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CSAMS - DRUG SECTION FINAL EXAM COMPLETE 200
QUESTIONS & CORRECT ANSWERS (WELL VERIFIED)
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Controlled Substance Act of 1970 (CSA) - CORRECT ANSWER >>> Divided drug classifications into 5 categories or schedules Schedule 1 (High Potential for Abuse) - CORRECT ANSWER >>> substances, or chemicals with no currently accepted medical use and a high potential for abuse What are schedule 1 drugs? - CORRECT ANSWER >>> Heroin, LSD, Weed, Ecstasy/MDMA, Methaqualone, Peyote, Psilocybin (mushrooms), spice, and bathsalts Schedule 2 (High Potential for Abuse) - CORRECT ANSWER >>> substances, or chemicals with a high potential for abuse, with use potentially leading to severe psychological or physical dependance. currently accepted for medical use What are schedule 2 drugs? - CORRECT ANSWER >>> some examples of schedule 2 drugs are: combination products with less than 15 mgs of hydrocodone per dosage unit (VICODIN), Cocaine, Meth, Methadone, Hydromorphone (Dilaudid), Meperidine (Demerol), Oxycodone (Oxycontin), Fentanyl, Dexedrine, Adderall, Ritalin, Opium, Morphine, PCP Schedule 3 - CORRECT ANSWER >>> substances, or chemicals with a moderate to low potential for physical and psychological dependence. Schedule 3 drug abuse potential is less than Schedule 1 and Schedule 2 drugs but more than Schedule 4. This is currently accepted for medical use What are scheduled 3 drugs? - CORRECT ANSWER >>> Schedule 3 drugs are products containing less than 90 milligrams of codeine per dosage unit (tylenol with codeine), Ketamine, Anabolic steroids, testosterone and some barbituates
Schedule 4 (low potential for abuse) - CORRECT ANSWER >>> substances, or chemicals are defined as drugs with low potential for abuse and low risk of dependence. currently accepted medical use What are schedule 4 drugs? - CORRECT ANSWER >>> xanax soma, darvon, darvocet, valium, ativan, talwin, ambien, tramadol, klonopin, and phenobarbital Schedule 5 (low potential for abuse) - CORRECT ANSWER >>> substances with lower potential for abuse than schedule 4, and consist of preparations containing limited quantities of certain narcotics. these are generally used for antidiarrheal, antitussive, and analgesic purposes What are schedule 5 drugs? - CORRECT ANSWER >>> Robitussin AC, Lomotil, Motofen, Lyrica, and Paraceptolin What is Indiana Code: IC 7.1- 5 - 7 - CORRECT ANSWER >>> Minor consumption and possession What is Indiana Code: IC 9- 30 - 5 - CORRECT ANSWER >>> Operating a Vehicle While Intoxicated What are Narcotics/Opioids? - CORRECT ANSWER >>> These are prescribed by doctors to treat pain, suppress cough, cure diarrhea. What are the effects of narcotics/opioids? - CORRECT ANSWER >>> Effects include tension, general sense of well being, drowsiness, and inability to concentrate What are opioid withdrawal symptoms? - CORRECT ANSWER >>> diarrhea, dilated pupils, agitation, muscle aches, anxiety, rapid heart beat, high blood pressure, nausea/vomiting, sweating/clammy/runny nose
What are depressants? - CORRECT ANSWER >>> drugs that slow down the central nervous system, reduce reaction time, impair mental functioning and judgement, produce a sense of euphoria. withdrawal can be life-threatening. Symptoms of depressants are: - CORRECT ANSWER >>> relaxed muscles, slurred speech, loss of coordination, slowed breathing What are hallucinogens? - CORRECT ANSWER >>> hallucinations, twitching, increased temperature What drugs are hallucinogens? - CORRECT ANSWER >>> LSD, PCP, Mushrooms, Ecstasy (MDMA), Ketamine, DMT What are amphetamines? - CORRECT ANSWER >>> drugs that stimulate neural activity, causing speeded-up body functions and associated energy and mood changes - may be injected
