Old Exam Flashcards by Chelsea Luedtke

Underaged drinkers account for about _____% of U.S. alcohol consumption.

A. <3 
B. 5 
C. 20
D. 39
E. 50

C. 20%

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Absorption of alcohol is increased by which ONE of the following:

A. Being male (vs. being female)
B. Eating bar snacks such as pretzels and peanuts
C. Drinking mixed drinks (i.e., diluted) rather than “shots”
D. Drinking drinks with carbonation

D. Drinking drinks with carbonation

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Which ONE of the following statements concerning drinking during pregnancy is correct?

A. Can cause blindness in children
B. May cause characteristic facial features
C. Will cause birth defects in a majority of babies born to women who drink
D. Causes renal and bladder malformations in children
E. Few women reduce alcohol use during pregnancy

C. Will cause birth defects in a majority of babies born to women who drink

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A man who became a heavy drinker at age 15 who is constantly in trouble with the law at age 18, generally drinks to get “high” and also abuses marijuana and occasional cocaine, would be classified as a:

A. Binge drinker
B. Zeta “alcoholic”
C. Beta “alcoholic”
D. Type 1 “alcoholic”
E. Type 2 “alcoholic”

E. Type 2 “alcoholic”

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According to information discussed in class, which ONE of the following is correct?

A. Although warning labels about use in pregnancy have not been proven to reduce use, alcohol use during pregnancy has been decreasing
B. Higher prices for alcohol do not reduce consumption
C. Increasing the MLDA to 21 years old has not reduced involvement in alcohol-related fatal crashes in this age group.
D. Liver transplantation is not recommended for those with alcohol-associated cirrhosis
E. Treatment for alcohol use disorder has never been proven to be cost effective

A. Although warning labels about use in pregnancy have not been proven to reduce use, alcohol use during pregnancy has been decreasing

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Which ONE of the following statements is true?

A. Someone who drinks only on weekends cannot have an alcohol use disorder
B. Histories of childhood physical or sexual abuse are very uncommon in women with alcohol use disorders
C. Disulfiram (Antabuse) causes people to go into narcotic withdrawal if they drink alcohol
D. Delirium tremens occur when people with a long-standing history of active alcoholic use disorder drink significantly more than they usually drink
E. Students in smaller colleges drink more than those in larger colleges

E. Students in smaller colleges drink more than those in larger colleges

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Which ONE of the following is an FDA-approved GABA analog used in the maintenance (but not induction) of alcohol abstinence that may increase suicide risk.

A. Topirimate
B. Ondansetron
2
C. Acamprosate
D. Naltrexone

C. Acamprosate

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Which ONE of the following statements is correct?

A. Inhalant use is higher in high school seniors than in 8th graders
B. About one-third of inhalant users become chronic abusers
C. Males use inhalants more often than females
D. Inhalant abuse occurs least often among stressed cultures and where there is poverty
E. Inhalant deaths do not occur with first time use

C. Males use inhalants more often than females

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Inhalation of a volatile solvent from a rag or cloth soaked with the agent is called:

A. Ragging
B. Huffing
C. Sniffing
D. Fuming
E. Pampering

B. Huffing

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A worker in a dry cleaning store complains of drowsiness and mouth and throat irritation after exposure to fumes from the dry cleaning solvent. This is most likely toxicity caused by a(n):

A. Nitrite
B. Aromatic hydrocarbon
C. Aliphatic hydrocarbon
D. Halogenated hydrocarbon
E. Alcohol

D. Halogenated hydrocarbon

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Model airplane glue and marker pens both contain a volatile inhalant that may be abused that is in this class:

A. Nitrite
B. Aromatic hydrocarbon
C. Aliphatic hydrocarbon
D. Halogenated hydrocarbon

B. Aromatic hydrocarbon

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Your teen-aged cousin comes home with 5 cans of Reddi-Wip whip cream. He states that he plans to prank some friends. His most likely motive is:

A. To prank some friends
B. To get high on nitrites
C. To have a really large strawberry shortcake
D. To get high on aromatic hydrocarbons in the whipped cream
E. To get high on nitrous oxide

E. To get high on nitrous oxide

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Which ONE of the following statements is correct?

