The set of symptoms experienced when a user stops or curtails the intake of a substance
is called
a. psychological dependence.
b. withdrawal syndrome.
c. loss of control.
d. addiction.
What percent of the entire world population has used at least one psychoactive
substance?
a. 5 percent
b. 25 percent
c. 50 percent
d. 75 percent
In the short time since it was isolated, scientists have concluded that anandamide is
involved in the process of all of the following EXCEPT
a. specification of new neurons known as pyramidal cells and axon growth.
b. control of the body’s immune system.
c. activation of memory development processes in the brain.
d. body temperature regulation.
What percentage of all cases of lung cancer are thought to be smoking-related?
a. 18 percent
b. 28 percent
c. 55 percent
d. 87 percent
A client presents after conviction for his second “drunk driving” conviction. During the
assessment process he also reveals he had a disciplinary action while in the military for
driving a vehicle on base while intoxicated. This would
a. be counted as a third “drunk driving” conviction, although it did not appear on his
civilian driving record.
b. not be counted as a “drunk driving” conviction since he was on base and it did not
appear on his civilian record.
c. be dismissed as evidence of a substance use disorder since everybody knows that
people in the military drink more than civilians of the same age.
d. be included as evidence of a “drunk driving” only if it involved the same chemical
that was involved in their civilian convictions.
Perhaps the best way to view substance abuse rehabilitation work is as a form of
a. crisis management.
b. disease management.
c. disaster intervention.
d. collaborative medicine.
When historians review the phenomenon of “patent” medicines, an often overlooked
fact is that
a. women who became addicted to these compounds tended to live in urban areas where
access to such compounds was easy.
b. 10 percent of those who were addicted to these “medicines” were children.
c. only 18 percent of the compounds were not harmful to the user.
d. one-third of those addicted to these compounds were men.
Since the time of its introduction, scientists have discovered that MDMA is a
a. mood stabilizer.
b. selective serotonin neurotoxin.
c. appetite suppressant.
d. compound useful in enhancing memory.
Adolescent girls with anorexia might use
a. alcohol to suppress their appetites.
b. CNS depressants to allow them to avoid becoming manic from the lack of adequate
caloric intake.
c. alcohol to maintain a minimal degree of caloric intake to avoid loss of consciousness
from lack of eating.
d. marijuana to stimulate their appetites.
During the ___ stage, the client is ready to change his or her attitude and behavior
within a specific time frame, usually within the next month.
a. preparation
b. precontemplation
c. preaction
d. ready to go
If 95 percent of test subjects have the desired response to medication “X” at a dosage
level of 15 mg, this would be called
a. the LD95.
b. the ED95.
c. the minimal effective dose.
d. the therapeutic half-life of that compound at the 95th percentile.
The danger of iatrogenic addiction is
a. estimated to be about 1 in every 14,000 cases when the narcotic analgesic is used for
short term control of pain.
b. estimated to be about 1 in every 1,000 cases when the narcotic analgesic is used for
short term control of pain.
c. estimated to be about 1 in every 1,400 cases when the narcotic analgesic is used for
short term control of pain.
d. determined in part by the patient’s age and sex.
When abused, cocaine’s effects seem to be strongest when
a. the blood levels are stable.
b. the blood levels are rising.
c. the blood levels are falling.
d. none of the above.
Which of the following narcotic analgesics was developed for long-term pain
management?
a. Codeine
b. Oxycodone
c. Morphine
d. Fentanyl
It has been suggested that the concept of the “alcoholic personality”
a. is well supported by clinical literature for men who drink, but not for women.
b. is well supported by clinical literature for women who drink, but not for men.
c. might reflect the illusion of correlation.
d. only emerged from clinical research conducted in the 1990s.
The Minnesota model has been
a. widely accepted and studied as a proven method to treat addicted persons.
b. unable to generate evidence of its effectiveness.
c. able to support what were previously just “therapeutic myths.”
d. able to support the long-held belief that 28 days is a therapeutic threshold beyond
which change is inevitable.
The financial contribution of each member of Alcoholics Anonymous
a. cannot exceed $1,000 per year.
b. is established on the basis of his or her annual income.
c. is small compared with the contributions from local businesses.
d. is a tithe (10 percent of annual income).
The pharmacokinetics of modafinil (Provigil) are
a. exactly the same as dextroamphetamine but with a shorter duration of effect.
b. such that it has no significant abuse potential.
c. such that it appears to have a mild abuse potential.
d. such that it is of limited value in the treatment of narcolepsy.
One study cited by your text found that 50 percent of patients who had been
administered naltrexone
a. relapsed within 3 months of starting treatment with this medication.
b. experienced adverse effects that required the medication be discontinued on the
advice of a physician.
c. stopped taking it within the first 30 days.
d. experienced intense cravings for alcohol.
