for the PRITE

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Jeopardy

• for the PRITE

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And Now Here Is The Host . . .
is proud to present
Insert Name Here
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• The categories for todays Jeopardy on Substance
  Use will be

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Opioids
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Stimulants
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Alcohol Use Disorder
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Criterion A
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Substance Induced disorders
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Opioids
Substance Induced Disorders
Stimulants
Alcohol Use Disorders
Subst Use Disorders Criterion A
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10
What is 12-36 hours?
Opioids can be detected thru a urine drug test
for this many hours after administration of the
opioid

• Row 1, Col 1

11
What is hepatitis C?
This type of liver disease may occur in up to
90 of persons who inject opioids

• 1,2

12
What is bacterial endocarditis?
HIV, hepatitis, tuberculosis, and this cardiac
related condition are serious medical problems
for IV opiate users

• 1,3

13
What is pupil dilation?
This physical sign of opiate withdrawal is also
seen in hallucinogen intoxication and stimulant
intoxication

• 1,4

14
What is naloxone (narcan)?
Opioid intoxication may be diagnosed by
administering this opioid antagonist challenge

• 1,5

15
What is piloerection fever?
These two symptoms are associated with more
severe opiate withdrawal and are often not seen
in routine clinical practice

• 1,6

16
What is naloxone (narcan) buprenorphine?
Suboxone is a combination of these two medications

• 1,7

17
What is lightneadedness? Withdrawal dysphoria,
N/V, muscle aches, lacrimation/rhinorrhea, pupil
dilation/piloerection, fever, sweating,
Yawning, insomnia, dizziness, diarrhea This one
is not part of opiate withdrawal

• 1,8

18
What is slurred speech?
Signs of opioid intoxication are pupil
constriction, drowsiness/coma, impaired attention
or memory, and this

• 1,9

19
What is a urine drug test? (Clinical picture is
similar though rotary nystagmus may be seen in
PCP intoxication but not stimulant)
This can differentiate PCP intoxication
stimulant intoxication from each other

• 2,1

20
What is alcohol?
Cocaine users often use sedative substances--most
often this substance--to reduce insomnia,
nervousness, and other unpleasant side effects

• 2,2

21
What is marijuana?
Amphetamine type stimulant users often use
sedative substances--most often this
substance--to reduce insomnia, nervousness, and
other unpleasant side effects

• 2,3

22
What is a bradycardia?
This sign is often present and is a reliable
measure of stimulant withdrawal

• 2,4

23
What is antisocial personality disorder?
Bipolar disorder, schizophrenia, other substance
use disorders, and this personality disorder in
particular are risk factors for stimulant use
disorder

• 2,5

24
What is a hair sample
This type of sample can be used to detect use of
a stimulant up to 90 days after the use

• 2,6

25
What is inhalation and injection?
These two forms of cocaine administration have
the most rapid onset of action

• 2,7

26
What is heroin?
A speedball is the combination of cocaine and
this drug

• 2,8

27
What is dopamine?
Cocaine increases the levels of glutamate and
this neurotransmitter

• 2,9

28
What is positive reinforcement?
In terms of operant conditioning, the alcohol
induced buzz/high is this also tolerance results
in the lack of this

• 3,1

29
What is negative reinforcement?
In terms of operant conditioning, consuming
alcohol to stave off alcohol withdrawal symptoms
results in this

• 3,2

30
What is 1 month? (Most improve within days to
weeks of abstinence)
Most substance induced disorders resolve within
this amount of time after the cessation of acute
withdrawal, the cessation of severe intoxication,
or the use of the substance.

