Deck 15: Alcohol Use and Alcoholism

Question 1

Cardiovascular benefits from moderate alcohol consumption may be due to

A) lower heart rate.
B) increased levels of HDL cholesterol.
C) sedation.
D) reduced stress on the heart muscle.

Answer 1

increased levels of HDL cholesterol.

Question 2

Which of the following drugs is used by the greatest number of college students?

A) tobacco
B) alcohol
C) marijuana
D) ecstasy

Answer 2

alcohol

Question 3

The most significant reason that women have higher BACs than men do after ingesting the same amount of alcohol is that women have

A) higher percentage of body fat.
B) lower average weight.
C) less drinking experience.
D) lower blood volume.

Answer 3

higher percentage of body fat.

Question 4

Alcohol is a risk factor for which type of cancer?

A) breast
B) liver
C) colon
D) breast, colon, and liver

Question 5

A high blood alcohol concentration is most likely to increase

A) coordination.
B) intellectual function.
C) sociability.
D) irritability.

Question 6

Which of the following is the most accurate description of the safe limit of alcohol consumption during pregnancy?

A) one drink per day during pregnancy
B) no alcohol consumed during pregnancy
C) no drinking during the first trimester
D) one drink per week during the first trimester

Question 7

Which of the following behaviours is LEAST characteristic of an intoxicated person?

A) becomes sleepy
B) has improved problem-solving skills
C) cries easily
D) becomes easily angered

Question 8

The most serious withdrawal symptom associated with alcoholism is

A) seizures.
B) paranoia.
C) delirium tremens.
D) confusion.

Question 9

Individuals with alcoholism who stop drinking on their own often do so because of

A) maturation.
B) new relationships.
C) the resolution of a problem.
D) an alcohol-related crisis.

Question 10

Lowered sensitivity to a drug such that a given dose no longer produces the usual effect is called

A) drug potentiation.
B) therapeutic index.
C) tolerance.
D) withdrawal.

Question 11

Which of the following statements regarding First Nations alcohol use is FALSE?

A) First Nations have a higher rate of alcohol-related problems than does the general population.
B) First Nations men are less likely to abstain from alcohol than are white men.
C) First Nations women are less likely to abstain from alcohol than are white women.
D) First Nations have a lower overall frequency of alcohol use than does the general population.

Question 12

Which of the following is associated with cirrhosis?

A) destruction of digestive enzymes
B) increased metabolism of alcohol
C) replacement of liver cells with scar tissue
D) accelerated liver function

Question 13

It takes the body about to metabolize one drink (one beer or glass of wine).

A) 1/2 hour
B) 1 hour
C) 2 hours
D) 3 hours

Question 14

Initial effects of low concentrations of alcohol include all of the following, EXCEPT

A) sleepiness.
B) lightheadedness.
C) relaxation.
D) decreased inhibitions.

Question 15

Binge drinking for women is defined as drinking drinks or more in a row.

A) 3
B) 4
C) 5
D) 6

Question 16

Among people under age 35,

A) light drinkers have higher mortality rates than nondrinkers.
B) light drinkers have mortality rates equal to those of nondrinkers but lower than those of heavy drinkers.
C) light drinkers have lower mortality rates than both nondrinkers and heavy drinkers.
D) there is no relationship between mortality rates and alcohol use.

Question 17

The connection between the amount of a drug consumed and the drug's effects is called the

A) dose-response relationship.
B) therapeutic index.
C) multiple dose relationship.
D) prescription standard.

Question 18

When keeping a record of your alcohol-related behaviour, which of the following is important to include?

A) your internal state
B) the consequences of drinking
C) the drinking situation
D) the drinking situation, your internal state, and the consequences of drinking

Question 19

In which province is the drinking age 18?

A) Alberta
B) Quebec
C) Manitoba
D) Manitoba, Alberta, and Quebec

Question 20

Drinking alcohol by the mother is risky for the fetus

A) throughout the pregnancy.
B) during the first 12 weeks of pregnancy.
C) during the 19th to 24th weeks of pregnancy.
D) during the 25th to 36th weeks of pregnancy.

Question 21

A good test to know your limits with respect to alcohol consumption is:

A) consuming five or more drinks in an hour.
B) walking heel to toe in a circle with your eyes closed.
C) jumping up and down five times with your eyes closed and then seeing if you vomit.
D) standing with your feet crossed and trying to touch your finger to your nose while your eyes are shut.

Question 22

Which of the following beverages has the highest concentration of alcohol?

A) sherry
B) gin
C) wine
D) ale

Question 23

The carbonation in an alcoholic beverage like champagne

A) has no effect on the absorption rate of alcohol, therefore having no effect on the degree of impairment.
B) speeds up the absorption rate of alcohol, thereby increasing the degree of impairment.
C) prevents the absorption of alcohol, thereby eliminating risk of impairment.
D) slows the absorption rate of alcohol, thereby decreasing the degree of impairment.

