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NU665 EXAM 2-SUD, integrated care, paraphilic d/o, metabolic syndrome With complete solution Newest 2025 100% PASS DSM5 II! Mild II!SUD MODERATE SEVERE early II!remission sustained II!remission II!- II! II!Correct II!Answers II! 2 - 3 II!sx 4 - 5 II!SX 6 II!or II!more II!sx II! no II!criteria II!except II!cravings II!for II!at II!least II! 3 II!mos. II!and II!< no II!criteria II!except II!craving II!for II!>12 II!mos II!pulsatile II!release II!pattern II!- II! II!Correct II!Answers II!release II!of II!extended II!release II!drugs II!I.e. II!stimulants II! false II!sense II!of II!security-still II!able II!to II!be II!misused II!I.e. II!stimulants II!how II!do II!you II!resensitize II!drug II!receptors II!for II!pleasurable II!effects? II!- II! II!Correct II!Answers II!substance II!needs II!to II!be II!withdrawn-leads II!to II!cravings II!when II!are II!nicotinic II!receptors II!desensitized II!- II! II!Correct II!Answers II!time II!that II!one II!cigarette II!is II!finished resensitized II!in II!~45 II!mins II!most II!commonly II!abused II!substances II!(in II!order) most II!commonly II!USED II!substance II!- II! II!Correct II!Answers II!alcohol-tobacco-MJ II!(in II!that II!order)
caffeine II!onset II!of II!caffeine II!w/d II!sx II! peak resolution II!- II! II!Correct II!Answers II! 12 - 24 II!hrs II! peak II! 24 - 48 II!hrs II! resolution II! 1 II!week II!nicotine II!w/d II!sx II!onset peak duration II!- II! II!Correct II!Answers II!onset II! 2 II!hrs II! peak II! 24 - 48 II!hrs II! last II!weeks-months II!ETOH II!w/d II! early II!onset II! later II!onset II!- II! II!Correct II!Answers II! 6 II!hrs II!of II!significant II!drop II!in II!BAC early II! 6 - 24 II!hrs late II! 10 - 72 II!hrs II!adverse II!effects II!of II!cannabis II!Carlat II!- II! II!Correct II!Answers II!"makes II!you II!feel II!great II!until II!it II!doesn't" hallucinations, II!anxiety, II!tachycardia, II!sleepiness, II!impaired II!memory/problem II!solving II! heavy II!use II!unmask II!psychotic II!d/o II!earlier II!than II!it II!would II!have II!otherwise II!occurred II!how II!long II!can II!impaired II!motor II!skills II!and II!slow II!rxn II!time II!last II!after II!acute II!cannabis II!use? II!- II! II!Correct II!Answers II! 8 - 12 II!hrs II!chronic II!cannbis II!use II!can II!mimic II!- II! II!Correct II!Answers II!ADHD ANXIETY
II!hallucinogen II!persisting II!perception II!disorder II!- II! II!Correct II!Answers II!"flashbacks" II!that II!occur II!in II! 15 - 80% II!of II!users II! DSM- 5 II!solvents volatile II!substances II!- II! II!Correct II!Answers II!other II!names II!for II!inhalants II!MAT II!options II!- II! II!Correct II!Answers II!naltrexone II!(opioid II!antagonist) methadone II!(opioid II!agonist) Suboxone II!(partial II!agonist) II! subutex II!(bup II!only) II!goals II!of II!MAT II!- II! II!Correct II!Answers II!1. II!reduce II!adverse II!effects II!of II!OUD II!(relapse, II!crime, II!death)
- II!stabilize II!brain
- II!reduce II!opioid II!cravings II!who II!is II!naltrexone II!best II!for? II!- II! II!Correct II!Answers II!highly II!motivated II!clients II!2/2 II!blocks II!opioid II!effects II!naltrexone II!contraindications II!- II! II!Correct II!Answers II!hepatitis II!acute II! liver II!failure II!when II!can II!you II!start II!naltrexone II!- II! II!Correct II!Answers II! 7 - 10 II!days II!sober II!from II!opioids II!Suboxone II!benefits II!compared II!to II!methadone II!- II! II!Correct II!Answers II!1. II!office-based II!setting II!available
- II!no II!daily II!clinic II!visits II!
