Psychiatric Disease & Substance Abuse Health Assessment Quiz

Alcohol has minimal impact on the central nervous system.

Marijuana chronic use can lead to a decrease in cardiac output.

Cocaine can be safely used up to 3 days before anesthesia.

Heroin is rapidly converted to cocaine in the plasma.

Substance abuse is often observed in isolation without any psychiatric diagnosis.

Alcohol abuse can lead to gastritis and liver cirrhosis.

Marijuana acute intoxication can directly depress myocardial function.

Cocaine has no effect on cardiac function during anesthesia.

Preoperative workup for alcohol users includes an electrocardiogram (ECG), coagulation studies, complete blood count (CBC), and consideration of blood products.

Major depression is more common in men than in women.

Psychiatric diseases are curable, not just manageable.

Tricyclic antidepressants (TCAs) can slow cardiac conduction, which can be detected on an ECG.

Monoamine oxidase inhibitors (MAOIs) are no longer used in psychiatric treatment.

Anticonvulsants are effective mood stabilizers and can also be used for chronic pain treatment.

Acute discontinuation of anticonvulsants can cause seizures.

Compliance with ______ (has anything been discontinued) Bottom line: take your psych meds and prepare for the end first

Substance abuse is almost NEVER seen in ______

Avoid use of ______ 1 week prior to anesthesia

Never perform an elective anesthetic on someone acutely ______ on cocaine

Preoperative assessment focused on ______ of heroin addiction