What is an amphetamine? - CORRECT ANSWER >>> Dexedrine What is dexedrine? - CORRECT ANSWER >>> this drug is a CNS stimulant. it is a prescription medicine. It is used for ADHD. This may help increase attention and decrease impulsiveness and hyperactivity in patients with ADHD What is the main ingredient in marijuana? - CORRECT ANSWER >>> Delta 9- tetrahydrocannabinol (THC) Long term marijuana use cannot reverse tolerance - CORRECT ANSWER >>> True: long term marijuana use cannot reverse tolerance
What are withdrawal symptoms of marijuana? - CORRECT ANSWER >>> depressed appetite, upset stomach, irritability, mood changes, insomnia, headaches, sweating and chills what is reverse tolerance? - CORRECT ANSWER >>> a state when the user ges the desired high from taking less of a drug than in previous use what is amotivation syndrome? - CORRECT ANSWER >>> a chronic psych. disorder characterized by a variety of changes in personality, emotions and cognitive functions such as lack of activity, inward turning, avolition, apathy, incoherence, blunted affect, inability to concentrate, and memory disturbance. the syndrome was first described among those patients with a history of long term cannabis use. this syndrom can be see in people a history or psychoactive substances which include solvent, meth, and OTC cough syrups What is synthetic marijuana (K2/Spice) - CORRECT ANSWER >>> mimics the high of marijuana, often quicker and more intense
- marketed under spice, K2, and skunk
- symptoms are vomiting, numbness, elevated heart rate, seizure/tremors, increased anxiety and paranoia What are over the counter drugs of abuse? - CORRECT ANSWER >>> cough syrup, sudafed, sleep aids, and benadryl What are bath salts? - CORRECT ANSWER >>> mind altering drugs that are strong CNS stimulants that inhibit the dopamine-norepinephrine reuptake system (neurotransmitters in the brain). they can lead to serious, and even fatal adverse reactions. this effect is high or rush which is like meth. they often are sold on the street as cheap substitutes for other stimulants such as meth or cocaine What is Krokodil? - CORRECT ANSWER >>> highly addictive drug that quickly damages the CNS, rotting bones, and skin inside out
- may include codeine, lighter fluid, gasoline, alcohol, and paint thinner
What is GHB (gamma-hydroxybutyrate)? - CORRECT ANSWER >>> a CNS depressant used as an intoxicant
- it causes drowsiness and reduces heart rate
- treats sleep disorders
- commonly used by bodybuilders due to the growth hormone Heroin - CORRECT ANSWER >>> narcotic drug derived from morphine. highly addictive
- brown or white powder with bitter taste
- short term effects of heroin used include dry mouth, clouded mental function, small pupils, droopy eyelids, lack of appetite, itching or burning of skin, sweating, low body temp, slowed breathing, nausea and vomiting What is Heroin? - CORRECT ANSWER >>> long term effects of Heroin use include coma, lack of oxygen from slowed and irregular breathing. brain damage and collapsible veins. What is the symptom of opiate withdrawal? - CORRECT ANSWER >>> Abdominal pain, nausea, vomitting, diarrhea, cold flashes with goosebumps, involuntary kicking movements, muscle and bone pain (flu like) What are inhalants? - CORRECT ANSWER >>> gasoline, glue, magic markers, cleaning supplies, nail polish, whitehout, and air duster
- breathable chemicals that produce psycho active effects
- these pass through the nasal cavity and enter bloodstream and lungs in seconds Solvents and volatile chemicals are - CORRECT ANSWER >>> a category of inhalants such as gasoline, glue, spray paint, shoe polish, household cleaners
Aerosoles are - CORRECT ANSWER >>> a category of inhalants such as propellant from hairspray, insecticide, deodorant, air freshener, and cooking spray Gas are - CORRECT ANSWER >>> a category of inhalants such as nitrous oxide, whipped cream, butane, propape, helium, and amyl nitrite Who uses inhalants? - CORRECT ANSWER >>> all ages but typically white ages 12-17.
