Which of the following alcohol screening tools lack sensitivity to...

Which of the following alcohol screening tools lack sensitivity to detect hazardous/problem drinking?

A.

AUDIT

B.

AUDIT-C

C.

SASQ

D.

CAGE

Which enzyme does disulfiram inhibit leading to a build-up of the ethanol metabolite acetaldehyde?

A.

Alcohol dehydrogenase

B.

Microsomal ethanol oxidizing enzyme

C.

Aldehyde dehydrogenase

D.

Aldehyde reductase

·      Question 13 of 51  

Question 13

Which of the following drugs in the treatment of Alzheimer's Disease requires administration with food?

A.

Memantine

B.

Donepezil

C.

Rivastigmine

D.

Galantamine

If a patient is being managed for chronic pain and is not getting better after months of therapy with multiple agents (i.e., NSAIDs with opioids, muscle relaxants with NSAIDs, etc.), what should be your next step in helping the patient?

1. Add a high-dose opioid if patient is not already on the maximum dose.
2. Assess for a co-morbid psychiatric condition.
3. Tell the patient you have exhausted all your options and there is nothing more you can do.
4. Refer the patient for a second opinion.

A.

I and II

B.

II and IV

C.

III only

D.

IV only

Choose the correct statement regarding an anti-ADHD medication and its respectful mechanism of action

A.

Methylphenidate - blocks reuptake of dopamine in the pre-synaptic neuron and promotes release of dopamine from their storage sites in the pre-synaptic neuron

B.

Amphetamines - blocks reuptake of norepinephrine and dopamine into presynaptic neurons

C.

Clonidine - blocks reuptake of dopamine in the pre-synaptic neuron and promotes release of dopamine from their storage sites in the pre-synaptic neuron

D.

Atomoxetine - acts by blocking the norepinephrine pump on the pre-synaptic membrane

E.

Guanfacine - blocks reuptake of norepinephrine and dopamine into presynaptic neurons

Of the following neurotransmitters, which ones play a critical role in modulating attention in ADHD?

1. Dopamine
2. Epinephrine
3. GABA
4. Norepinephrine
5. Glutamate

A.

II, III, and V

B.

II and IV

C.

I and IV

D.

III only

Which medication below would you use in addition to benzodiazepine treatment if the patient is experiencing psychosis during alcohol withdrawal delirium?

A.

Naltrexone

B.

Haloperidol

C.

Propofol

D.

Chlordiazepoxide

What is the difference between Ritalin and Focalin?

A.

Focalin is a D-isomer

B.

Ritalin is the D-isomer

C.

Focalin is the S-isomer

D.

There is no difference other than the formulations involved.

The patient is a 16-year-old girl with a past history of substance use disorder. She has been known to abuse prescription opioids and smokes one pack of cigarettes every day. She has been in and out of recovery for the past year. During her last admission into a recovery center, she was diagnosed with ADHD, which may have contributed to her addictive personality. She presents to your clinic today to initiate pharmacotherapy for her new diagnosis. What would you recommend in this patient? Her current weight is 55 kg.

A.

Ritalin 10 mg twice daily

B.

Focalin 10 mg twice daily

C.

Daytrana 30 mg patch worn for 12 hours daily

D.

Atomoxetine 60 mg once daily