A. Acute inhalant abuse often mimics alcohol intoxication
B. Chronic inhalant abuse rarely leads to poor school performance
C. Inhalant abuse has not been associated with diffuse CNS disease
D. Peripheral neuropathy is not seen with inhalants

A. Acute inhalant abuse often mimics alcohol intoxication

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Sedative-hypnotics potentiate the action of:

A. GABA
B. Acetylcholine 3
C. Endorphins
D. Dopamine
E. Glutamate

A. GABA

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Flumazenil (Romazicon) may be used to treat an overdose of:

A. Bartiburates
B. Meprobamate
C. Chloral hydrate
D. Benzodiazepines
E. Methaqualone

D. Benzodiazepines

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Which ONE of the following is an addicting CNS depressant that is not a benzodiazepine but binds near benzodiazepine receptors?

A. Carisoprodol (e.g., Soma)
B. Alprazolam (Xanax)
C. Pentobarbital (Nembutal)
D. Eszopiclone (Lunesta)
E. Zalepqualone (Interlude)

D. Eszopiclone (Lunesta)

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Which ONE of the following statements concerning benzodiazepines is correct?

A. Inappropriate for managing sedative-hypnotic withdrawal
B. Diazepam has a higher addiction liability than short-acting benzodiazepines such as pentobarbital or secobarbital
C. Used medically as anticonvulsants and sedatives
D. Withdrawal involves primarily severe depression and somnolence
E. Barbiturates are abused more often than benzodiazepines

C. Used medically as anticonvulsants and sedatives

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Severe sedative-hypnotic withdrawal is often managed by switching to this agent and slowly tapering it:
A. Phenobarbital 
B. Diazepam 
C. Meprobamate
D. Chloral hydrate
E. Pentobarbital

A. Phenobarbital

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Which of the following is most often associated with severe withdrawal and deaths?

A. Alprazolam (Xanax)
B. Chloral hydrate
C. Barbiturates
D. Zolpidem (Ambien)
E. Carisoprodol (e.g., Soma)

C. Barbiturates

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Which ONE of the following is a CIII drug that is approved for office-based treatment of opioid addictions by authorized prescribers and is given sublingually?

A. naltrexone (ReVia)
B. oxycodone sustained release (Oxycontin)
C. buprenorphine (Subutex)
D. pentazocine (Talwin)
E. naloxone (Narcan)

C. buprenorphine (Subutex)

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Which ONE of the following would be a consistent finding in narcotic withdrawal?

A. seizures
B. depression and anorexia
C. fatalities (common)
D. multiple organ failure, including damage to the central nervous system
E. a flu-like syndrome including irritability, chills, tremors

E. a flu-like syndrome including irritability, chills, tremors

Which ONE of the following is a longer-acting narcotic antagonist used to discourage opiate use in recovering opiate addicts by blocking opiate effects?

A. Naloxone (Narcan)
B. Buprenorphine (Subutex)
C. Flumazenil (Romazicon)
D. Naltrexone (Revia)
E. Oxycodone sustained release (Oxycontin)

D. Naltrexone (Revia)

A urine drug test is positive for oxycodone; the client challenges the test, indicating that he ate a poppy seed muffin just prior to taking the test. Which of the following is correct?

A. There is oxycodone in poppy seeds, so this is a reasonable explanation
B. Poppy seeds contain an opioid that is metabolized to oxycodone, so this is a reasonable explanation
C. Poppy seeds do not contain oxycodone, so this is an unreasonable explanation
D. While there is some oxycodone in poppy seeds, there is not enough to be detectable on routine testing.

C. Poppy seeds do not contain oxycodone, so this is an unreasonable explanation

Which ONE of the following statements concerning heroin is correct?

