Deck 15: Drug Addiction and the Brains Reward Circuits
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Deck 15: Drug Addiction and the Brains Reward Circuits
1
Some drugs can be effectively administered through mucous membranes.One such drug is
A) cocaine.
B) heroin.
C) morphine.
D) nicotine.
E) caffeine.
A) cocaine.
B) heroin.
C) morphine.
D) nicotine.
E) caffeine.
cocaine.
2
Sensitization is the opposite of
A) withdrawal.
B) physical dependence.
C) tolerance.
D) conditioned withdrawal effects.
E) addiction.
A) withdrawal.
B) physical dependence.
C) tolerance.
D) conditioned withdrawal effects.
E) addiction.
tolerance.
3
A state of decreased sensitivity to a drug as a result of previous exposure to the drug is called
A) drug tolerance.
B) drug sensitization.
C) drug withdrawal.
D) physical dependence.
E) psychological dependence.
A) drug tolerance.
B) drug sensitization.
C) drug withdrawal.
D) physical dependence.
E) psychological dependence.
drug tolerance.
4
In the United States, about __________ million people are addicted to nicotine, alcohol, or both.
A) 1
B) 2.5
C) 5
D) 10
E) 60
A) 1
B) 2.5
C) 5
D) 10
E) 60
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5
The conversion of drugs in the body to nonactive chemicals is referred to as drug
A) tolerance.
B) metabolism.
C) withdrawal.
D) blocking.
E) habituation.
A) tolerance.
B) metabolism.
C) withdrawal.
D) blocking.
E) habituation.
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6
Taking one drug can often produce tolerance to other drugs; such tolerance is called
A) generalized tolerance.
B) cross tolerance.
C) contingent tolerance.
D) functional tolerance.
E) transferred tolerance.
A) generalized tolerance.
B) cross tolerance.
C) contingent tolerance.
D) functional tolerance.
E) transferred tolerance.
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7
Most drugs that are taken orally enter the bloodstream through the walls of the
A) stomach.
B) mouth.
C) intestine.
D) esophagus.
E) lungs.
A) stomach.
B) mouth.
C) intestine.
D) esophagus.
E) lungs.
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8
After the termination of exposure to some drugs, there are withdrawal effects, that are usually
A) similar to the initial effects of the drug.
B) opposite to the initial effects of the drug.
C) similar to the initial effects of the drug, but more severe.
D) similar to the initial effects of the drug, but much less severe.
E) no longer than a few minutes.
A) similar to the initial effects of the drug.
B) opposite to the initial effects of the drug.
C) similar to the initial effects of the drug, but more severe.
D) similar to the initial effects of the drug, but much less severe.
E) no longer than a few minutes.
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9
__________ tolerance to psychoactive drugs is tolerance that occurs because less drug gets to its site of action in the brain.
A) Contingent
B) Metabolic
C) Situationally specific
D) Functional
E) In vitro
A) Contingent
B) Metabolic
C) Situationally specific
D) Functional
E) In vitro
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10
An important advantage of the oral route of drug administration in comparison to other conventional routes is its relative
A) predictability.
B) ease.
C) safety.
D) all of the above
E) both B and C
A) predictability.
B) ease.
C) safety.
D) all of the above
E) both B and C
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11
Which of the following routes of drug administration offers the least opportunity to counteract the effects of an overdose?
A) IV
B) IM
C) SC
D) through mucus membranes
E) oral
A) IV
B) IM
C) SC
D) through mucus membranes
E) oral
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12
Tolerance that occurs because the target tissue becomes less reactive to the drug after exposure is
A) situationally specific tolerance.
B) contingent tolerance.
C) reverse tolerance.
D) functional tolerance.
E) metabolic tolerance.
A) situationally specific tolerance.
B) contingent tolerance.
C) reverse tolerance.
D) functional tolerance.
E) metabolic tolerance.
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13
Drug injection is common in medical practice because the effects of injected drugs are relatively __________ in comparison to most other conventional routes of drug administration.
A) minor
B) rapid
C) predictable
D) all of the above
E) both B and C
A) minor
B) rapid
C) predictable
D) all of the above
E) both B and C
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14
Individuals who suffer drug withdrawal symptoms when they stop taking a drug are said to be
A) physically dependent.
B) psychologically dependent.
C) addicted.
