AP Notes, Outlines, Study Guides, Vocabulary, Practice Exams and more!

Substance Abuse DSST Exam Study Guide Flashcards

5/10/2014

Terms : Hide Images
1463878041Abstinence Violation Effect (AVE)occurs when an individual, having made a personal commitment to abstain from using a substance or to cease engaging in unwanted behavior, has an initial lapse whereby the substance or behavior is engaged in at least once. - Some individuals may then proceed to uncontrolled use.1
1463878043How does alcohol metabolize?- The first step is the oxidation of ethanol to acetaldehyde catalyzed by alcohol dehydrogenase. - The acetaldehyde is further oxidized to acetic acid & finally CO2 & water through the citric acid cycle. - alcohol is detoxified and removed from the blood, preventing the alcohol from accumulating and destroying cells and organs. - A minute amount of alcohol escapes metabolism and is excreted unchanged in the breath and in urine. - Until all the alcohol consumed has been metabolized, it is distributed throughout the body, affecting the brain and other tissues.2
1463878044the most abused substance by *women*Alcohol3
1463878045On average ___ milligram of Nicotine is absorbed in the bloodstream from smoking a cigarette14
14638780464 categories of volatile substances?- Volatile Solvents - Aerosols - Gases - Nitrites5
1463878047Volatile Solvents- liquid or semi-solid solvent that vaporizes at room temperature - depress central nervous system - glues, paint, petrol etc.6
1463878048Aerosols- contain volatile solvents and propellant gas - depress central nervous system - spray paints, deodorant, hair spray etc.7
1463878049Gases- depress central nervous system - butane, propane, anesthetics gases- nitrous oxide8
1463878050Nitrites- vasodilators and muscle relaxants - amyl, butyl9
1463878051TolueneThe psychoactive water-insoluble chemical found in many commonly abused inhalants - glues, paints, thinners & nail polish - can cause heart arrhythmia & damage to kidneys & liver.10
1463878052Toluene is a Volatile Solvent. True/Falsetrue11
1463878053What is the most abused illicit drug?Marijuana12
1463878054The most potent Cannabinoids?Hashish - THC levels can be as high as 28%13
1463878055Gateway DrugsSubstances that lead to the use of other stronger drugs14
1463878056A typical progression of drug usage starts with cigarettes and_________ , and then marijuana before moving on to the stronger drugs.alcohol15
1463878057__________ is absorbed so well into mucous membranes that it *remains in use for surgery in the ear, nose, and throat regions*.Cocaine - first used in psychiatry and as a local anesthetic.16
1463878058________________ studied the drug for its potential as a treatment for a variety of ailments including depression and morphine dependence.Sigmund Freud17
1463878059Some early medical applications used cocaine in eye surgery and _________.dentistry18
1463878060What form of cocaine is injected?The powdered form is dissolved into water and injected.19
1463878061Paranoid psychosis is?a break with reality that includes extreme fear and anxiety associated with delusions.20
1463878062What is a common feature of delusions?Paranoia - in cases like persecutory delusions where people become convinced that they are under attack or someone is out to get them.21
1463878063What is a *speedball*?- aka power-balling is a term commonly referring to the hazardous intravenous use of cocaine with heroin or morphine in the same syringe. - can also be taken by insufflation (inhaling).22
1463878064*Amphetamines* are used to treat?narcolepsy and attention deficit disorder with hyperactivity (ADHD)23
1463878066GABA neurotransmitter- GABA: Referred to as nature's Valium-like substance. - If it is high or low, an excitatory neurotransmitter is firing too often in the brain. - GABA is released to balance this stimulating over-firing. -It is found the CNS & exerts generalized inhibitory functions. - Many sedative drugs enhance GABA inhibition & alcohol tends to have widespread inhibitory effects.24
1463878067It is possible to estimate an individual's blood alcohol content (BAC) by knowing their _______, ______ & _______ of alcohol consumed.weight, gender, amount25
1463878068The average female has a _______ proportion of body fat & therefore, for a given weight has less volume in which to distribute the alcohol.higher26
1463878069For an average 100 pound female 1 can of beer would result in a BAC of .045 while a 100 pound male would achieve a BAC of ____..03727
