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1. Which statement is an accurate summary with regard to drug…
1. Which statement is an accurate summary with regard to drug use?
(a) Only in recent years have people used chemicals to change their moods or levels of
consciousness.
(b) Throughout history, people have used chemicals to change their moods, behavior, and
levels of consciousness.
(c) All chemicals used today to change people’s moods are considered illegal.
(d) The primary goal for most people who use substances is to cure their illnesses.
2. Psychoactive substances are substances that _________.
(a) are considered illicit drugs only
(b) are available over-the counter
(c) have dependence potential, but not abuse potential in users
(d) alter moods, thought processes, or other psychological states
3. Tolerance and withdrawal are the hallmarks of substance ________.
(a) dependence
(b) consumption
(c) abuse
(d) use
4. Frankie has been snorting cocaine for over a year. In his attempts to achieve a high that is as
euphoric as his first (which he will never be able to do), he now needs increasingly greater
amounts of the drug. This demonstrates _________.
(a) physical dependence
(b) withdrawal
(c) tolerance
(d) addiction
5. Jerry has been using heroin for two years. While visiting his mother, he decides to stop.
When he stops using the drug, Jerry experiences shaking, irritability, and an inability to
concentrate because he is going through _________.
(a) psychological dependence
(b) tolerance
(c) addiction
(d) withdrawal
6. In 2018, an estimated __________ adolescents and adults met the criteria for a substance-
use disorder at some time during the year.
(a) 20.3 million
(b) 12.5 million
(c) 5.2 million
(d) 8.3 million
7. The most commonly abused substance is _________.
(a) heroin
(b) cocaine
(c) LSD
(d) alcohol
8. Which term refers to episodic drinking involving five or more drinks on a single occasion for
men and four or more drinks for women?
(a) binge drinking
(b) heavy drinking
(c) moderate drinking
(d) sporadic drinking
9. Which category of substance causes a slowing down of responses, feelings of relaxation, and
lower interpersonal inhibitions?
(a) hormones
(b) stimulants
(c) depressants
(d) hallucinogens
10. Sally is dependent on a drug that energizes her central nervous system and produces
euphoria. It is likely that the drug is a _________.
(a) depressant
(b) stimulant
(c) hallucinogen
(d) painkiller
11. Kathy is feeling the negative physiological consequences of heavy, prolonged alcohol use.
These effects probably include _________.
(a) extreme hyperactivity and delusions of persecution
(b) having flashbacks and hallucinations
(c) withdrawal symptoms of headache, fatigue, sweating, body tremors, and mood
changes
(d) increased feelings of depression and anxiety
12. The most widely consumed psychoactive drug in the world is __________.
(a) caffeine
(b) nicotine
(c) marijuana
(d) Valium
13. Heroin and opium _________ and are derived from the _________.
(a) stimulate the central nervous system; cannabis plant
(b) stimulate the central nervous system; coca plant
(c) depress the central nervous system; opium plant
(d) depress the central nervous system; marijuana plant
14. Mrs. Jones originally took this widely prescribed sedative medication to reduce anxiety and
muscle tension. Now, however, she cannot deal with stress without using it, and she has
developed a tolerance to it. What drug is she probably taking?
(a) Antabuse
(b) Valium
(c) phencyclidine
(d) caffeine
15. Which drug belongs to the sedative category?
(a) amphetamine
(b) caffeine
(c) nicotine
(d) benzodiazepine
16. A certain substance inhibits sleep, increases alertness, and speeds up the central nervous
system. It easily becomes habit forming, with rapid development of tolerance. Chronic
users experience paranoid delusions and brain damage. What drug is this?
(a) amphetamine
(b) caffeine
(c) barbiturate
(d) heroin
17. The single most preventable cause of premature death in the United States is __________.
(a) drunk driving
(b) cigarette smoking
(c) drug overdose
(d) alcohol toxicity
18. Darryl, age 15, likes this drug because it is freebased, produces an intense and immediate
high, and like cigarettes, is smoked. The drug is _________.
(a) PCP
(b) crack
(c) amphetamine
(d) powder cocaine
19. Mrs. Kowalski has cancer and glaucoma. To relieve her symptoms, she uses an illegal drug
(still illegal in parts of U.S – but, as of October 2018 not in Canada) that she receives from
her 18-year-old grandson. The drug is most likely _________.
