Substance Use Disorder Test Bank Flashcards
Approximately __________ percent of Americans report using alcohol at least once per month.
a) 25
b) 50
c) 75
d) 90
b) 50
The DSM-5 refers to the pathological use of substances as
a) substance abuse
b) substance dependence
c) substance use disorder
d) none of the above
c) substance use disorder
The DSM-5 has added __________ to the criteria for pathological substance abuse.
a) craving for substance
b) desire for high feelings
c) risky behavior
d) none of the above
a) craving for substance
The criteria for substance use disorder in the DSM-5 include all of the following EXCEPT
a) failure to meet obligations.
b) repeated legal problems having to do with substance use.
c) repeated sales of illegal substances
d) tolerance
c) repeated sales of illegal substances
Catherine has been unable to obtain or use crack for several weeks because she has had no money. She went through withdrawal symptoms when she was unable to take her usual dose. She craves the drug all the time and is constantly searching for ways to get some. Her efforts to obtain crack have seriously interfered with her ability to work and take care of her children. Which of the following DSM-5 diagnoses would best fit Catherine’s symptoms?
a) substance abuse
b) substance use disorder
c) substance dependence
d) Catherine does not qualify for a diagnosis since she has not used the drug for the past month
b) substance use disorder
Wanda drinks frequently and requires more alcohol now than she did six months ago to achieve the same effect. She reports that she can out-drink most people. Wanda is probably
a) genetically predisposed to alcoholism.
b) developing a physiological dependence on alcohol.
c) acquiring behavioral skills in modulating her drinking.
d) deluding herself. This is not physically possible.
b) developing a physiological dependence on alcohol.
Carlos suddenly stopped taking amphetamines after prolonged abuse of the drug. He became very ill and died. His death is an example of severe
a) substance dependence.
b) substance abuse.
c) withdrawal symptoms.
d) synergistic effects.
c) withdrawal symptoms.
Delirium tremens refers to
a) a symptom of conversion disorder.
b) the symptoms that accompany an overdose of heroin.
c) the symptoms that may accompany withdrawal from alcohol.
d) the hallucinations common in schizophrenia.
c) the symptoms that may accompany withdrawal from alcohol.
Delirium tremens may result from
a) a sudden drop in alcohol levels in a chronic heavy drinker.
b) high doses of alcohol in a person who has not previously drunk heavily.
c) high doses of alcohol in a chronic heavy drinker.
d) All of the above can cause the symptoms of delirium tremens
a) a sudden drop in alcohol levels in a chronic heavy drinker.
Which neurotransmitter has been implicated in alcohol tolerance?
a) serotonin
b) dopamine
c) norepinephrine
d) GABA
d) GABA
Among college students, binge drinking is more common in
a) men.
b) women.
c) the prevalence of binge drinking is equal in men and women.
d) state schools versus private schools.
a) men.
Alcohol dependence is particularly high among which of the following groups?
a) Hispanics and Asian Americans
b) African Americans and Whites
c) Native Americans and Hispanics
d) Asian Americans and African Americans
c) Native Americans and Hispanics
Alcohol goes from the stomach into the __________ and is absorbed into the blood, after which it is metabolized by the __________.
a) small intestine; kidneys
b) small intestine; liver
c) gall bladder; liver
d) pancreas; kidneys
b) small intestine; liver
Which of the following persons will be most affected by two ounces of alcohol?
a) A 195-pound woman who just ate a Big Mac.
b) A 150-pound man who has an empty stomach.
c) A 125-pound woman who has an empty stomach.
d) All the above people will be similarly affected by two ounces of alcohol.
c) A 125-pound woman who has an empty stomach.
The initial effect of alcohol is
a) depressive.
b) sedating.
c) anxiety producing.
d) pleasurable feeling
d) pleasurable feeling
Cirrhosis of the liver due to alcohol abuse is characterized by
a) liver cells becoming engorged with fat and protein.
b) an increased efficiency of alcohol absorption with a corresponding decrease in blood-cell reproduction.
c) a decreased efficiency in absorption due to liver atrophy.
d) None of the above.
a) liver cells becoming engorged with fat and protein.
Heavy drinkers
a) suffer malnutrition from reduced food intake.
b) suffer malnutrition by alcohol blocking proper absorption of nutrients.
c) experience vitamin deficiencies.
d) All of the above.
d) All of the above.
Pregnant women have been encouraged by the National Institute on Alcohol Abuse and Alcoholism to
a) totally abstain from drinking.
b) not alter their drinking habits.
c) drink now and again, but only during the third trimester of pregnancy.
d) reduce their drinking to no more than several drinks a day.
a) totally abstain from drinking.