1463878070what drug is most associated with violent crime?Alcohol - homicide, assault, family violence and suicide28
1463878072alcohol is involved in __________ of all suicides.one third29
14638780734 stages of alcohol withdrawal are?- tremors - hallucinations - delusions - seizures.30
1463878074Anxiety & Autonomic arousal occur _____ hours after consuming alcohol6 - 1231
1463878075Hallucinations occur ___ hours after consuming alcohol.2432
1463878076Seizures occur _____ hours after consuming alcohol.24 - 3033
1463878077Confusion & disorientation occurs _______ hours after the consumption of alcohol.48 - 7234
1463878078There is considerable evidence supporting the idea that some degree of vulnerability to alcohol dependence might be inherited. True or False?True35
1463878079Adopted ____ whose biological fathers were alcohol dependent have a much greater than average chance of becoming alcohol dependent than adopted sons of non-alcoholic fathers.sons36
1463878080The historical progression of tobacco use?pipes, snuff, chewing, cigars, cigarettes.37
1463878081Smoking tends to inhibit ______ contractions up to one hour.hunger38
1463878082What drug deadens the taste buds & causes a slight increase in blood sugar levels.Nicotine39
1463878083What drug affects the release of the neurotransmitter *dopamine* in the reward/pleasure pathways of the brain.Nicotine40
1463878084Two OTC smoking cessation aids are?- nicotine gum - nicotine patches41
1463878085Nicotine nasal spray, inhalers & Bupropion are smoking cessation aids which require a?prescription42
1463878087What is one of the *most popular* OTC drugs?Aspirin - used for its analgesic, & anti-inflammatory effects.43
1463878088Dietary Supplements are not regulated as OTC drugs. True or False?True44
14638780893 Drug Testing Methods?- urine - hair - saliva45
1463878090Abused substances or their metabolites can be detected in *urine* for up to?5 days46
1463878091Abused substances or their metabolites can be detected in *saliva* for up to?1 day47
1463878092Abused substances or their metabolites can be detected in *hair* for up to?90 days48
1463878093Who is more likely to use illicit drugs?American Indian / Alaska Natives49
1463878094What % of *American Indian/Alaska Natives* report recent illicit drug use?12.1%50
1463878095What % of *Blacks* report recent illicit drug use?8.7%51
1463878096What % of *Whites* report recent illicit drug use?8.3%52
1463878097What % of *Latinos* report recent illicit drug use?8%53
1463878098OpioidsA group of analgesic, or painkilling, drugs that produce a relaxed, dream-like state. also known as narcotics. Examples: Opium, Morphine, Codeine, Heroine, Methadone, Demerol, Dilaudid, Fentanyl, Percodan, & Talwin54
1463878099Medical Uses of OpioidsAnalgesic, anti-diarrheal, anti-tussives, addict maintenance55
1463878100Effects of Opioids on the bodyEuphoria, drowsiness, slowed respiration, nausea56
1463878101Effects of Opioids OverdoseSlow & shallow breathing, clammy skin, constricted pupils, coma, possible death57
1463878102Withdrawal Symptoms of OpioidsWatery eyes, runny nose, yawning, loss of appetite, tremors, panic, chills & sweating, cramps, nausea Other Opioids include58
1463878103Most common antidepressantsUsed to treat symptoms of depression or anxiety disorders by slowing the removal of certain chemicals from the brain.59
1463878104*Tricyclics* are used to treat?chronic pain disorders60
1463878105(MAOI) Monoamine Oxidase InhibitorsThe first group of antidepressant drugs - replaced by SSRIs61
1463878106(SSRI) Selective Serotonin Reuptake Inhibitorsmost common antidepressants - Fluoxetine (Prozac), Paroxetine (Paxil), & Sertraline (Zoloft)62
1463878107The effects of long-term antipsychotic drug usage?Tardive Dyskinesia - indicated by involuntary twitching movements of the arms, lips, & tongue. - more likely with conventional antipsychotic drugs versus the atypical variety.63
1463878108Historically, as *cocaine use declined*, amphetamine use _________.increased64
1463878109Who is more likely to smoke?Men are 5 times more likely to smoke than women. - The gender gap declines with younger age.65
1463878110About ___% of teens smoke.2066
1463878111St. Johns Wort- aromatic perennial herb ((Hypericum Perforatum). - active compound, Hypericin, has anti-bacterial & anti-inflammatory activity. - Hypericin has monoamine Oxidase (MAO) inhibiting activity, mimicking the action of antidepressant agents.67