• 3,3

31
What is males? Males 12, Females 5
The prevalence of alcohol use disorder in this
sex is twice as much as the other

• 3,4

32
What are 3-4 times?
For an individual who has a close relative
(parent) with an alcohol use disorder, their risk
is this many times higher than normal

• 3,5

33
What is Asians? Japanese, Chinese, and Koreans
are at lower risk for Alcohol Use Disorders
Alcohol metabolizing enzyme genetic polymorphisms
result in flushing, palpitations, possibly more
severe reactions in individuals of this race
when they consume alcohol

• 3,6

34
What is gamma-glutamyltransferase (GGT) and
carbohydrate-deficient transferrin (CDT)?
Elevations in these two lab test results are
sensitive indicators of ongoing heavy drinking
and can be used to monitor abstinence

• 3,7

35
What is mean corpuscular volume (MCV)? Not useful
for monitoring due to long half life of RBCs
While elevation of GGT, CDT, and this test
indicates a history of heavy drinking, GGT CDT
test may also be useful in detecting a relapse
to heavy drinking, but this test is not

• 3,8

36
What is Antisocial Personality Disorder?
The patients with bipolar disorder,
schizophrenia, this personality disorder have a
markedly high rate of co-morbid alcohol use
disorder

• 3,9

37
What is brain circuitry?
Substance use disorder pts, especially those with
severe disorder, have an underlying change in
this which persists even beyond detoxification

• 4,1

38
What is social impairment?
Impaired control, Social impairment, Risky use,
or Pharmacological criteria Continued use
despite persistent or recurring interpersonal
problems

• 4,2

39
What is impaired control?
Impaired control, Social impairment, Risky use,
or Pharmacological criteria A desire to cut down
or unsuccessful attempts decrease or stop use
refers to this Criterion A

• 4,3

40
What is tolerance withdrawal?
Impaired control, Social impairment, Risky use,
or Pharmacological criteria Pharmacological
criteria refers to putting up with these two
phenomenon

• 4,4

41
What is impaired control?
Impaired control, Social impairment, Risky use,
or Pharmacological criteria Taking the substance
in larger amounts or over a longer time period
than intended refers to this Criterion A

• 4,5

42
What is risky use? .
Impaired control, Social impairment, Risky use,
or Pharmacological criteria Use in physically
hazardous situations or continued use despite
knowledge the substance is causing or worsening a
medical problem is called this

• 4,6

43
What is impaired control?
Impaired control, Social impairment, Risky use,
or Pharmacological criteria Spending a great
deal of time obtaining, using, or recovering from
the substance use refers to this Criterion A

• 4,7

44
What is social impairment
Impaired control, Social impairment, Risky use,
or Pharmacological criteria Failure to fulfill
major obligations at work, home, or school refers
to this Criterion A

• 4,8

45
What is impaired control?
Impaired control, Social impairment, Risky use,
or Pharmacological criteria Craving refers to
this Criterion A

• 4,9

46
What is anxiety?
Caffeine intoxication may induce a sleep disorder
or this type of substance induced disorder

• 5,1

47
What is Psychotic disorder?
Marijuana intoxication may induce anxiety
disorders, sleep disorders, and this type of
substance induced disorder

• 5,2

48
What are mood disorders? (both bipolar
depressive)
The hallucinogen phencyclidine may induce
psychotic disorders, anxiety disorders, delirium,
this type of substance induced disorders

• 5,3

49
What is depressive disorders?
Opioid intoxication may induce sleep disorders,
sexual dysfunction, delirium, this type of
substance induced disorder

• 5,4

50
What are anxiety?
Opioid intoxication will not, but opioid
withdrawal may induce this type of substance
disorder

• 5,5

51
What is anxiety? Psychotic, Bipolar, Depressive,
Sleep, Sexual Dysfunction, Delirium,
Neurocognitive disorders
Alcohol sedative/hypnotic intoxication may both
induce the same type of substance disorders
except sedative/hypnotic intoxication will NOT
induce this

• 5,6

52
What are psychotic disorders?
Intoxication, but not withdrawal, of stimulants
such as cocaine may induce sexual dysfunction,
delirium this type of substance induced
disorder

• 5,7

53
What is mood? (both bipolar depressive)
Intoxication withdrawal of stimulants such as
cocaine may induce, anxiety, OCD, sleep, this
type of substance induced disorder

• 5,8

54
What is hallucinogens?
Inhalants and this type of substance do not cause
a withdrawal

• 5,9