Question 1

An advantage of using the anticonvulsant carbamazepine over benzodiazepines for the treatment of alcohol withdrawal is that it

Accepted Answer

A) is not addictive. 
B) reduces seizure potential. 
C) creates nausea in the user. 
D) is much cheaper. 
A) is not addictive. 
B) reduces seizure potential. 
C) creates nausea in the user. 
D) is much cheaper. B

Question 2

Research has found that of individuals with AUDs prescribed naltrexone relapsed within the first 12 weeks of treatment.

Accepted Answer

A) 10% 
B) 22% 
C) 37% 
D) 50% 
A) 10% 
B) 22% 
C) 37% 
D) 50% D

Question 3

Buprenorphine is thought to be as much as 200 times as potent as morphine.

Accepted Answer

A) True 
 B)False  False

Question 4

Why might an opioid antagonist like naltrexone be used in the treatment of AUDs?

Accepted Answer

An opioid antagonist like naltrexone may

Question 5

Naltrexone will block the euphoric effects of a narcotic analgesic for up to 3 days after it has been ingested.

Accepted Answer

A) True 
 B)False

Question 6

Ondansetron appears to help in the treatment of AUDs by

Accepted Answer

A) making the user sick when mixed with alcohol. 
B) decreasing cravings. 
C) blocking the subjective pleasurable experience of alcohol. 
D) creating hallucinations in response to even minimal alcohol ingestion. 
A) making the user sick when mixed with alcohol. 
B) decreasing cravings. 
C) blocking the subjective pleasurable experience of alcohol. 
D) creating hallucinations in response to even minimal alcohol ingestion.

Question 7

The alcohol/disulfiram reaction

Accepted Answer

A) begins 3-5 hours after the alcohol has been ingested. 
B) can be fatal under certain conditions. 
C) results in abnormally slow respiration. 
D) can cause sensory disturbances such as hallucinations. 
A) begins 3-5 hours after the alcohol has been ingested. 
B) can be fatal under certain conditions. 
C) results in abnormally slow respiration. 
D) can cause sensory disturbances such as hallucinations.

Question 8

Only about of those prescribed disulfiram for the treatment of alcohol use disorder take it as prescribed.

Accepted Answer

A) 7% 
B) 15% 
C) 20% 
D) 45% 
A) 7% 
B) 15% 
C) 20% 
D) 45%

Question 9

One major problem with the use of clonidine in opioid withdrawal is that it

Accepted Answer

A) can induce hypertension. 
B) reduces the risk of other compounds being abused. 
C) increases the risk of drop in blood pressure (increasing risk of patient falls). 
D) is prone to induce psychotic episodes. 
A) can induce hypertension. 
B) reduces the risk of other compounds being abused. 
C) increases the risk of drop in blood pressure (increasing risk of patient falls). 
D) is prone to induce psychotic episodes.

Question 10

Nineteen different pharmaceuticals have been tried in experimental trials as possible pharmacological treatments for cocaine use disorders.According to your text, which of the following is true?

Accepted Answer

A) Only one has proven effective. 
B) None of those have been identified as being consistently effective, as yet. 
C) Electroconvulsive therapy (ECT) appears promising at this time. 
D) Desipramine has proven effective. 
A) Only one has proven effective. 
B) None of those have been identified as being consistently effective, as yet. 
C) Electroconvulsive therapy (ECT) appears promising at this time. 
D) Desipramine has proven effective.

Question 11

In addition to treatment for heroin, animal research is being conducted to see if methadone may also be effective in treating dependence.

Accepted Answer

A) nicotine 
B) cocaine 
C) alcohol 
D) marijuana 
A) nicotine 
B) cocaine 
C) alcohol 
D) marijuana

Question 12

The development of pharmaceuticals specific to substance use disorders has been delayed because

Accepted Answer

A) those regions of the brain involved in the addictions are so widespread that no single pharmaceutical, or combination of pharmaceuticals, can work on every one. 
B) pharmaceutical companies view the demand as too limited to make the development of such medications worthwhile. 
C) the current generation of medications is sufficient to treat conditions associated with substance use disorders. 
D) there are new medications under development, which should revolutionize the treatment of substance use disorders. 
A) those regions of the brain involved in the addictions are so widespread that no single pharmaceutical, or combination of pharmaceuticals, can work on every one. 
B) pharmaceutical companies view the demand as too limited to make the development of such medications worthwhile. 
C) the current generation of medications is sufficient to treat conditions associated with substance use disorders. 
D) there are new medications under development, which should revolutionize the treatment of substance use disorders.

Question 13

Your client informs you that he or she is currently taking Suboxone.You know that this is used in the treatment of use disorder.

Accepted Answer

A) methamphetamine 
B) alcohol 
C) opiate 
D) nicotine 
A) methamphetamine 
B) alcohol 
C) opiate 
D) nicotine

Question 14

Discus the subgroups of medications that might be utilized as adjunctive treatments for SUDs.

