question

Alcoholics tend to be stereotyped on the dimension of

answer

age gender socioeconomic level *all of the above*

question

Alcoholism is diagnosed by

answer

a collection of signs, symptoms, and behaviors

question

A preoccupation with drinking would be an example of the _____ component of the criteria used to define alcoholism

answer

psychological-behavioral

question

Symptomatic drinking is indicated by

answer

drinking as a way of relieving tension

question

Craving for alcohol means that alcoholism has the following characteristic:

answer

psychological dependence

question

Out-of-control drinking is indicated by

answer

intense craving for alcohol

question

An example of a social component of the criteria used to define alcoholism is

answer

domestic instability

question

Which of the following behaviors would not be classified as a psychological-behavioral component of the criteria used to define alcoholism? A. spree or binge drinking B. symptomatic drinking C. spouse abuse D. a craving for alcohol

answer

spouse abuse

question

Alcoholics Anonymous is based upon the idea of

answer

absolute abstinence

question

Chronic alcohol intake results in

answer

symptoms of depression

question

Alcohol is a depressant drug

answer

and the depressive symptoms in alcoholics are likely to be alcohol-induced

question

Which area(s) of the brain are most affected by heavy drinking?

answer

cerebellum and cerebral cortex

question

Neuroimaging procedures such as CT and MRI scans show a link between heavy drinking and destructive effects

answer

in the brain

question

CT and MRI scans show a link between heavy drinking and shrinkage of

answer

the brain

question

A sensitivity to the mere mentioning of a possible drinking problem is referred to as

answer

denial

question

Which of the following people is an enabler? A. A man checking himself into a rehabilitation facility B. A woman taking her brother to an Alcoholic's Anonymous meeting C. A father giving his son money to pay rent, when his son spent his paycheck on alcohol D. A mother kicking her daughter out of the house due to her alcoholism

answer

A father giving his son money to pay rent, when his son spent his paycheck on alcohol

question

Enablers

answer

inadvertently delay the onset of treatment

question

According to the text, ____ most often delays the onset of treatment for alcohol abuse

answer

denial enabling

question

The ____ is a structural interview instrument used to detect alcoholism

answer

MAST

question

According to the DSM-IV-TR criteria

answer

alcohol dependence is more severe than alcohol abuse

question

Which of the following is NOT a basic syndrome of alcoholism? A. alcohol abuse B. alcohol dependence C. symptomatic drinking D. all of the above

answer

symptomatic drinking

question

Sara has been drinking alcohol for two months. She even drives her friends home on the weekends when she has been drinking heavily. According to the DSM-IV-TR, Sara meets one of the criteria for

answer

alcohol abuse

question

Steven has been drinking alcohol for two months. He finds himself drinking even though he has attempted to stop many times. Last time he tried, he felt he had to drink just to stop his massive headache. He ended up drinking so much that night that the next day he overslept and missed work. According to the DSM-IV-TR, Steven meets one of the criteria for

answer

alcohol dependence

question

According to the DSM-IV-TR, a persistent desire or one or more unsuccessful attempts to cut down or control drinking is one of the criteria for

answer

alcohol dependence

question

About ____ US adults are either alcohol dependent or alcohol abusers

answer

1 in12

question

The highest percentage of "heavy drinkers" are in one of the following age groups:

answer

18 to 25 years old

question

During the 1700s, the goal of social reform was to

answer

reduce the consumption of distilled spirits (liquor)

question

An American physician and Revolutionary War hero who was influential in the early temperance movement was

answer

Benjamin Rush

question

When was the height of per capita alcohol consumption in the US?

