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228 Cards in this Set

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Narcotic analgesics

Dilaudid, oxycodone, opium, Vicodin, codeine, morphine, heroin

Cannabis

Hash, hash oil, marijuana, Marinol, spice

CNS depressants

Soma, ETOH, Xanax Quaalude Valium, kava root, chloral hydrate

Dissociative anesthetics

PCP ketamine DXM

Hallucinogen

Ecstasy , LSD, psilocybin peyote

CNS stimulants

Desoxyn, Adderall, Ritalin, meth, ephedrine, ,cocaine

Inhalants

Aerosols, ether, amyl nitrate, glue nitrous oxide, solvents,paints,gasoline

Pupil size for person under influence heroin in room light

1.0 millimeters to 2.5 millimeters

Reddening of the conjunctiva is observed with what drug use

Marijuana

Active ingredient in cannabis

Delta-9 THC

Subcategory of inhalants causing below normal pulse rate

No subcategory all inhalants Elevate pulse

Effects on eyes for person inhaling amyl nitrate

Constricted pupils

Fentanyl produces signs symptoms from what drug category

Narcotic analgesics

Drug category for Demerol

Narcotic analgesics

Chemical for heroin

Diacetyl morphine

Pupil size for diazepam

Average

Abnormal rapid heart rate

Tachycardia

Sympathomimetic drug stimulants

Parasympathetic nervous system

Afferent nerves also known as

Sensory

HGN observed under influence of a type of disassociate anesthetic drug

PCP

Average of blood pressure

120 - 140/ 70 - 90

Chloral hydrate is

CNS depressant

Time for one leg stand

30 seconds

Pulse rate for someone under influence hallucinogen

Elevated

Example of hallucinogen

LSD

Drug category of secobarbital

CNS depressant

Pupil size for under influence hallucinogen

Dilated

Example of synthetic narcotic analgesic

Demerol

Synesthesia commonly associated with

Hallucinogen

PCP observable effects last

4 to 6 hours

Synthetic analgesic

Demerol

Impaired person who is tolerant of specific drug

Clinical signs of impairment

What CNS drug likely to cause pupils to dilate

Meth

subject who is under the influence of cannabis body temp will be


Average range

Inhalants that last several hours

Gasoline

Metabolite of THC

Carboxy-thc

Xanax is from what drug category

CNS depressants

Requirement to be certified as a DRE

Prepare and submit and improve vitae

Drug is a narcotic analgesic

Demerol

Time that marijuana will reach Peak and continue

10 to 30 minutes Peak two to three hours continue

DRE trial witch prosecution and defense question education training and experience

Voir dire

Drugstore heroin is

Dilaudid

What onset angle corresponds to 0.20 BAC

30 degrees

Volatile substance

Toluene

Gap between 2 neurons

Synapsis

Pupil reaction with subject under influence of CNS stimulant

Slow

Two CNS depressants which cause pupils to dilate

Quaaludes and Soma

Street name for methamphetamine

Crank

Anti-anxiety tranquilizers are sometimes called

Minor tranquilizers

Instrument to measure blood pressure

Sphygmomanometer

Drug category that causes pupils to constrict

Narcotic analgesics

Pupil size of someone under the influence of Diazepam will have

Average pupil size

First step of Dre 12-step process is?

Breath test

What drugs cause lack of convergence

CNS depressants inhalants cannabis disassociative anesthetics

Four of them

Ketamine produces what type of eye symptom?

Nystagmus

What is not a drug with DRE

Nicotine

Methaqualone effect eyes how

Dilates pupils

Estimated time in modified romberg

30 seconds

Xanax (depressant) is an example of what type of tranquilizer

Anti-anxiety tranquilizer

Demerol is in what drug category

Narcotic analgesic

Pupil size in room light

2.5-5.0

Validated clues for walk-and-turn

8

BS SO WHAT

Validated clues for Romberg balance

None

Drug category for Ritalin

CNS stimulant

Which will cause HGN

Valium

Under the influence of PCP and cocaine with HGN


is an example of what type of effect

Overlapping effect

Term for constricted pupils

Miosis

A drug is any substance that when taken into the human body can impair

The ability of the person to operate a vehicle safely

The DRE laboratory validation study was done where

John Hopkins University

Ingesting drugs from two or more drug categories is called

Polydrug use

2013 through 2014 National roadside survey of alcohol and drug use by drivers study approximately percent of drivers test positive for at least one drug

20%

In the Los Angeles field validation study what percentage of subjects were found to have more than one drug in their system

