Amphetamine-related disorders. Answers from DSM-IV-TR, First and Tasman or Sadock & Sadock’s 10 th , unless otherwise indicated. As of 3Sep08. . Prevalence - gender. Q. Which gender predominates?. Prevalence - gender. Ans. Men. Urine +. Q. Urine is positive for amphetamines for how long?.
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Answers from DSM-IV-TR, First and Tasman or Sadock & Sadock’s 10th, unless otherwise indicated.
As of 3Sep08.
Q. Which gender predominates?
Q. Urine is positive for amphetamines for how long?
Ans. 1 – 3 days.
Q. Common oral finding with methamphetamine use?
Ans. Dental condition has deteriorated.
Q. DSM expects at least two of nine signs. List the nine intoxication signs with amphetamines.
1]Tachycardia or bradycardia
3] BP up or down
4] Perspiration or chills
5] Nausea or vomiting
6] weight loss
7] psychomotor agitation or retardation
8] see next slide
8] muscle weakness, R down, chest pain, or cardiac arrhythmias
9] confusion, seizure, dystonias, or coma.
Q. DSM expects at least two of five signs of withdrawal. Name the five.
2] vivid, unpleasant dreams
3] insomnia or hypersomnia
4] increased appetite
5] psychomotor retardation or agitation
Q. Use during pregnancy increases what?
1] fetal loss
2] developmental delays in the baby
3] childhood learning disabilities.
Q. What is the treatment of intoxication, generally speaking?
Ans. There is no specific treatment. Instead, symptomatic. In answering examiner’s questions keep in mind that restraints are a bad idea because increase chance of NMS-like result.
Q. Treatment of withdrawal?
Ans. No specific treatment. Symptomatic.
Q. Psychosocial treatment of amphetamine dependence?
Ans. None established that are specific to amphetamine dependence, so education, NA, and so forth should suffice.
Q. What meds are used for amphetamine dependence?
Ans. None established, but Sadock and Sadock does mention bupropion has an option after withdrawal.