The more serious the individual’s mental illness, the more
a. likely he or she is to fear losing entitlement payments such as Social Security.
b. receptive he or she will be to an opportunity to supplement their income from
entitlement payments by working “under the table.”
c. difficult it will be to abstain from alcohol or illicit drugs.
d. likely it is he or she will be able to return to society and resume their role as a
productive citizen.
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
To be fully effective in an acetaminophen overdose, N-acetylysteine must be
administered within _____of the time the overdose was ingested.
a. 12 hours
b. 24 hours
c. 72 hours
d. 96 hours
Within the brain, methylphenidate’s prime effects are thought to be caused by its ability
to
a. stimulate the molecular serotonin reuptake pump in the neuron.
b. block the dopamine reuptake pump in the neuron.
c. stimulate the molecular norepinephrine reuptake pump in the neuron.
d. stimulate the release of dopamine stores in the neuron.
Which of the following is NOT one of the subforms of inhalantrelated disorders listed
in the DSM5?
a. Inhalant use disorder
b. Inhalant use ataxia
c. Inhalant intoxication
d. Unspecified inhalantrelated disorder
After a single dose of an amphetamine compound has been ingested, it will usually
begin to take effect in
a. 2-3 hours.
b. 20-30 minutes.
c. 5-10 minutes.
d. 1 hour.
Oral doses of phencyclidine produce their first effects in
a. 30 minutes.
b. 2 minutes.
c. 2 hours.
d. 90 minutes.
One motivating factor for familial denial is to
a. avoid financial responsibility for the dysfunctional person’s behaviors.
b. escape the social consequences inherent in personal dysfunction.
c. escape the social blame for the addicted person’s behaviors.
d. allow affected family members a measure of revenge for the behavior of the addicted
person.
As a result of the process of adulteration that takes place at each step in the production
process, the $90 paid to the farmer for a kilogram of raw opium is multiplied by a factor
of _____ by the time the narcotic produced from that opium is marketed on the street
a. 500
b. 1,000
c. 1,600
d. 10
The methadone molecule is structurally similar to the _______molecule.
a. codeine
b. sigma
c. morphine
d. heroin
Tammy says drinking alcohol makes her “feel” better, even though many of her close
friends see a general deterioration in her ability to take care of various aspects of her
life. Her decision to begin and continue to use alcohol is possibly being influenced by
a. social learning.
b. blindness to the chemical’s effects.
c. cultural/social influences.
d. alcohol’s reward potential.
A danger of disulfiram use during pregnancy is that it might
a. result in higher levels of lead in the fetal circulation, resulting in hepatoxicity.
b. result in higher levels of lead in the fetal circulation, resulting in neurotoxicity.
c. result in higher levels of ganglioside inhibition in the brain.
d. have no effect at all, as the lead in the maternal circulation is unable to cross the
placental barrier.
Which of the following statements is NOT true about the treatment of bipolar disorder
and SUDs?
a. Manic symptoms can be easily mistaken as “progress” by rehabilitation staff, leading
to increased rate of premature release from treatment.
b. It is hypothesized that bipolar patients might use CNS stimulants to simulate the
manic phase of their disorder.
c. The alcohol dependent patient with bipolar disorder is more likely to use alcohol
during the manic phase of the disorder.
d. Symptoms of bipolar disorder can be exacerbated by the abuse of many compounds.
Benzodiazepines enhance the effects of
a. serotonin.
b. GABA.
c. dopamine.
d. metabolites.
Discuss the debate regarding whether complete abstinence should be the goal of
treatment.
Answer:No answer provided.
Describe fetal alcohol syndrome (FAS)/fetal alcohol spectrum disorder (FASD) in terms
of the history of the disorder, its effects, and the scope of the problem.
Answer:No answer provided.
Describe the voucherbased reinforcement treatment programs.
Answer:No answer provided.
Discuss the six stages of a typical HIV infection.
Answer:No answer provided.
The construct of “codependency” is controversial. What are some of the criticisms?
Answer:No answer provided.
Describe how the development of “designer” drugs can allow illegal drug producers to
stay ahead of current drug laws.
Answer:No answer provided.
Explain how conduct disorder/oppositional defiant order might affect substance use in
children and adolescents.
Answer:No answer provided.
Explain the idea behind “false pride” and how it manifests and is involved in the
process of recovery.
Answer:No answer provided.
Discuss the development of the Minnesota model of substance abuse treatment and its
basic methodology.
Answer:No answer provided.
How does aspirin differ for narcotic analgesics in treating pain?
Answer:No answer provided.
Describe some of the symptoms associated with WernickeKorsakoff’s Disease.
Answer:No answer provided.
Discuss some of the criticisms and challenges to the traditional 12-step movement.
Answer:No answer provided.
Describe the various methods used in abusing inhalants.
Answer:No answer provided.
Describe the actions and effects of agonists and antagonists on a receptor sites.
Answer:No answer provided.
Describe the relationship between Alcoholics Anonymous and religion.
Answer:No answer provided.
Compare the Johnson and ARISE models of intervention.
Answer:No answer provided.