Deck 9: Chronic Alcohol Abuse and Alcoholism

Question 1

Many studies found that alcoholics have increased domestic instability in their lives.

Answer 1

True

Question 2

The three types of liver disease are alcoholic hepatitis, alcoholic cirrhosis, and delirium tremens.

Answer 2

False

Question 3

Craving for alcohol was not previously included as a diagnostic criterion for problem drinking.

Answer 3

True

Question 4

In alcoholic cirrhosis, the liver enlarges and then later shrinks due to degeneration of liver cells.

Question 5

It is possible for someone who only becomes grossly intoxicated on occasion to be an alcoholic.

Question 6

The image of a homeless male with deteriorating health as a typical alcoholic fits about 50 percent of all alcoholics.

Question 7

Alcohol is toxic to the liver only when nutritional deficiencies exist.

Question 8

With regard to the two former syndromes, alcohol abuse is more severe than alcohol dependence.

Question 9

Depression produces alcoholism more often than alcoholism produces depression.

Question 10

In the DSM-5, alcohol use disorder includes the mild, moderate, and severe subcategories.

Question 11

Alcoholics are no more likely than others in the general population to have suffered an episode of major depression.

Question 12

When alcohol is viewed as a beverage for reducing anxiety, then alcohol consumption is considered symptomatic drinking.

Question 13

Enablers may unconsciously support continued drinking in an alcoholic.

Question 14

The process of alcohol tolerance can be observed at the level of the brain, but not the liver.

Question 15

Delirium tremens (DTs) symptoms include frightening hallucinations.

Question 16

The DSM-5 combines two former syndromes, alcohol abuse and alcoholism, into one diagnosis.

Question 17

More Canadian women than men exceed the Low-Risk Drinking Guideline for chronic drinking.

Question 18

Alcoholism always involves the drinking of large quantities of alcohol.

Question 19

Alcoholic cirrhosis is reversible by abstinence from alcohol, while alcoholic hepatitis is not.

Question 20

An intoxicated person overestimates his or her driving ability.

Question 21

All alcoholics have some family history of alcohol abuse.

Question 22

Wernicke-Korsakoff symptoms can be misdiagnosed as Alzheimer's disease among the elderly.

Question 23

Confabulation is a symptom associated with Korsakoff's psychosis.

Question 24

In alcoholic dementia, there is a significant shrinking of brain ventricles.

Question 25

Wernicke's disease occurs as a result of a deficiency of Vitamin B1.

Question 26

TWEAK is a questionnaire that directly asks drinkers about their drinking problems.

Question 27

Abstaining from alcohol can reverse some abnormalities in the brain in patients with alcohol dementia.

Question 28

Twenty percent of those admitted to mental hospitals shows signs of alcohol dementia.

Question 29

The risk of FASD is greater when the mother is a binge drinker than if she drinks at a constant level all the time.

Question 30

There is no "safe level" of drinking alcohol during pregnancy.

Question 31

More women than men suffer from alcohol-related organ damage.

Question 32

The greatest risk of using alcohol is in the first trimester of pregnancy, especially the third week of gestation.

Question 33

Codependency is believed to be an innate trait related to high levels of self-worth from internal sources.

Question 34

Most patients with alcoholic cirrhosis are binge drinkers.

Question 35

FASD is the third leading cause of mental retardation in North America.

Question 36

Alcohol is a recognized carcinogen, owing to the increased risk of cancer after years of chronic alcohol abuse.

Question 37

When a pregnant woman drinks alcohol, her fetus breaks down alcohol faster than she does.

Question 38

Acetaldehyde is involved in the process of alcohol breakdown.

Question 39

Alcohol consumption has been linked to breast cancer in women.

Question 40

Elderly people who have no spouse frequently complain of social difficulties associated with alcohol.

Question 41

The American Medical Association recognizes alcoholism as a disease.

Question 42

Alcoholics Anonymous (AA) is founded on the principle that one is never cured of alcoholism.

Question 43

Studies show that the use of the drug disulfiram, without any other drug treatment, reduces cravings for alcohol.

Question 44

Those with Type 2 alcoholism often have a novelty-seeking personality.

Question 45

Topiramate (brand name: Topamax), an antiepileptic and migraine-alleviating medication, is useful for treating alcohol dependence.

Question 46

Alcoholics Anonymous members believe they can relapse at any moment, even if they have not had an alcoholic drink in many years.

Question 47

The concordance rate for alcoholism in identical twins has been found to be significantly lower than the concordance rate for fraternal twins.

Question 48

Those with Type 2 alcoholism often have a high tendency to use alcohol to escape negative feelings.

