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for the Psychiatry Clerkship is proud to present And Now Here Is The Host... Insert Name Here.

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for the Psychiatry Clerkship
Transcript

for the

Psychiatry Clerkship

is proudis proudto presentto present

And Now Here

Is The Host . . .

Insert Name Here

The categories for today’s Jeopardy on Substance Use will be:

Marijuana

Nicotine

Alcohol

LSD, XTC, PCP Inhalants

Miscellaneous

100 100

200

300

800

700

500

800

Marijuana Alcohol Miscellaneous

100

700

500

700

400

800

600

100

900 900 900 900

300

500

800

LSC, PCP, XTC,

Inhalants

100

900

500

400

300

200

300

400

600

800

200

300

600

200

500

400

700

600

200

400

700

600

Nicotine

Row 1, Col 1

Use of a single joint can lead to a positive urine marijuana test as

many as this number of days later

What is 4 days?

1,2

Use of marijuana at an early age may interact with those who have

the genetic predisposition & promote the development of

this serious mental illness

What is schizophrenia?

1,3

The most common psychiatric adverse side effects of marijuana use is

psychosis and this

What is anxiety/panic attacks?

1,4

Cognitive effects of marijuana include amotivation, disorientation,

unsteady coordination, altered perception, decreased consciousness and this reason for poor academic

performance

What is memory loss?

1,5

10, 20, 30, 40, 50The percent of users who become

dependent on marijuana is this

What is 10%?

1,6

This synthetic Cannabinoid agonist is used to treat anorexia and

weight loss in AIDS pts & nausea/vomiting in pts

getting chemo

What is dronabinol (marinol)

1,7

Marijuana’s clinical properties include:

anti-inflammatory effectsanti-convulsant effects

and anti- this effect

What is anti-emetic?

1,8

Potentially life threatening; Significant discomfort;

Mild symptoms;This most commonly describes

withdrawal from marijuana

What is mild symptoms?

1,9

Marijuana use that leads to a reduction in prosocial goal directed activities that may

contribute to poor school or job performance is

commonly called this

What are amotivational syndrome?

2,1

This non-nicotine agent is thought to increase dopamine and

norepinephrine levels and mimic some of the effects of nicotine

What is Bupropion (Wellbutrin)?

2,2

This smoking cessation medication is a long acting partial agonist

at the α4β2NAR

What is varenicline (chantix)?

2,3

This tricyclic antidepressant is not first line but a second line

smoking cessation agent due to its side effect profile

What is nortriptyline?

2,4

It is unusual to rare for an individual to start smoking

after this age

What is 21?

2,5

Nicotine withdrawal from smoking cessation usually begins within 24

hours, and peaks at this time after cessation

What is day 2-3?

2,6

Nicotine withdrawal from smoking cessation usually will last

this long

What is 2-3 weeks?

2,7

This alpha-2 adrenergic agonist is used for treating hypertension but

has shown promise for smoking cessation

What is clonidine?

2,8

The most common tobacco use product is this

What is cigarettes?

2,9

Disappearance of nausea and dizziness despite repeated tobacco

use is an indication of this

What is tolerance?

3,1

For ♀ & older adults, a social or moderate drinker is one who does

not binge drink & consumes no more than this number of

drinks per day on average

What is one?

3,2

These type of peptides mediate some of alcohol’s rewarding

effects by enhancing the midbrain release of

dopamine

What is opioid?

3,3

This medication inhibits aldehyde dehydrogenase leading to a build up of acetaldehyde and negative

reinforcement of alcohol use

What is disulfiram (antabuse)?

3,4

This medication that is used in the treatment of alcohol dependence is

available in a monthly depot injection

What is naltrexone (vivitrol)?

3,5

These two medications are contraindicated in pts with significantly compromised

liver function

What are disulfiram (anatbuse) and naltrexone (vivitrol)?

3,6

For ♂ who are < 65 y/o, a social or moderate drinker is one who does

not binge drink &consumes no more than this number of

drinks per day on average

What is two?

3,7

This medication is an opioid mu receptor antagonist as a

treatment option

What is naltrexone (vivitrol)?

3,8

This medication helps prevent relapse, has a common side effect of diarrhea,

is safe in hepatic compromised pts, but is contraindicated in pts with

severe renal disease

What is acamprosate (campral)

3,9

Naltrexone is most effective in treating this aspect of alcohol

dependence

What are cravings?

4,1

Standard drug screens do not detect these drugs and usage typically

declines dramatically after the teen years

What is inhalants?

4,2

The phenylalkylamines class of hallucinogens includes mescaline,

DOM, and this most well known drug

What is MDMA (ecstasy, XTC)?

4,3

First developed as a anesthetic, this drug produces feelings of separation

from mind and body-dissociation

What is Phencylcidine (PCP)?

4,4

MDMA, LSD, or PCP:Continued use of this hallucinogen has

been linked to neurotoxic effects

What is MDMA (ecstacy)?

4,5

Any inhaled volatile hydrocarbons (glues, fuels, paints) may produce

“sudden sniffing death” due to this

What is cardiac arrhythmia?

4,6

Phencylclidine (PCP) can be detected in the urine up to this

many days after use

What is 8?

4,7

The ergoline class of hallucinogens includes this drug which often produces visual hallucinations

which can be frightening to the use

What is lysergic acid diethylamide (LSD)?

4,8

While lab testing can detect PCP, may or may not be helpful detecting hallucinogens, lab testing is not

helpful detecting this

What are inhalants?

4,9

Intoxication with this drug may produce vertical or horizontal

nystagmus, diminished responsiveness to pain, and

violent behavior

What is Phencyclidine (PCP)?

5,1

The proportion of users of this are most likely to become dependent

on the substance

What is nicotine?

5,2

Use of this illicit drug is most commonly involved in ER visits

What is cocaine?

5,3

When sober, users of this drug(s) may re-experience geometric

visual hallucinations, flashes of color, intensified colors, or

misperception of objects being too large or too small

What are hallucinogens?(Primarily LSD)

5,4

About 50% of people who attempt to quit smoking develop withdrawal

and commonly complain of irritability, difficulty

concentrating, and this

What is anxiety?

5,5

Over 80% of tobacco users attempt to quit, 60% relapse within 1 week,

and this number succeed and do not ever relapse

What are 1 in 20 (5%)?

5,6

A drink is defined as a 1.5 ounce shot, this 4-6 ounces of wine, or this many

ounces of beer

What are 12?

5,7

Psychostimulants specifically worsen this symptom of schizophrenia

What are hallucinations?And paranoia

5,8

Use of marijuana, alcohol, or this before age 15 are considered to be

the three “Gateway Drugs” to later dependence problems

What is nicotine?

5,9

The most common illicit drug used worldwide across all age

groups is this

What is marijuana?


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