1463878112Kava Kava- A natural sedative and sleep enhancement. - It is traditionally used as a remedy for nervousness and insomnia. - induce a feeling of relaxation, peace and contentment, along with a sharpening of the senses. - promotes deep and restful sleep. - also a muscle relaxant that can help relieve cramping due to spasms.68
1463878113Harrison Act of 1914- criminalizes the non-medical use of drugs. - applied to opium, morphine & its derivatives, coca leaves, (cocaine) & its derivatives. - amphetamines, barbiturates, marijuana, hashish, hallucinogenics were NOT mentioned.69
1463878114The Harrison Tax Act- based & built upon Harrison act of 1914. - were two taxes. --- One was a tax to be paid by doctors at one dollar per year, & the doctors who would pay the tax, were able to legally prescribe these drugs from the Government as long as they followed the regulations of the statute. --- The second tax was a thousand dollars for every non-medical exchange of these drugs.70
1463878115Phencyclidine (PCP), aka"Angel Dust'- used as anesthetics/numbing agents - Phencyclidine (PCP) was originally used as a surgical anesthetic.71
1463878116Haldol, aka Haloperidol- an antipsychotic medication used for treating psychotic disorders including Tourette's syndrome. - blocks dopamine & serotonin type 2 receptors for the neurotransmitters on the nerves.72
1463878117What % of people are addicted to Marijuana?10% - it is less addictive then caffeine. - It has no addictive chemicals in it73
1463878118___% of alcohol consumers & ___% of tobacco smokers exhibit symptoms of drug dependence.15, 3274
1463878119Does the DSM recognize marijuana as having withdrawal symptoms?No! It does not recognize marijuana withdrawal as a diagnostic category.75
1463878122The drug *Thorazine* introduced in 1950schanged the face of inpatient mental health to where it was the last decade inpatient hospitals saw a rise in psych patients76
1463878123*Chlorpromazine* is marketed in US under the brand name?Thorazine. - It is phenothiazine antipsychotic drug synthesized Dec.11, 1950.77
1463878124the first drug developed with a specific antipsychotic action?Chlorpromazine - Its discovery brought an end to the old therapies used for the treatment of mental ailments such as electro and insulin shocks and psychosurgical.78
1463878125What are *benzodiazepines* used for?- Used for muscle relaxants, sleeping pills, treatment for convulsive disorders, & preoperative anesthesia. - Long-acting barbiturates or benzodiazepines prevent Alcohol withdrawal symptoms. Examples: Phenobarbital, chlordiazepoxide (Librium), & diazepam (Valium)79
1463878126Disease model relating to AA and alcohol states?that alcoholism is a progressive illness that cannot be cured, but can be arrested through total abstinence.80
1463878127Alcoholics Anonymous began to have a major influence in the _____________.1940s & 1950s81
1463878128the idea that alcohol dependence is a disease goes back at least to the ______.1700s82
1463878129By adding barley malt to cereal grains, the barley & grains are malted (starch is changed to sugar & then Hops are added with yeast to give beer its _______.flavor83
1463878130The alcohol content of most *beer* is around ___%.484
1463878131The alcohol content of most *wine* is over ___%.1185
1463878132Abstinence syndrome- Physiologic changes undergone when the drug use is abruptly stopped. - The intensity varies with the drug or chemical. Generally, the effects observed are in an opposite direction from those produced by the drug. - Onset time & severity of the syndrome depend on the rate at which the drug disappears from the body.86
1463878133The withdrawal syndrome from CNS depressants (barbiturates) consists of?insomnia, restlessness, tremulousness, hallucinations, and, in the extreme, potentially fatal tonic-clonic convulsions.87
1463878134ToleranceRepeated use of the same dose resulting in diminished effects.88
1463878135The 3 types are drug tolerance?disposition behavioral pharmacodynamics89
1463878136Disposition Tolerancecaused by more rapid elimination of the drug.90
1463878137Behavioral Tolerancecaused by learned adaptation of the drug.91
1463878138Pharmacodynamics Tolerancecaused by altered nervous system sensitivity.92