D) both A and B
E) both B and C
A) physically dependent.
B) psychologically dependent.
C) addicted.
D) both A and B
E) both B and C
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15
Drug tolerance is a shift in the dose-response curve
A) upward.
B) to the right.
C) to the left.
D) both A and B
E) both A and C
A) upward.
B) to the right.
C) to the left.
D) both A and B
E) both A and C
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16
The main disadvantage of the oral route of drug administration is
A) indigestion.
B) the binding of drugs to the wall of the stomach.
C) its relative unpredictability.
D) nausea.
E) that it promotes drug interactions.
A) indigestion.
B) the binding of drugs to the wall of the stomach.
C) its relative unpredictability.
D) nausea.
E) that it promotes drug interactions.
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17
Many chemicals are kept from passing from the circulatory system of the CNS into CNS neurons by
A) reflexology.
B) tolerance.
C) the blood-brain barrier.
D) the cerebrospinal fluid.
E) withdrawal.
A) reflexology.
B) tolerance.
C) the blood-brain barrier.
D) the cerebrospinal fluid.
E) withdrawal.
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18
Most laws governing drug abuse were enacted
A) in the early 1900s or before.
B) before there was relevant scientific information.
C) in the 1960s.
D) both A and B
E) both B and C
A) in the early 1900s or before.
B) before there was relevant scientific information.
C) in the 1960s.
D) both A and B
E) both B and C
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19
Psychoactive drugs are those that affect
A) the activity of the central nervous system.
B) subjective experience.
C) behavior.
D) all of the above
E) psychotic behavior.
A) the activity of the central nervous system.
B) subjective experience.
C) behavior.
D) all of the above
E) psychotic behavior.
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20
Many chronic addicts come to prefer the __________ route of drug administration.
A) oral
B) IM
C) SC
D) IV
E) IP
A) oral
B) IM
C) SC
D) IV
E) IP
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21
Siegel's conditioning theory of drug tolerance is based heavily on demonstrations of
A) contingent tolerance.
B) functional tolerance.
C) the situational specificity of tolerance.
D) the negative correlation between intelligence and drug addiction.
E) the high levels of tolerance found in most addicts.
A) contingent tolerance.
B) functional tolerance.
C) the situational specificity of tolerance.
D) the negative correlation between intelligence and drug addiction.
E) the high levels of tolerance found in most addicts.
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22
According to the text, addicts are drug users who
A) are tolerant and psychologically dependent.
B) are physically and psychologically dependent.
C) are tolerant and physically dependent.
D) continue to use a drug despite the drug's adverse effects on their health and social life, and despite their efforts to stop.
E) continue to use a drug because they are locked into a cycle of drug taking and withdrawal effects.
A) are tolerant and psychologically dependent.
B) are physically and psychologically dependent.
C) are tolerant and physically dependent.
D) continue to use a drug despite the drug's adverse effects on their health and social life, and despite their efforts to stop.
E) continue to use a drug because they are locked into a cycle of drug taking and withdrawal effects.
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23
The before-and-after design is often used to demonstrate
A) contingent tolerance.
B) metabolic tolerance.
C) situationally specific tolerance.
D) functional tolerance.
E) reverse tolerance.
A) contingent tolerance.
B) metabolic tolerance.
C) situationally specific tolerance.
D) functional tolerance.
E) reverse tolerance.
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24
Individuals who experience drug withdrawal effects are, by definition,
A) addicted.
B) physically dependent.
C) metabolic.
D) tolerant.
E) psychologically dependent.
A) addicted.
B) physically dependent.
C) metabolic.
D) tolerant.
E) psychologically dependent.
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25
Although __________ is classified as a depressant, it has stimulant effects at low doses.
A) alcohol
B) tobacco
C) cocaine
D) amphetamine
E) morphine
A) alcohol
B) tobacco
C) cocaine
D) amphetamine
E) morphine
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26
Which of the following drugs is a diuretic?
A) alcohol
B) marijuana
C) nicotine
D) morphine
E) cocaine
A) alcohol
B) marijuana
C) nicotine
D) morphine
E) cocaine
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27
Chronic use of which drug has been linked to bronchitis, emphysema, cancer, stroke, and heart attack?
A) alcohol
B) tobacco
C) cocaine
D) marijuana
E) morphine
A) alcohol
B) tobacco
C) cocaine
D) marijuana
E) morphine
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28
The defining feature of addiction is
A) physical dependence.