- II!less II!stigma II!(perhaps) II!mono II!Suboxone II!produce II!- II! II!Correct II!Answers II!subutex
II!DSM5 II! 2013 II!eliminated II!what II!terms II!from II!SUD II!identification? II!- II! II!Correct II!Answers II!substance II!abuse II!and II!substance II!dependence now: II!substance II!related II!and II!addictive II!disorders II!(including II!behaviors II!I.e. II!gambling) II! 4 II!dimensions II!of II!recovery II!- II! II!Correct II!Answers II!health, II!home, II!purpose, II!community II!pathways II!of II!addiction II!- II! II!Correct II!Answers II!VTA nucleus II!accumbens II!(pleasure II!center) II!the II!brains II!pleasure II!center II!- II! II!Correct II!Answers II!nucleus II!accumbens-dopamine II!powerhouse II!Counteradaptation II!- II! II!Correct II!Answers II!initial II!positive II!reward II!feelings II!are II!followed II!by II!development II!of II!tolerance-greater II!amounts II!of II!substance II!are II!needed II!to II!achieve II!diminishing II!levels II!of II!positive II!rewards II!SBIRT II!- II! II!Correct II!Answers II!Screening, II!Brief II!Intervention, II!and II!Referral II!to II!Treatment SAMHSA II!PRINCIPLES II!OF II!MOTIVATIONAL II!INTERVIEWING II!- II! II!Correct II!Answers II!Change II!talk II! roll II!with II!resistance-avoid II!challenging II!person's II!resistance II!and II!accept II!ambivalence II!contingency II!management II!in II!SUD II!treatment II!- II! II!Correct II!Answers II!behavioral II!reinforcement II!based II!approach II!w/in II!CBT II!model II!accountable II!care II!organizations II!- II! II!Correct II!Answers II!groups II!of II!doctors, II!hospitals, II!and II!other II!health II!care II!providers, II!who II!come II!together II!voluntarily II!to II!give II!coordinated II!high II!quality II!care II!to II!their II!Medicare II!patients medicare II!pts II!get II!right II!care II!at II!right II!time II!and II!she II!in II!the II!cost II!savings II!what II!is II!the II!mainstay II!of II!integrated II!care II!settings? II!- II! II!Correct II!Answers II!screenings II!(medical II!and II!mental II!health)
II!tx II!for II!premature II!ejaculation II!- II! II!Correct II!Answers II!paxil zoloft lexapro prozac II!paraphilia II!- II! II!Correct II!Answers II!intense II!and II!persistent II!sexual II!interests II!other II!than II!sexual II!interest II!in II!genital II!stimulation II!or II!preparatory II!fondling II!with II!phenotypically II!normal, II!physically II!mature, II!consenting II!human II!partners I.e. II!spying, II!rubbing II!genitals II!on II!others, II!genital II!exposure II!etc. II!when II!does II!paraphilia II!become II!paraphilia II!d/o? II!- II! II!Correct II!Answers II!when II!criteria II!B II!-harm II!to II!self II!or II!others II!is II!met II!what II!must II!you II!differentiate II!from II!paraphilia II!d/o's? II!- II! II!Correct II!Answers II!1. II!non II!pathological II!sexual II!fantasies II!(most II!important)
- II!dementia
- II!personality II!change II!d/t II!medical II!condition
- II!manic II!episode II!and II!substance II!intoxication II!