70%

Which of the following was the most detected drug in the LAPD DRE field study

PCP

Afferent nerves are also known as the

Sensory nerves

What is the artery used in the measurement of blood pressure

Brachial

Which of the following would most likely be referred to as a speedball

Cocaine and heroin

What was the landmark Arizona state supreme court case that established the admissibility of HGN

State vs Blake

DRE sequence for FST

Romberg balance, walk and turn, one leg stand, and finger to nose

How many systematic and standardized steps in a complete DRE evaluation

12

The diameters of the pupillometer's circles /semi-circles are indicated in

Millimeters

The technical term for abnormally large or dilated pupil is

Mydriasis

nystagmus is defined as

Involuntary jerking of the eyes

what formula expresses the approximate statistical relationship between blood alcohol concentration and nystagmus onset

BAC=50-angle of onset

Sympathomimetic drugs artificially cause the transmission of messages that produce. blood pressure and pulse rate

Elevated

The pulmonary artery is unique because it is the only artery that

Carries blood depleted of oxygen

The technical term for an abnormally rapid heart rate is

Tachycardia

Which of the following is not a component of the sphygmomanometer

Diaphragm

The autonomic nervous sub-system has sympathetic nerves and

Parasympathetic

A subject that is under the combined influence of PCP and cocaine with HGN is an example of what effect

Overlapping effect

Which one of the following drugs usually causes HGN

Valium

Amphetamines produce the same effect as cocaine with the exception of

Anesthesia

Demerol is an example of

Synthetic narcotic analgesic

The lower number in a blood pressure measurement is called

Diastolic

DXM is from what drug category

Dissociative anesthetic

A subject under the influence of PCP and marijuana with a pulse rate of 102 bpm is an example of

Additive effect

What sub category of narcotic analgesics normally cause an elevated body temperature

No narcotic analgesics cause elevated body temperature

DRE average range of adult pulse rate is

60 to 90 beats per minute

Which is the following is not a validated clue for the one-leg stand test

Failing to count out loud

What are the seven DRE drug categories

CNS depressants, CNS stimulants, hallucinogens, dissociative anesthetics, narcotic analgesics, inhalants, cannabis

What is the term drug

Any substance when taken into the human body impairs a person's ability to operate a vehicle safely

What two DRE categories usually cause a lowering of the pulse rate and blood pressure

CNS depressants and narcotic analgesics

What DRE categories cause LOC

CNS depressants inhalants dissociative anesthetics cannabis

What DRE categories cause horizontal gaze nystagmus

Depressants inhalants dissociative anesthetics

What is the higher blood pressure measurement called

Systolic

The DRE average range of pupil size in room light is 2.5 millimeters to

5.0 millimeters

What is the name of the pulse Point located in the crease of the wrist

Radial

Which of the following DRE drug category is usually slow the reaction of the pupils to light

CNS stimulants

How many validated clues for finger to nose

None

Chloral hydrate is a drug belonging to which drug category

CNS depressants

The average range for the higher value of blood pressure is

120 to 140

Alcohol is consumed through the stomach into which organ where it passes quickly into the blood

Small intestines

Average adult pulse rate

60 to 90

Where in the body is most alcohol metabolized

Liver

What is not part of a DRE drug influence evaluation

Finger count

Range for diastolic blood pressure

70 - 90

What drug does not increase pulse rate

Heroin

Bruxism is associated with what drug

CNS stimulants

The drug category that causes the pupils of the eyes to constrict

Narcotic analgesics

How many validated clues for the one-leg stand test

4

What is a common form of

Methanol

Physiology

The study of the functions of living organisms and their parts

10 systems of human physiology


MURDERS INC

Muscular, urinary, respiratory, digestive,endocrine,reproductive,


skeletal, integumentary, nervous, circulatory

What is homeostasis

Any self-regulating process by which a biological or mechanical system maintain stability while adjusting to changing conditions

What does CNS depressants do to the body

Slow down the operation of the central nervous system

Which drug category causes the nervous system to send stranger false signals to the brain

Hallucinogens

What is the mixing of the senses

Synesthesia

What is analgesic

Pain reliever

Cocaine and heroin is called

Speedball

Heroin and amphetamine is called

Poor Man's speedball

Heroin and PCP is called

Fireball

Crack cocaine and PCP is called

Space base

Crack cocaine and marijuana is called

Primo

Crack and methamphetamine is called

Croak

What percent of drivers tested positive for at least one drug in 2007

20% tested positive for at least one drug

What's the purpose of the DRE process

Establishes the subject impairment, rules out medical impairment, and determine the category of drugs involved

