Deck 10: Opiates

Question 1

The rise in illegal use of prescription opiates in the first few years of this century was largely related to what drug?

A) Oxycontin
B) naloxone
C) heroin
D) Prozac

Answer 1

A

Question 2

The first major legislation controlling opiate drugs in the United States was the .

A) Heroin Act (1926)
B) Harrison Narcotics Act (1914)
C) Stamp Act (1936)
D) The Dred Scott Decision

Answer 2

B

Question 3

Opium comes from the .

A) magic mushroom
B) mescal bean
C) poppy
D) morning glory seeds

Answer 3

C

Question 4

"Chasing the dragon" refers to heroin.

A) smoking
B) injecting
C) snorting
D) eating

Question 5

Which of the following is a major risk associated with the intravenous use of heroin?

A) infection with AIDS, hepatitis or other needle-borne disease from using infected needles
B) overdose
C) bone marrow damage from bubbles in syringe
D) both infection and overdose

Question 6

Morphine is to opium as THC is to .

A) cocaine
B) heroin
C) marijuana
D) none of these

Question 7

Intravenous drug users represent of AIDS cases.

A) less than 1%
B) about 5%
C) over 25%
D) about 75%

Question 8

Opium was first used by:

A) the Inca people of South America
B) the Sumerians and Assyrians
C) the Chinese
D) New Guinea Papuans

Question 9

Which of the following is true of the designer drug MPTP?

A) it was sold on the street as designer heroin
B) it was designed to be MPPP
C) it attacks and destroys the substantia nigra
D) all of these are true

Question 10

Which of the following is NOT a major opium producing region?

A) Afghanistan
B) Mexico
C) Colombia
D) New Guinea

Question 11

Which of the following is true of Oxycontin (oxycodone)?

A) it is a prescription opiate drug
B) it is used to treat epilepsy
C) it is considered to have low abuse potential
D) all of these are true

Question 12

The plant from which opium is made is .

A) Papaver somniferum
B) Cannabis sativa
C) belladonna
D) psilocybin mushrooms

Question 13

An early use for Heroin was as a treatment for:

A) cancer
B) addiction to marijuana
C) coughs
D) dengue fever

Question 14

The "Opium Wars" of the 19^th century were between Great Britain and:

A) Russia
B) Afghanistan
C) Colombia
D) China

Question 15

The federal law that prohibited non-medical use of opiates was the:

A) Harrison Act
B) Analogue Act
C) Single Convention
D) Drug Abuse Control Amendment

Question 16

Pain relief produced without a loss of consciousness is called .

A) anesthesia
B) analgesia
C) anorexia
D) akinesia

Question 17

developed the process that separated morphine from opium in 1803.

A) F.W. Serturner
B) Thomas DeQuincey
C) Alder Wright
D) William Halstead

Question 18

The major active chemical in opium is .

A) morphine
B) heroin
C) laudanum
D) none of these

Question 19

An opiate "designer drug" that has been shown to produce Parkinson's-like symptoms in users is .

A) MPTP
B) ecstasy
C) ice
D) crank

Question 20

Which of the following is true of heroin addiction?

A) heroin addicts generally have normal life spans
B) heroin addicts are generally uninterested in sex
C) heroin addiction rates declined throughout the 1990s
D) all of these are true

Question 21

A heroin overdose can be treated with:

A) naloxone (Narcane)
B) morphine
C) LSD
D) L-dopa

Question 22

Which of the following is not a result of opiate use?

A) constipation
B) altered serotonergic neurotransmission
C) a characteristic physical abstinence syndrome
D) pain relief
E) dependence

Question 23

Opiate drugs act by mimicking which neurotransmitter system?

A) endorphin
B) serotonin
C) dopamine
D) acetylcholine

Question 24

What drug is often used as a cough suppressant?

A) dextromethorphan
B) fentanyl
C) androstenedione
D) naloxone

Question 25

is a combination of buprenorphine and naloxone.

A) Naltrexone
B) Dolophine
C) Sublimaze
D) Suboxone

Question 26

Which of the following drugs produces analgesia?

A) morphine
B) cocaine
C) alcohol
D) barbiturates

Question 27

Endorphin release is produced by .

A) pain
B) acupuncture
C) running
D) all of these

Question 28

Which of the following prescription painkillers was reformulated in 2010 to prevent abusers from crushing it into an injectable or snortable form?

A) Methadone
B) Vicodin
C) Darvon
D) Oxycontin

Question 29

Which of the following effects are characteristic of opiate drugs?

A) hallucinations
B) pain relief
C) increase in respiratory rate
D) all of these

Question 30

Which of the following drugs is the most potent pain reliever?

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

Question 31

The brain's "opiate receptors" respond to .

A) serotonin
B) endorphins
C) noradrenalin
D) dopamine
E) acetylcholine

Question 32

Opiate antagonists such as naloxone (Narcane) .

A) block the effects of opiates
B) produce an intense high or "rush"
C) are used in the treatment of depression
D) all of these

Question 33

Endorphins are thought to be involved with which of the following functions?

A) sleep
B) fear
C) pain relief
D) none of these

Question 34

The major medical use for opiate drugs is treatment of .

