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Questions and Answers
The diagnosis of alcohol dependence requires the presence of withdrawal symptoms.
The diagnosis of alcohol dependence requires the presence of withdrawal symptoms.
False (B)
Approximately 5% of individuals who are alcohol-dependent experience severe withdrawal symptoms.
Approximately 5% of individuals who are alcohol-dependent experience severe withdrawal symptoms.
True (A)
All patients classified as alcohol-dependent will show signs of withdrawal when alcohol intake decreases.
All patients classified as alcohol-dependent will show signs of withdrawal when alcohol intake decreases.
False (B)
Delirium tremens and grand mal seizures can occur in a small percentage of alcohol-dependent individuals during withdrawal.
Delirium tremens and grand mal seizures can occur in a small percentage of alcohol-dependent individuals during withdrawal.
Vaillant's study followed 194 men for a duration of 25 years regarding alcohol misuse.
Vaillant's study followed 194 men for a duration of 25 years regarding alcohol misuse.
Agitation is the only initial symptom of alcohol withdrawal.
Agitation is the only initial symptom of alcohol withdrawal.
Symptoms of alcohol withdrawal may last for several days if alcohol is not taken.
Symptoms of alcohol withdrawal may last for several days if alcohol is not taken.
Hallucinations in alcohol withdrawal usually last for an extended period of time.
Hallucinations in alcohol withdrawal usually last for an extended period of time.
Delirium tremens can occur approximately 48 hours after alcohol withdrawal begins.
Delirium tremens can occur approximately 48 hours after alcohol withdrawal begins.
Disorganized voices are a common initial symptom of alcohol withdrawal.
Disorganized voices are a common initial symptom of alcohol withdrawal.
The prognosis of alcohol misuse remains constant and predictable across all individuals.
The prognosis of alcohol misuse remains constant and predictable across all individuals.
Sustained remission from alcohol misuse can be achieved without maintaining abstinence.
Sustained remission from alcohol misuse can be achieved without maintaining abstinence.
Attendance at Alcoholics Anonymous does not appear to impact recovery outcomes positively.
Attendance at Alcoholics Anonymous does not appear to impact recovery outcomes positively.
A higher drinking frequency is a predictor of a good response to treatment for alcohol use disorder.
A higher drinking frequency is a predictor of a good response to treatment for alcohol use disorder.
Alcohol withdrawal symptoms can begin after a decrease in blood alcohol concentration.
Alcohol withdrawal symptoms can begin after a decrease in blood alcohol concentration.
Delirium tremens is a common early sign of alcohol withdrawal.
Delirium tremens is a common early sign of alcohol withdrawal.
Dependent drinkers may engage in secretive behavior about their alcohol consumption due to withdrawal symptoms.
Dependent drinkers may engage in secretive behavior about their alcohol consumption due to withdrawal symptoms.
Acute tremulousness is not a common physical symptom of alcohol withdrawal.
Acute tremulousness is not a common physical symptom of alcohol withdrawal.
Flashcards
Alcohol Dependence Criteria
Alcohol Dependence Criteria
Meeting ICD-10 criteria for dependence, as defined in a table. Withdrawal symptoms aren't needed for diagnosis.
Withdrawal Symptoms in Dependence
Withdrawal Symptoms in Dependence
A small percentage (approx. 5%) of alcohol-dependent individuals experience severe symptoms like delirium tremens and seizures.
Alcohol Dependence Diagnosis
Alcohol Dependence Diagnosis
Diagnosis based on specific criteria, not simply the presence of withdrawal symptoms.
Long-term Alcohol Misuse Study
Long-term Alcohol Misuse Study
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Majority of Alcohol-Dependent without Withdrawal
Majority of Alcohol-Dependent without Withdrawal
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Alcohol withdrawal symptoms
Alcohol withdrawal symptoms
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Initial withdrawal symptoms
Initial withdrawal symptoms
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Severe withdrawal symptoms
Severe withdrawal symptoms
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Hallucinations in withdrawal
Hallucinations in withdrawal
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Delirium tremens (DTs)
Delirium tremens (DTs)
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Alcohol Misuse Prognosis
Alcohol Misuse Prognosis
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Alcoholics Anonymous (AA)
Alcoholics Anonymous (AA)
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Alcohol Use Disorder Remission
Alcohol Use Disorder Remission
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Predictors of Good Response
Predictors of Good Response
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Alcohol Withdrawal Syndrome
Alcohol Withdrawal Syndrome
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Early Signs of Alcohol Withdrawal
Early Signs of Alcohol Withdrawal
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Heavy Drinking and Withdrawal
Heavy Drinking and Withdrawal
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Physical Symptoms of Alcohol Withdrawal
Physical Symptoms of Alcohol Withdrawal
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Study Notes
Alcohol Dependence and Withdrawal
- Patients are considered alcohol-dependent when they meet ICD-10 criteria for dependence (described in Table 20.3).
- Withdrawal symptoms are not always present to diagnose dependence.
- A significant minority of individuals who meet the dependence criteria do not experience withdrawal symptoms when their alcohol intake decreases or stops.
- About 5% of dependent individuals have severe withdrawal symptoms, including delirium tremens and grand mal seizures.
Course of Alcohol Misuse and Dependence
- A 60-year follow-up of 194 men who exhibited alcohol misuse at some point was described by Vaillant (2003).
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