Chapter 4: Downers: Opiates/Opioids & Sedative-Hypnotics

Question 1

The neurotransmitter that transmits pain is

A. endorphin.
B. serotonin.
C. substance “P.”
D. heroin.

Answer 1

C. Substance P

Question 2

Which is a possible deadly side effect of using heroin intravenously?

” A. hyperventilation
“ B. tachycardia
“ C. convulsions
“ D. HIV infection

Answer 2

D. HIV infection

Question 3

A drug that stops the effect of heroin in the brain is

A. Miltown&reg.
B. Valium&reg.
C. naltrexone.
D. methadone.

Answer 3

C. naltrexone

Question 4

Methadone works by

” A. blocking a user’s reaction to heroin.
“ B. making the user nauseous if using heroin.
“ C. substituting a long-acting opioid for a short-acting one.
“ D. acting as a antidepressant.

Answer 4

C. substituting a long-acting opiod for a short-acting one

Question 5

Major heroin withdrawal symptoms usually last

” A. 12-24 hours.
“ B. 1-2 days.
“ C. 5-7 days.
“ D. 1-2 weeks.

Answer 5

C. 5-7 days

Question 6

Which substance has been used to dilute heroin?

” A. baby laxative
“ B. marijuana
“ C. cocaine
“ D. all of the above

Answer 6

A. baby laxative

Question 7

Which combination of drugs would probably be more dangerous?

” A. marijuana and heroin
“ B. Valium® and alcohol
“ C. mescaline and heroin
“ D. diet pills and heroin

Answer 7

B. valium and alcohol

Question 8

he most common medical use of opioids is

A. anxiety control.
B. emphysema.
C. analgesia.
D. tumor suppression.

Answer 8

C. Analgesia

Question 9

Which is an effect of sedative-hypnotics?

” A. controls skeletal muscular spasms
“ B. increased muscular coordination
“ C. rapid speech
“ D. increased inhibitions

Answer 9

A. controls skeletal muscular spasms

Question 10

Sedative-hypnotic withdrawal symptoms can include

A. fluid in the lungs.
B. high blood pressure.
C. rapid heart beat.
D. convulsions.

Answer 10

D. convulsions

Question 11

Barbiturates were supplanted as the sedative-hypnotic of choice by

A. alcohol-based tonics
B. benzodiazepines
C. opioid painkillers
D. chloral hydrate

Answer 11

b. benzodiazepine

Question 12

The first benzodiazepine was

” A. Xanax&reg.
“ B. Halcion&reg.
“ C. Librium&reg.
“ D. Dalmane&reg.

Answer 12

C. Librium & reg

Question 13

One of the reasons that GHB and Rohypnol® are similar to alcohol is their

” A. effect on the liver.
“ B. legality.
“ C. solubility.
“ D. disinhibitory effect.

Answer 13

D. disinhibitory effect

Question 14

The ancient Egyptians used opium for its medical properties.

A. True
B. False

Answer 14

A. True

Question 15

Fentanyl is stronger than morphine.

A. True
B. False

Answer 15

A. True

Question 16

Heroin mimics the body’s own pain messengers.

A. True
B. False

Answer 16

B. False

Question 17

Codeine can control diarrhea.

A. True
B. False

Answer 17

A. True

Question 18

The majority of heroin users are unemployed and live on the street.

A. True
B. False

Answer 18

B. False

Question 19

Darvon® will help suppress heroin withdrawal.

A. True
B. False

Answer 19

A. True

Question 20

Tolerance to the physical and mental effects of increased doses of sedative-hypnotics increases at the same rates.

A. True
B. False

Answer 20

B. False

Question 21

The most dangerous barbiturates are the long-acting ones, such as phenobarbital.

A. True
B. False

Answer 21

B. False

Question 22

Low level use of benzodiazepines over an extended period of a year or more will cause physical dependence.

A. True
B. False

Answer 22

A. True

Question 23

The liver alters Valium® into a more potent drug.

A. True
B. False

Answer 23

A. True

Question 24

Due to a large margin of safety, overdosing (i.e., dying) with benzodiazepines is difficult.

A. True
B. False

Answer 24

A. True

Question 25

Withdrawal from heroin is more dangerous physically than withdrawal from alcohol or sedative- hypnotics.

A. True
B. False

Answer 25

B. False