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1. Health care professionals generally accept that ________12-ounce cans of beer would need to be consumed daily
for 2-3 weeks to produce a physical dependency.
a. 5 to 7
b. 11 to 15
c. 17 to 20
d. 22 to 25
2. Rita has grown aware of the fact that her alcohol use is contributing to problems with her health, her work, and her
marriage. She has attempted to cut back on her drinking because of this, but cannot seem to reduce her alcohol
intake. Rita most likely
a. is a social drinker.
b. has no problem with her drinking.
c. has some sort of alcohol use disorder (AUD).
d. has none of these.
3. Around the globe, ______ million people die from alcohol-related illness or injuries each year.
a. 1.1
b. 1.75
c. 2.4
d. 4.7
4. People who are alcohol-dependent are thought to lose about ______ of potential life as a result of their drinking.
a. 6 months
b. 2 years
c. 7 years
d. 15 years
5. All chronic drinkers will need to continue increasing the amount of alcohol consumed in order to reach a given level
of intoxication throughout their lifetime.
a. True
b. False
6. Helga has developed avitaminosis from years of heavy drinking. This means
a. she is vitamin deficient.
b. her body has been absorbing too many vitamins at a toxic level.
c. she has an inflamed stomach.
d. she has a dangerously low glutathione level.
7. WernickeKorsakoff’sdiseaseisapotentiallyfatal
a. neurological disorder.
b. cardiovascular disorder.
c. gastrointestinal disorder.
d. side effect of cirrhosis of the liver.
8. _________ are thought to be the most effective treatment for patients suffering from alcohol withdrawal seizures.
a. Opioid antagonists
b. Benzodiazapines
c. Anti-convulsants
d. Small amounts of alcohol
9. According to your text, what percentage of the U.S. population will NOT consume alcohol at some point in their
lives?
a. 15 percent
b. 18 percent
c. 17 percent
d. 10 percent
10. Globally, alcohol is thought to cause
a. twice as many deaths as tobacco.
b. the same number of deaths as does tobacco.
c. 2.4 million deaths per year.
d. 3.8 million deaths per year.
11. According to your text, which continent has the highest percentage of persons who consume alcohol?
a. South America
b. Asia
c. Australia
d. Europe
12. Your text suggests that _______ of the U.S. population drank to the point of intoxication in the past year.
a. 6 percent
b. 60 percent
c. 35-40 percent
d. 90 percent
13. Thetypical“skidrow”personwithanalcoholusedisorderrepresents________ofthetotalnumberofpersonswith
such a disorder.
a. 40 percent
b. 11 percent
c. 5 percent
d. 3 percent
14. Between 80 and 90 percent of persons with an alcohol use disorder will have evidence of
a. development of intestinal problem.
b. a“fatty”liver.
c. development of hypotension.
d. development of diverticulitis.
15. The total economic impact of the alcohol use disorders is thought to be
a. $234 billion per year in the United States.
b. $234 billion per year around the globe.
c. $234 billion per decade in the United States.
d. 13 percent of the total amount spent by the U.S. Department of Defense each year.
16. Of those individuals who develop liver steatosis, what percentage go on to develop alcohol-related hepatitis?
a. 50-60 percent
b. 45-50 percent
c. 5-20 percent
d. 35-40 percent
17. Accordingtoyourtext________ofadultsintheU.S.haveengagedinatleastoneepisodeof“binge”drinkingin
the past 12 months.
a. 5 percent
b. 28 percent
c. 15 percent
d. 35 percent
18. The first time a person with an alcohol use disorder can typically be expected to experience bio/psycho/social
problems because of their drinking is in their
a. early to middle 30s.
b. late 50s to mid 60s.
c. early 40s.
d. late 20s to early 30s.