A. It was developed before morphine
B. Most heroin overdose deaths are caused by respiratory arrest
C. It is less potent than morphine
D. Morphine penetrates the blood-brain-barrier more easily
E. It is usually abused by oral ingestion

B. Most heroin overdose deaths are caused by respiratory arrest

Which ONE of the following is useful in reducing relapses in people recovering from active opioid use disorder by substituting a longer-acting opioid. ``` A. Clonidine B. Alpha-methylfentanyl C. Fentanyl D. Methadone E. Heroin ```

The term “androgenic” means: A. Used to create androids B. Causes development of male sexual characteristics C. Causes development of female sexual characteristics D. Promotes skeletal muscle growth

B. Causes development of male sexual

You notice DHEA on the shelf in a health food store. What is this? A. A banned dietary supplement for weight loss B. Dehydroepiandrosterone 5 C. An anabolic steroid with proven efficacy D. Androstenedione E. Another name for Dianabol, an oral anabolic steroid

B. Dehydroepiandrosterone 5

Which ONE of the following statements is true concerning anabolic steroids (AS)? A. AS increase aerobic endurance B. AS increase muscle mass C. AS increase body fat D. AS users are usually psychologically abnormal when they start use

B. AS increase muscle mass

Which ONE of the following is the most common liver complication with anabolic steroids? A. Tumors B. Fat-filled cysts C. Cirrhosis D. Hepatitis

D. Hepatitis

Which ONE of the following would be classified as a steroid alternative? ``` A. Erythropoietin B. Clenbuterol C. Tamoxifen D. Probenecid E. Epitestosterone ```

B. Clenbuterol

The most dangerous withdrawal effect from anabolic steroids is: ``` A. Decreased sex drive B. Intense craving C. Anorexia D. Severe headache E. Depression ```

E. Depression

Which ONE of the following statements about LSD is correct? A. LSD is a sedative B. Causes physical dependence C. Causes constricted pupils and decreased blood pressure D. Has not been proven to cause birth defects (“monster babies”) E. Is not associated with flashbacks

D. Has not been proven to cause birth defects (“monster babies”)

“Munchies,” amotivational syndrome and addiction are all associated with: ``` A. Psilocybin (“shrooms”) B. Anticholinergic hallucinogens C. LSD D. Marijuana E. MDMA ```

D. Marijuana

A young woman at a rave who has a pacifier around their neck either plans to use this substance or wants others to think that she does: ``` A. LSD B. MDMA C. GHB D. Rohypnol E. Ketamine F. Sildenafil (Viagra) ```

B. MDMA

Which ONE of the following is the most commonly used illicit drug in the U.S.? ``` A. Cocaine B. MDMA C. LSD D. Marijuana E. Oxycodone ```

D. Marijuana

Which ONE of the following statements is completely correct (i.e., no part of the statement is incorrect)? A. Rohypnol, also known as “XTC”, is an benzodiazepine “date-rape” drug B. Ketamine, also known as “Liquid Ecstasy” or “STP”, is an anesthetic abused to cause dream-like states as a “club drug” C. GHB is a “club drug” abused as a depressant and “date-rape” drug that is sometimes also used to build muscle D. “Club drugs” represent a single, specific drug class E. Psilocybin is derived from peyote cactus

C. GHB is a “club drug” abused as a depressant and “date-rape” drug that is sometimes also used to build muscle

The marijuana derivative listed below with the highest content of THC is: ``` A. Sinsemilla B. “Dab” C. Hashish resin D. Reefer E. “Acapulco Gold” ```

B. “Dab”

Which ONE of the following would be most characteristic “addict’s defenses?” A. The “addict” is generally very undemanding B. The “addict” tends to deliberately assume responsibility and accept blame C. The “addict” generally feels superior, but reflects inferiority to others D. The “addict” tends to deliberately place himself or herself in situations that are emotionally-charged E. The “addict” feels that the world revolves around him or her 40. A friend of yours whom you drove home the night before because he