Question 49

E. M. Jellinek was the first to view alcohol as a disease.

Question 50

About 25% of alcoholics are able to achieve controlled drinking.

Question 51

The large majority of physicians feel that they are unprepared to diagnose alcoholism.

Question 52

The concordance rate of alcoholism among twins shows evidence that alcoholism is not entirely genetic.

Question 53

The majority of children of alcoholics become alcoholics themselves in adulthood.

Question 54

Approved drug treatments for alcoholism are more limited in Canada than in other countries.

Question 55

Disulfiram (brand name: Antabuse) is designed to reduce the craving for alcohol during the process of recovery from alcoholism.

Question 56

Serotonin abnormalities in the brain are often present in Type 1 alcoholics.

Question 57

Type 2 alcoholics show a higher genetic inheritance from one or both parents with respect to alcoholism than do Type 1 alcoholics.

Question 58

SMART Recovery is an organization founded, in part, by individuals who objected to references in Alcoholics Anonymous to a "power greater than ourselves."

Question 59

A heightened sense of spirituality has been shown to be effective in preventing relapse in alcohol abuse.

Question 60

Alcoholics Anonymous (AA) uses a twelve-step program to aid in the recovery of its members.

Question 61

Out-of-control drinking would be indicated by __________.

A) intense craving for alcohol
B) domestic violence
C) hanging out at bars
D) depression

Question 62

Chronic alcohol intake results in __________.

A) domestic tranquility
B) symptoms of depression
C) heart failure
D) symptoms of psychosis

Question 63

Alcohol is a depressant drug __________.

A) and one-half of all alcoholics have previously shown signs of depression
B) but relatively few alcoholics have previously shown signs of depression
C) but the effects of alcohol reduce the likelihood of clinical depression
D) and depressive symptoms in alcoholics are likely to be alcohol-induced

Question 64

MAPs have been established as a way of increasing productivity of the organization, whereas EAPs are oriented toward enhancing the welfare of the individual.

Question 65

Alcoholism is diagnosed by __________.

A) breathalyzer tests
B) a collection of signs, symptoms, and behaviours
C) urine analysis
D) a throat swab

Question 66

Currently, about _____% of Canadians exceed the Low-Risk Drinking Guideline 1 and about _____% of Canadians exceed the Low-Risk Drinking Guideline 2.

A) 14; 10
B) 5; 10
C) 10; 14
D) 14; 5

Question 67

SMART Recovery program uses the 12 steps to treat alcoholics.

Question 68

The prevalence rates of alcohol impairment at the workplace are higher for white employees than racial minority employees.

Question 69

An example of a social component of the criteria used to define alcoholism is __________.

A) binge drinking
B) symptomatic drinking
C) domestic instability
D) stockpiling alcohol

Question 70

For each person with an alcohol addiction, it is estimated that __________ family members are directly affected.

A) two
B) four
C) five
D) six

Question 71

With regard to Health Canada's Low Risk Drinking Guidelines, Guideline 1 refers to __________ patterns of drinking and Guideline 2 to __________ patterns of drinking.

A) chronic; acute
B) chronic; chronic
C) acute; chronic
D) acute; acute

Question 72

Alcoholics Anonymous is based upon the idea of __________.

A) absolute devotion to its ideals
B) absolute abstinence
C) absolute commitment toward responsible drinking
D) absolute allegiance to one's country

Question 73

Craving for alcohol means that alcoholism has which characteristic?

A) physical dependence
B) psychological dependence
C) a combination of physical and psychological dependence
D) a combination of occasional and spree drinking

Question 74

Which of the following behaviours would not be classified as a psychological-behavioural component of the criteria used to define alcoholism?

A) Spree or binge drinking
B) Symptomatic drinking
C) Spousal abuse
D) A craving for alcohol

Question 75

Alcoholics tend to be stereotyped on the dimension of __________.

A) age
B) gender
C) socioeconomic level
D) all of the above

Question 76

EAPs have been established as a way of increasing the productivity of the organization, whereas MAPs are oriented toward enhancing the welfare of the individual.

Question 77

Unlike AA, SMART Recovery discourages labelling in general; a person is not required to call himself or herself an alcoholic to achieve success in recovery.

Question 78

Symptomatic drinking is indicated by __________.

A) drinking as a way of enjoying good friends
B) drinking as a way of relieving tension
C) drinking as a way of quickly passing out
D) drinking as a way of making friends

Question 79

The prevalence rates of alcohol impairment at the workplace are higher among women than men.

Question 80

A preoccupation with drinking would be an example of the _______ component of the criteria used to define alcoholism.

A) psychological-behavioural
B) social
C) physical
D) cultural