answer

1830

question

From 1830 to 1850 consumption of alcohol went from ___ gallons per year to __ gallons per year

answer

7;2

question

The WCTU was

answer

particularly annoyed with saloons

question

According to the text, many believed saloons in the 19th century were responsible for the spread of ____

answer

syphilis

question

The name of the legislation that set up the enforcement of Prohibition was

answer

the Volstead Act

question

National Prohibition in the US began in

answer

1920

question

"Moonshiners" is a term to describe

answer

saloons

question

The Volstead Act of 1919 was repealed by

answer

the 21st Amendment

question

In the slang of Prohibition, "revenuers" were

answer

government agents enforcing prohibition laws

question

Prohibition brought the following changes in the incidence of alcohol-related deaths, alcohol-related diseases, and alcohol-related crimes:

answer

a decline in 1920 and 1921 but then a slow increase to former levels

question

President _____ signed the legislations that became the 21st amendment ending Prohibition

answer

Franklin D. Roosevelt

question

National Prohibition in the US was repealed in

answer

1933

question

The 21st Amendment

answer

made the regulation of alcohol the responsibility of local authorities

question

The last state to repeal state prohibition laws was

answer

Mississippi

question

When Prohibition was repealed on a federal level,

answer

state prohibition laws were not repealed in all states until 1966

question

When Prohibition was repealed

answer

tax revenue could be obtained once more from alcohol sales

question

The Whiskey Rebellion was attempted as a protest against the administration of US President

answer

George Washington

question

More than ___ a year is collected from federal excise taxes on alcohol in the US

answer

$8 billion

question

____ is one of the most heavily taxed consumer products

answer

whiskey wine beer *all of the above*

question

Approximately ___ percent of the retail price of an average bottle of distilled spirits is for federal, state, or local tax

answer

42

question

During chronic alcohol consumption, tolerance occurs because

answer

alcohol dehydrogenase levels are higher the brain is less sensitive to alcohol

question

An alcohol-tolerant drinker may feel the intoxication level equivalent to a BAC of ___ while actually having a BAC of ___ in his or her bloodstream

answer

.08 percent; .18 percent

question

An alcohol-tolerant drinker will feel ___ when actually he or she is ___ (by behavioral standards)

answer

sober;drunk

question

Jason is an alcohol-dependent individual. He drank 10 shots of tequila. His last drink was at 2 am. He should expect withdrawal symptoms at about

answer

8:00 AM

question

Physical withdrawal symptoms in an alcohol-dependent individual occur at a prevalence rate of about

answer

5-18 percent

question

A commonly observed group of symptoms associated with alcohol withdrawal is referred to as

answer

the alcohol withdrawal syndrome

question

Heather began having physical withdrawal symptoms about 24 hours after she stopped drinking. She kept waking up from vivid dreams. She was trembling and sweating. Her heart rate was rapid and she felt nauseated. Heather is suffering from

answer

the alcohol withdrawal syndrome

question

Which of the following physical withdrawal symptoms pertains to both clusters of physical withdrawal effects? A. fever B. hallucinations C. sweating D. vomiting

answer

sweating

question

Life-threatening events (e.g. heart failure, dehydration) are common with _____

answer

delirium tremens

question

Tim is having physical withdrawal symptoms from alcohol. He started feeling confused and feverish. He is sweating and hallucinating. Tim is most likely suffering from

answer

delirium tremens

question

Which of the following is NOT one of the three forms of liver disease? A. fatty liver B. alcoholic hepatitis C. alcoholic cirrhosis D. delirium tremens

answer

delirium tremens

question

Extreme disorientation and confusion are two symptoms of

answer

delirium tremens

question

Which form of liver disease is characterized by inflammation of the liver tissue, jaundice, and abdominal pain?

answer

alcoholic hepatitis

question

Of the three types of alcohol-related liver diseases, the least severe of them is

answer

fatty liver

question

A yellowing of the skin is referred to as the condition called

answer

jaundice

question

The form of liver disease that choke off blood vessels and interferes with the utilization of oxygen is

answer

alcoholic cirrhosis

question

The degeneration of liver cells is characteristic of the following liver disease:

answer

alcoholic cirrhosis

question

Of the three types of alcohol-related liver diseases, the only one that is not reversible at least in part by abstinence from alcohol is

answer

alcoholic cirrhosis

question

Liver transplantation surgery is the only option that can successfully reverse

answer

alcoholic cirrhosis

question

The percentage of heavy drinkers that eventually develop alcoholic cirrhosis of the liver is

answer

10 to 20 percent

question

Most deaths from alcohol cirrhosis occur in those who are

answer

40 to 65 years old

question

Analogy: Alcohol-induced chest pain is to the heart as alcohol-induced cirrhosis is to

