Tox 2 questions` – Flashcards
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Drug effects on the individual have been intensified due to
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development of more efficient and faster ways of putting drugs into the body
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The most popular psychoactive substance ove the millenia has been
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alcohol
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The natural form of the hallucinogen LSD is found in
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A fungus which grows on rye/wheat plants
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Which of the following plants do not contain caffeine
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Poppy and Hemp
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Which is not true about tobacco
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Even though tobacco was a common plant in europe before columbus came to the americas, no one had ever smoked it
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The London gin epidemic was ultimately brought under control by
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Prohibition of the selling or drinking of gin. Heavy regulation on the production of alcohol. Strict regulation of sales and stiff taxes on gin.
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Morphine is about _______times more powerful than opium
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10 times
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One of the earliest Americans to write about the health dangers of drinking and to recommend temperance was
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Dr. Benjamin Rush
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Which congressional act that became the Eighteenth amendment to the U.S. constitution prohibited the manufacture and sale of any alcoholic beverage with above 0.5% alcohol
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The Volstead act of 1920
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The sub group of sedative-hypnotics that came to dominate the prescription market because they were safer than barbituates are called
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Benzodiazepines
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The discovery of brain chemicals that acted like psychoactive drugs led to
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More understanding of the process of addiction. More understanding of the process of mental illness. New uses of therapeutic drugs to treat addiction and withdrawal states.
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A common drug used at parties now, GHB, is classified as a
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Sedative or downer
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The most widely abused prescription opiate is
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Vicodin
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Which of the following is not a stimulant?
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Opium
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Psychiatric medications
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Are used to rebalance irregular brain chemistry
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True or false: Athough cannibus was used in ancient times as a source of fiber etc. it was not used for its stupefying and hallucinogenic properties
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False
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True or False: The chewing of coca leaves in south america was mostly among the common people since the nobles thought it was a dirty habit
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False
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True or False: Although marijuana was used extensively by those in the 1960s "hippie movement" and at the "summer of love" in 1967, amphetamines and methamphetamines were not popular yet, so were not used
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False
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True or false: Overall illicit drug use has declined since its peak in 1979 and 1980
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True
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True or false: The age of the first use of almost all psychoactive substances has gone down
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True
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True or False: the use of needles to inject street drugs has been one major cause of the spread of the HIV virus that leads to AIDS
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True
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True or False: todays marijuana is less potent than the marijuana smoked in the 1960s
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False
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True or false: MDMA or ecstacy and LSD act like stimulants as well as hallucinogens
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True
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True or False: inhalants most often cause central nervous system stimulation leading to excitement
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False
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True or false: Organic solvents can be toxic to cells and organs
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True
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Which of the following routes of administration acts the slowest upon the brain
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Contact absorption
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When a drug is injected, how long does it take for the drug to reach the brain
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15-30 seconds
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Another word for putting cocaine under the tongue is
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sublingual
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The main barrier that drugs have to cross to affect the body is the
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Blood-brain barrier
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A child's circulatory system contains about how much blood
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3 to 4 quarts of blood
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How many nerve cell connections are in the nervous system
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100 trillion
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Which of the following is a function of the new brain?
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Creativity
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Which of the following is part of a neuron
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terminals
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The gap between neurotransmitters is the
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Synapse
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Within the neuron, what is stored in vesicles
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Neurotransmitters
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When a substance originates outside the body it is
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exogenous
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The mechanism that accepts neurotransmitters is a
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receptor
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Drugs that bind to receptors and block the effects of neurotransmitters are
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antagonists
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Which is not a type of tolerance
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delayed tolerance
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which is not a type of withdrawal
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Pharmacodynamic withdrawal
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Which is not a desired effect of psychoactive drugs
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To increase depression
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In levels of use terminology, abuse means
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Continued use of the drug despite negative consequences
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The T in SPECT scans stands for what?
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Tomography
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Which is not a genetic research technique
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Liver biopsies
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Which will not cause a sober mouse to become an alcoholic mouse
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genes
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True or false: When there is internal conflict, the new brain will usually override the old brain
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False
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The nucleus accumbens is found in the old brain
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True
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Psychoactive drugs cannot create sensations or feelings that don't have a natural counterpart
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True
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T or F: The neurotransmitter most responsible for stimulating the reward/reinforcement center is GABA
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False
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T or F: the most addicting drug is alcohol
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false
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Which of the following is not true about cocaine?
