Substance Use Disorders Practice Questions

Q: Most common type of hallucination seen in alcoholic hallucinosis is:

Auditory hallucinations. ***Auditory hallucinations*** - **Auditory hallucinations** are the most characteristic and frequent type of hallucinations experienced in **alcoholic hallucinosis**. - These often involve **voices** that may be threatening, accusatory, or commenting on the patient's actions, leading to significant distress. *Visual hallucinations* - While visual hallucinations can occur, they are **less common** than auditory hallucinations in alcoholic hallucinosis. - Visual hallucinations are more typical of **delirium tremens**, where they might involve small, moving objects or terrifying images. *Tactile hallucinations* - **Tactile hallucinations**, such as the sensation of insects crawling on the skin (formication), are characteristic of **delirium tremens** or severe **cocaine intoxication**. - They are generally **not the predominant type** of hallucination in alcoholic hallucinosis. *Reflex hallucinations* - **Reflex hallucinations** refer to a rare phenomenon where a hallucination is consistently triggered by a specific stimulus in another sensory modality. - This is a **highly unusual** and specific type of hallucination not typically associated with alcoholic hallucinosis.

Q: Which of the following drugs is given for detoxification of alcohol in chronic alcoholics?

Chlordiazepoxide. ***Correct Option: Chlordiazepoxide*** - **Chlordiazepoxide** is a **benzodiazepine** commonly used for acute alcohol withdrawal syndrome due to its long half-life and efficacy in reducing withdrawal symptoms. - It helps prevent **seizures** and **delirium tremens** by acting on GABA receptors, reducing neuronal hyperexcitability. *Incorrect Option: Haloperidol* - **Haloperidol** is an **antipsychotic** medication primarily used to manage acute psychosis, agitation, or delirium. - It does not directly address alcohol withdrawal symptoms and can potentially lower the **seizure threshold**, which is risky in alcohol withdrawal. *Incorrect Option: Naltrexone* - **Naltrexone** is an **opioid antagonist** used to reduce alcohol cravings and prevent relapse in individuals who have achieved abstinence. - It is not used for acute detoxification or withdrawal management, as it does not alleviate acute symptoms. *Incorrect Option: Buprenorphine* - **Buprenorphine** is a **partial opioid agonist** used primarily in the treatment of opioid use disorder. - It has no role in the detoxification or management of alcohol withdrawal syndrome.

Question 1

Most common type of hallucination seen in alcoholic hallucinosis is:

Accepted Answer

Auditory hallucinations

Answer

Visual hallucinations

Answer

Tactile hallucinations

Answer

Reflex hallucinations

Question 2

Which of the following drugs is given for detoxification of alcohol in chronic alcoholics?

Accepted Answer

Chlordiazepoxide

Answer

Haloperidol

Answer

Naltrexone

Answer

Buprenorphine

Question 3

A person presents to the outpatient department with tremors and visual hallucinations after a 2-day history of alcohol cessation. What is the diagnosis?

Accepted Answer

Delirium tremens

Answer

Korsakoff’s psychosis

Answer

Wernicke encephalopathy

Answer

Alcoholic hallucinosis

Substance Use Disorders — MCQs

Substance Use Disorders — MCQs

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