Question 24

All of the following are symptoms of hangover, EXCEPT

A) cough.
B) diarrhea.
C) fatigue.
D) nausea.

Question 25

The effects of fetal alcohol syndrome are

A) both physical and mental impairments.
B) due to large birth weight of affected babies.
C) usually reversed by the time the child is 5 years old.
D) estimated to be found in about 1 in every 50 live births.

Question 26

Approximately how many Canadians engage in high-risk drinking?

A) 3-4 million
B) 4-5 million
C) 5-6 million
D) 6-7 million

Question 27

A disease of the liver caused by excessive and chronic drinking is

A) hepatic sclerosis.
B) atherosclerosis of the liver.
C) hepatic myopathy.
D) cirrhosis.

Question 28

A group of young adults, males and females, decides to spend the weekend on a houseboat on the lake. Saturday is spent swimming, eating, and drinking. The drinking continues late into the night. Bill, Joan, and a few others engage in a drinking game, seeing who can drink a six-pack of beer in the shortest amount of time. Surprisingly, Joan has the shortest time. Soon after, the group notices that Joan has fallen asleep. She doesn't respond when Bill attempts to awaken her so that she can go to bed. Meanwhile, two individuals who did not participate in the drinking game but who have been drinking are feeling warm and decide to cool off in the lake. Although they laugh when someone expresses concern about them getting into the water, they do agree to put on life jackets and to stay within the boundaries of the boat's spotlight. Which one of the following poses the greatest risk for the individuals getting into the lake

A) becoming hypothermic (extreme low body temperature)
B) developing cardiac myopathy
C) developing pneumonia
D) developing severe stomach cramps

Question 29

One major problem in treating alcoholism is

A) achieving short-term success.
B) identifying which treatment strategy will be most effective.
C) developing a "buddy" system that doesn't reinforce drinking.
D) combining treatment methodologies that are compatible.

Question 30

Which of the following statements about alcohol-related pancreatitis is TRUE?

A) Like cirrhosis, alcoholic pancreatitis typically occurs after years of heavy drinking.
B) Pancreatitis is an acute illness and does not develop into a chronic condition.
C) Alcoholic pancreatitis generally occurs in binge drinkers.
D) Jaundice is an early sign of pancreatitis.

Question 31

Which of the following groups has the lowest rate of alcohol consumption?

A) Nova Scotia
B) British Columbia
C) Newfoundland
D) Manitoba

Question 32

Which of the following statements describes a characteristic of alcoholism in women as compared to in men?

A) Women with alcoholism experience more binge drinking early in life.
B) Women develop alcoholism after more years of heavy drinking.
C) Women tend to become alcoholic later in life.
D) Women who have alcoholism experience fewer physical complications.

Question 33

What are the estimated hours required to metabolize a BAC of .05 percent?

A) 6-10 hours
B) 10-24 hours
C) 2-3 hours
D) 4-6 hours

Question 34

Alcohol is similar to other drugs in that all of the following may be true, EXCEPT

A) its use may lead to improved health outcomes at all ages.
B) its use can lead to dependence.
C) it can impair short-term functioning.
D) its physiological effects can cause long-term damage.

Question 35

A driver with a BAC of 0.14% is times as likely to be involved in a fatal crash as a driver with a BAC of zero.

A) 10
B) 20
C) 40
D) 50

Question 36

The main site of alcohol metabolism is in the

A) stomach.
B) liver.
C) colon.
D) small intestine.

Question 37

Females usually become intoxicated more quickly than males because

A) they have a lower alcohol tolerance.
B) they metabolize more alcohol in the stomach.
C) they metabolize alcohol more slowly in the liver.
D) the stomach enzyme that metabolizes alcohol is less active in women than in men.

Question 38

Which of the withdrawal symptoms has a mortality rate as high as 15%?

A) confusion
B) seizures
C) paranoia
D) delirium tremens

Question 39

The rate of metabolism of alcohol

A) is faster in occasional drinkers than in chronic drinkers.
B) is slower when a person is asleep.
C) does not affect blood alcohol concentration.
D) is faster in chronic drinkers than it is in occasional drinkers.

Question 40

The approximate concentration of alcohol in table wines is

A) 9-14%.
B) 20%.
C) 3-6%.
D) 6-8%.

Question 41

Requiring more of a substance to get the same desired effect is known as

A) antagonism.
B) tolerance.
C) inhibition.
D) withdrawal.

Question 42

Approximately what percentage of university students are nondrinkers?

