Deck 51: Alcohol and Substance Abuse

Question 1

All of the following statements about women and alcoholism are true except which one?

A) Women have less total body water,which results in higher blood alcohol concentrations.
B) Gonadal hormones may have an effect on blood alcohol levels at different points during the menstrual cycle.
C) Women who use alcohol during pregnancy face the risk of delivering a child with fetal alcohol syndrome.
D) The death rate for women from alcoholism is less than for men.
E) Alcohol dehydrogenase,an enzyme necessary to initiate the breakdown of alcohol in the stomach,is found in lower quantities in women than in men.

Answer 1

The death rate for women from alcoholism is less than for men.

Question 2

When a person experiences vomiting,diarrhea,rapid pulse,anxiety,severe cramps,high blood pressure,and severe headaches after stopping drug use,she or he has shown signs of which of the following?

A) Addiction
B) Behavioral tolerance
C) Dispositional tolerance
D) Physiologic dependence
E) Psychologic dependence

Answer 2

Physiologic dependence

Question 3

Your client is a 20-year-old man.He wears sunglasses and appears extremely energetic.He has a rapid speech pattern.On extraoral examination you note that his pupils appear dilated and there is little pupillary reaction to light.You ask what he ate for lunch,and he states that he has not yet eaten today.You suspect that he might have taken which of the following?

A) Alcohol
B) Barbiturates
C) Cocaine
D) Heroin
E) Marijuana

Answer 3

Cocaine

Question 4

The dental hygienist is most likely to get a positive response when suggesting that a drug-abusing client seek help when the client is in which stage of change?

A) Precontemplation
B) Contemplation
C) Preparation
D) Action
E) Maintenance and relapse prevention

Question 5

Significant changes in sexual function for both males and females are associated with long-term use of which of the following?

A) Alcohol
B) Amphetamines
C) Anabolic steroids
D) Inhalants
E) All of the above

Question 6

A possible genetic factor that has been implicated in addiction and other psychiatric disorders interferes with the metabolism of the biochemical neurotransmitter:

A) Acetylcholine
B) Dendrites
C) Enkephalin
D) Epinephrine
E) Serotonin

Question 7

A substance abuser has a low inherited predisposition for addictive behaviors,and the first incidence of drug abuse was short-term.Which of the following will happen if another incidence of drug abuse occurs?

A) The level of addiction will be reached more quickly if there is a relapse.
B) The sensitivity of the brain chemistry will return to normal,so it will take the same amount of time to reach addiction.
C) The predisposition for addictive behaviors increases.
D) Both A and C will happen.
E) Both B and C will happen.

Question 8

Which is the most important reason for the dental hygienist to determine if a client is drug dependent?

A) Intravenous drug users have a higher incidence of HIV infection and hepatitis B,C,and D.
B) Drug abusers may premedicate before a dental appointment.
C) Drug interactions between an abused substance and a dental anesthetic could pose a life-threatening situation for the client.
D) Drug abusers may request prescriptions for pain medication.
E) Drug abusers may experience emotional anxiety in the dental environment.