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Physical Detoxification from Substances - Part 2

Stimulants

1. Which of the following statements is true?

A. Stimulants are associated with withdrawal symptoms that are similar to those seen with opioid, alcohol, and sedative dependence.

B. There has been little emphasis on treating symptoms of stimulant withdrawal.

C. No medications have been developed for this purpose.

D. All of the above

E. B and C above


2. The period of depression experienced by amphetamine users is more prolonged and may be more intense than that of cocaine users.

A. True

B. False


3. Stimulant withdrawal is not usually associated with medical complications.

A. True

B. False


Inhalants/Solvents

4. Which of the following statements about inhalants are true?

A. Dependence on inhalants and subsequent withdrawal symptoms are both relatively uncommon.

B. In rare instances symptoms similar to sedative withdrawal have been described, including “fine tremors, irritability, anxiety, insomnia, tingling sensations, seizures and muscle cramps”.

C. Toluene withdrawal has been reported to cause delirium tremens.

D. All of the above.


Nicotine

5. As many as 90 percent of patients entering treatment for substance abuse are current nicotine users.

A. True

B. False


6. Trying to get patients to quit smoking at the same time they are in detoxification for other substances is very difficult, for many reasons. Which of the following is NOT one of the reasons for this?

A. Patients are ambivalent or lack interest in quitting smoking

B. Physicians are ambivalent about the importance of getting patients to quit smoking at the same time they are detoxifying from another substance

C. It is very easy for patients to get cigarettes from friends, family, visitors, staff, and at 12-step meetings

D. Staff are resistant to patients quitting smoking because withdrawal symptoms, including irritability, anxiety, and depression, can make patients more difficult to manage.

E. Physicians and staff themselves often smoke.


Marijuana and Other Drugs Containing THC

7. Most experts now believe that a THC-specific withdrawal syndrome does occur in some patients who are heavy users.

A. True

B. False


Anabolic Steroids

8. Symptoms of withdrawal from anabolic steroids include:

A. Craving for more steroids

B. Fatigue

C. Restlessness

D. Anorexia

E. All of the above


9. There is no recommended detoxification protocol for anabolic steroids.

A. True

B. False


Club Drugs

10. Withdrawal syndromes have been reported with some of these drugs, but the more common clinical problems are intoxication and severe intoxication with overdose.

A. True

B. False


11. Clinicians need to be constantly aware that a patient may be abusing multiple substances. The LEAST effective way to determine this is:

A. By interviewing family and/or friends

B. Patient self-reports

C. Performing a urine screening


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