1463878139Dose responseThe change in effect on the body caused by differing levels of exposure to a stressor after a certain exposure time. - Studying this, & developing dose response models, is central to determining "safe" & "hazardous" levels & dosages for drugs.93
1463878140PotencyThe amount of drug that must be given to obtain a particular response. - The smaller the amount needed to get a particular effect, the more potent the drug.94
1463878141The most potent psychoactive drugs?LSD - potency is many thousands of times smaller than that of other psychoactive drugs.95
1463878142Psychological dependence- is mental, it involves a strong desire to use the drug or experience its effects. - dependence on a psychoactive substance for the reinforcement it provides.96
1463878143Physical dependence- there's an actual need to take the drug to avoid physical symptoms. - a state resulting from chronic use of a drug that has produced tolerance and where negative physical symptoms of withdrawal result from abrupt discontinuation or dosage reduction. - Addiction is a physiological "craving" for something97
1463878144What is the *worst* symptom of alcohol withdrawal?DT98
1463878146Narcan (aka Naloxone or Nalorphine)- Reverses effects that are produced by narcotic drugs such as difficult breathing and coma. - Narcotics may be used during surgery to help produce anesthesia and relieve pain, and naloxone can reverse these effects after surgery.99
1463878147Naloxoneused to treat cases of narcotic drug overdose.100
1463878148TolueneLipid Soluble and is a large molecule.101
1463878149Alcohol Proof- a measure of how much alcohol (ethanol) is contained in an alcoholic beverage - Percentage of alcohol by volume x2. --- example, 70 proof whiskey is 35% alcohol.102
1463878152A number of metabolic effects from alcohol are directly linked to the production of an excess of both?NADH & acetaldehyde103
1463878153The metabolism of alcohol by the liver occurs at a constant rate *not* influenced by body size. True or False?True - The amount of alcohol metabolized by the liver is about 0.25 to 0.30 ounces per hour.104
1463878154Why is inhalant abuse so hard to control?Because inhalants are available everywhere105
1463878155What drug *causes the most deaths*?Nicotine106
1463878156Cannabis withdrawal symptoms?irritability, restlessness, decreased appetite, weight loss & abnormal sleep107
1463878157Glucosamine & Chondroitin?Herbal dietary supplements that contribute to joint strength and are used to relieve the discomfort of arthritis.108
1463878161D-Lysergic Acid Diethylamide is a synthetic substance & is the most potent- hallucinogens. - It is synthesized from ergot fungus which grows on grain109
1463878162LSD was popularized by the drug culture in the1960s110
1463878163Timothy Leary- well-known psychologist & proponent for the use of LSD in the 1960s.111
1463878164League of Spiritual DiscoveryIn 1966, Timothy Leary started a religion with LSD as the sacrament.112
1463878165An interesting effect of LSD use is*Synesthesia* - a "mixing of senses." - examples: Seeing sounds & hearing colors113
1463878166The *physiological* effects of (LSD)?increase in body temperature, heart rate & blood pressure, sweating & dilation of eye pupils.114
1463878167How long does it takes for lithium to reach effective levels in treatment of schizophrenia?10-15 days (few weeks)115
1463878168Percent of adults in the US who have used heroin?1.6% - 0.1% reporting use in the past year116
1463878169Time after ingesting THC pill to reach full effect?feel the effects of Marinol in about 45-60 minutes.117
1463878170Number of days to build tolerance to LSD if taken daily?less than 24 hours. - Waiting roughly 3-5 days will return tolerance to normal levels118
1463878172NaltrexoneA non-addictive substance, used in the treatment of heroin addiction & opiate overdose. - The opioid antagonist selectively blocks opioid effects, preventing the user from experiencing the reinforcing effects of the abused drug.119
1463878173Free BaseThe base form of cocaine, as opposed to the salt form of cocaine hydrochloride. - It involved extracting cocaine into a volatile organic solvent, such as ether. - very dangerous because the combination of fire and ether fumes is extremely explosive. - is preferred by many users because the cocaine is absorbed immediately into blood via the lungs, reaching the brain in about five seconds.120
1463878174Prior to the 1980s, freebase was a popular way to smoke _________?cocaine121
