Question 1

Which of the following statements is true?

Accepted Answer

A)  The legal definition of "narcotic" is based on the pharmacological characteristics of that compound. 
B)  The legal definition of "narcotic" is not based on the pharmacological characteristics of that compound. 
C)  There is no legal term "narcotic;" the correct legal term is "a compound that produces morphine­like effects." 
D)  The legal term for "narcotic" applies to every compound that alters the individual's sense of consciousness. 
A)  The legal definition of "narcotic" is based on the pharmacological characteristics of that compound. 
B)  The legal definition of "narcotic" is not based on the pharmacological characteristics of that compound. 
C)  There is no legal term "narcotic;" the correct legal term is "a compound that produces morphine­like effects." 
D)  The legal term for "narcotic" applies to every compound that alters the individual's sense of consciousness. B

Question 2

According to your text, research has demonstrated

Accepted Answer

A)  73 percent of patients report adequate levels of pain control when asked. 
B)  56 percent of patients experiencing pain achieve adequate levels of analgesia using oral medications alone. 
C)  73 percent of patients in mild to moderate pain do not receive adequate analgesia. 
D)  the public understands how to control pain better than do physicians. 
A)  73 percent of patients report adequate levels of pain control when asked. 
B)  56 percent of patients experiencing pain achieve adequate levels of analgesia using oral medications alone. 
C)  73 percent of patients in mild to moderate pain do not receive adequate analgesia. 
D)  the public understands how to control pain better than do physicians. C

Question 3

According to your text, one in three to one in four opioid abusers will

Accepted Answer

A)  develop cardiomyopathy. 
B)  become addicted. 
C)  develop classic pinpoint pupils. 
D)  call for early refills of prescribed medications to support their addiction. 
A)  develop cardiomyopathy. 
B)  become addicted. 
C)  develop classic pinpoint pupils. 
D)  call for early refills of prescribed medications to support their addiction. B

Question 4

Which of the following is an accurate statement about the science of pain control?

Accepted Answer

A)  There is no objective measure of pain. 
B)  The AST blood test provides a way to measure the average level of pain the individual has experienced in the past week, but cannot be more accurate than this. 
C)  Similar levels of acute trauma will cause the exact same level of pain for different individuals. 
D)  Chronic pain is more easily assessed than is acute pain. 
A)  There is no objective measure of pain. 
B)  The AST blood test provides a way to measure the average level of pain the individual has experienced in the past week, but cannot be more accurate than this. 
C)  Similar levels of acute trauma will cause the exact same level of pain for different individuals. 
D)  Chronic pain is more easily assessed than is acute pain.

Question 5

The uncomplicated narcotic withdrawal syndrome

Accepted Answer

A)  is usually fatal unless supervised by a physician. 
B)  usually is no more uncomfortable than a bad case of the flu. 
C)  raises the individual's risk for viral infections such as influenza. 
D)  is more intense in oral abusers of narcotics. 
A)  is usually fatal unless supervised by a physician. 
B)  usually is no more uncomfortable than a bad case of the flu. 
C)  raises the individual's risk for viral infections such as influenza. 
D)  is more intense in oral abusers of narcotics.

Question 6

The methadone molecule is structurally similar to the molecule.

Accepted Answer

A)  codeine 
B)  sigma 
C)  morphine 
D)  heroin 
A)  codeine 
B)  sigma 
C)  morphine 
D)  heroin

Question 7

Chronic opioid abuse often results in significant for the user.

Accepted Answer

A)  pain 
B)  "flashes" 
C)  constipation 
D)  insomnia 
A)  pain 
B)  "flashes" 
C)  constipation 
D)  insomnia

Question 8

According to your text, narcotic abuse most commonly involves

Accepted Answer

A)  heroin. 
B)  demerol. 
C)  the diversion of prescribed medications in the U.S. 
D)  Dilaudid®. 
A)  heroin. 
B)  demerol. 
C)  the diversion of prescribed medications in the U.S. 
D)  Dilaudid®.

Question 9

One function of endogenous opioid molecules released in the amygdala is the

Accepted Answer

A)  suppression of the "fight or flight" response. 
B)  initiation of a pleasure response when we do something right. 
C)  suppression of the pleasure response. 
D)  increase in respiration so we will remember what we did more clearly. 
A)  suppression of the "fight or flight" response. 
B)  initiation of a pleasure response when we do something right. 
C)  suppression of the pleasure response. 
D)  increase in respiration so we will remember what we did more clearly.

Question 10

The region of the brain has a large number of opioid receptor sites.

Accepted Answer

A)  hippocampus 
B)  frontal cortex 
C)  medulla 
D)  amygdalae 
A)  hippocampus 
B)  frontal cortex 
C)  medulla 
D)  amygdalae

Question 11

Narcotic analgesics currently in use tend to preferentially activate the receptor site in the brain.

Accepted Answer

A)  mu 
B)  epsilon 
C)  sigma 
D)  delta 
A)  mu 
B)  epsilon 
C)  sigma 
D)  delta

Question 12

Explain how the distribution of opioid receptors across the brain results in the wide range of effects.

