Addiction Medicine Co-occurring Disorders & Dual Diagnosis Flashcards
6 cards from real Addiction Medicine Certification practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Addiction Medicine Co-occurring Disorders & Dual Diagnosis flashcards as text
Which neurotransmitter system is most implicated in the link between cocaine use disorder and depression?
Answer: Dopamine
Chronic cocaine use depletes dopamine reserves, contributing to anhedonia and depressive symptoms during abstinence that closely mirror major depressive disorder.
In treating a patient with opioid use disorder and generalized anxiety disorder, which medication is appropriate for anxiety while avoiding dependence risk?
Answer: Buspirone
Buspirone is a non-benzodiazepine anxiolytic with no abuse potential, making it appropriate for anxiety management in patients with opioid use disorder.
The ASAM criteria for level of care placement specifically account for which dimension related to co-occurring disorders?
Answer: Dimension 3: Emotional/behavioral conditions
ASAM Dimension 3 addresses emotional, behavioral, and cognitive conditions, which encompasses co-occurring psychiatric disorders when determining level of care.
A patient on buprenorphine/naloxone for opioid use disorder is diagnosed with ADHD. Which stimulant strategy is most appropriate?
Answer: Non-stimulant medications like atomoxetine should be considered first
Non-stimulant medications like atomoxetine are generally preferred first in patients with substance use disorder and ADHD to minimize misuse risk, though stimulants may be considered with close monitoring.
Which behavioral health condition is most frequently missed in patients presenting primarily with alcohol use disorder?
Answer: Bipolar disorder type II
Bipolar disorder type II is frequently underdiagnosed in patients with alcohol use disorder because hypomanic episodes may be masked by or attributed to alcohol intoxication.
In patients with co-occurring opioid use disorder and PTSD, which medication has evidence for reducing both opioid craving and PTSD-related hyperarousal?
Answer: Clonidine
Clonidine, an alpha-2 agonist, reduces noradrenergic activity, which helps alleviate both opioid withdrawal symptoms and PTSD hyperarousal symptoms.
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