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1. ThepatternofcocaineabuseintheUnitedStateshasbeencyclical.
a. True
b. False
2. How are coca leaves typically used?
a. Crushed into capsules
b. Injected
c. Snorted
d. Chewed
3. Who originally believed that cocaine could be an effective treatment for depression, then recanted this position?
a. Adolf Hitler
b. Carl Rogers
c. Sigmund Freud
d. Carl Jung
4. Which of the follow acts prohibited the use of cocaine for non-medical reasons?
a. The Pure Food and Drug Act
b. The Harrison Narcotic Act
c. The Omnibus Drug Act
d. The Comprehensive Drug Abuse & Prevention Control Act
5. During the most recent resurgence of cocaine abuse in the United States, what year did cocaine abuse peak?
a. 1969
b. 1974
c. 1986
d. 1991
6. What professionals still use cocaine medically?
a. Ear-nose-throat specialists
b. Psychiatrists
c. Oral surgeons
d. Orthopedic surgeons
7. About ______ percent of people who try cocaine will ultimately become addicted.
a. 15
b. 25
c. 50
d. 75
8. According to your text, taking cocaine with ________ increasestheuser’sriskofsuddencardiacdeath18fold
compared to taking cocaine alone.
a. marijuana
b. heroin
c. methamphetamine
d. alcohol
9. Itisimpossibletousecrackintravenously.
a. True
b. False
10. According to a study cited in your text, ______ percent of heart attacks in people ages 18-45 may be cocaine-
related.
a. 5
b. 15
c. 25
d. 50
11. To avoid the bitter taste when chewing the leaves of the coca plant, indigenous people also
a. chew calcium obtained from sea shells.
b. chew lime obtained from sea shells.
c. mix sea salt with the leaves of certain trees and chew the wad for awhile.
d. soak coca leaves with seaweed in a vat filled with water and slowly heat the vat until it begins to boil, let it
cool, and then chew the coca leaves.
12. Albert Neiman
a. first described the practice of chewing coca leaves in anthropological journals for European scientists.
b. determined the exact chemical structure of the lime obtained from sea shells.
c. isolated cocaine from the coca leaf.
d. helped establish a railroad into the high mountains of South America to allow cocaine to be shipped to the
coast, and from there to the rest of the world.
13. For some time, Freud considered cocaine as a possible treatment for
a. depression.
b. social anxiety.
c. mania.
d. hallucinations.
14. Coca-cola, which was introduced as a ____________, contained small amounts of cocaine and was developed
because ______________.
a. treatment for delusional thinking; it helped to calm the patient
b. depressant;alcoholusewasbannedonSundaysandcocaine’sdepressanteffectscouldreplacethoseof
alcohol
c. temperance drink; alcohol use was banned on Sundays
d. substitute for water; local water was considered impure for consumption
15. The Pure Food and Drug Act of 1906
a. merely required that manufacturers of a product list the ingredients of that product on a label.
b. prohibited the use of cocaine unless prescribed by a physician.
c. required a detailed list of the compounds in a product, their method of manufacture and their relative
proportions in the product.
d. identifiedcocaineasa“narcotic.”
16. By the middle of the 1980s, the cocaine distribution and sales system had evolved into
a. one that accounted for 5 percent of the Gross National Product.
b. onethatrivaledthepoliticalscandalofthe“TeapotDome”incidentearlierinU.S.history.
c. the seventh largest industry of its time.
d. a relatively small industry that was mostly ignored by mainstream media.
17. “Crack”cocainewasdesignedandmarketedfor
a. oral ingestion.
b. smoking.
c. intravenous injection.
d. snorting.
18. It is estimated that ___________ people in the United States have abused cocaine at least once, according to your
text.
a. around 30 million
b. an estimated 16 million
c. approximately 52 million
d. about 21 percent of
19. Whenabused,cocaine’seffectsseemtobestrongestwhen
a. the blood levels are stable.
b. the blood levels are rising.
c. the blood levels are falling.
d. none of the above.