- in March 2021, 54% were 18 and older
- 1.1 million adults abuse inhalants each year Who are new inhalant users? - CORRECT ANSWER >>> Adolescents and adults in treatment for addictions such as heroin, combat vets with PTSD, and people on probation, parole, work release, and HD What are the medical effects of inhalant use? - CORRECT ANSWER >>> Brain, Lung, Heart, Liver, Muscle, Bone/Marrow, and CNS Inhalant effect of Brain is - CORRECT ANSWER >>> tremors, double vision, changing personality, memory loss, decreased cognitive functioning, slurred speech Inhalant effect of Lungs are - CORRECT ANSWER >>> sinus discharge, coughing, upper and lower airway irritation Inhalant effects of Heart are - CORRECT ANSWER >>> irregular heart beat, death Inhalant effects of liver is - CORRECT ANSWER >>> temp. or permanent damage Inhalant effects on muscle is - CORRECT ANSWER >>> weakness, reduced tone
What is phenobarbital? - CORRECT ANSWER >>> Barbiturate, increases the seizure threshold, aka luminol- used as a sedative and has anti-seizure properties in patients with epileptics and alcohol withdrawal mgmt. very addictive What are anabolic steroids? - CORRECT ANSWER >>> synthetic drugs used for improving athletic performance and muscle mass What is valium? - CORRECT ANSWER >>> valium is a type of SSRI
- diazepam is a medication that treats anxiety, seizures, muscle spasms, or twitches. it can also reduce the symptoms of alcohol withdrawal. this works by helping calm nervous system down. What is paraldehyde? - CORRECT ANSWER >>> used to control convulsion due to clinical causes, including tetanus, status epileptics, and convulsive drugs
- used in treatment of alcoholism, and in the treatment of nervous and mental conditions to calm or relax patients who are nervous or tense and to produce sleep
- this has been replaced by safer and more effective medicines for the treatment of alcoholism and in the treatment of nervous and mental conditions what is psilocybin? - CORRECT ANSWER >>> a hallucinogenic substance obtained from certain types of mushrooms that are indigenous to tropical and subtropical regions of south america. this is deactivated by cooking or freezing mescaline is - CORRECT ANSWER >>> a natural occurring psychedelic that comes from mexican peyote cactus what is LSD? - CORRECT ANSWER >>> not a naturally occurring susbtance
- this causes hallucinations
- depersonalization is common side effect of hallucinogens. this occurs when you have a feeling that you're observing yourself from outside the body or you have a sense that things around you aren't real or both What is Prozac? - CORRECT ANSWER >>> Selective Serotonin Reuptake Inhibitor (SSRI) What is the detection window for alcohol? - CORRECT ANSWER >>> 3 to 3.5 days what is the detection window for amphetamines? - CORRECT ANSWER >>> 2 to 2.5 days what is the detection window for meth? - CORRECT ANSWER >>> 2 to 2.5 days what is the detection window for benzos? - CORRECT ANSWER >>> 4 to 5 days what is the detection window for cocaine? - CORRECT ANSWER >>> 3 to 3.5 days what is the detection window for methadone? - CORRECT ANSWER >>> 2 to 2.5 days what is the detection window for opiates? - CORRECT ANSWER >>> 2 to 2.5 days what is the detection window for PCP and Marijuana? - CORRECT ANSWER >>> extended time specimen option for blood is - CORRECT ANSWER >>> 8 to 12 hours
medications to prevent relapse can be prescribed for? - CORRECT ANSWER >>> opiate dependence oxycontin is a pain killer referred to as? - CORRECT ANSWER >>> hillbilly heroin some antimanic medications contain? - CORRECT ANSWER >>> lithium What is experimentation? - CORRECT ANSWER >>> encouraged by society, person learns to trust the drug, using alcohol or drugs socially or trying different drugs what is misuse? - CORRECT ANSWER >>> - taking or using medicine in a way that it is not intended
- no remorse
- few or mild consequences What is dependance? - CORRECT ANSWER >>> - you need 3 or more in 12 months
- tolerance
- more than intended
- attempt to control
- decrease in role functions
- continued use despite physical and mental health problems What is the level of care? - CORRECT ANSWER >>> - outpatient services
- IOP/Partial Hospitalization
- Residential/Inpatient Services
- Medically Managed Intensive Inpatient Services What is the breakdown of alcohol? - CORRECT ANSWER >>> Alcohol --> acetaldehyde --> acetic acid --> Carbon Dioxide --> Water
- alcohol does not digest it metabolizes