Accepted Answer

The distribution of opioid receptors acr

Question 13

Addiction to a narcotic

Accepted Answer

A)  can develop after just a few days of continuous use. 
B)  requires at least 6 months of continuous use before it develops. 
C)  is seen only in cases of intravenous drug abuse. 
D)  is most often seen in heroin addiction. 
A)  can develop after just a few days of continuous use. 
B)  requires at least 6 months of continuous use before it develops. 
C)  is seen only in cases of intravenous drug abuse. 
D)  is most often seen in heroin addiction.

Question 14

What is a "chipper?"

Accepted Answer

A)  An occasional heroin user 
B)  A methadone addict 
C)  A recovered heroin addict 
D)  Someone who crushes Oxycontin capsules to disengage their time-release effects 
A)  An occasional heroin user 
B)  A methadone addict 
C)  A recovered heroin addict 
D)  Someone who crushes Oxycontin capsules to disengage their time-release effects

Question 15

Which of the following narcotic analgesics was developed for long-term pain management?

Accepted Answer

A)  Codeine 
B)  Oxycodone 
C)  Morphine 
D)  Fentanyl 
A)  Codeine 
B)  Oxycodone 
C)  Morphine 
D)  Fentanyl

Question 16

Which of the following is a symptom of heroin abuse?

Accepted Answer

A)  Ataxia 
B)  Emotional liability 
C)  Slurred speech 
D)  Nodding off 
A)  Ataxia 
B)  Emotional liability 
C)  Slurred speech 
D)  Nodding off

Question 17

Which of the following analgesic compounds has the longest elimination half life?

Accepted Answer

A)  Morphine 
B)  Demerol 
C)  Methadone 
D)  Codeine 
A)  Morphine 
B)  Demerol 
C)  Methadone 
D)  Codeine

Question 18

Besides controlling pain, opium can also

Accepted Answer

A)  control diarrhea. 
B)  decrease cholesterol. 
C)  increase concentration. 
D)  decrease congestion. 
A)  control diarrhea. 
B)  decrease cholesterol. 
C)  increase concentration. 
D)  decrease congestion.

Question 19

Why is heroin considered more potent than morphine, from which it is derived?

Accepted Answer

Heroin is considered more potent than mo

Question 20

Current theory suggests that narcotic analgesics relieve pain by their ability to

Accepted Answer

A)  mimic the actions of opioid peptides. 
B)  counter the effects of the opioid peptides. 
C)  activate the release of serotonin in the amygdala. 
D)  activate the release of massive amounts of acetylcholine in the basal ganglia. 
A)  mimic the actions of opioid peptides. 
B)  counter the effects of the opioid peptides. 
C)  activate the release of serotonin in the amygdala. 
D)  activate the release of massive amounts of acetylcholine in the basal ganglia.

Exam 11: Opiode Use, Abuse, and Addiction

Which of the following statements is true?

According to your text, research has demonstrated

According to your text, one in three to one in four opioid abusers will

Which of the following is an accurate statement about the science of pain control?

The uncomplicated narcotic withdrawal syndrome

The methadone molecule is structurally similar to the molecule.

Chronic opioid abuse often results in significant for the user.

According to your text, narcotic abuse most commonly involves

One function of endogenous opioid molecules released in the amygdala is the

The region of the brain has a large number of opioid receptor sites.

Narcotic analgesics currently in use tend to preferentially activate the receptor site in the brain.

Explain how the distribution of opioid receptors across the brain results in the wide range of effects.

Addiction to a narcotic

What is a "chipper?"

Which of the following narcotic analgesics was developed for long-term pain management?

Which of the following is a symptom of heroin abuse?

Which of the following analgesic compounds has the longest elimination half life?

Besides controlling pain, opium can also

Why is heroin considered more potent than morphine, from which it is derived?

Current theory suggests that narcotic analgesics relieve pain by their ability to

Why Worry About Substance Abuse or Addiction

The Nature of the Beast

A Brief Introduction to the Science of Pharmacology

An Introduction to Alcohol: Mans Oldest Recreational Chemical

The Alcohol Use Disorders

Abuse and Addiction to Barbiturates and Barbiturate-Like Compounds

Abuse and Addiction to Benzodiazepines and Similar Agents

Abuse and Addiction to Central Nervous System Stimulants

Cocaine Abuse and Dependence

Marijuana Abuse and Addiction

Abuse and Addiction to Hallucinogens

Abuse and Addiction to Inhalants and Aerosols

The Under-Recognized Problem of Steroid Abuseaddiction

Over the Counter Analgesics

Tobacco Products and Nicotine Addiction

The Potential Consequences of Drug Abuse During Pregnancy

Gender and Substance Use Disorders

Hidden Faces of Substance Use Disorders

Substance Use and Abuse by Children and Adolescents

Substance Use Disorders in College Settings

Codependency and Enabling

Addiction and the Family

The Dual-Diagnosis Client: Substance Use Disorders and Mental Illness

The Biopsychosocial Model of the Addictions

The Substance Use Disorders As a Disease of the Human Spirit

The Assessment of Suspected Substance Use Disorders

Intervention

Treatment Settings

The Treatment of Substance Use Disorders

The Process of Treatment

Pharmacological Interventions for Substance Use Disorders

Relapse and Other Problems Frequently Encountered in Substance Abuse Rehabilitation

Support Groups to Promote and Sustain Recovery

Substance Use Disorders and and Infectious Disease

The Relationship Between Drug Use and Crime

The Debate Over Legalization Appendices Glossary References Index

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