Deck 31: Drugs of Abuse and Misuse

Question 1

Which of the following is NOT true of marijuana?

A) Marijuana produces more tar and has more carcinogens than tobacco.
B) The potency of marijuana is always the same.
C) Marijuana produces sedation, euphoria, and sometimes hallucinations.
D) Amotivational syndrome occurs in those using marijuana over prolonged periods of time.
E) Many physiological effects occur with marijuana use.

Answer 1

The potency of marijuana is always the same.

Question 2

Which of the following is NOT a side effect of abused and misused drugs?

A) drowsiness, constipation, nausea, sore mouth, and diarrhea
B) hallucinations and mental confusion
C) weakness, hypotension, tachycardia, and cardiac arrhythmias
D) hypertension and bradycardia
E) respiratory distress, cough, and skin changes

Answer 2

hypertension and bradycardia

Question 3

Which of the following is NOT a sign or symptom of drug abuse/misuse that should be recognized by allied health professionals?

A) outbreaks of rage and temper
B) keeping medical appointments and maintaining good health practices
C) general changes in overall attitude and secretive behavior
D) wearing sunglasses at inappropriate times and continually wearing long-sleeved garments.
E) deterioration of physical appearance and grooming

Answer 3

keeping medical appointments and maintaining good health practices

Question 4

Which of the following medications do NOT interact with nicotine?

A) acetaminophen and caffeine
B) medications for pain
C) insulin
D) tranquilizers
E) all of the above

Question 5

What is NOT a source of inhalants commonly used for euphoria and hallucinations?

A) cleaning supplies
B) glue
C) paints
D) hairsprays
E) all of the above

Question 6

Which of the following is NOT true of abused central nervous system stimulants?

A) There is an antidote for amphetamine and cocaine toxicity that stops the toxic effects with few side effects.
B) Signs of amphetamine toxicity include pallor of the skin, palpitations, tremors, extreme fluctuations in blood pressure and pulse, and chest pain.
C) Abrupt withdrawal of central nervous system stimulants will produce prolonged sleep.
D) Pharmacological effects of cocaine are similar to those of amphetamines.
E) Tolerance occurs with central nervous system stimulants.

Question 7

Which of the following is NOT a sign or symptom of drug abuse and misuse?

A) changes in weight and sleep habits
B) impaired memory or illogical thinking
C) defensiveness, anxiety, changes in friends and appearance
D) taking prescribed medications for known illnesses on a regular basis
E) mood swings, irritability, depression, and anger

Question 8

Which of the following is NOT true of hallucinogens, psychedelics, and psychomimetics?

A) Hallucinogens and psychedelics cause hallucinations and mind-altering conditions in about 1 to 2 hours after administration.
B) Psychedelics are different from other drugs because they have the ability to bring about alterations in thought, perception, and feeling that otherwise occur only in dreams.
C) LSD is a sympathomimetic, causing hypertension, dilated pupils, hyperthermia, tachycardia, and enhanced awareness of activities.
D) Mescaline causes abdominal pain, nausea, vomiting, and diarrhea.
E) There is no medication to dissipate "bad trips" found with hallucinogens, psychedelics, and psychomimetics.

Question 9

Which of the following is NOT true of ethyl alcohol?

A) It has no medicinal indications.
B) Its effects are dose-dependent.
C) It may cause death of brain tissue and anesthesia.
D) Its use is the third most serious public health problem.
E) All of the above statements are true.

Question 10

Which of the following is NOT a factor leading to drug abuse?

A) curiosity
B) peer pressure and social status
C) physical dependence
D) genetics
E) terminal diseases

Question 11

Which of the following is NOT true of opiate and opioid abuse?

A) The most commonly abused are heroin, propoxyphene, oxycodone, and morphine.
B) Most abuse begins with either social interaction or pain management.
C) Opioids relieve pain while changing the person's mood to produce tranquility and peace.
D) Most abuse begins either with street drugs or unneeded use of prescription medications.
E) All of the above statements are true.

Question 12

Which of the following is NOT true of smoking cessation products?

A) They come in gums, nasal sprays, injectable medications, and transdermal systems.
B) Nicotine gums are absorbed by the mucous membranes of the mouth.
C) Transdermal patches are worn for 16 to 24 hours per day.
D) They should be used for at least 3 months but no longer than 6 months.
E) All of the above statements are true.

Question 13

Which of the following is NOT related to withdrawal of opiates/opioids?