20. Accordingtoyourtext,cocaine’spleasurableeffectsarethoughttoreflectitsabilityto_________inthebrain.
a. force the release of dopamine from neurons in the reward system
b. force the release of acetylcholine from neurons involved in the reward cascade
c. block the reabsorption of acetylcholine in the limbic system after release
d. produce metabolites with psychoactive effects
21. The half-life of cocaine is thought to be
a. 4-5 hours.
b. 30-90 minutes.
c. 20 minutes.
d. dependent on the method by which it is administered.
22. Wheninjectedintoabloodvessel,theabuserwillbegintofeelcocaine’seffects
a. in 45-60 seconds.
b. in 15 seconds.
c. in 2-3 minutes.
d. almost instantly.
23. Accordingtoyourtext,thecurrenttheoryisthatcocaine’srewardingeffectsreflectitsabilitytoinfluencethe
_______ receptor site in the brain.
a. Serotonin 5-HT3
b. Dopamine D2
c. Dopamine D1
d. Dopamine D18
24. Research evidence also suggests that cocaine is able to indirectly activate the __________ receptor sites in the
brain.
a. opioid mu and kappa
b. opioid mu and delta
c. opioid sigma and epilson
d. lamda and mu
25. After periods of prolonged cocaine abuse, the individual will fall into a state of depression that might reach
a. anorexic proportions.
b. suicidal proportions.
c. the point where person wants to substitute other short-acting CNS depressants for cocaine.
d. bliss and euphoria.
26. “Insufflation”isatechnicaltermfortheprocessof
a. causing the price of illicit cocaine to go up.
b. causing the heart rate to go up after cocaine is injected.
c. “snorting”cocainepowder.
d. mixing cocaine with water for intravenous injection.
27. Followingthe“flash”or“rush”experience,intravenouscocaineabuserswillthenexperience___________lasting
for 10-15 minutes.
a. a sense of euphoria
b. introversion with new psychological insights
c. extroversion and intense desire to be around others
d. extreme vulnerability
28. Cocaine is a factor in __________ of all deaths that result from illicit drug use, according to your text.
a. 10-20 percent
b. 30-40 percent
c. 40-50 percent
d. 50-60 percent
29. Chronic bronchiolitis is also known as
a. cotton fever.
b. crack lung.
c. skin abscesses that form at injection site from non-sterile needles and lack of adequate sanitary preparation of
injection site.
d. cocaine-related plaque buildup around the heart.
30. Which of the following is not a cardiovascular complication that can result from cocaine abuse?
a. Cardiomyopathy
b. Sudden aortic dissecton
c. Heart attack
d. Pulmonary hypotension
31. Acocaineabuser’sriskofsufferingastrokemightbe_____thanthatofanonabuser.
a. 50 times higher
b. 5 times higher
c. 30 times higher
d. 14 times higher
32. The theory that cocaine use can contribute to liver damage
a. has been confirmed by research studies but not widely known by the general public.
b. tends to be proven only in abusers who suffer an acute aortic dissection.
c. is controversial at this time.
d. has only recently been proposed.
33. Cocaine induced cardiac problems
a. follow a fairly predictable pattern of plaque buildup breakdown, leaving the vein wall weakened and vulnerable
to rupture.
b. do not follow a recognized pattern.
c. are seen only in younger abusers of cocaine whose hearts are not used to sudden stress.
d. are seen only in older abusers, who have impaired blood flow through cerebral arteries.
34. Homicide appears to be the cause of _______ percent of the deaths of cocaine abusers who die as a result of their
cocaine abuse.
a. 10
b. 15
c. 25
d. 20
35. Discussthethreedistinctcocaine"epidemics"thathaveoccurredintheUnitedStates.
36. Whatarethecurrentmedicalusesofcocaine?
37. Describethevariousmethodsofcocaineabuse.
38.
Discusstherelationshipbetweencocaineabuseandcentralnervoussystemdamage.
39. Discusstheeffectsofcocaineabuseonemotionsandperceptions.
