or false?
answer
true
question
anabolic steriods
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oral or parental theurapeutic use: low weight individuals, those with low testosterone nontheurapeutic: athletes steriods are schedule 2 due to level of misuse and abuse
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oldest and most abused drug in US
answer
alcohol
question
Which of the following is NOT true of ethyl alcohol? It has no medicinal indications. Its effects are dose-dependent. It may cause death of brain tissue and anesthesia. Its use is the third most serious public health problem. All of the above statements are true.
answer
it has no medicinal indications- it does have medicinal indications because it's found in mouth washes and rubbing alcohol
question
The fastest-acting nicotine substitute is the nasal spray. True False
answer
true
question
Which of the following is NOT true of hallucinogens, psychedelics, and psychomimetics? Hallucinogens and psychedelics cause hallucinations and mind-altering conditions in about 1 to 2 hours after administration. Psychedelics are different from other drugs because they have the ability to bring about alterations in thought, perception, and feeling that otherwise occur only in dreams. LSD is a sympathomimetic, causing hypertension, dilated pupils, hyperthermia, tachycardia, and enhanced awareness of activities. Mescaline causes abdominal pain, nausea, vomiting, and diarrhea. There is no medication to dissipate "bad trips" found with hallucinogens, psychedelics, and psychomimetics.
answer
There is no medication to dissipate "bad trips" found with hallucinogens, psychedelics, and psychomimetics.
question
The side effects of smoking cessation include all of the following EXCEPT belching, hiccups, and indigestion hoarseness, soreness of the mouth and throat, and watering of the mouth tachycardia and insomnia decreased appetite, nausea, and diarrhea skin eruptions
answer
decreased appetite, nausea, and diarrhea
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Personal characteristics of drug misusers and abusers include all of the following EXCEPT vulnerability feelings of self-worth shame and inadequacy depression and anxiety impulsiveness and compulsiveness
answer
feelings of self-worth
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Which of the following is NOT a factor leading to drug abuse? curiosity peer pressure and social status physical dependence genetics terminal diseases
answer
terminal diseases
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When smoked, marijuana has its effect in 5 to 15 minutes, peaking in 30 to 90 minutes, and lasting for 3 to 4 hours. True False
answer
true
question
Which of the following medications do NOT interact with nicotine? acetaminophen and caffeine medications for pain insulin tranquilizers all of the above interact with nicotine
answer
all of the above?
question
Which of the following are the most frequently abused drugs? alcohol caffeine nicotine A and C are correct none of the above
answer
(a and c)-both alcohol and caffeine
question
Which of the following is NOT true of smoking cessation products? They come in gums, nasal sprays, injectable medications, and transdermal systems. Nicotine gums are absorbed by the mucous membranes of the mouth. Transdermal patches are worn for 16 to 24 hours per day. Tablets should be used for at least 3 months but no longer than 6 months. All of the above statements are true.
answer
all of the above are true