Which of the following statements is true?
a) All fetuses exposed to alcohol will have cognitive problems later in life.
b) The National Institute on Alcohol Abuse and Alcoholism counsels total abstention from alcohol consumption during pregnancy as the safest course.
c) Research indicates that moderate drinking has no effect on the fetus.
d) The National Institute on Alcohol Abuse and Alcoholism has concluded that mild drinking is harmless for pregnant women.
b) The National Institute on Alcohol Abuse and Alcoholism counsels total abstention from alcohol consumption during pregnancy as the safest course
Research has found that mild levels of alcohol consumption
a) could lead to alcohol dependence in women who have experienced a stressful event.
b) could lead to cirrhosis.
c) is correlated to better dietary habits and therefore longer lifespan.
d) is correlated to decreased risk for coronary heart disease.
d) is correlated to decreased risk for coronary heart disease.
Nicotine is the addicting agent in
a) marijuana.
b) hashish.
c) tobacco.
d) cocaine.
c) tobacco.
Nicotine ultimately stimulates __________, which are implicated in the reinforcing effects of smoking.
a) muscarinic receptors
b) dopamine receptors
c) GABA receptors
d) serotonin receptors
b) dopamine receptors
Which of the following are medical problems associated with long-term cigarette smoking?
a) emphysema
b) cancer of the esophagus
c) cancer of the larynx
d) all of the above
d) all of the above
Cigarette smoking is most prevalent among which of the following groups?
a) Caucasian adolescents
b) African American adolescents
c) Asian American adolescents
d) None of the above − smoking is equally prevalent among these groups
a) Caucasian adolescents
Exposure of a nonsmoker to secondhand smoke
a) is less harmful than smoking because of the lower levels of nicotine and tar in secondhand smoke.
b) has been shown to have far fewer negative effects than the media suggest.
c) can lead to lung damage.
d) has negative effects on the fetuses of pregnant nonsmokers but not on the women themselves.
c) can lead to lung damage
Hashish is
a) derived from resin after smoking marijuana.
b) derived from resin from cannabis plants.
c) based upon a mixture of marijuana and heroin.
d) milder than marijuana.
b) derived from resin from cannabis plants.
Marijuana comes from the __________ plant.
a) cannabis sativa
b) cannabis marija
c) marija cannabis
d) cannabis hempa
a) cannabis sativa
Epidemiology data have shown that marijuana use is nearly twice as common
a) in women than men.
b) among Asian Americans than among Caucasians.
c) now than it was in 1997.
d) in men than women.
d) in men than women.
Which of the following statements about the “stepping-stone” theory of drug use is most accurate?
a) Most people who use “soft” drugs will move on to try “harder” drugs.
b) Most people who use “hard” drugs started out on “softer” drugs.
c) There is no difference between “hard” and “soft” drugs.
d) There is no relationship between the use of “hard” and “soft” drugs.
b) Most people who use “hard” drugs started out on “softer” drugs.
The “stepping-stone” theory of drug use is also called the
a) correlational theory.
b) multi-determined theory.
c) social facilitation theory.
d) gateway theory.
d) gateway theory.
Which of the following is mentioned in the text as a complicating factor in interpreting findings from studies of the effects of marijuana?
a) Marijuana contains many compounds.
b) Many users are polydrug abusers.
c) Effects vary widely with potency and dose.
d) Its problems were recognized only recently
c) Effects vary widely with potency and dose.
Long-term marijuana use may result in __________, even long after one stops using.
a) visual processing difficulties
b) short-term memory impairment
c) decreased attention span
d) increased agitation
b) short-term memory impairment
Recent research regarding marijuana suggests
a) that it is not at all addictive.
b) it may be addictive; tolerance and withdrawal symptoms are found in some cases.
c) there are clearly withdrawal symptoms.
d) it is not as dangerous as previously believed
b) it may be addictive; tolerance and withdrawal symptoms are found in some cases.
Smoking marijuana has been shown to
a) seriously impair lung structure and function.
b) cause fatal heart attacks in healthy young men.
c) lead to stroke.
d) have no significant physically deleterious effects.
a) seriously impair lung structure and function.
The benefit of marijuana when used for chronic illnesses is primarily to
a) reduce nausea for patients undergoing chemotherapy.
b) increase immune function.
c) improve attention and maintain medication adherence.
d) prevent additional infection
a) reduce nausea for patients undergoing chemotherapy.