What two ways did NHTSA assist LAPD in a two-phase validation study

The laboratory validation at John Hopkins and field validation

What is the Frye standard

The traditional test for admissibility of new scientific evidence

What is the daubert standard

Shows reliability before scientific evidence can be admitted

What are the reasons for standardized procedures

1) Articulate suspicion of drug influence 2) subject may refuse testing 3) identify psychoactive impairment 3) reduce test costs 4) identify need for medical intervention

What categories of drugs were included in the John Hopkins laboratory study

CNS depressants and CNS stimulants

What percentage of cases in the Los Angeles field validation study did blood test confirm the DRE opinion that PCP was present

92%

What percentage of blood test in the LAPD field validation study confirm the presence of at least one drug category predicted by the DRE

21%

What are three reasons for conducting drug evaluation and classification evaluations

Ensure no mistakes are made, no examination is left out, and help secure Acceptance in court

What are the 12 components of the drug evaluation process

1)Breath test 2) interview of arresting officer 3) preliminary examination 4)examination of the eyes 5) divided attention test 6)vital signs 7) darkroom exam 8)muscle tone 9)check injection sites 10) subject statements and other observations 11) opinion of officer 12) toxicological

How many times is pulse rate measured during the drug influence evaluation

3

What are the diameters of a pupillometer's circles/ semi circles

Millimeters

What formula expresses the approximate statistical relationship between blood alcohol concentration and nystagmus onset

BAC=50-angle of onset

What drug categories do not cause nystagmus

CNS narcotics CNS stimulants hallucinogens cannabis

How many Heel To Toe steps is the subject instructed to take

9

What is systolic pressure

Highest value of blood pressure the blood reaches when heart is fully contracted

What are the four validated clues of the one leg stand

Puts foot down, use his arm for balance, sways, and hopping

What are the eight validated clues of the walk and turn

Balance, starts too soon, stops while walking, steps offline, wrong number of steps, misses Heel To Toe, uses arms for balance, improper turn

Size of hypodermic needle

The greater the number of the gauge the smaller diameter of the needle

What is pupillary unrest

The Continuous irregular change in the size of the pupils that may be observed under room or study light conditions

What is the purpose of all of the eye examinations

Obtain articulable facts indicating the presence or absence of specific categories of drugs

What drugs are observed with HGN

Depressants, inhalants, disassociative anesthetics

What drugs are observed with vertical gaze nystagmus

Disassociative anesthetics, depressants, or inhalants and high dose of alcohol

What are some medical conditions that cause HGN

Multiple sclerosis, Parkinson's, albinism, and head trauma

What are the three clues of horizontal gaze nystagmus

Lack of smooth pursuit, distinct and sustained nystagmus at maximum deviation, and angle of onset of nystagmus

What drugs cause Loc

Depressants, dissociative anesthetics, inhalants and cannabis

How many seconds do you hold stimulus to check for distinct and sustained nystagmus

Minimum of four seconds

For LOC how far hold stimulus away from nose

2 inches

How many lighting conditions for eye examination

Room light, near total darkness, and direct light

What drug category causes miosis

Narcotic analgesics

What drug category causes mydriasis

Stimulants hallucinogens cannabis and some depressants such as Soma Quaaludes

Pupil size room light

4.0 mm with range of 2.5-5.0

Pupil size near darkness

6.5 with range 5.0-8.5

Pupil size direct light

3.0 mm with range 2.0-4.5

What is average or normal within the DRE program

Average is the quantity that represents the middle or typical value that the majority of healthy non impaired people would exhibit. Normal describes both a range of values or results that are close to average but can be above or below the average value

What is an opinion

A judgement based on special knowledge and experience

Homeostasis

The dynamic balance or steady-state involving levels of salts, water, sugars, and other material in the body's fluid

What are the three ways drugs work

1) Drugs mimic naturally provided substances 2) drugs cause an over release of substances 3) drugs causes substances to last longer

What do veins do

Carry blood to Heart oxygen-poor CO2 rich blood

What do arteries do

Carry blood away from the heart oxygen rich blood

How many valves the heart

4 left atrium right atrium left ventricle right ventricle

What is blood pressure

The force of the blood circulating in the arteries known as systolic

What is Diastolic

Diastolic pressure represents the minimum force that occurs when the heart relaxes