1463878175Crack is obtained by mixing cocaine with?simple household chemicals - baking soda and water, and then drying it, resulting in a lump122
1463878176Barbituratesare CNS depressants of varying strength. - act on the inhibitory receptor GABA. - Indications for barbiturates: anesthesia & anticonvulsant.123
1463878178Benzodiazepinesare minor tranquilizers - act on the inhibitory receptor GABA - Indications for benzodiazepines: anti-anxiety, muscle relaxant, sleep aid, anticonvulsant, premedication for surgery sedative, Alcohol withdrawal, treatment of mania, & Veterinary uses.124
1463878179the most widely prescribed types of Sedative-Hypnotics?Benzodiazepines - In 2003, 4 of the top 40 bestselling prescription drugs were benzodiazepines. - They are the most frequently prescribed CNS depressants for anxiety & sleep.125
1463878181The symptoms for withdrawal from any sedative hypnotic are similar to symptoms for alcohol withdrawal. These symptoms include?anxiety, insomnia, tremulousness, weakness, anorexia, nausea, vomiting, convulsions, delusions, visual & auditory hallucinations126
1463878183what is a tranquilizer?Antipsychotic drugs used to treat psychosis without producing drowsiness. - aka neuroleptics.127
1463878185PhenothiazineGroups of tranquilizing drugs used to treat the symptoms associated with psychosis. - They block D2 Dopamine receptors. - Examples include: chlorpromazine(brand name: Thorazine)128
1463878187*Psychotic symptoms*?delusions, hallucinations, thought disorders, agitation, & violent behavior.129
1463878189Studies show that ___% of patients suffering from acute schizophrenia showed improvement after receiving phenothiazine compared with 23% who received placebos.75130
1463878191Reinforcing drugsDrugs that reinforce their use by stimulating dopamine neurons in the Mesolimbic system. - Nicotine is a reinforcing drug.131
1463878193The Mesolimbic systemthe primary component responsible for the "reward" properties of electrical stimulation of the midbrain or limbic system. - Drugs lead to dependence because they stimulate this reward system.132
1463878198If the supply of the drug is abruptly cut off the result isphysical withdrawal symptoms - wakefulness, nervousness, hallucinations, seizures etc.133
1463878200nicotine is a mild __________ , but it also has relaxant properties.stimulant134
1463878201smoking during pregnancy causes?low birth weight135
1463878202when using snuff or chewing tobacco, nicotine is absorbed through the?mucous lining of the mouth136
1463878203Nicotine patches are also known as?transdermal137
146387820590% of former smokers, report that they quit smoking without?formal treatment programs138
1463878207Benzodiazepines are classified by?duration of action139
1463878208withdrawal symptoms are more likely to develop with drugs that leave the system quickly. True or False?True140
1463878210*Lunesta* is the only drug approved by FDA for long term use in treating?insomnia141
1463878212the opium plant contains bothmorphine and codeine142
1463878214excessive use of either cocaine or amphetamine can result in?Paranoid psychosis143
1463878219Cocaine use has *declined*, meth has _________?increased144
1463878221*Nitrous oxide*, known as laughing gas. Has stimulant, hallucinogenic & ___________ effects.depressant145
1463878224uses for nitrous oxide?a gaseous anesthetic in medicine. - also a propellant in whipped cream dispensers146
1463878226Which drugs are more likely to produce *psychological* dependence?rapid onset drugs147
1463878228Cannabis is Schedule?S1148
1463878230Heroine is Schedule?S1149
1463878232Cocaine is Schedule?S2150
1463878234What drug is used to help stop smoking?Bupropion - an antidepressant used to reduce withdrawal symptoms & is prescribed for 7 to 12 weeks.151
1463878236What drug is used in conjunction with heroine recovery?Opiate antagonist drugs, such as methadone or Clonidine blocks some withdrawal symptoms. - They act like heroin, but do not provide the same high & are administered in gradually decreasing doses.152
1463878242Congestion ReboundOccurs after using a nasal spray regularly for longer than the recommended period. - tissues no longer respond & the sinus passages become almost completely obstructed153
1463878244FDA has approved THC for treating?nausea in cancer patients154
1463878246What does the DSM do?The Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association provides a common language and standard criteria for the classification of mental disorders155