answer

the liver

question

Cardiovascular problems

answer

can occur among alcoholics

question

Chronic alcohol abuse increases the risk of cancer in the following organs EXCEPT A. esophagus B. pharynx C. larynx D. colon

answer

colon

question

Alcohol

answer

is technically not a carcinogen

question

Chronic alcohol abuse carries an increased risk for certain cancers because of A. the carcinogenic character of alcohol B. the enhancement of the carcinogenic effect of non-alcohol chemicals C. the depression of the immune system D. both B and C

answer

both b and c

question

Dementia is a term that refers to

answer

a cognitive deficit

question

Alcohol dementia has been linked to A. enlargement of brain ventricles B. a widening of cortical fissures C. a loss of acetylcholine-sensitive receptors D. all of the above

answer

all of the above

question

CT-scan and MRI-scans reveal all the following effects in chronic alcoholics, except: A. a reduction in the way the individual remembers information B. a reduction in overall intelligence C. a decrease in brain mass D. a deficiency in short-term memory

answer

a decrease in brain mass

question

There is a correlation between a decline in overall intelligence and

answer

enlargement of brain ventricles

question

Alcoholic dementia affects

answer

the brain

question

In general, Wernicke-Korsakoff syndrome is ____ alcoholic dementia

answer

more severe than

question

Wernicke's disease

answer

is the first stage of Wernicke-Korsakoff syndrome

question

A secondary symptom of Wernicke's disease, other than confusion and disorientation is

answer

lack of motor coordination

question

The vitamin deficiency implicated in Wernicke-Korsakoff syndrome is

answer

Vitamin B1 (thiamine)

question

Thiamine deficiency has important consequences because

answer

thiamine is necessary for glucose consumption in the brain

question

Thiamine deficiency is linked to

answer

both Wernicke's disease and Korsakoff's psychosis

question

Confabulation is a behavior related to

answer

a deficiency in memory

question

John has been an alcoholic for many years. He is having trouble remembering information that he has just been given. When talking about the past he often elaborates on a few details to make it appear as though he remembers past situations clearly. John is most likely suffering from

answer

Karsokoff's psychosis

question

Most patients who require chronic institutionalization from Korsakoff's psychosis are

answer

those with the longest history of alcohol consumption

question

According to the text, alcohol stays in a fetus' system longer than the mother's because

answer

insufficient levels of alcohol breakdown in the fetus

question

The fetus has a lower level of _____ than the adult

answer

alcohol breakdown

question

The adverse consequences of alcohol consumed during pregnancy is due to

answer

the ease with which alcohol passes throughout the blood-placental barrier

question

Fetal alcohol syndrome was first officially established as a medical condition in

answer

1973

question

Because of fetal alcohol syndrome (FAS) alcohol can be classified as

answer

teratogenic

question

FAS was discovered through observation of ____ in babies born to alcoholic mothers A. increased blood alcohol levels B. specific facial characteristics C. CNS abnormalities and low body weight D. both B and C

answer

both b and c

question

Which of the following is not a criterion for FAS? A. growth retardation B. hepatitis or other liver disease C. CNS abnormalities or mental retardation D. characteristic skull and facial appearance

answer

hepatitis or other liver disease

question

FAS is generally considered

answer

more severe than FAE

question

Tina and Jane both consumed eight alcoholic beverages during their pregnancy. Tina drank two alcoholic beverages per week during the first month of her pregnancy. Jane drank all eight beverages on the same weekend during the first month of her pregnancy. From this information, it is reasonable to conclude that

answer

Jane's baby has a greater risk of FAS

question

The greatest risk for FAS or FAE is associated with drinking

answer

during the first trimester of pregnancy

question

Within the first trimester of pregnancy, the greatest risk for FAS and FAE is associated with drinking during

answer

the third week

question

The greatest risk for FAS or FAE is associated with A. consuming one drink per day during the third week of pregnancy B. consuming eight drinks over a weekend during the final four weeks of pregnancy C consuming one drink per day during the final four weeks of pregnancy D. consuming eight drinks over a weekend during the third week of pregnancy

answer

consuming 8 drinks over a weekend during the third week of pregnancy

question

Health researchers have established that

answer

there is no safe level of drinking during pregnancy

question

Which population of women would show a higher incidence of alcohol consumption during pregnancy? A. nonsmokers B. smokers C. women living in the East D. women living in the West

answer

smokers

question

Despite the fact that about 90 percent of women are aware of the potential harm of consuming alcohol during pregnancy, ____ percent of pregnant women nationwide continue to consume alcohol.