- II!schizophrenia II!most II!common II!of II!potentially II!law-breaking II!sexual II!behaviors II!- II! II!Correct II!Answers II!voyeuristic II!d/o's II!when II!is II!voyeuristic II!d/o II!considered II!to II!be II!in II!full II!remission II!- II! II!Correct II!Answers II!at II!least II! 5 II!years II!w/in II!controlled II!environment II!pedophilic II!sexualII!orientation II!vs II!d/o II!- II! II!Correct II!Answers II!d/o II!causes II!distress II!and II!impairment II!in II!invidividual orientation II!when II!no II!acting II!on II!impulses II!and II!are II!not II!functionally II!limited II!from II!them II!age II!criteria II!for II!pedophilic II!d/o II!- II! II!Correct II!Answers II!age II!is II!at II!least II! 16 II!YO II!and II!victim II!is II!at II!least II! 5 II!years II!younger II!
doesn't II!include II!individuals II!in II!late II!adolescence II!in II!relationship II!w II! 12 II!or II! 13 II!YO II!autogynephilia II!- II! II!Correct II!Answers II!Sexual II!arousal II!of II!genital II!male II!associated II!with II!the II!idea II!or II!image II!of II!being II!a II!woman. II!new II!subcategory II!of II!pedophilia II!- II! II!Correct II!Answers II!infantophilia II!who II!is II!most II!vulnerable II!to II!paraophilic II!d/o's? II!- II! II!Correct II!Answers II!personality II!d/os II!with II!low II!self II!esteem, II!anger II!management, II!low II!empathy, II!delaying II!gratification II!fewer II!than II!___% II!of II!sex II!offenders II!in II!US II!have II!sexual II!sadism II!d/o II! ___% II!of II!those II!that II!have II!committed II!sexually II!motivated II!homicides II!have II!d/o II!- II! II!Correct II!Answers II! 10 II!% 35 - 75% II!poor II!prognosis II!for II!pharaphilic II!d/o's II!- II! II!Correct II!Answers II!1. II!early II!onset II!
- II!legal II!charges
- II!unmotivated/uncooperative II!attitude
- II!paraphilia II!as II!only II!sexual II!activity II!
- II!comorbidity II!and II!lack II!of II!remorse II!possible II!comorbidities II!of II!paraphilia II!- II! II!Correct II!Answers II!1. II!other II!paraphilic II!d/o's II!
- II!depressive, II!bipolar, II!antisocial II!personality II!d/o, II!anxiety II!medications II!for II!paraphilic II!disorders II!- II! II!Correct II!Answers II!lithium/mood II!stabilizers II! SSRIs II!--> II!induce II!libido II!lowering II!sexual II!side II!effects, II!typically II!given II!in II!higher II!doses II! long II!acting II!gonadotropin II!releasing II!hormones II!(leuprolide II!acetate II!and II!triptorelin) II!
II!when II!is II!pt II!screen II!for II!evelated II!BP II!- II! II!Correct II!Answers II!USPFTF: II! 18 - 39 II!q3- 5 II!years age II! 40 II!yearly II!screen II! AHA: II!screen II!starting II!at II!age II! 20 II!for II!q2years II!BP II! normal elevated HTN: II! stage II! 1 II! stage II! 2 II!- II! II!Correct II!Answers II!normal: II!<120/< elevated: II! 120 - 129/< stage II!1: II! 130 - 139 II!or II!diastolic II! 80 - 89 stage II!2: II!>/=140 II!or II!diastolic II!at II!least II! 90 II!HTN II!medications II!- II! II!Correct II!Answers II!thiazides, II!ACEI's, II!ARBs, II!CCB BB II!no II!longer II!many II!now II!only II!CAD, II!post II!MI, II!HF II!etc II!people II!with II!high II!cholesterol II!have II!___ II!the II!risk II!for II!heart II!disease II!- II! II!Correct II!Answers II!twice II!the II!risk II!dyslipidemia II!screening II!criteria II!- II! II!Correct II!Answers II!NIH: II!all II!ages II! 9 - 11 II!and II!again II!at II! 17 - 21 II!YO II! adults: II!age II! 20 II!then II!q5 II!years II!criteria II!to II!perform II!full II!lipid II!panel II!on II!no II!cardiac II!risk II!factors II!lipid II!panel II!vs II!cardiac II!risk II!factors II!- II! II!Correct II!Answers II!1. II!total-C II!>240 II!