- the liver is solely responsible for the breakdown Effect of alcohol at varying BAC- - CORRECT ANSWER >>> .05, .10, .15, .20, .30, .35, .40,. .05 BAC is - CORRECT ANSWER >>> less alert/slightly euphoric .10 BAC is - CORRECT ANSWER >>> slower reaction time, reduced visual accuracy, legal intoxication in most states .20 BAC is - CORRECT ANSWER >>> marked affected psychomotor ability, difficulty staying awake .30 BAC is - CORRECT ANSWER >>> stuporous state, not likely to remember events the next day .35 BAC is - CORRECT ANSWER >>> completely anesthetized, 1% of people die at this BAC .40 BAC is - CORRECT ANSWER >>> unconscious or coma, .5% will fatally OD w/o medical intervention .50 BAC is - CORRECT ANSWER >>> deep coma or completely unconscious if not already dead
What happens in precontemplation? - CORRECT ANSWER >>> not seriously thinking about changing and is not interested in help. defend bad habits and don't see their use as problem. defensive in the face of other peoples efforts to help them to change. in AA, this stage is called "denial". What happens in contemplation? - CORRECT ANSWER >>> people weighing pros and cons of changing. although they notice their bad habits as well as the positive aspect of change, they may doubt that long term benefits will outweigh short term costs. it might take as little as a couple of weeks or as long as a lifetime to get through the contemplation stage what happens in relapse? - CORRECT ANSWER >>> person relapses when using marijuana, cocaine, and opiates the drug binds to? - CORRECT ANSWER >>> the receptors on the neurons in the nucleus accumbens What is social desirability? - CORRECT ANSWER >>> the tendency for people to present themselves in a generally favorable fashion. particularly within the field of self-report assessment of personality and attitudes. What is acquiescence bias? - CORRECT ANSWER >>> human tendency to go with the flow by avoiding responses that might offend or annoy the assessor What are demand characteristics? - CORRECT ANSWER >>> tendency for clients to alter responses because they think the assessor wants them to answer in a particular way 65% of ___ is nonverbal? - CORRECT ANSWER >>> communication _____ is the number one killer substance? - CORRECT ANSWER >>> nicotine
_____ and nicotine are the biggest gateway drugs - CORRECT ANSWER >>> caffeine 3 to 4 months after last use is the most difficult as there is an _____ **- CORRECT ANSWER
** inability to experience pleasure the ____ returns to normal after 1 year after last use - CORRECT ANSWER >>> brain smoking is the _______ way to get a drug to the brain - CORRECT ANSWER >>> fastest T of F: it is a substance use disorder if use impairs functions otherwise it is a dependency issue - CORRECT ANSWER >>> true what are the 4 patterns of use? - CORRECT ANSWER >>> 1. experimentation, 2. ** the receptors on the neurons in the nucleus accumbens What is social desirability? - CORRECT ANSWER >>> the tendency for people to present themselves in a generally favorable fashion. particularly within the field of self-report assessment of personality and attitudes. What is acquiescence bias? - CORRECT ANSWER >>> human tendency to go with the flow by avoiding responses that might offend or annoy the assessor What are demand characteristics? - CORRECT ANSWER >>> tendency for clients to alter responses because they think the assessor wants them to answer in a particular way 65% of ___ is nonverbal? - CORRECT ANSWER >>> communication _____ is the number one killer substance? - CORRECT ANSWER >>> nicotine _____ and nicotine are the biggest gateway drugs - CORRECT ANSWER >>> caffeine 3 to 4 months after last use is the most difficult as there is an _____ - CORRECT ANSWER >>> inability to experience pleasure the ____ returns to normal after 1 year after last use - CORRECT ANSWER >>> brain smoking is the _______ way to get a drug to the brain - CORRECT ANSWER >>> fastest T of F: it is a substance use disorder if use impairs functions otherwise it is a dependency issue - CORRECT ANSWER >>> true what are the 4 patterns of use? - CORRECT ANSWER >>> 1. experimentation, 2. social/recreational/responsible, 3. at risk use, 4. substance use disorders What are the two types of neurotransmitters? - CORRECT ANSWER >>> inhibitory (calm the brain) and excitatory (what stimulates the brain- same as adrenaline) What is the limbic system? - CORRECT ANSWER >>> Area of the brain affected by substances- included senses, motivation, sex drive, emotional response, basic bodily functions DSM0V has ______ symptoms of alcohol disorder - CORRECT ANSWER >>> 11 alcohol and benzo withdrawal can _____ - CORRECT ANSWER >>> Kill alcohol withdrawal starts when ???? - CORRECT ANSWER >>> between 6 to 24 hours
What is Serotonin Norepinehrine Reuptake (SNRI)? - CORRECT ANSWER >>> used for pain with depression What is Novel antidepressants? - CORRECT ANSWER >>> some impact serotonin What is a tricyclic antidepressant? - CORRECT ANSWER >>> can cause drowsiness and not often used Where is tuberculosis - CORRECT ANSWER >>> found in the lungs