A) 5%
B) 20%
C) 10%
D) 50%

Question 43

Beer usually contains what percentage of alcohol?

A) 35-50%
B) 9-14%
C) 3-6%
D) 20-25%

Question 44

An alcohol-related problem for infants born to mothers who drink during pregnancy that is more common than fetal alcohol syndrome is

A) alcohol-related cardiac myopathy.
B) chronic pancreatitis.
C) cirrhosis.
D) alcohol-related neurodevelopmental disorder.

Question 45

Alcohol may positively affect the cardiovascular system by

A) stimulating cardiac muscle.
B) lowering blood pressure.
C) relaxing cardiac muscle tone.
D) reducing the risk of clot formation.

Question 46

At higher blood concentrations of alcohol, people are LEAST likely to feel

A) emotional.
B) sleepy.
C) jovial.
D) angry.

Question 47

Alcohol causes all of the following, EXCEPT

A) increased sweating.
B) skin flushes.
C) dilation of peripheral blood vessels.
D) fever.

Question 48

How many hours would be required to metabolize a blood alcohol concentration of 0.10-0.15 percent?

A) 10-24 hours
B) more than 24 hours
C) 3-6 hours
D) 6-10 hours

Question 49

Alcohol is metabolized

A) at the same rate in all people.
B) more quickly when the individual is intoxicated.
C) at a varied rate depending on individual characteristics.
D) at a constant rate within each person.

Question 50

According to your textbook, which of the following statements about children of alcoholics is TRUE?

A) They are at increased risk for stress-related medical problems.
B) They prefer relationships with high degrees of conflict and strong emotions.
C) They are more likely than others to marry alcoholics.
D) They have an overdeveloped sense of responsibility that may lead them to neglect their own needs.

Question 51

Which of the following statements about acamprosate is TRUE?

A) It decreases the pleasant effects of alcohol without making the person ill.
B) It helps people maintain abstinence after they have stopped drinking.
C) It blocks the intoxicating effects of alcohol.
D) It acts as an antidepressant.

Question 52

Alcohol is classified as a(n)

A) stimulant.
B) opioid derivative.
C) narcotic.
D) depressant.

Question 53

Overuse of alcohol commonly causes bleeding in the

A) gastrointestinal tract.
B) vas deferens.
C) cerebrum.
D) lungs.

Question 54

What percentage of ingested alcohol is NOT metabolized in the liver, but is excreted unchanged?

A) 1-2%
B) 10-15%
C) 15-20%
D) 2-10%

Question 55

Symptoms of a hangover include all of the following, EXCEPT:

A) fatigue.
B) shakiness.
C) nausea.
D) increased alertness.

Question 56

A standard drink contains about

A) 10 grams of alcohol.
B) 17.2 grams of alcohol.
C) 13.6 grams of alcohol.
D) 20 grams of alcohol.

Question 57

Which of the following is TRUE regarding the relationship between eating and alcohol consumption?

A) Eating slows alcohol absorption.
B) Eating reduces the amount of alcohol absorbed in the small intestine.
C) Eating slows alcohol's intoxicating effects in women more than it does in men.
D) Eating slows alcohol's intoxicating effects in men more than it does in women.

Question 58

Homeless, impoverished alcoholics account for what percentage of all alcohol-dependent persons?

A) 10%
B) 5%
C) 25%
D) 2%

Question 59

The use of chemical substitutes in the treatment of alcoholism could

A) be more effective if higher doses were used.
B) effectively treat alcoholism without requiring abstinence from alcohol.
C) lead to dependence on the substitute drug.
D) eventually replace the need for psychosocial treatment methods.

Question 60

Eating before and while drinking

A) lowers peak blood alcohol concentration.
B) accelerates the peak blood alcohol concentration.
C) transfers absorption of alcohol to the small intestine.
D) prevents absorption of alcohol.

Question 61

In which province is the drinking age 19?

A) Alberta
B) Saskatchewan
C) Manitoba
D) Quebec

Question 62

A younger driver with less experience with driving and alcohol can have significant impairment with a BAC as low as percent.

A) 0.05
B) 0.08
C) 0.02
D) 0.10

Question 63

Which of the following is a good strategy for protecting yourself if you suspect another driver is drunk?

A) Honk at them and get them to stop.
B) Speed ahead of them so you can slow them down.
C) Maintain a safe distance and stay alert.
D) Stay close so you can read the license plate.

Question 64

Which of the following statements is TRUE concerning alcohol use?

A) The liver is the only organ adversely affected by heavy drinking.
B) Men can drink as much as they want, as long as it is beer.
C) Any health benefits from alcohol are negated by heavy use.
D) Women should drink 3 to 4 drinks a day.

Question 65

Which of the following statements about alcohol treatment is TRUE?

