14 - 2

Question 1

Low concentrations of alcohol – BAC of .03 to .05%

Answer 1

Makes people relaxed and jovial (“taking the edge off”)

Question 2

When BAC reaches .1%

Higher concentrations of alcohol

Answer 2

motor function is reduced and people get sleepy

Question 3

At .2%, the person is

Higher concentrations of alcohol

Answer 3

unable to function

Question 4

Alcohol hangover

Answer 4

Symptoms include headache, shakiness, nausea, diarrhea, fatigue and impaired mental functioning

Heart rate and blood pressure increase – danger of cardiac arrest

Question 5

The Immediate Effects of Alcohol

Answer 5

1. Using alcohol with other drugs
2. Alcohol and aggression
3. Alcohol and sexual decision-making
4. Alcohol poisoning

Question 6

Alcohol poisoning

Answer 6

Drinking a large amount of alcohol in short period of time can be lethal

Caused by severe depression of the central nervous system (CNS) or aspirating vomit into the lungs

Question 7

Drinking and Driving

Answer 7

the leading criminal cause of death in Canada (mostly young people)

.08 BAC is the legal limit for impaired driving charges
.05-08 BAC is the “warning range”

Question 8

The dose-response function

Answer 8

s the relationship between the amount of alcohol or drug consumed and the type and intensity of the resulting effect.

Question 9

How to spot an impaired driver:

Answer 9

1. Wide abrupt illegal turns
2. Straddling the centre line
3. Driving on the shoulder
4. Weaving, swerving or nearly striking other vehicles
5. Following too closely
6. Erratic speed
7. Driving with headlights off at night
8. Driving with the window down in cold weather

Question 10

The Effects of Chronic Misuse

Answer 10

1. The digestive system
2. The cardiovascular system
3. Cancer
4. Brain damage
5. Mortality

Question 11

Alcohol Use During Pregnancy

Answer 11

Fetal alcohol spectrum disorder (FASD)

There is “no safe limit” for alcohol consumption during pregnancy

Question 12

There is no evidence that

Answer 12

drinking in the ’20-30s has any health-related benefits

Question 13

0 drinks =

Answer 13

no risk

Question 14

1-2 standard drinks per week

Answer 14

will likely avoid alcohol-related consequences to yourself and others

Question 15

3-6 standard drinks per week

Answer 15

risks the development of different types of cancer

Question 16

7 or more standard drinks per week

Answer 16

increases the risk of heart disease or stroke

Question 17

Alcohol Use Disorder - 1

Answer 17

Consuming alcohol in larger amounts than was intended

Having a persistent desire or making unsuccessful attempts to cut down or control alcohol use

Spending a great deal of time in activities to obtain alcohol, use alcohol or recover from its effects

Question 18

Alcohol Use Disorder - 2

Answer 18

Craving or strong urge to use alcohol

Recurrent alcohol use resulting in a failure to fulfil major obligations at work, school or home

Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by alcohol

Question 19

Alcohol Use Disorder - 3

Answer 19

Giving up or reducing important social, school, work or recreational activities because of alcohol use

Recurrent alcohol use in situations in which it is potentially hazardous

Continued alcohol use despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to be worsened by alcohol

Question 20

Alcohol Use Disorder - 4

Answer 20

Developing tolerance to alcohol, as defined by the need to consume increase of alcohol to achieve the desired effect or a markedly diminished effect with continued use of the same amount of alcohol

Experiencing alcohol withdrawal resulting in unpleasant and cognitive symptoms (nausea, vomiting, insomnia, seizures etc.) or consuming alcohol ) or other substance) to avoid or reduce or avoid withdrawal symptoms

Question 21

Alcohol Use Disorder - 5

Answer 21

People of all ethnic groups and socio-economic levels can develop alcohol use disorder

May exhibit a pattern of exacerbation and remission

Alcohol addiction is not hopeless, many do achieve permanent abstinence

Alcohol use disorder: from mild to severe

Question 22

Binge Drinking

Answer 22

Defined as a pattern that brings the person’s BAC to .80% or above

5 drinks for men and 4 for women within a two-hour period

Males are more likely to report heavy drinking

Question 23

Severe Alcohol Use Disorder (Alcoholism)

Answer 23

Will experience withdrawal—trembling hands, sweating, rapid pulse, insomnia and anxiety—5 to 10 hours after last drink

May have seizures or hallucinations

Question 24

Alcoholism is usually characterized by

Answer 24

tolerance to alcohol and withdrawal symptoms.

Everyone who drinks—even if not suffering from an alcohol use disorder—develops tolerance after repeated alcohol use, whereas withdrawal symptoms suggest a severe disorder.

Question 25

Social and psychological effects of Alcoholism

Answer 25

1. More likely to experience clinical depression, panic disorder, schizophrenia, borderline antisocial personality disorder 2. May use alcohol to lessen anxiety 3. Often occurs with other substance abuse problems

Question 26

Causes of severe alcohol use disorder:

Answer 26

1. Precise cause in unknown 2. There is a genetic influence – some studies suggest a 50 – 60% chance of developing a severe alcoholic use disorder problem 3. Not all children of parents with severe alcohol use disorder become addicted 4. Some factors such as growing up in a violent household and imitating peers 5. Drinking heavily in teens are prone to developing alcohol problems later in life 6. Denial and rationalization

Question 27

A variety of courses of treatment are available for severe alcohol use disorder

Answer 27

1. Some people can recover without professional help 2. These are often related to an alcohol related crisis – blackout, car crash, health problem or threat of being fired 3. Not all people hit rock bottom to induce changing behaviour 4. Some require a treatment program – no single treatment program works

Question 28

Females Severe alcohol use disorder

Answer 28

1. More females are low risk drinkers or abstain from using alcohol 2. Tend to become addicted at a later age

Question 29

Males Severe alcohol use disorder

Answer 29

1. Caucasian men tend to start drinking in the late teens and early twenties – develop the disorder by late 30’s 2. In later life may develop an alcohol use disorder in association with retirement, loss of friends and loved ones, boredom, illness or psychological disorders

Question 30

Helping Someone with an Alcohol Problem

Answer 30

1. Requires skill and tact Eliminate the enabling behaviour 2. Be open and honest Show you care 3. People are usually reluctant to get help a) You cannot cure a friend’s drinking problem b) Guide them to appropriate help

Question 31

Examine Your Drinking Behaviour Examine why you drink

Answer 31

1. Lets me go with my friends 2. Makes me less self-conscious and more social 3. Feel less inhibited 4. Relieves depression, anxiety, tension or worries 5. Enables me to experience a different state of consciousness

Question 32

What are your reasons for drinking?

Answer 32

GAGE screening test AUDIT questionnaire

Question 33

Drink Moderately and Responsibly

Answer 33

Some strategies: 1. Drink slowly 2. Space your drinks 3. Eat before and while drinking 4. Know your limits and your drinks

Question 34

Promote Responsible Drinking

Answer 34

1. Encourage responsible attitudes 2. Be a responsible host 3. Hold the drinker responsible 4. Take community action