B) tolerance.
C) the inability to stop using a drug despite efforts to do so.
D) sensitization.
E) both A and B
A) physical dependence.
B) tolerance.
C) the inability to stop using a drug despite efforts to do so.
D) sensitization.
E) both A and B
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29
Which of the following drugs produces hypothermia (a reduction in body temperature)?
A) morphine
B) nicotine
C) marijuana
D) alcohol
E) cocaine
A) morphine
B) nicotine
C) marijuana
D) alcohol
E) cocaine
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30
According to Ramsay and Woods, the unconditional stimulus in drug conditioning experiments is
A) the drug.
B) what the experimenter measures.
C) the disruption of neural functioning that is directly produced by the drug.
D) the compensatory reactions to the conditional stimulus.
E) the test environment.
A) the drug.
B) what the experimenter measures.
C) the disruption of neural functioning that is directly produced by the drug.
D) the compensatory reactions to the conditional stimulus.
E) the test environment.
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31
According to Siegel, heroin users are more likely to die from an overdose when they
A) take heroin in an environment in which they have frequently taken it before.
B) take heroin subcutaneously.
C) take heroin in an environment in which they have never taken it before.
D) take heroin in an environment in which they have often taken other drugs before.
E) buy their heroin from a conspecific.
A) take heroin in an environment in which they have frequently taken it before.
B) take heroin subcutaneously.
C) take heroin in an environment in which they have never taken it before.
D) take heroin in an environment in which they have often taken other drugs before.
E) buy their heroin from a conspecific.
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32
Which of the following drugs produces Buerger's disease?
A) tobacco
B) morphine
C) marijuana
D) cocaine
E) alcohol
A) tobacco
B) morphine
C) marijuana
D) cocaine
E) alcohol
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33
Currently, tobacco is implicated in about 1 of every __________ deaths in the United States..
A) 5
B) 37
C) 50
D) 100
E) 400
A) 5
B) 37
C) 50
D) 100
E) 400
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34
A hangover is a
A) mild withdrawal syndrome.
B) form of alcohol psychosis.
C) fetal syndrome.
D) form of dementia.
E) sensitization effect.
A) mild withdrawal syndrome.
B) form of alcohol psychosis.
C) fetal syndrome.
D) form of dementia.
E) sensitization effect.
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35
Which drug has been shown to increase the rate of cancer and heart disease in nonusers of the drug who are living with users of the drug?
A) alcohol
B) marijuana
C) tobacco
D) heroin
E) cocaine
A) alcohol
B) marijuana
C) tobacco
D) heroin
E) cocaine
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36
A problem faced by many theories of drug conditioning is predicting
A) the direction of conditioned effects.
B) whether or not there is a conditional stimulus.
C) whether or not there is an unconditional stimulus.
D) whether conditioned or contingent tolerance will develop.
E) who will become addicted.
A) the direction of conditioned effects.
B) whether or not there is a conditional stimulus.
C) whether or not there is an unconditional stimulus.
D) whether conditioned or contingent tolerance will develop.
E) who will become addicted.
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37
The severity of withdrawal symptoms depends upon the
A) particular drug in question.
B) dose of the preceding drug exposure.
C) duration of the preceding drug exposure.
D) speed with which the drug is cleared from the body.
E) all of the above
A) particular drug in question.
B) dose of the preceding drug exposure.
C) duration of the preceding drug exposure.
D) speed with which the drug is cleared from the body.
E) all of the above
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38
Depression, anxiety, restlessness, irritability, constipation, and difficulties in sleeping and concentrating are common __________ withdrawal symptoms.
A) heroin
B) morphine
C) alcohol
D) cocaine
E) nicotine
A) heroin
B) morphine
C) alcohol
D) cocaine
E) nicotine
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39
Contingent drug tolerance is usually studied with
A) high drug doses.
B) low drug doses.
C) Pavlovian conditioning.
D) before-and-after designs.
E) withdrawal symptoms.
A) high drug doses.
B) low drug doses.
C) Pavlovian conditioning.
D) before-and-after designs.
E) withdrawal symptoms.
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40
Support for the theory that tolerance is triggered by drug-induced changes in neural activity rather than from drug exposure per se came from the finding in one study that tolerance did not develop to the anticonvulsant effects of alcohol unless
A) convulsive stimulation was administered.
