Cartilage Damage and Repair Process

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Questions and Answers

What is the initial event that triggers the development of osteoarthritis?

  • Damage to articular cartilage (correct)
  • Increased synthesis of matrix constituents
  • Cartilage swelling
  • Increased metabolic activity of chondrocytes

Which of the following is NOT a potential risk factor for osteoarthritis?

  • Joint trauma
  • Heredity
  • Obesity
  • Smoking (correct)

What is the characteristic pain associated with osteoarthritis?

  • Localized deep, aching pain associated with the affected joint (correct)
  • Sharp, shooting pain
  • Burning sensation in the joints
  • Constant, throbbing pain

Which joints are most commonly affected by osteoarthritis in the hands?

<p>Distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints (C)</p> Signup and view all the answers

What is the relationship between osteoarthritis and age?

<p>Prevalence and severity increase with age (B)</p> Signup and view all the answers

What factors influence the risk of harm when using psychoactive drugs?

<p>The level of control a drug user has over their use influences the balance between benefits and harms experienced.</p> Signup and view all the answers

How do physical withdrawal effects differ from psychological withdrawal effects?

<p>Physical withdrawal effects are short in duration and include symptoms like seizures, while psychological effects can last longer and include intense cravings and mood alterations.</p> Signup and view all the answers

Describe the significance of psychological dependence in drug relapse.

<p>Psychological dependence often leads to intense emotional experiences such as cravings and depression, significantly contributing to relapse.</p> Signup and view all the answers

What differentiates drug misuse from drug abuse?

<p>Drug misuse refers to the incorrect use of medication, while drug abuse is characterized by uncontrolled use and dependence on substances.</p> Signup and view all the answers

What are some potential societal risks associated with drug dependence?

<p>Drug dependence can result in significant risks and harms both to individuals and society, including increased crime and health care costs.</p> Signup and view all the answers

What are the three main categories of psychoactive drugs?

<p>Depressants, stimulants, and hallucinogens.</p> Signup and view all the answers

How is drug abuse defined?

<p>The use of illegal drugs or the misuse of prescription drugs with negative consequences for at least a year.</p> Signup and view all the answers

What characterizes drug dependence according to the WHO?

<p>A high-priority focus on obtaining and using a psychoactive drug, along with persistent drug-seeking behavior.</p> Signup and view all the answers

What is the main distinction between physical dependence and psychological dependence?

<p>Physical dependence involves withdrawal symptoms that require continued drug use, while psychological dependence involves a compulsion to seek pleasure or escape unpleasant states.</p> Signup and view all the answers

What are withdrawal symptoms, and how can they present differently?

<p>Withdrawal symptoms occur when drug use is abruptly stopped, presenting as either physical or psychological symptoms.</p> Signup and view all the answers

Can a person be physically dependent on a drug without being addicted? Provide an example.

<p>Yes, a person can be physically dependent without addiction; for example, hypertension medications can cause physical dependence but not addiction.</p> Signup and view all the answers

What kind of behaviors characterize an addict?

<p>An addict exhibits a preoccupation with the drug, neglects responsibilities, and compulsively seeks the drug despite negative consequences.</p> Signup and view all the answers

What does tolerance in the context of psychoactive drug use refer to?

<p>Tolerance refers to needing a higher dose to attain the same effect from the drug.</p> Signup and view all the answers

List two perceived benefits that might lead individuals to use psychoactive drugs.

<p>Pleasurable feelings and increased social interaction are two perceived benefits.</p> Signup and view all the answers

What factors influence an individual's decision to use psychoactive drugs?

<p>Factors include availability, legal status of the drug, and perceived desired effects.</p> Signup and view all the answers

Explain how the risks associated with psychoactive drugs vary.

<p>Risks vary depending on the drug, its use, the individual, and their circumstances.</p> Signup and view all the answers

What is one reason some individuals become addicted to specific psychoactive drugs?

<p>A lack of specific types of neurological control can lead to addiction.</p> Signup and view all the answers

Define psychological dependence in the context of drug use.

