Exam 2016 Flashcards
Of the list below, which ONE of the following produces the most nicotine, carbon monoxide and tar?
A. marijuana (joint) B. a U.S. cigarette C. clove cigarettes (or kreteks) D. bidis (Indian cigarettes) E. chewing tobacco
D. bidis (Indian cigarettes)
Nicotine patches avoid symptoms of acute nicotine withdrawal; it is recommended that these be used with:
A. nicotine gum B. bupropion (Zyban) C. acupuncture D. behavioral modification E. clonidine
D. behavioral modification
Which ONE of the following is an oral product that that has proven to be more effective than bupropion in smoking cessation but has a risk of depression and even suicides?
A. clonidine B. Nicatrol NS C. varenicline (Chantix) D. buprenorphine (Suboxone) E. nicotine lozenge (Commit)
C. varenicline (Chantix)
After lung cancer, the next most common cause of deaths caused by tobacco products in the U.S. is: A. liver disease B. heart disease C. stroke D. cancer of the mouth and throat E. kidney disease
B. heart disease
According to the 2014-2015 NSDUH survey, about what percentage of those 12 y.o. and over had smoked cigarettes in Nebraska in the past month?
A. 3 B. 7 C. 10 D. 27.3 E. 42
D. 27.3%
When considering causes of death in the U.S. in 2000 (JAMA 291:1238-45, 2004), which of the following rank orders is correct (least common cause to most common cause)?
A. tobacco, illicit drugs, alcohol B. alcohol, tobacco, illicit drugs C. tobacco, illicit drugs, alcohol D. illicit drugs, alcohol, tobacco E. illicit drugs, tobacco, alcohol
D. illicit drugs, alcohol, tobacco
Methylphenidate is used medically to treat:
A. amphetamine addiction B. obesity C. narcolepsy D. ADHD E. depressant overdoses
D. ADHD
When compared with cocaine, amphetamines:
A. have a shorter duration of action B. can be used to treat ADHD C. rarely cause heart attacks D. should not be used to treat narcolepsy E. do not seem to cause fetal effects
B. can be used to treat ADHD
“XTC” or “X” are street names for:
A. Benzedrine B. Cat C. Methamphetamine D. crank E. MDMA
E. MDMA
The freebase form of methamphetamine is called A. ice B. Cat C. Dexies D. freeB E. crack
A. ice
Amphetamines exert their effects in the brain by increasing release and blocking metabolism of:
A. acetylcholine B. glutamate C. catecholamines D. GABA E. MDMA
C. catecholamines
When compared with cocaine, methamphetamine is characterized by:
A. more expensive B. shorter binges C. longer half-life D. shorter duration of effect E. less often manufactured in the U.S.
C. longer half-life
Question #: 13
AK is a 33 year-old lawyer who is on a court-ordered diversion program for second-offense DWI. Mandatory drug testing reveals cocaine in the urine. He had nasal surgery two weeks ago and insists that it must have been from that surgery. Your conclusions should most logically be:
A. sounds plausible to me; let him off the hook.
B. probably there is some local anesthetic still in his system that is cross-reacting with the test; I believe him.
C. even if he had had cocaine during the surgery, it should have cleared by now, so he’s in further trouble.
D. he likely got exposed to cocaine through the skin somewhere when he was working with one of his clients; give him the benefit of the doubt.
E. urine drug screens are notoriously inaccurate for the detection of cocaine; many local anesthetics interfere with the test. Take his word for it.
C. even if he had had cocaine during the surgery, it should have cleared by now, so he’s in further trouble.
Research in rats suggests that drugs that increase ______________ levels may reduce cocaine relapses.
A. acetylcholine B. dopamine C. GABA D. catecholamine E. glutamate
E. glutamate
Cocaine exerts its effects on the brain by blocking reuptake of:
A. acetylcholine B. dopamine C. GABA D. nicotine E. glutamate
B. dopamine
Cocaine is used medically as a local anesthetic, especially in nasal surgery. The major reason for this use in nasal surgery is that, unlike other local anesthetics, it can:
A. numb the whole area with local application
B. promote blood flow to the area to hasten healing
C. reduce the heart rate, thus reducing stress to the patient
D. act as a decongestant, helping to clear the sinuses of mucous
E. reduce bleeding during surgery
E. reduce bleeding during surgery
“Crack” cocaine differs from powdered cocaine by:
A. crack is the HCl salt rather than the freebase form found in the powder
B. same HCl salt for both, but crack is cocaine powder made into a paste, then dried in ovens
C. crack is a liquid form
D. crack is the freebase form while powder is the HCl salt
E. crack is the same as powdered cocaine –no difference
D. crack is the freebase form while powder is the HCl salt
Question #: 18
Cocaine use began in about 550 A.D. using which route of administration for the leaves?
A. swallowed
B. rectal
C. smoked
D. chewed
D. chewed
You notice that there are strange smells coming from the house next door, there are surveillance cameras hidden in a birdhouse near the front door, all of the windows are covered with aluminum foil, people whom you do not know come and go at all hours of the day and night, and you see someone carry an LP gas tank into the house with a valve that has turned blue and is very corroded. The most likely contents of the LP gas tank would be:
A. LP gas – they’re likely running a clandestine BBQ
B. nitrous oxide – they’re either running an illegal dental clinic or getting high on nitrous oxide
C. helium – they’re probably inhaling helium to talk funny and make faces at each other
D. anhydrous ammonia – they’re likely running a meth lab
D. anhydrous ammonia – they’re likely running a meth lab
A main reason why an undercover police officer would do multiple purchases of a given drug from a dealer in Omaha would be:
A. to get the dealer to trust him so that he can identify his supplier
B. to get a stock of the drug in the police department that can be used for trades with other dealers
C. to get a cumulative drug buy that exceeds the Federal limit so that he can be sent to Federal prison
D. to supply his friends
E. to get samples over time so that crime lab people can monitor the potency and content of street drugs being sold in Omaha
C. to get a cumulative drug buy that exceeds the Federal limit so that he can be sent to Federal prison
A customer tells you that her 23 year-old son has recently lost a great deal of weight, his teeth are “rotting,” he smells like dirty gym clothes, seems very nervous and sometimes paranoid, and has been stealing things from them. She thinks he is “addicted to something” but does not know what it is. Given this description, he is most likely abusing:
A. Heroin B. "Bath salts" C. Hashish D. Alcohol E. Methamphetamine
E. Methamphetamine