answer

10

question

FAS and FAE is exceeded ____ as the leading cause of mental retardation in entire Western world.

answer

only by Down syndrome and spina bifida

question

It is estimated that ____ die each year from alcohol related deaths

answer

125,000 people

question

TWEAK refers to

answer

a screening questionnaire for pregnant women

question

The goal of administering TWEAK is to

answer

identify pregnant women who put their fetuses at risk for FAS

question

Men outnumber women six to one in

answer

the incidence of alcoholism

question

Analogy: Male alcoholics are to steady drinking as female alcoholics are to

answer

binge drinking

question

Women are more likely than men to

answer

have alcohol related organ damage

question

An underreported group with respect to alcoholism is:

answer

the elderly

question

John, 81, and his grandson, Peter, 21, each consume four beers at a family party. According to the text,

answer

John will feel and act as if he had consumed more beer than Peter

question

Symptoms of Wernicke-Korastoff syndrome in an elderly person are often masked by the symptoms of

answer

senility

question

According to the text, on average, for every one person with alcohol problems, how many other people are affected on a regular basis?

answer

four

question

Looking ar how families of alcoholics interact is often referred to as

answer

a systems approach

question

Which of the following concepts is based on a systems approach to alcoholism? A. enabling B. codependency C. denial D. both A and B

answer

both a and b

question

Codependency refers to certain behaviors

answer

on the part of family members of an alcoholic

question

Janet and her alcoholic husband Jeff have an argument. Jeff then drinks 8 beers. Janet blames herself for Jeff's drinking. Janet is

answer

a codependent

question

The most effective therapy for codependency involves

answer

emotional detachment from the alcoholic

question

A need to seek external sources of self-worth is one of the characteristics of

answer

codependency

question

Children of alcoholics

answer

have a greater risk of being alcoholic

question

One criticism of the concept of codependency is that

answer

it makes the person feel like a victim

question

The acronym, COAs refers to

answer

children of alcoholics

question

A low response to alcohol is a risk factor for

answer

becoming an alcoholic

question

Sons of alcoholics who have a low response to alcohol

answer

have a 60 percent chance of becoming an alcoholic as an adult

question

The research shows that the majority of COAs

answer

do not develop serious adult problems

question

Which of the following examples has the highest risk of becoming an alcoholic? A. family history of alcoholism B. high response to alcohol C. low response to alcohol D. both A and C

answer

both a and c

question

Research on adopted children shows biological children of alcoholics being raised by nonalcoholic adoptive parents

answer

have a greater risk of becoming an alcoholic

question

Type 1 alcoholics are greatly affected by his/her

answer

socioeconomic status

question

Type 1 alcoholics are to _____ as Type 2 alcoholics are to _____

answer

partly genetic and partly environments; mostly genetic

question

Type 2 alcoholics are greatly affected by his/her

answer

family drinking history

question

Type 1 alcoholics can be either male or female while Type 2 alcoholics are principally

answer

males only

question

Type 2 alcoholics tend to develop alcoholism

answer

early in life

question

In Type 1 alcoholics, _____ tended to play a role in the development of alcoholism

answer

environmental influences

question

Which of the following is most characteristic of Type 1 alcoholics? A. inability to abstain from alcohol B. psychological dependence ("loss of control") C. feelings of guilt and fear about alcoholism D. serotonin abnormalities in the brain

answer

feelings of guilt and fear about alcoholism

question

Which of the following is characteristic of Type 2 alcoholics? A. high tendency to use alcohol to achieve positive feelings B. environmental factors having the greatest influence C. fighting when drinking D. onset of alcohol problems after age 25

answer

fighting when drinking

question

The concordance rate is used to determine

answer

the extent of genetic influence in inheritance

question

The idea that alcoholism could be viewed as a disease was first proposed in the writings of

answer

EM Jellinek

question

According to the text, in 1957, the American Medical Association

answer

officially recognized alcoholism as a disease

question

The best way to treat alcoholism is

answer

no one treatment is best

question

Disulfiram (Antabuse) is

answer

a biologically based treatment for alcoholism

question

Which form of alcohol treatment is based on the concept of aversion therapy?