Accepted Answer

There are several subgroups of medicatio

Question 15

Methadone is thought to be effective because it

Accepted Answer

A) blocks just 25-35% of opioid receptor sites, enough to create a corrective but not curative effect. 
B) binds to narcotic analgesic molecules in the blood, preventing them from forming chemical bonds with blood proteins and thus being more easily removed from the circulation. 
C) is able to block 50% of the mu receptor sites without activating them. 
D) activates only the kappa opioid receptor sites, causing dysphoria should the individual abuse opioids. 
A) blocks just 25-35% of opioid receptor sites, enough to create a corrective but not curative effect. 
B) binds to narcotic analgesic molecules in the blood, preventing them from forming chemical bonds with blood proteins and thus being more easily removed from the circulation. 
C) is able to block 50% of the mu receptor sites without activating them. 
D) activates only the kappa opioid receptor sites, causing dysphoria should the individual abuse opioids.

Question 16

Describe the three subcategories of medications used in the treatment of opioid use disorders (OUDs).

Accepted Answer

The three subcategories of medications u

Question 17

In the event of an opiate overdose, the best treatment appears to be administered under a physician's supervision.

Accepted Answer

A) Narcan 
B) Aripiprazole 
C) Naltrexone 
D) Haldol 
A) Narcan 
B) Aripiprazole 
C) Naltrexone 
D) Haldol

Question 18

Among the side effects caused by Chantix (varenicline), one of the most frequently reported side effects is extended period of sleep without dreams.

Accepted Answer

A) True 
 B)False

Question 19

Amber has overdosed on heroin and has just been rushed to the hospital.She has been given the drug Narcan to help stop the potentially fatal symptoms of the overdose.Amber has been administered this drug

Accepted Answer

A) intravenously. 
B) orally. 
C) intramuscularly. 
D) intrathecally. 
A) intravenously. 
B) orally. 
C) intramuscularly. 
D) intrathecally.

Question 20

The most successful pharmacological treatment for nicotine dependence at this time seems to be

Accepted Answer

A) nicotine patches. 
B) Chantix (varenicline). 
C) Wellbutrin (bupropion). 
D) Inversine (mecamylamine). 
A) nicotine patches. 
B) Chantix (varenicline). 
C) Wellbutrin (bupropion). 
D) Inversine (mecamylamine).

Exam 33: Pharmacological Interventions for Substance Use Disorders

An advantage of using the anticonvulsant carbamazepine over benzodiazepines for the treatment of alcohol withdrawal is that it

Research has found that of individuals with AUDs prescribed naltrexone relapsed within the first 12 weeks of treatment.

Buprenorphine is thought to be as much as 200 times as potent as morphine.

Why might an opioid antagonist like naltrexone be used in the treatment of AUDs?

Naltrexone will block the euphoric effects of a narcotic analgesic for up to 3 days after it has been ingested.

Ondansetron appears to help in the treatment of AUDs by

The alcohol/disulfiram reaction

Only about of those prescribed disulfiram for the treatment of alcohol use disorder take it as prescribed.

One major problem with the use of clonidine in opioid withdrawal is that it

Nineteen different pharmaceuticals have been tried in experimental trials as possible pharmacological treatments for cocaine use disorders.According to your text, which of the following is true?

In addition to treatment for heroin, animal research is being conducted to see if methadone may also be effective in treating dependence.

The development of pharmaceuticals specific to substance use disorders has been delayed because

Your client informs you that he or she is currently taking Suboxone.You know that this is used in the treatment of use disorder.

Discus the subgroups of medications that might be utilized as adjunctive treatments for SUDs.

Methadone is thought to be effective because it

Describe the three subcategories of medications used in the treatment of opioid use disorders (OUDs).

In the event of an opiate overdose, the best treatment appears to be administered under a physician's supervision.

Among the side effects caused by Chantix (varenicline), one of the most frequently reported side effects is extended period of sleep without dreams.

Amber has overdosed on heroin and has just been rushed to the hospital.She has been given the drug Narcan to help stop the potentially fatal symptoms of the overdose.Amber has been administered this drug

The most successful pharmacological treatment for nicotine dependence at this time seems to be

Why Worry About Substance Misuse or Substance Use Disorders

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

Misuse of Barbiturates and Barbiturate-Like Compounds

Misuse of Benzodiazepines and Similar Agents

Misuse of Central Nervous System Stimulants and Stimulant Use Disorders

Cocaine Misuse and Cocaine Use Disorder

Marijuana Misuse and Cannabis Use Disorder

Opioid Use and Misuse

Hallucinogen Misuse

Misuse of Inhalants and Aerosols

The Under-Recognized Problem of Steroid Misuse

Tobacco Products and Tobacco Use Disorder

Over the Counter Analgesics

Chemicals and the Neonate

Gender and Substance Use Disorders

Hidden Faces of Substance Use Disorders

Substance Misuse by Children and Adolescents

Substance Use and Substance Use Disorders in College Students

Substance Use Disorders and the Older Adult

Substance Use Disorders and the Family

Codependency and Enabling

The Client With Co-Occurring Disorders: Substance Use Disorders and Mental Illness

The Biopsychosocial Model of the Substance Use Disorders

The Substance Use Disorders As a Disease of the Human Spirit

The Assessment of Suspected Substance Use Disorders

Intervention

Treatment Settings

Treatment Formats

The Process of Treatment

Relapse and Other Problems Frequently Encountered in Substance Rehabilitation

Support Groups to Promote and Sustain Recovery

Substance Use Disorders and Infectious Disease

The Relationship Between Drugs and Crime

The Debate Over Legalization

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