A) Methadone, a synthetic opioid analgesic, is used to assist the patient in withdrawal programs.
B) Symptoms of withdrawal are directly related to the half-life of the drug used.
C) When in a withdrawal program, the person exhibits few symptoms.
D) Withdrawal symptoms include restlessness, rhinorrhea, tearing, and pupil dilation.
E) All of the above statements are true.

Question 14

Personal characteristics of drug misusers and abusers include all of the following EXCEPT

A) vulnerability
B) feelings of self-worth
C) shame and inadequacy
D) depression and anxiety
E) impulsiveness and compulsiveness

Question 15

Which of the following are the most frequently abused substances?

A) xanthines
B) caffeine
C) nicotine
D) all of the above
E) none of the above

Question 16

Which is NOT true of drugs used with alcoholism?

A) Disulfiram is used for only alcoholism.
B) Benzodiazepines are used for alcoholism.
C) Disulfiram has many drug interactions.
D) Disulfiram should be given to a person who abuses alcohol whether the person desires to stop consuming alcohol or not.
E) All of the above statements are true.

Question 17

The side effects of smoking cessation include all of the following EXCEPT

A) belching, hiccups, and indigestion
B) hoarseness, soreness of the mouth and throat, and watering of the mouth
C) tachycardia and insomnia
D) decreased appetite, nausea, and diarrhea
E) skin eruptions

Question 18

Which of the following is NOT true of nicotine?

A) It is a liquid alkaloid, the chief source being tobacco.
B) It is readily absorbed in the GI tract, respiratory tract, mucous membranes, and skin.
C) It produces complex and predictable actions on the body.
D) Peripheral blood vessels constrict, raising blood pressure in persons who start smoking.
E) Peripheral blood vessels dilate in the person who has smoked for a period of time, lowering blood pressure.

Question 19

Which of the following is NOT a hallucinogen, psychedelic, or psychomimetic?

A) LSD
B) ecstasy
C) PCP
D) marijuana
E) mescaline

Question 20

Which of the following is NOT true of central nervous system depressants?

A) Barbiturates are used as downers for persons using central nervous system stimulants.
B) Tolerance is a common effect of barbiturate and benzodiazepine usage, leading to physical dependence.
C) Therapeutic use of benzodiazepines and barbiturates should be short-term.
D) Withdrawal from barbiturates and benzodiazepines should be done rapidly to prevent long-term withdrawal signs and symptoms.
E) Central nervous system depressants are safe for use by older adults.

Question 21

Drug abuse is a progressive disease from experimentation to compulsive need and use of substances.

Question 22

The desirable feeling found after taking drugs of abuse often leads to continued use and addiction.

Question 23

Drug abuse is a relatively recent problem.

Question 24

Drug availability is not a factor in drug abuse. If an abuser desires a drug, he or she will find some way to acquire it.

Question 25

All drugs can be detected in the urine for the same amount of time.

Question 26

Ethyl alcohol has many life-threatening drug interactions that are synergistic or may change the effectiveness of a medication.

Question 27

Disulfiram produces severe nausea and vomiting when a person taking the drug has even the smallest contact with alcohol or products containing alcohol, such as perfume or after-shave lotions.

Question 28

Only prescription medications can be misused or abused.

Question 29

Psychologic dependence leads not to addiction but to an increased need for the drug, while physical dependence leads to addiction.

Question 30

Smoking cessation products are safe for all people, including those with cardiac disease, hypertension, and diabetes mellitus as well as those with peripheral vascular disease and peptic ulcer.

Question 31

Drug abuse is self-medication on a chronic basis in quantities that cause physical or psychological dependence and an inability to function within socially acceptable norms.

Question 32

Substance abuse affects every person in the United States.

Question 33

Naltrexone (Re-Via) is used to decrease the craving for alcohol, to prevent the relapse of alcohol use, and for opioid dependence.

Question 34

Drug abuse and misuse with health care professionals is only a physical problem, not a psychologic or ethical one.

Question 35

Nicotine has antidiuretic actions.

Question 36

A feeling of well-being and euphoria are often the first needs found with experimentation.

Question 37

The fastest-acting nicotine substitute is the nasal spray.

Question 38

Health care professionals are at increased risk for drug abuse owing to the availability of medications.

Question 39

Patient education is very important with disulfiram.

Question 40

Drug abuse often allows a person to tolerate an otherwise intolerable situation.

Question 41

Marijuana is lipid soluble; it is absorbed in fatty body tissues, leading to prolonged effects.

