Question 1

In research, volunteers who are not in pain but are given a therapeutic dose of narcotic analgesics usually report feeling

Accepted Answer

A) dysphoria. 
B) euphoria. 
C) mania. 
D) pain. 
A) dysphoria. 
B) euphoria. 
C) mania. 
D) pain. A

Question 2

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

Accepted Answer

A) There is no way to objectively measure the intensity 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 way to objectively measure the intensity 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

Question 3

The typical symptoms of withdrawal distress for a person with an opioid addiction

Accepted Answer

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

Question 4

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 5

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 6

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 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

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 9

Describe the current medical uses for narcotic analgesics.

Accepted Answer

Narcotic analgesics, also known as opioi

Question 10

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

Accepted Answer

A) mimic the actions of endogenous 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 endogenous 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.

Question 11

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 12

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

Accepted Answer

Heroin is considered more potent than mo

Question 13

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 14

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 morphine-like 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 morphine-like effects." 
D) The legal term for "narcotic" applies to every compound that alters the individual's sense of consciousness.

Question 15

According to your text, as many as % of patients in moderate to severe pain receive less than adequate doses of prescription narcotic analgesics because of physicians' fear of an iatrogenic substance use disorder.

Accepted Answer

A) 25 
B) 51 
C) 65 
D) 73 
A) 25 
B) 51 
C) 65 
D) 73

Question 16

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 17

The methadone molecule is structurally similar to the molecule and is about as potent as that specific chemical.

Accepted Answer

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

Question 18

The invention of by Alexander Wood made it possible to rapidly and painlessly introduce morphine directly into the body.

Accepted Answer

A) the capsule 
B) codeine 
C) the hypodermic needle 
D) the nasal aspirator 
A) the capsule 
B) codeine 
C) the hypodermic needle 
D) the nasal aspirator

Question 19

By the year 1900, more than of all Americans were thought to be addicted to narcotics.

Accepted Answer

A) 0.30% 
B) 4% 
C) 3% 
D) 1% 
A) 0.30% 
B) 4% 
C) 3% 
D) 1%

Question 20

The danger of iatrogenic addiction is

Accepted Answer

A) estimated to be about 1 in every 14,000 cases when the narcotic analgesic is used for short term control of acute pain. 
B) estimated to be about 1 in every 1,000 cases when the narcotic analgesic is used for short term control of chronic pain. 
C) estimated to be about 1 in every 1,400 cases when the narcotic analgesic is used for short term control of insipient pain. 
D) determined in part by the patient's age and sex. 
A) estimated to be about 1 in every 14,000 cases when the narcotic analgesic is used for short term control of acute pain. 
B) estimated to be about 1 in every 1,000 cases when the narcotic analgesic is used for short term control of chronic pain. 
C) estimated to be about 1 in every 1,400 cases when the narcotic analgesic is used for short term control of insipient pain. 
D) determined in part by the patient's age and sex.

Exam 11: Opioid Use and Misuse

In research, volunteers who are not in pain but are given a therapeutic dose of narcotic analgesics usually report feeling

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

The typical symptoms of withdrawal distress for a person with an opioid addiction

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

Addiction to a narcotic

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

Chronic opioid abuse often results in significant for the user.

What is a "chipper?"

Describe the current medical uses for narcotic analgesics.

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

Which of the following is a symptom of heroin abuse?

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

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

Which of the following statements is true?

According to your text, as many as % of patients in moderate to severe pain receive less than adequate doses of prescription narcotic analgesics because of physicians' fear of an iatrogenic substance use disorder.

Besides controlling pain, opium can also

The methadone molecule is structurally similar to the molecule and is about as potent as that specific chemical.

The invention of by Alexander Wood made it possible to rapidly and painlessly introduce morphine directly into the body.

By the year 1900, more than of all Americans were thought to be addicted to narcotics.

The danger of iatrogenic addiction is

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

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

Pharmacological Interventions for Substance Use Disorders

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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