B) convulsive stimulation was administered after each alcohol injection.
C) convulsive stimulation was administered before each alcohol injection.
D) an anticonvulsant drug was administered before each alcohol injection.
E) alcohol was an anticonvulsant.
A) convulsive stimulation was administered.
B) convulsive stimulation was administered after each alcohol injection.
C) convulsive stimulation was administered before each alcohol injection.
D) an anticonvulsant drug was administered before each alcohol injection.
E) alcohol was an anticonvulsant.
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41
The main psychoactive ingredient of coca paste is
A) cacao.
B) crack.
C) cocaine hydrochloride.
D) lidocaine.
E) procaine.
A) cacao.
B) crack.
C) cocaine hydrochloride.
D) lidocaine.
E) procaine.
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42
Which of the following drugs is a stimulant?
A) heroin
B) morphine
C) cocaine
D) marijuana
E) both A and B
A) heroin
B) morphine
C) cocaine
D) marijuana
E) both A and B
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43
Drugs that tend to increase neural and behavioral activity are classified as
A) synthetics.
B) stimulants.
C) opiates.
D) barbiturates.
E) tricyclics.
A) synthetics.
B) stimulants.
C) opiates.
D) barbiturates.
E) tricyclics.
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44
Which of the following drugs is a local anesthetic?
A) alcohol
B) morphine
C) cocaine
D) nicotine
E) ethyl alcohol
A) alcohol
B) morphine
C) cocaine
D) nicotine
E) ethyl alcohol
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45
Pregnant females who use __________ risk bearing a child with physical deformities and mental retardation.
A) alcohol
B) nicotine
C) morphine
D) caffeine
E) marijuana
A) alcohol
B) nicotine
C) morphine
D) caffeine
E) marijuana
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46
The impure residue left after boiling away a solution of cocaine hydrochloride and baking soda is
A) crack.
B) smack.
C) lidocaine.
D) procaine
E) both A and B
A) crack.
B) smack.
C) lidocaine.
D) procaine
E) both A and B
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47
Convulsions and delirium tremens are caused by withdrawal from
A) morphine.
B) cocaine.
C) heroin.
D) alcohol.
E) high doses of nicotine.
A) morphine.
B) cocaine.
C) heroin.
D) alcohol.
E) high doses of nicotine.
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48
The first-to-be-isolated endogenous chemical that binds to THC receptors was named
A) anandamide.
B) hightime.
C) bromandamine.
D) mellotamine.
E) endorphin.
A) anandamide.
B) hightime.
C) bromandamine.
D) mellotamine.
E) endorphin.
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49
Like alcohol, cocaine is frequently consumed in
A) paper bags.
B) paper bags with holes.
C) water pipes.
D) glasses.
E) binges.
A) paper bags.
B) paper bags with holes.
C) water pipes.
D) glasses.
E) binges.
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50
Which of the following illicit drugs was grown by George Washington as a commercial crop?
A) alcohol
B) opium
C) tobacco
D) marijuana
E) magic mushrooms
A) alcohol
B) opium
C) tobacco
D) marijuana
E) magic mushrooms
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51
Withdrawal from which of the following drugs produces convulsions?
A) morphine
B) heroin
C) alcohol
D) cocaine
E) both A and B
A) morphine
B) heroin
C) alcohol
D) cocaine
E) both A and B
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52
Marijuana contains over 80
A) kinds of delta-9-tetrahydrocannabinol.
B) cannabinoids.
C) kinds of morphine.
D) kinds of Cannabis sativa.
E) hemp.
A) kinds of delta-9-tetrahydrocannabinol.
B) cannabinoids.
C) kinds of morphine.
D) kinds of Cannabis sativa.
E) hemp.
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53
Evidence indicates that one common health hazard of chronic marijuana smoking is
A) brain damage.
B) lowered testosterone levels in males.
C) bradycardia.
D) cancer.
E) respiratory dysfunction.
A) brain damage.
B) lowered testosterone levels in males.
C) bradycardia.
D) cancer.
E) respiratory dysfunction.
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54
Cocaine sprees are the product of the interaction between the high positive-incentive value of cocaine and
A) tolerance.
B) alcohol.
C) schizophrenia.
D) paranoia.
E) convulsions.