Question 42

Cocaine abuse leads to disorders of many body systems.

Question 43

Drug misusers/abusers will take any prescription of pain relievers given by a physician.

Question 44

Inhalants are used by bagging, huffing, or sniffing.

Question 45

The half-life of cocaine is fairly long, leading to toxicity and the chance of acute intoxication.

Question 46

The effects from inhalants last 4 to 6 hours, giving the person a feeling of euphoria and reckless abandonment that produces serious problems for young children and teens engaging in these forms of drug abuse.

Question 47

Anabolic steroids are used to increase athletic performance.

Question 48

Anabolic steroids tend to masculinize users.

Question 49

Cocaine produces psychologic symptoms, including severe anxiety, paranoia, and hallucinations.

Question 50

Drug abuse is more often seen in adults than other age groups.

Question 51

Anabolic steroids are actually synthetic testosterone.

Question 52

Psychedelics may cause dreams without loss of consciousness.

Question 53

Cocaine may be administered orally, intranasally, and intravenously, although it is usually taken orally.

Question 54

When smoked, marijuana has its effect in 5 to 15 minutes, peaking in 30 to 90 minutes, and lasting for 3 to 4 hours.

Question 55

Marijuana is effective orally.

Question 56

The effects of PCP make it one of the more dangerous and unpredictable of abused substances.

Question 57

Withdrawal from opioids/opiates may cause sneezing, yawning, changes in sleep habits, and elevated vital signs.

Question 58

Antibiotics may be abused.

Question 59

Photophobia, paranoia, weight loss, and compulsive behaviors are signs and symptoms of central nervous system stimulant abuse.

Question 60

Drug abusers usually ask for a specific medication.

Question 61

Match the following terms with their descriptions below.
Self-medication with a drug in sufficient quantities to cause physical or psychological changes that lead to dependence or functional impairment not found within the norms of society

A)drug misuse
B)drug abuse
C)dysphoria
D)euphoria
E)inebriation

Question 62

Match the following terms with their descriptions below.
Frequent and indiscriminate use of a drug, causing problems when attempting to stop its use

A)drug habit
B)drug dependency
C)drug tolerance
D)drug addiction
E)withdrawal

Question 63

Match the following terms with their descriptions below.
Effect experienced when a drug of physical or psychological dependence has been discontinued

A)drug habit
B)drug dependency
C)drug tolerance
D)drug addiction
E)withdrawal

Question 64

Match the following terms with their descriptions below.
Increased amount of a drug needed to produce the original effect because the drugs produce less effect than when previously taken

A)drug habit
B)drug dependency
C)drug tolerance
D)drug addiction
E)withdrawal

Question 65

Match the following terms with their descriptions below.
Physical or psychologic need to use a drug to achieve a sense of well-being or avoid withdrawal symptoms

A)drug habit
B)drug dependency
C)drug tolerance
D)drug addiction
E)withdrawal

Question 66

PCP produces a euphoria that leads to the release of inhibitions and causes emotional swings, with changes occurring on a rapid basis.

Question 67

Dangers of illicit drugs consist of changes in drug strengths produced in their manufacture on the street level.

Question 68

Match the following terms with their descriptions below.
Compulsive, excessive, or constant drug use to achieve a desired state, the results being harmful to the person, society, or both

A)drug habit
B)drug dependency
C)drug tolerance
D)drug addiction
E)withdrawal

Question 69

Match the following terms with their descriptions below.
Exaggerated feeling of well-being

A)drug misuse
B)drug abuse
C)dysphoria
D)euphoria
E)inebriation

Question 70

Match the following terms with their descriptions below.
Exaggerated feeling of depression or unrest

A)drug misuse
B)drug abuse
C)dysphoria
D)euphoria
E)inebriation

Question 71

Match the following terms with their descriptions below.
Nonspecific or indiscriminate use of drugs for purposes other than therapeutic intention

A)drug misuse
B)drug abuse
C)dysphoria
D)euphoria
E)inebriation

Question 72

Not all socioeconomic, ethnic, or cultural classes have problems with drug and substance abuse-just those persons at the opposite ends of the cultural spectrum.

Question 73

There are controls on illegal medications.

Question 74

Persons using ecstasy feel close to the people around them.

Question 75

Match the following terms with their descriptions below.
State of intoxication or drunkenness

A)drug misuse
B)drug abuse
C)dysphoria
D)euphoria
E)inebriation