1463878248The most dangerous form of alcohol withdrawal is DTs, and occurs in about 1 out of every ___ people who have withdrawal symptoms.20156
1463878251What is DTs (delirium tremens)?the brain is not able to smoothly readjust its chemistry after alcohol is stopped. - creates a state of temporary confusion and leads to dangerous changes in the way your brain regulates your circulation and breathing. - heart rate or blood pressure can change dramatically or unpredictably, creating a risk of heart attack, stroke or death.157
1463878253What drug comes from a cactus that is used by Native Americans for ceremonies?peyote158
1463878254Psychotherapeutic drugs- prescribed by doctors and psychiatrists to control mental problems. - used therapeutically to treat schizophrenia and other major psychotic disorders. - Haloperidol and Clozapine calm psychotic patients and help them control hallucinations and illogical thoughts. - Antidepressants such as Fluoxetine (Prozac) have no perceptible CNS effects in healthy people, but effectively alleviate depression in many depressives.159
1463878255Cosmetic actTo increase drug safety160
1463878256FermentationThe process by which sugar is converted into alcohol through the biochemical action of yeast. - forms the basis for all alcoholic beverages. - Fruits & grains are fermented to create beverages which include beer & wine. - the alcohol concentration is limited to 15%. -161
1463878257Fermented beverages have existed since approximately?6400BC162
1463878258Cocaine is extensively metabolized, primarily in the _______, with only about 1% excreted unchanged in the urine.liver - metabolism is dominated by hydrolytic ester cleavage, so the eliminated metabolites consist mostly of benzoylecgonine (BE), the major metabolite, and other significant metabolites in lesser amounts such as ecgonine methyl ester (EME) and ecgonine.163
1463878259Methadonea synthetic opioid, used medically as an analgesic and a maintenance anti-addictive and reductive preparation for use by patients with opioid dependency164
1463878260Rohypnol, aka Flunitrazepama potent hypnotic, sedative, anticonvulsant, anxiolytic, amnestic, and skeletal muscle relaxant drug. - An intermediate acting benzodiazepine, flunitrazepam is prescribed for the treatment of severe insomnia.165
1463878261Ketamine, aka SPECIAL Khallucinogen pain-killing drug. - effects similar to PCP & is commonly used in veterinary anesthetic.166
1463878262PrecursorsThe raw materials that neurotransmitters are made from. - circulating in the blood supply & in the brain.167
1463878263Therapeutic IndexThe TI is the ratio of LD50 to ED50 which is one indication of the relative safety of a drug for a particular use or effect. - It consists of two parts: --- LD50 indicates the *lethal dose* for 50 percent of test animals. --- ED50 is the *effective dose* for 50 percent of test animals.168
1463878264SerotoninAdequate amounts of serotonin are necessary for a stable mood & to balance any excessive excitatory neurotransmitter firing in the brain. - regulates other processes such as carb cravings, sleep cycle, pain control & appropriate digestion.169
1463878265Stimulants can cause a __________ of serotonin over time.depletion170
1463878266Low serotonin levels are associated with?decreased immune system function, aggression, regulation of body weight, depression, suicide & excessive alcohol consumption.171
1463878267Cross toleranceWhen tolerance to one drug reduces the effectiveness of each of the others. - exists among all the Opioids. - repeated use results in decreased effect, which makes it necessary to increase the dose to achieve the same effect.172
1463878268What does Clozapine do?inhibits white blood cells173

Need Help?

We hope your visit has been a productive one. If you're having any problems, or would like to give some feedback, we'd love to hear from you.

For general help, questions, and suggestions, try our dedicated support forums.

If you need to contact the Course-Notes.Org web experience team, please use our contact form.

Need Notes?

While we strive to provide the most comprehensive notes for as many high school textbooks as possible, there are certainly going to be some that we miss. Drop us a note and let us know which textbooks you need. Be sure to include which edition of the textbook you are using! If we see enough demand, we'll do whatever we can to get those notes up on the site for you!