A) tolerance.
B) alcohol.
C) schizophrenia.
D) paranoia.
E) convulsions.
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55
Cirrhosis and Korsakoff's syndrome are two of the dire consequences of chronic __________ consumption.
A) nicotine
B) morphine
C) cocaine
D) marijuana
E) alcohol
A) nicotine
B) morphine
C) cocaine
D) marijuana
E) alcohol
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56
Withdrawal from which of the following drugs produces the DTs?
A) morphine
B) heroin
C) cocaine
D) both A and B
E) none of the above
A) morphine
B) heroin
C) cocaine
D) both A and B
E) none of the above
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57
Disulfiram is used in the treatment of addiction to
A) alcohol.
B) marijuana.
C) nicotine.
D) cocaine.
E) morphine.
A) alcohol.
B) marijuana.
C) nicotine.
D) cocaine.
E) morphine.
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58
Which of the following drugs is associated with severe dementia, gastritis, and cirrhosis of the liver?
A) alcohol
B) nicotine
C) morphine
D) cocaine
E) marijuana
A) alcohol
B) nicotine
C) morphine
D) cocaine
E) marijuana
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59
Although the relevant evidence is far from convincing, libido-threatening reductions in testosterone, health-threatening reductions in immune function, cardiovascular problems, and amotivational syndrome have been attributed to the recreational use of
A) alcohol.
B) morphine.
C) cocaine.
D) marijuana.
E) nicotine.
A) alcohol.
B) morphine.
C) cocaine.
D) marijuana.
E) nicotine.
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60
In the middle ages, marijuana was commonly used by Europeans to
A) keep the sailors happy on long voyages.
B) suppress sexual urges during long voyages.
C) treat scurvy.
D) make rope.
E) feed pigs.
A) keep the sailors happy on long voyages.
B) suppress sexual urges during long voyages.
C) treat scurvy.
D) make rope.
E) feed pigs.
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61
Shivering, sweating, nausea, vomiting, diarrhea, cramps, and muscle spasms are symptoms of
A) cocaine intoxication.
B) alcohol withdrawal.
C) later stages of heroin withdrawal.
D) early stages of morphine withdrawal.
E) heroin intoxication.
A) cocaine intoxication.
B) alcohol withdrawal.
C) later stages of heroin withdrawal.
D) early stages of morphine withdrawal.
E) heroin intoxication.
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62
Opiates likely exert their psychoactive effects by binding to
A) endorphins.
B) opiate receptors.
C) dopamine receptors.
D) both A and B
E) both A and C
A) endorphins.
B) opiate receptors.
C) dopamine receptors.
D) both A and B
E) both A and C
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63
Although __________ is extremely addictive, there are few serious withdrawal symptoms when a characteristic binge is terminated.
A) cocaine
B) alcohol
C) nicotine
D) morphine
E) opium
A) cocaine
B) alcohol
C) nicotine
D) morphine
E) opium
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64
Which of the following opiates is an analgesic?
A) morphine
B) codeine
C) amphetamine
D) all of the above
E) both A and B
A) morphine
B) codeine
C) amphetamine
D) all of the above
E) both A and B
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65
Laudanum, Godfrey's Cordial, Dalby's Carminative, Mrs.Winslow's Soothing Syrup, and Street's Infant Quietness were all legal medications that contained
A) opiates.
B) coca paste.
C) alcohol.
D) cocaine.
E) THC.
A) opiates.
B) coca paste.
C) alcohol.
D) cocaine.
E) THC.
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Unlock Deck
k this deck
66
The Harrison Narcotics Act, which was passed in the U.S.in 1914, unintentionally encouraged the use of
A) Aspirin.
B) Street's Infant Quietness.
C) cocaine.
D) opium.
E) heroin.
A) Aspirin.
B) Street's Infant Quietness.
C) cocaine.
D) opium.
E) heroin.
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Unlock Deck
k this deck
67
Which of the following drugs has effects like those of amphetamine?
A) marijuana
B) cocaine
C) LSD
D) morphine
E) valium
A) marijuana
B) cocaine
C) LSD
D) morphine
E) valium
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Unlock Deck
k this deck
68
In 1644, the Emperor of China banned tobacco smoking.This law contributed to an increase in __________ addiction.