(a) heroin
(b) phencyclidine
(c) crack cocaine
(d) marijuana
20. Which drug is associated with hallucinations, bad trips, and flashbacks?
(a) LSD
(b) amphetamine
(c) marijuana
(d) Valium
21. Which negative consequence of using phencyclidine is most likely?
(a) uncontrolled aggression
(b) emphysema and lung cancer
(c) AIDS
(d) total tranquility and passivity
22. Stephanie meets Sam at a rave. As they are talking, Sam put a drug into Stephanie’s drink
as she turns her head to talk to a friend. When she wakes up the next morning, she finds
herself in bed with Sam and learns that he raped her the night before, although she has no
memory of the assault. It is most likely that the drug Sam put into Stephanie’s drink was
_________.
(a) ecstasy
(b) MDMA
(c) Rohypnol
(d) LSD
23. Genetic influences that make alcohol consumption aversive and thus reduce the risk of
alcoholism include the protective effects of __________.
(a) living conditions
(b) hormonal balancing mechanisms
(c) variations in genes that produce ALDH enzymes
(d) gene and environment interactions
24. Many addiction specialists view ___________ as a “gateway” drug associated with later
use of other illicit drugs.
(a) cannabis
(b) caffeine
(c) nicotine
(d) alcohol
25. The two main psychological motives for substance use appears to be _________.
(a) hostility and depression
(b) sexual desire and aggression
(c) anxiety and inhibition
(d) coping with stress and emotional symptoms
26. The personality characteristic of _________, associated with rebelliousness, novelty-
seeking, risk-taking and impulsivity, increases the risk of substance use.
(a) aggression
(b) introversion
(c) extroversion
(d) behavioral undercontrol
27. Which term best describes the interaction of drugs that multiply one another’s effects
when taken simultaneously?
(a) synergistic effect
(b) polysubstance effect
(c) dopamine effect
(d) intoxication effect
28. Researchers have found that major relapse among alcoholics trying to quit drinking
is related to _________.
(a) interpersonal conflicts
(b) negative emotional states
(c) positive emotional states
(d) social pressure
29. Studies of biological factors affecting development of substance-use disorders implicate
the neurotransmitter __________.
(a) adrenaline
(b) epinephrine
(c) dopamine
(d) acetylcholine
30. Which term indicates intoxication from chemical vapors found in a variety of common
household products?
(a) “huffing”
(b) “sniffing”
(c) “cleaning”
(d) “crashing”
31. Why has methadone treatment turned from being a simple solution to a major problem?
(a) It is extremely expensive.
(b) It has severe physical side effects, such as nausea and vomiting.
(c) It creates anxiety and depression in many people who take it.
(d) Like heroin it replaces, it can also become addicting.
32. Mr. Henderson leaves work every Friday, cashes his check, and heads to the local casino.
He usually spends his entire pay check there in one night, and then heads home with a
list of excuses for his wife. They are about to lose their house because they cannot pay
their mortgage. This case illustrates __________.
(a) substance use related disorder
(b) impulsivity disorder
(c) Internet gambling disorder
(d) gambling disorder
33. Who has a higher risk of developing Internet gaming disorder?
(a) American adolescent females
(b) Canadian adolescent males
(c) Hispanic adolescent females
(d) Asian adolescent males
34. Which medication has been used to treat alcohol abuse by producing an aversion to alcohol
by creating unpleasant symptoms if alcohol is consumed?
(a) Methadone
(b) Naloxone
(c) Chantix
(d) Antabuse
35. Which medication is used for smoking cessation?
(a) Methadone
(b) Naloxone
(c) Chantix
(d) Antabuse
36. Which medication is used to treat an “acute” overdose of heroin?
(a) Methadone
(b) Naloxone also known as Narcan
(c) Chantix
(d) Antabuse
37. Which life stressors influence substance use and the development of substance-use
disorders?
(a) General life stress
(b) Stress resulting from trauma or catastrophic events
(c) Childhood maltreatment
(d) All of the above stressors can lead to substance-use disorders
38. Dextromethorphan (DXM) if consumed in large quantities can lead to which medical issue?
(a) Regular heart rhythms
(b) Low blood pressure
(c) Hypothermia
(d) Hyperthermia
39. Nicotine releases both _________ and ___________, which increases energy and feelings
of pleasure.
(a) estrogen; serotonin
(b) testosterone; dopamine
(c) adrenaline; dopamine
(d) oxytocin; serotonin
40. Which of the following drugs is not considered to be an amphetamine?
(a) Oxycodone
(b) Ritalin
(c) Adderall
(d) Dexedrine