- II!total-C II!>200 II!
w/ II!HDL II!< II!levels II!low II!vs II!high II!for II! LDL II! total-C HDL II!- II! II!Correct II!Answers II!1. II!<100; II! 160 - 189 II!high II!
- II!<200 II!goal; II!>240 II!high II!
- II!HDL II!<40 II!goal; II!>60 II!high II!triglyceride II!levels
- II!normal
- II!borderline
- II!high
- II!very II!high II!(pancreatitis) II!- II! II!Correct II!Answers II!1. II!<
- II! 150 - 199
- II! 200 - 499
- II!> II!pharm II!tx II!for II!dyslipidemia II!- II! II!Correct II!Answers II!***lifestyle II!modifications statins-simvastatin II! fibrates II! bile II!acid II!sequestrates-cholesterimine II! OTC-fish II!oil II!what II!is II!a II!possible II!side II!effect II!of II!statins II!- II! II!Correct II!Answers II!myalgias II!-weak/achy II!sx II!DM II!risk II!factors II!- II! II!Correct II!Answers II!1. II!>45 II!YO
- II!overweight
- II!first II!degree II!relative
II!DM II!meds II!- II! II!Correct II!Answers II!biguanides GLP- 1 II!(metformin) SGLT-1/2 II!(glucoseuria II!caused) DPP4 II!(genuvia-watch II!high II!tryglycerides II!and II!don't II!want II!pancreatitis) II!BMI II! underweight normal overweight obese II!- II! II!Correct II!Answers II!1. II!<18.
- II!18.5-24.
- II! 25 - 29.
- II!> II!the II!largest II!study II!on II!depression II!treatment II!to II!date II!- II! II!Correct II!Answers II!IMPACT II!model II!to II!integrate II!BH II!into II!primary II!care II!settings II! collaborative II!care II!more II!than II!doubled II!the II!effectiveness II!of II!depression II!treatment II!in II!older II!adults II!metabolic II!syndrome II!general II!treatment II!- II! II!Correct II!Answers II!weight II!loss, II!diet, II!exercise statins antihypertensive-ACEi, II!ARBs II!important II!labs II!for II!metabolic II!syndrome/starting II!antihypertensive II!med II!- II! II!Correct II!Answers II!BMP-GFR II!(kidney II!function) II! glucose-psych II!meds II!can II!increase II!glucose II!labs II!to II!evaluate II!myalgias II!- II! II!Correct II!Answers II!elevated II!ck creatinine UA II!for II!myoglobinuria
II!main II!diseases II!resolved II!with II!weight II!loss II!- II! II!Correct II!Answers II!hypercholesterolemia htn metabolic II!syndrome T2DM II!new II!addictionII!in II!DSM5 II!- II! II!Correct II!Answers II!gambling II! 2 II!neurobiological II!processes II!of II!addiction II!- II! II!Correct II!Answers II!1. II!reinforcements-DAII!reward II!center II!
- II!neuroadaptation-brain II!changes II!in II!structure II!leading II!to II!tolerance II!and II!w/d II!age II!group II!with II!highest II!prevalence II!of II!substance II!use II!- II! II!Correct II!Answers II! 18 - 24 II!YO II!diagnoses II!w/ II!highest II!prevalence II!of II!SUD II!- II! II!Correct II!Answers II!schizophrenia II!4x bipolar II!d/o II!5x II!specific II!criteria II!needed II!to II!identify II!substance II!use II!as II!abuse II!- II! II!Correct II!Answers II!1. II! 12 II!mo II!period II!of II!sustained II!use
- II!continued II!use II!in II!physically II!hazardous II!situations
- II!continued II!use II!despite II!inability II!to II!fulfill II!major II!role II!obligations
- II!continues II!despite II!multiple II!negative II!consequences II!in II!social II!relationships II!and II!legal II!problems II!behavioral II!health II!in II!primary II!care II!- II! II!Correct II!Answers II!impact II!model cherokee II!model II!(TN) diamond II!(Minnesota) MCPAP II!(MA) II!primary II!care II!in II!BH II!settins II!- II! II!Correct II!Answers II!health II!homes universalII!screenings