19. To put the prevalence of alcohol abuse into perspective, your text suggests that _____ episodes of binge drinking
take place each year in the United States.
a. 10 million
b. 100 million
c. 500 million
d. 1.5 billion
20. Under normal conditions, what would you expect from a person with a blood alcohol level of 0.15, according to your
text?
a. Stupor, lethargy bordering on loss of consciousness
b. Mild ataxia, a sense of euphoria or well being
c. Coma, possible respiratory arrest
d. Death
21. In the U.S., alcohol is thought to cause (or at least be a factor in) _____ deaths per year.
a. 150-175 thousand
b. 85-90 thousand
c. 35-50 thousand
d. approximately 2.5 million
22. According to your text, the average heavy drinker can expect to lose _____ years of potential life to drinking-related
diseases or health problems.
a. 18-20
b. approximately 12
c. 14-15
d. up to 25
23. According to your text, which of the following is NOT an anticipated consequence of the chronic use of alcohol?
a. Nutritional deficiencies
b. Diarrhea
c. Inflammation of the pancreas
d. Enhanced bone formation by osteoblasts in the body
24. The chronic use of alcohol is the ___________ cause of liver disease in the U.S.
a. least likely
b. second most common
c. most common
d. third most common
25. The formation of ___________ are thought to contribute to the destruction of liver tissue in chronic drinkers.
a. free radicals
b. neurotoxins
c. glutathione
d. c-reactive proteins
26. Some persons with an AUD have been known to obtain up to _______ of their daily caloric requirement from their
drinking.
a. 50 percent
b. 35 percent
c. 15 percent
d. 40 percent
27. Which of the following is NOT true for heavy, chronic, alcohol use?
a. Itincreasesthedrinker’sriskofdeathfrompneumoniaby300700percent.
b. It can contribute to glossitis.
c. Itcancontributetothedevelopmentof“noninsulindependent”diabetes.
d. It helps block formation of stomach ulcers by destroying bacteria that were ingested.
28. All of the following are true of chronic, heavy, alcohol use EXCEPT
a. itincreasestheindividual’sriskofcardiovasculardisease.
b. it enhances the cardioprotective effects first seen with moderate alcohol use.
c. itincreasesthedrinker’sriskofdeathfromastroke.
d. alcohol is a cardiotoxic compound.
29. Alcoholrelated“blackouts”are
a. not inevitable.
b. inevitable.
c. inevitable, but only if the person develops atrial fibrillation.
d. dependent on damage to the prefrontal regions of the amygdala.
30. Alcohol tends to ________ Rapid Eye Movement (REM) sleep.
a. enhance
b. reduce
c. not alter
d. intensify
31. Approximately _____ of alcohol-dependent persons will report having ________, according to your text.
a. 20-25 percent; problems making decisions in social settings
b. 30-40 percent; anxiety
c. 20-25 percent; anxiety
d. 10-30 percent; anxiety
32. The heavy, chronic use of alcohol will
a. aid in weight loss in women only, although the reason for this is not known at present.
b. alter the normal pattern of bacterial growth in the mouth, increasing the drinker's risk for pneumonia should
these bacteria be aspirated.
c. reduce the effects of sleep apnea as it causes the muscles of the trachea to become more relaxed and less
tense.
d. increase the effectiveness of the immune system through the manner in which glucose derived from alcohol
biotransformation becomes a source of energy for the white blood cells.
33. Which of the following is NOT true of the alcohol withdrawal syndrome?
a. Braindamageduringthisstageispartlydependentonthedurationandintensityoftheindividual’salcoholuse.
b. The alcohol withdrawal syndrome is potentially life threatening.
c. It reflects the sudden decrease in GABA activity, leaving NMDA to overstimulate the neurons in the brain.
d. Tremor is often one of the first manifestations of this condition.
34. Which of the following is NOT normally seen in the alcohol withdrawal syndrome?
a. Seizures
b. Improved problem solving abilities
c. Tremor
d. Vomiting
35. The symptoms of mild alcohol withdrawal usually peak in _______ hours and then gradually decline in intensity,
according to your text.
a. 72-96
b. 48-72
c. 24-48
d. 120
36. Describethe"typical"personwithanalcoholusedisorder.
37. Whataretheeffectsofchronicalcoholuseontheliver?
38. DescribesomeofthesymptomsassociatedwithWernickeKorsakoff'sDisease.
39. Describethepotentialsymptomsexperiencedbypatientsundergoingalcoholwithdrawal.
40. Describe the standard treatment for alcohol withdrawal syndrome.
41. Coffeeconsumptionmaydecreaseanindividual’sriskofdevelopingcirrhosisoftheliver.
a. True
b. False