A) nicotine
B) opium
C) cocaine
D) heroin
E) morphine
A) nicotine
B) opium
C) cocaine
D) heroin
E) morphine
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Unlock Deck
k this deck
69
Restlessness, watery eyes, running nose, yawning, and sweating are all early signs of withdrawal from
A) alcohol.
B) opiates.
C) cocaine.
D) nicotine.
E) marijuana.
A) alcohol.
B) opiates.
C) cocaine.
D) nicotine.
E) marijuana.
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Unlock Deck
k this deck
70
These drugs are widely used in the treatment of pain, cough, and diarrhea:
A) anxiolytics.
B) stimulants.
C) opiates.
D) depressants.
E) antidepressants.
A) anxiolytics.
B) stimulants.
C) opiates.
D) depressants.
E) antidepressants.
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Unlock Deck
k this deck
71
Which of the following is the strongest psychoactive ingredient of opium?
A) morphine
B) codeine
C) heroin
D) cocaine
E) methadone
A) morphine
B) codeine
C) heroin
D) cocaine
E) methadone
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Unlock Deck
k this deck
72
Cocaine hydrochloride
A) is a dopamine agonist.
B) reduces the reuptake of dopamine from synapses by blocking dopamine transporters.
C) is a dopamine antagonist.
D) both A and B
E) both B and C
A) is a dopamine agonist.
B) reduces the reuptake of dopamine from synapses by blocking dopamine transporters.
C) is a dopamine antagonist.
D) both A and B
E) both B and C
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Unlock Deck
k this deck
73
Withdrawal from which of the following drugs has been likened to a bad case of the flu?
A) alcohol
B) nicotine
C) cocaine
D) opiates
E) marijuana
A) alcohol
B) nicotine
C) cocaine
D) opiates
E) marijuana
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Unlock for access to all 153 flashcards in this deck.
Unlock Deck
k this deck
74
The term "kicking the habit" refers to one of the symptoms of __________ withdrawal.
A) alcohol
B) nicotine
C) cocaine
D) opiate
E) marijuana
A) alcohol
B) nicotine
C) cocaine
D) opiate
E) marijuana
Unlock Deck
Unlock for access to all 153 flashcards in this deck.
Unlock Deck
k this deck
75
Which of the following is not an effect of chronic opiate exposure?
A) constipation
B) pupil constriction
C) reduced libido
D) menstrual irregularity
E) hypersexuality
A) constipation
B) pupil constriction
C) reduced libido
D) menstrual irregularity
E) hypersexuality
Unlock Deck
Unlock for access to all 153 flashcards in this deck.
Unlock Deck
k this deck
76
The direct health hazards of addiction to __________ are relatively minor; they include constipation, pupil constriction, menstrual irregularity, and reduced sex drive.
A) marijuana
B) opiates
C) stimulants
D) cocaine
E) alcohol
A) marijuana
B) opiates
C) stimulants
D) cocaine
E) alcohol
Unlock Deck
Unlock for access to all 153 flashcards in this deck.
Unlock Deck
k this deck
77
Which of the following drugs in high doses produces a syndrome of psychotic behavior that is similar to paranoid schizophrenia?
A) alcohol
B) cocaine
C) heroin
D) opium
E) LSD
A) alcohol
B) cocaine
C) heroin
D) opium
E) LSD
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Unlock for access to all 153 flashcards in this deck.
Unlock Deck
k this deck
78
During cocaine sprees, there is a risk of
A) convulsions.
B) respiratory arrest.
C) stroke.
D) all of the above
E) none of the above
A) convulsions.
B) respiratory arrest.
C) stroke.
D) all of the above
E) none of the above
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Unlock for access to all 153 flashcards in this deck.
Unlock Deck
k this deck
79
Which form of amphetamine is more potent than d-amphetamine?
A) ecstasy
B) ice
C) methamphetamine
D) MDMA
E) all of the above
A) ecstasy
B) ice
C) methamphetamine
D) MDMA
E) all of the above
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Unlock for access to all 153 flashcards in this deck.
Unlock Deck
k this deck
80
Which of the following drugs is a commonly prescribed analgesic?
A) morphine
B) caffeine
C) cocaine
D) alcohol
E) heroin
A) morphine
B) caffeine
C) cocaine
D) alcohol
E) heroin
Unlock Deck
Unlock for access to all 153 flashcards in this deck.
Unlock Deck
k this deck