A) It takes one person with alcoholism to understand and help another.
B) Different alcohol treatment strategies work for different people.
C) The first step in the treatment of alcoholism is hospitalization.
D) Individuals with alcoholism must "hit bottom" before they can be helped.

Question 66

At what blood alcohol concentration is pain perception significantly impaired?

A) 0.05-0.10%
B) 0.10-0.15%
C) 0.15-0.30%
D) > 0.30%

Question 67

At what blood alcohol concentration are you likely to first feel "relaxed"?

A) 0.05%
B) 0.10%
C) 0.15%
D) 0.30%

Question 68

Which of the following is an appropriate way to deal with an alcohol emergency?

A) If unconscious, place the person on his side with his knees up.
B) Make the person walk around.
C) Give the person coffee.
D) Talk to the person about his drinking problem.

Question 69

Which type of sleeping disorder increases in severity when alcohol is consumed?

A) narcolepsy
B) sleep apnea
C) restless leg syndrome
D) insomnia

Question 70

What is the average age of first use of alcohol among Canadian youth?

A) 15.6 years
B) 16.2 years
C) 14.2 years
D) 18.6 years

Question 71

A group of young adults, males and females, decides to spend the weekend on a houseboat on the lake. Saturday is spent swimming, eating, and drinking. The drinking continues late into the night. Bill, Joan, and a few others engage in a drinking game, seeing who can drink a six-pack of beer in the shortest amount of time. Surprisingly, Joan has the shortest time. Soon after, the group notices that Joan has fallen asleep. She doesn't respond when Bill attempts to awaken her so that she can go to bed. Meanwhile, two individuals who did not participate in the drinking game but who have been drinking are feeling warm and decide to cool off in the lake. Although they laugh when someone expresses concern about them getting into the water, they do agree to put on life jackets and to stay within the boundaries of the boat's spotlight. Bill is concerned about Joan. What can he do right away to make Joan as safe as possible

A) Keep trying to awaken her and give her some coffee.
B) Make sure that Joan wears a life jacket if she decides to swim the next day.
C) Move Joan to a bed inside the boat's cabin.
D) Position Joan on her side and watch her while she sleeps.

Question 72

Which of the following does NOT influence how long it takes for alcohol to be absorbed in the stomach?

A) the time of day that alcohol is consumed
B) the proof of the beverage
C) carbonation
D) food in the stomach

Question 73

The amount of alcohol in the blood, which is used as a measure of intoxication, is called

A) blood alcohol concentration.
B) alcohol/blood displacement.
C) alcohol impairment measurement.
D) blood alcohol ratio.

Question 74

If you have consumed alcohol to raise your BAC above the legal driving amount, good alternative options include:

A) ride with someone who has not been drinking.
B) take a taxi.
C) stay overnight.
D) take a taxi, ride with someone who has not been drinking, or stay overnight.

Question 75

Some alcoholics show a weakening of the heart muscle, called

A) cirrhosis.
B) cardiac disintegration.
C) cardiac atrophy.
D) cardiac myopathy.

Question 76

Which of the following is NOT a common adult pattern of excessive drinking associated with alcohol dependence?

A) long periods of sobriety interspersed with binges
B) regular daily intake of large amounts of alcohol
C) regular light drinking limited to weekends
D) heavy drinking limited to periods of stress

Question 77

A group of young adults, males and females, decides to spend the weekend on a houseboat on the lake. Saturday is spent swimming, eating, and drinking. The drinking continues late into the night. Bill, Joan, and a few others engage in a drinking game, seeing who can drink a six-pack of beer in the shortest amount of time. Surprisingly, Joan has the shortest time. Soon after, the group notices that Joan has fallen asleep. She doesn't respond when Bill attempts to awaken her so that she can go to bed. Meanwhile, two individuals who did not participate in the drinking game but who have been drinking are feeling warm and decide to cool off in the lake. Although they laugh when someone expresses concern about them getting into the water, they do agree to put on life jackets and to stay within the boundaries of the boat's spotlight. Joan's drinking has put her in immediate danger of

A) becoming confused when she wakes up in a strange place.
B) having a nasty hangover in the morning.
C) alcohol poisoning.
D) being injured the next day if she goes swimming.

Question 78

In Canada, any beverage containing percent or more alcohol by volume is considered an alcoholic beverage.

A) 2.0
B) 0.8
C) 1.1
D) 0.5

Question 79

Negative consequences associated with binge drinking include all of the following, EXCEPT

A) engaging in unplanned sex.
B) poor academic performance.
C) enhanced academic performance.
D) violence.

Question 80

Which of the following effects of chronic alcohol abuse occur on the brain?

A) increased blood flow
B) slowed metabolic rates
C) expansion of both grey and white matter
D) enhanced liver absorption