C. The “addict” generally feels superior, but reflects inferiority to others

A friend of yours whom you drove home the night before because he was too drunk to drive safely calls you the next day to say that his car was stolen and does not recall either being driven home or even the last few hours you spent with him at the bar the night before. His failure to remember these events is most likely evidence of: ``` A. Early Alzheimer’s B. An alcohol-induced stroke C. Alcohol-induced Korsakoff’s psychosis D. A blackout E. Smoking pot in the bathroom at the bar ```

D. A blackout

An individual experiencing drug-related physical deterioration, tremors when not using, divorce, loss of job and break down of value systems, would be in which stage of dependency? ``` A. Low risk B. Abuse C. Crucial D. Early E. High-risk F. Chronic ```

F. Chronic

Which ONE of the following is described in your handout as an alcoholism screening test that asks 4 specific questions about attempts to reduce drinking, being bothered by criticism of drinking, feeling bad about drinking and drinking in the morning? ``` A. SMAST B. CAGE C. AUDIT D. DSM-5 E. TWEAK F. ALCDX ```

B. CAGE

In the substance use continuum, in which of the following phases is the phase between high-risk use and dependency? A. Chronic B. Abuse C. Crucial D. Early

B. Abuse

A test often used to make a definitive diagnosis of alcoholism and assess the client’s mental status (in addition to history and physical exam and the use of the DSM-5): A. CAGE B. Kidney function tests C. SMAST D. MMPI

D. MMPI

The hotline in Nebraska for getting information about drug exposures in pregnant and breastfeeding women that was discussed during this lecture A. A local pharmacy in Omaha that runs a hotline B. The Nebraska Poison Center C. The Creighton Library’s Fetal Effects Resource Center D. The Nebraska Teratogen Information Center E. The Nebraska Medical Center’s Emergency Department

D. The Nebraska Teratogen Information Center

A neonate is born with a cleft lip and palate. Mom says she used MDMA, crack and drank heavily at a friend’s bachelorette party and following the wedding reception at a friend’s house. If this were caused by the drugs, which of the following weeks of pregnancy (gestation) would this event most likely have occurred? A. 4 B. 11 C. 20 D. 34

A. 4

Fetuses exposed to large amounts of alcohol can have the following outcome: ``` A. Macrocephaly B. Flat philtrum and thin upper lip C. Hydrocephalus (“water on the brain”) D. Liver damage E. No effects – alcohol does not cause malformations ```

B. Flat philtrum and thin upper lip

Which ONE of the following associations between the listed drug and the effect of the fetus or neonate is CORRECT? A. Cocaine – severe facial malformations B. Marijuana – frequently associated with ADHD/hyperactivity disorders C. LSD – causes major fetal malformations D. Inhalants – effects similar to that seen with fetal alcohol syndrome E. Heroin – leukemia

A neonate develops diarrhea, fever, respiratory distress and convulsions at about 18 hours after birth. According to your notes, this would be most characteristic with withdrawal from which ONE of the following? ``` A. Marijuana B. Heroin C. LSD D. Amphetamines E. Inhalants ```

A child whose mother used street drugs during pregnancy is born with evidence of intrauterine growth retardation (small baby), exhibits behavioral abnormalities during the neonatal period, and is found dead in her crib one morning (ruled Sudden Infant Death Syndrome). According to the notes, the most likely street drug that would be associated with this constellation of effects would be: ``` A. Cocaine B. Marijuana C. Amphetamines D. LSD E. Inhalants ```

A. Cocaine

Which ONE of the following statements about phencyclidine (PCP) is correct? A. Behavioral effects are like LSD B. It is mainly associated with visual hallucinations rather than body image changes C. Sometimes combined with embalming fluid or marijuana and known as “wet” or “fry” D. Causes “St. Anthony’s fire” E. Comes from the peyote cactus and is often used in Native American religious ceremonies