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The Nye Committee:

What did the governments of Italy and Germany have in common by the mid-1930s?

One source of hesitation to fighting in World War 2, among parts of the African American community,  came from:

Question 42: A 29 year old married male presents to the intake department at a community mental health center, seeking treatment of a severe cannabis use disorder.  Aside from using ½ can of tobacco “dip” per day, he denies using other addictive substances.  His breathalyzer is negative and urine immunoassay is positive only for cannabinoids.  Medically, he has hyperlipidemia and mild obesity (BMI=31.2).  He has a history of childhood-onset ADHD, inattentive type, for which he stopped medication several years ago.  He periodically experiences “anxiety attacks” which reportedly trigger him use cannabis.  Otherwise he denies any psychiatric issues. He is employed at a small local insurance agency for the past 8 years.  He has never sought help for this problem before.  His wife, who does not use drugs, is very supportive of his efforts to get help and wants him to quit.  His brother-in-law, who also smokes cannabis, has been sleeping on the couch in the living room for the past 5 weeks but plans to move out “real soon.”  The patient verbalizes apprehension about treatment and has financial strain.  He has already used up most of his vacation/sick leave, and definitely does not want to do anything to jeopardize his job.  With respect to substance treatment, the most appropriate level of care is:

Question 11: Which of the following is correct about the patient in question 10’s withdrawal?

Question 17: All of the following drugs are examples of NMDA antagonists (dissociatives) with the exception of

Question 12: A 50-year old man had been a heavy drinker since he was 18. He has had morning drinking, shaking tremors when he cannot have a drink, periods of amnesia for his behaviors while he was drinking, being fired for drinking at work, and three arrests for driving while intoxicated. He believes he has a drinking problem, but is unsure if he wants to stop. Asked if he wants admission to a substance treatment program, he says “No.” He is in which of the following stages of treatment readiness?

Question 40: A 24 year old male is brought to the emergency department after being found unconscious at a nightclub. Vital signs are as follows: temp 99.9, heart rate 60, respiratory rate 6, blood pressure 110/70, and SpO2 95%. Physical exam reveals numerous track marks on his bilateral forearms, and EMS reports finding a bag of heroin in his pocket. Which of the following is an appropriate initial pharmacotherapy? 

Question 4: A 15 year old boy is brought by the police to the emergency room. He had been arguing and fighting with one of his neighbors. He reports dizziness, trouble concentrating and visual hallucinations. His conjunctivae are red and there is a red rash around his mouth. His breath has an odd odor, and he has an upper extremity tremor. His Mini-mental State score is 20/30. Of the following, the most likely diagnosis is intoxication with:

Question 3: A 23-year old man is brought to the emergency room by the police for belligerent behavior. His speech is slurred, his gait is ataxic, his memory is impaired, and he spits at the examiner. His mood is irritable. There is no odor of alcohol on his breath, and his skin color is normal. Of the following, the most likely diagnosis is