A) anxiety
B) depression
C) severe pain
D) schizophrenia

Question 35

What is the main difference between morphine and heroin?

A) Morphine is more potent than heroin.
B) Heroin takes much longer to metabolize.
C) Heroin more readily penetrates the blood-brain barrier.
D) Morphine is more lipid-soluble
E) all of the above

Question 36

is a partial opiate agonist that is becoming popular as an alternative to methadone in the treatment of opiate addiction.

A) Naloxone
B) Buprenorphine
C) Vicodin
D) Sublimaze

Question 37

Which of the following is a synthetic opioid that is 100 times more potent than morphine?

A) heroin
B) methadone
C) codeine
D) fentanyl

Question 38

Which of the following is a synthetic opiate?

A) oxymorphone
B) mescaline
C) methylphenidate
D) all of these
E) oxymorphone and mescaline

Question 39

is a drug that was designed for treatment of severe pain and involves a time-release of high doses of painkiller.

A) Demerol
B) Opana
C) Vicodin
D) Dilaudid

Question 40

Which of the following is not an opiate?

A) MDA
B) heroin
C) dilaudid
D) methadone
E) all of these are opiates

Question 41

Over-the-counter medications of the late nineteenth century frequently contained opiates such as heroin.

Question 42

Dependence upon which of the following drugs is likely to be linked with physical withdrawal symptoms?

A) opiates
B) alcohol
C) cocaine
D) both opiates and alcohol
E) all of these are true

Question 43

Males under the influence of opiate drugs frequently .

A) are impotent
B) become extremely aggressive
C) experience increased sexual desire
D) none of the above

Question 44

The number of new needle-borne HIV cases has declined rapidly in recent years.

Question 45

Smoking heroin causes AIDS.

Question 46

Which of the following is true of opiate withdrawal?

A) symptoms peak in about 48 to 72 hrs.
B) symptoms can be treated with alcohol
C) appetite increases significantly
D) all of these are true

Question 47

Which of the following is NOT a common opiate effect?

A) respiratory depression
B) lowered body temperature
C) pupil constriction
D) all of these ARE opiate effects

Question 48

Opium comes from the coca leaf.

Question 49

Unlike the abstinence syndrome associated with alcohol, heroin withdrawal produces .

A) cold-like symptoms (runny nose, teary eyes)
B) piloerection (goose bumps)
C) diarrhea
D) all of these are true of heroin but not alcohol
E) piloerection and diarrhea are true of heroin but not alcohol

Question 50

Recent high school senior surveys show that males are more likely to abuse prescription opiates than are females.

Question 51

The recovery of many Vietnam veterans from heroin addiction reveals that .

A) treatment programs have a high failure rate
B) environment has much to do with recovery
C) heroin is not really an addictive drug
D) heroin withdrawal symptoms are the only cause of relapse

Question 52

Which of the following are symptoms of opioid withdrawal?

A) sneezing
B) runny nose
C) diarrhea
D) all of these

Question 53

Which drug is associated with "pinpoint" pupils?

A) LSD
B) mescaline
C) marijuana
D) heroin

Question 54

Traces of heroin remain in urine for more than a month after a single injection.

Question 55

Which of the following is a side effect of opiate drug use?

A) kidney damage
B) liver damage
C) stroke
D) constipation
E) acne

Question 56

Most heroin entering the U.S. today comes from Latin American countries.

Question 57

Which of the following is true of a comparison between depressant drugs (like alcohol) and opiate drugs (like heroin)?

A) alcohol suppresses opiate withdrawal symptoms
B) there is cross-tolerance between them
C) they show additive effects or synergy
D) all of these

Question 58

If a patient in drug withdrawal showed flu-like symptoms, they were probably withdrawing from:

A) heroin
B) alcohol
C) cocaine
D) LSD
E) caffeine

Question 59

Opiate withdrawal symptoms are best characterized as .

A) flu-like in nature
B) nearly always fatal
C) convulsions and seizures
D) mild and unimportant

Question 60

Combinations of heroin and what other drugs would result in synergy?

A) alcohol
B) caffeine
C) anabolic steroids
D) all of these

Question 61

Tolerance does not develop to opiate drugs.

Question 62

What are endorphins? Discuss their functions and relationships to opiate drugs.

Question 63

The effects of opiate drugs are produced by triggering the brain's endorphin systems.

Question 64

Discuss the history of opiate drug use from its introduction to Western society up until the passage of the Harrison Narcotic Act.

Question 65

Discuss the recent epidemic in prescription opiate abuse. What are the reasons for this increase? What steps can be taken to address this problem?

Question 66

Naloxone blocks the effects of heroin and other opiates.

Question 67

Injecting Suboxone results in more intense, longer-acting effects than heroin.

Question 68

Heroin addicts suffering from withdrawal symptoms sometimes report having orgasms.

Question 69

What are the major physiological and psychological effects of opiate drugs, and what are the major opiate withdrawal symptoms?

Question 70

Methadone is an opiate drug.

Question 71

Depressants and opiates potentiate one another.

Question 72

What does the use of heroin by Vietnam veterans teach us about addiction?

Question 73

Animals will not self-administer heroin or other opiates.

Question 74

Opiate drugs cause constipation.