for the

1
Jeopardy

• for the
• Psychiatry Clerkship

2
And Now Here Is The Host . . .
is proud to present
Insert Name Here
3

• The categories for todays Jeopardy on Substance
  Use will be

4
Marijuana
5
Nicotine
6
Alcohol
7
LSD, XTC, PCP Inhalants
8
Miscellaneous
9
Marijuana
Miscellaneous
Nicotine
Alcohol
LSC, PCP, XTC, Inhalants
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10
What is 4 days?
Use of a single joint can lead to a positive
urine marijuana test as many as this number of
days later

• Row 1, Col 1

11
What is schizophrenia?
Use of marijuana at an early age may interact
with those who have the genetic predisposition
promote the development of this serious mental
illness

• 1,2

12
What is anxiety/panic attacks?
The most common psychiatric adverse side effects
of marijuana use is psychosis and this

• 1,3

13
What is memory loss?
Cognitive effects of marijuana include
amotivation, disorientation, unsteady
coordination, altered perception, decreased
consciousness and this reason for poor academic
performance

• 1,4

14
What is 10?
10, 20, 30, 40, 50 The percent of users who
become dependent on marijuana is this

• 1,5

15
What is dronabinol (marinol)
This synthetic Cannabinoid agonist is used to
treat anorexia and weight loss in AIDS pts
nausea/vomiting in pts getting chemo

• 1,6

16
What is anti-emetic?
Marijuanas clinical properties
include anti-inflammatory effects anti-convulsant
effects and anti- this effect

• 1,7

17
What is mild symptoms?
Potentially life threatening Significant
discomfort Mild symptoms This most commonly
describes withdrawal from marijuana

• 1,8

18
What are amotivational syndrome?
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

• 1,9

19
What is Bupropion (Wellbutrin)?
This non-nicotine agent is thought to increase
dopamine and norepinephrine levels and mimic some
of the effects of nicotine

• 2,1

20
What is varenicline (chantix)?
This smoking cessation medication is a long
acting partial agonist at the a4ß2NAR

• 2,2

21
What is nortriptyline?
This tricyclic antidepressant is not first line
but a second line smoking cessation agent due to
its side effect profile

• 2,3

22
What is 21?
It is unusual to rare for an individual to start
smoking after this age

• 2,4

23
What is day 2-3?
Nicotine withdrawal from smoking cessation
usually begins within 24 hours, and peaks at this
time after cessation

• 2,5

24
What is 2-3 weeks?
Nicotine withdrawal from smoking cessation
usually will last this long

• 2,6

25
What is clonidine?
This alpha-2 adrenergic agonist is used for
treating hypertension but has shown promise for
smoking cessation

• 2,7

26
What is cigarettes?
The most common tobacco use product is this

• 2,8

27
What is tolerance?
Disappearance of nausea and dizziness despite
repeated tobacco use is an indication of this

• 2,9

28
What is one?
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

• 3,1

29
What is opioid?
These type of peptides mediate some of alcohols
rewarding effects by enhancing the midbrain
release of dopamine

• 3,2

30
What is disulfiram (antabuse)?

• This medication inhibits aldehyde dehydrogenase
  leading to a build up of acetaldehyde and
  negative reinforcement of alcohol use

• 3,3

31
What is naltrexone (vivitrol)?
This medication that is used in the treatment of
alcohol dependence is available in a monthly
depot injection

• 3,4

32
What are disulfiram (anatbuse) and naltrexone
(vivitrol)?
These two medications are contraindicated in pts
with significantly compromised liver function

• 3,5

33
What is two?
For ? who are lt 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

• 3,6

34
What is naltrexone (vivitrol)?
This medication is an opioid mu receptor
antagonist as a treatment option

• 3,7

35
What is acamprosate (campral)
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

• 3,8

36
What are cravings?
Naltrexone is most effective in treating this
aspect of alcohol dependence

• 3,9

37
What is inhalants?
Standard drug screens do not detect these drugs
and usage typically declines dramatically after
the teen years

• 4,1

38
What is MDMA (ecstasy, XTC)?
The phenylalkylamines class of hallucinogens
includes mescaline, DOM, and this most well
known drug

• 4,2

39
What is Phencylcidine (PCP)?
First developed as a anesthetic, this drug
produces feelings of separation from mind and
body-dissociation

• 4,3

40
What is MDMA (ecstacy)?
MDMA, LSD, or PCP Continued use of this
hallucinogen has been linked to neurotoxic
effects

• 4,4

41
What is cardiac arrhythmia?
Any inhaled volatile hydrocarbons (glues, fuels,
paints) may produce sudden sniffing death due
to this

• 4,5

42
What is 8?
Phencylclidine (PCP) can be detected in the urine
up to this many days after use

• 4,6

43
What is lysergic acid diethylamide (LSD)?
The ergoline class of hallucinogens includes this
drug which often produces visual hallucinations
which can be frightening to the use

• 4,7

44
What are inhalants?
While lab testing can detect PCP, may or may not
be helpful detecting hallucinogens, lab testing
is not helpful detecting this

• 4,8

45
What is Phencyclidine (PCP)?
Intoxication with this drug may produce vertical
or horizontal nystagmus, diminished
responsiveness to pain, and violent behavior

• 4,9

46
What is nicotine?
The proportion of users of this are most likely
to become dependent on the substance

• 5,1

47
What is cocaine?
Use of this illicit drug is most commonly
involved in ER visits

• 5,2

48
What are hallucinogens? (Primarily LSD)
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

• 5,3

49
What is anxiety?
About 50 of people who attempt to quit smoking
develop withdrawal and commonly complain of
irritability, difficulty concentrating, and this

• 5,4

50
What are 1 in 20 (5)?
Over 80 of tobacco users attempt to quit, 60
relapse within 1 week, and this number succeed
and do not ever relapse

• 5,5

51
What are 12?
A drink is defined as a 1.5 ounce shot, this 4-6
ounces of wine, or this many ounces of beer

• 5,6

52
What are hallucinations? And paranoia
Psychostimulants specifically worsen this symptom
of schizophrenia

• 5,7

53
What is nicotine?
Use of marijuana, alcohol, or this before age 15
are considered to be the three Gateway Drugs to
later dependence problems

• 5,8

54
What is marijuana?
The most common illicit drug used worldwide
across all age groups is this

• 5,9