<p>Psychological dependence occurs when a person feels they need a drug to function or feel better.</p> Signup and view all the answers

Differentiate between drug misuse and drug abuse.

<p>Drug misuse involves using medication inappropriately, while drug abuse is using substances for non-medical purposes.</p> Signup and view all the answers

What are withdrawal symptoms, and why do they occur?

<p>Withdrawal symptoms are physical and psychological effects experienced when reducing or stopping drug use.</p> Signup and view all the answers

Flashcards

Osteoarthritis trigger

Damage to articular cartilage starts osteoarthritis development.

Osteoarthritis risk factor NOT

Smoking is NOT a risk factor for osteoarthritis.

Osteoarthritis pain type

Deep, aching pain focused on the affected joint.

Hand joint affected by OA

Distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints.

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OA and age relationship

Osteoarthritis prevalence and severity increases with age.

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Controlled Drug Use

Using a drug with careful management and limitations to minimize potential harms. This approach focuses on understanding the drug's effects and making informed choices to avoid dependence and adverse consequences.

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Uncontrolled Drug Use

Using a drug without any limitations or management, often leading to increased risk and potential harm. This can result in drug dependence, making it difficult to stop or reduce use.

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Drug Dependence

A state where an individual feels compelled to use a drug despite experiencing negative consequences. It's characterized by uncontrollable cravings, withdrawal symptoms, and significant disruptions to daily life.

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Withdrawal Symptoms

Physical or psychological discomfort experienced when a person stops using a substance they are dependent on. These symptoms arise because the body has become accustomed to the drug's presence.

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Physical Withdrawal Effects

Physical signs and symptoms experienced when a substance is removed from the body. These effects are often short-term and may include physical discomfort, pain, or bodily changes.

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Psychoactive drug

Any substance that affects the central nervous system (CNS) and alters mood, perception, and consciousness. Examples include depressants, stimulants, and hallucinogens.

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Drug abuse

Using illegal drugs or misusing prescription or over-the-counter drugs for at least a year, resulting in negative consequences. It often involves using drugs for non-medical reasons and negatively impacting physical or mental functioning.

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Drug user

A person who participates in drug or substance use.

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Drug misuse

Drug use that is problematic and causes significant harm or risk.

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Physical dependence

A state where the body needs continued administration of a drug to prevent physical withdrawal symptoms.

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Psychological dependence

A state where either seeking pleasure or euphoria or escaping unpleasant mood states or realities drives drug use.

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Drug addict

A person who is dependent on a drug in a way that causes significant problems in their life.

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Tolerance

The need for a higher dose of a drug to achieve the same effect. This is typical in drug addiction, where the body adjusts and becomes less responsive to the drug over time.

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Benefits of drug use

People use psychoactive drugs because they expect to experience positive effects. These benefits may include pleasurable feelings, enhanced social interaction, altered psychological state, physical changes, or avoidance of withdrawal symptoms.

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Factors influencing drug choice

Decisions to use drugs are influenced by various factors including: availability, legal status, perceived desired effects, perceived risks, social acceptance, and individual preferences.

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Risks associated with drugs

Risks associated with drug use are not equal across all substances. The severity and type of risk vary depending on the drug, the individual, the dose, the frequency of use, and the presence of impurities.

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Addiction and neurological control

A lack of specific neurological control may be a reason why some people develop addiction to certain drugs, while others do not. It suggests a possible neurological basis for susceptibility to addiction.

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Study Notes

  • Articular cartilage damage can be caused by injury, excess loading, aging, or joint instability, leading to increased metabolic activity of chondrocytes and synthesis of matrix constituents.
  • The reparative response to cartilage damage does not restore it to normal but initiates a process that can lead to further cartilage loss.
  • Prevalence and severity of cartilage damage increase with age, with potential risk factors including obesity, joint trauma, and heredity.
  • Common symptoms of cartilage damage include localized deep aching pain in affected joints, which worsens with joint activity and improves with rest.
  • The distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints of the hands are often most affected by cartilage damage.

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