answer

treatment using the drug disulfiram

question

Combining alcohol with disulfiram (Antabuse) produces

answer

a flushed face and nausea

question

Aftershave lotions can produce adverse effects on a person taking disulfiram (Antabuse) because

answer

some aftershave lotions contain alcohol

question

A major problem or problems with disulfiram (Antabuse) treatment is the

answer

compliance of the alcoholic taking the medication regularly

question

It has been found that ____ can reduce the craving for alcohol

answer

naltrexone

question

The success of naltrexone treatment in alcoholism has suggested that alcohol may interact with receptors sensitive to which neurotrasmitter

answer

dopamine

question

Naltrexone is available to treat alcoholics under the following brand name:

answer

ReVia

question

A medication related to naltrexone (ReVia) for the treatment of alcoholism is

answer

nalmefene

question

A new extended release injectable form of ____ (brand name:Vivitrol), administered on a monthly basis, eliminated problems associated with skipping ones medication

answer

naltrexone

question

Which of the following is a GABA-related drug used to treat alcoholism? A. disulfiram B. naltrexone C. Acamprosate D. ondansetron

answer

Acamprosate

question

Recent studies have shown the usefulness of _____, an anti epileptic and migraine-alleviating medication, for treating alcohol dependence

answer

topiramate

question

Type-2 alcoholics can be helped by new medications that reduce levels of

answer

seratonin

question

Alcoholics Anonymous is famous for a program of recovery known as

answer

the Twelve Steps

question

According to Alcoholics Anonymous A. an alcoholic is never cured B. every recovering alcoholic needs a sponsor C. the process of recovery never ends D. all of the above

answer

all of the above

question

Alateen is known as

answer

an organization for teenage alcoholics

question

Controlled research studies have shown that

answer

controlled drinking is possible for relatively few alcoholics

question

The Twelve Step Program established by Alcoholic's Anonymous has also been used to treat A. gamblers B. drug addicts C. compulsive eaters D. all of the above

answer

all of the above

question

One of the problems in assessing the effectiveness of AA is that

answer

everyone wants to stay anonymous

question

Which of the following is among the factors employed by AA? A. the imposition of external supervision B. a heightened sense of spirituality C. the development of caring relationships D. all of the above

answer

all of the above

question

SMART recovery is different from AA in that A. it does not believe in being powerless over alcohol B. it does not believe that a Higher Power needs to be invoked C. the presence of a trained professional is required at its sessions D. all of the above

answer

all of the above

question

The alcoholism treatment program known as SMART Recovery is based upon

answer

Rational Emotive Therapy

question

NHP in the SMART Recovery program refers to

answer

no Higher Power

question

The encouragement of controlled levels of drinking rather than total abstinence is a position of which alcoholism treatment program?

answer

MM

question

Analogy: AA is to SMART Recovery as powerlessness is to

answer

personal responsibility

question

The encouragement of alcoholics to assume an essentially passive stance is an objection raised by those who

answer

support a non disease conception of alcoholism

question

Which of the following organizations would benefit from an employee assistance program? A. corporations B. hospitals C. the armed services D. all of the above

answer

all of the above

question

A non-disease model of alcoholism is endorsed by which treatment organization?

answer

Moderation Management

question

Workplace-based programs to help people with alcohol and other drug problems, in an effort to increase the productivity of the organization, are called

answer

EAPs

question

The acronym, EAP, stands for

answer

Employee assistance program

question

Employee assistance programs are set up to help workers with

answer

problems related to alcohol and other drug abuse problems

question

A workplace based program to help people with alcohol and other drug problems, in effort toward enhancing the welfare of the individual worker, is known as

answer

Member assistance programs (MAPs)

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