Detox Substance Withdrawal Management

Question 1

Which symptom is characteristic of opioid withdrawal but NOT alcohol withdrawal?

Accepted Answer

Goosebumps (piloerection) and diarrhea

Answer

Piloerection ('goosebumps') and diarrhea are hallmark signs of opioid withdrawal, distinct from alcohol withdrawal which features seizures and DTs.

Question 2

What is the timeline for peak benzodiazepine withdrawal symptoms from short-acting agents like lorazepam?

Accepted Answer

1–4 days after last dose

Answer

Short-acting benzodiazepine withdrawal peaks within 1–4 days due to the rapid elimination of these agents from the body.

Question 3

What is 'post-acute withdrawal syndrome' (PAWS) in the context of substance recovery?

Accepted Answer

Prolonged neurological and psychological symptoms lasting weeks to months after acute detox

Answer

PAWS refers to persistent cognitive, emotional, and sleep disturbances that continue long after acute physical withdrawal resolves.

Question 4

Which stimulant withdrawal symptom is medically managed with close monitoring but rarely life-threatening?

Accepted Answer

Hypersomnia, depression, and intense cravings

Answer

Cocaine and methamphetamine withdrawal typically cause profound fatigue, depression, and cravings rather than life-threatening seizures.

Question 5

What is the medical term for the physical and psychological discomfort that drives compulsive substance use to relieve withdrawal?

Accepted Answer

Negative reinforcement withdrawal cycle

Answer

The negative reinforcement cycle describes how substance use is maintained by its ability to relieve the aversive state of withdrawal, not just produce pleasure.

Detox Practice Test

Detox Practice Test

Detox Substance Withdrawal Management