How many parts does a neuron have

3 parts: the cell body, the axon, and the dendrite

What is Axon

The part of the neuron that sends out the neurotransmitter or chemical messenger

What is dendrite

The part that receives the neurotransmitter

What is the gap between two neurons

Synaptic gap

What nerves carry messages away from the brain to the body's muscles and organs

Motor or efferent nerves

What nerves carry messages to the brain

Sensory or afferent nerves

What are the two subsystems of motor nerves

Voluntary and autonomic

What are the two autonomic subsystems

Sympathetic and parasympathetic nerves

What do sympathetic nerves do

Carry messages that cause blood pressure to elevate, pupils to dialate, sweat glands to activate, hair to stand on end, and heartbeat to increase

What do parasympathetic nerves do

Carry messages that causes pupils to constrict heart beats to slow peripheral blood vessels to dilate and blood pressure decrease

How do drugs work

By artificially creating Natural Body reactions generally associated with the work of neurotransmitters and hormones

What is negative feedback

When the brain accommodates the routine presence of a drug by turning off the supply of natural chemicals that correspond to the drug

What is tolerance

When a subject exhibits little evidence of impairment

What is metabolite

A chemical product formed by the reaction of a drug with oxygen and other substances in the body usually during the process of elimination from the body

What is conjunctivitis

A condition caused by infection allergy or irritation of the mucous membrane lining of the eyes resulting in a pink eye appearance

What vital signs are relevant to the drug influence evaluation

Pulse rate, blood pressure, and body temperature

What is a pulse

The expansion and contraction of an artery generated by the pumping action of the heart

What is a pulse rate

The number of pulsations in an artery per minute

What is an artery

A strong elastic blood vessel that carries blood from the heart to the body tissues

What is a vein

A blood vessel that carries blood back to the heart from the blood tissues

What time intervals do you use when measuring pulse rate

30 seconds

What is tachycardia

Abnormally rapid heart rate

What is bradycardia

Unusually slow heart rate

What is arrhythmia

Abnormal heart rhythm

What is the abbreviation for millimeters of mercury

mmHg

What are the sounds we listen for when taking blood pressure measurements

Korotkoff sounds

What are the 5 parts of a sphygmomanometer

Pressure gauge, compression cuff, pressure control valve, pressure bulb, tubes

What are the technical terms associated with blood

Hypertension which is abnormally high blood pressure and hypotension which is abnormally low blood pressure

When does the korotkoff sounds begin

Phase 1 systolic clear tapping sounds

What does the symbol HG represent

Mercury

Which of the seven categories of drugs generally will cause blood pressure to be elevated

CNS stimulants hallucinogens dissociative anesthetics some inhalants(volatile solventsand aerosoles) and cannabis

What do CNS depressants do

Slow down the operations of the brain

What is chloral hydrate

A non-alcohol CNS depressant used to treat insomnia and relieve anxiety and induce sleep before surgery

What are the six major subcategories of CNS depressants other than alcohol

1)Barbiturates 2)non barbiturates 3)anti-anxiety tranquilizers 4)antidepressants 5)antipsychotic tranquilizers and 6) combinations

Anti-anxiety tranquilizers are also known as

Minor tranquilizers

Antipsychotic tranquilizers are sometimes called

Major tranquilizers

What are examples of barbiturates

Secobarbital, phenobarbital, pentobarbital

What are examples of non barbiturates

Chloral hydrate, Soma, Dilantin Lunesta, GHB,methaqualone

What are examples of anti-anxiety tranquilizers

Xanax, Klonopin, Valium, Librium

What are examples of antidepressants

Wellbutrin, Celexa, Cymbalta, Prozac, Paxil

What are examples of antipsychotic tranquilizers

Thorazine, Haldol, and lithane

What are the methods of ingestion of CNS depressants

Orally, insufflation, injection

Symptomology

CNS DEPRESSANTS

What are the four groups of depressants based on onset and duration time factors

Ultra short, short, intermediate, and long

What CNS depressant usually causes pupils to dilate

Soma Quaaludes and some antidepressants

What is the generic name for the drug that has the trade name Prozac

Fluoxetine

Symptomology CNS stimulant

Chart

What does CNS stimulants do to the central nervous system

Stimulants speed up the operation of the central nervous system

What does CNS stimulants speed up

Heartbeat pulse respiration blood pressure and temperature

What are the subcategories of CNS stimulants

Cocaine, amphetamines such as meth and desoxyn and others such as Ritalin and ephedrine

What are the methods of ingesting stimulants

Injection orally snorting smoking