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The united states consumes 80% of the world's cocaine
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Which of the following is true of cocain hydrochloride?
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It is 200 times more powerful by weight than the coca leaf
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Which statement about cocaine is not true
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Injecting cocaine gets to the brain faster than smoking cocaine
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What is the name of the metabolite produced when alcohol and cocaine are used together
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cocaethylene
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Which is not true regarding the cardiovascular effects of cocaine use
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There are no cocaine receptors on the heart itself.....there are
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Which of the following is not part of the cocaine withdrawal syndrome
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decreased appetite
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The combination of heroin and cocaine is known as
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a speedball
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Which of the following is not a side effect of long term abuse of cocaine
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severe weight gain
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Which of the following is true of crack cocaine
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Users are able to get a much higher dose into their brain over a shorter period of time than with powdered cocaine
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Which of the following has not been a use for amphetamines
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to relax muscles
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Ice is to methamphetamines as ________ is to cocaine
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crack
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The difference between the neurochemistry of amphetamines and cocaine is that
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amphetamines block the metabolism of catecholamines whereas cocaine does not
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Which of the following is not a stimulant
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GHB
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Which of the following has the most caffeine content
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Espresso coffee 4 ounce demitasse
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Which of the following is not true of nicotine
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A chew of tobacco puts less nicotine into the bloodstream than one smoked cigarette. False: A chew of tobacco puts more not less nicotine into the bloodstream than one smoked cigarette.
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All stimulants increase the chemical and electrical activity in the central nervous system
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True
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Snorting cocaine is a self-limiting method of using cocaine
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True
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Many of the abnormalities in the newborns of drug users have more to do with the mothers lifestyle than the drug itself
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true
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T or F: Crack cocaine is not only stronger than powdered cocaine, it is an entirely different molecule so it acts on different neurotransmitters
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False
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The physical and mental effects of cocaine and amphetamines are very similar
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True
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Tolerance to amphetamines is pronounced
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True
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ADHD is often treated with amphetamine like drugs
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True
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T or F: Amphetamines are dangerous but fortunately over the counter diet pills are completely safe
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false
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The most important reason that people continue to smoke is an intense desire to maintain a certain nicotine level in the blood and brain to avoid withdrawal symptoms
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true
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It is estimated that one person dies from secondhand smoke, mostly from cardiovascular disease, for every eight smoker deaths
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True
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The neurotransmitter that transmits pain is
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Substance P
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Which is a possible deadly side effect of using heroine intravenously
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HIV infection
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A drug that stops the effect of heroin in the brain is
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Naltrexone
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Methadone works by
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substituting a long acting opiod for a short acting one
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Major heroin withdrawal symptoms usually last
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5-7 days
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Which substance has been used to dilute heroin
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baby laxitive
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Which combination of drugs would probably be more dangerous
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Valium and alcohol
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The most common medical use of opiods is
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analgesia
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Which is an effect of sedative-hypnotics?
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controls skeletal muscle spasms
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Sedative hypnotic withdrawal symptoms can include
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convulsions
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Barbituates were supplanted as the sedative hypnotic of choice by
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benzodiazepines
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The first benzodiazepine was
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Librium and reg.
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One of the reasons that GHB and Rohypnol are similar to alcohol is their
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disinhibitory effect
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The ancient egyptians used opium for its medical properties
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true
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Fentanyl is stronger than morphine
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true
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T or F: heroine mimics the body's own pain messengers
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false. Heroin mimics the bodys own pain supression messengers (eg endorphins)
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Codeine can control diarrhea
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true
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T or F: the majority of heroin users are unemployed and live on the street
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False
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Darvon will help suppress heroine withdrawal
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True
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T or F: Tolerance to the physical and mental effects of increased doses of sedative-hypnotics increases at the same rates
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False
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T or F: The most dangerous barbituates are the long-acting ones, such as phenobarbital
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False. Most dangerous are the short-acting ones
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Low level use of benzodiazepines over an extended period of a year or more will cause physical dependence
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True
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The liver alters Valium into a more potent drug
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True
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Due to large margin of safety, overdosing with benzodiazepines is difficult
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true
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T or F: Withdrawal from heroin is more dangerous physically than withdrawal from alcohol or sedative hypnotics
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False
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Which of the following is an intermediate product of alcohol metabolism
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Acetaldehyde
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The reason that initially alcohol seems like a stimulant is that it
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releases norepinephrine
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Which is the best cure for a hangover
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time
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The organ that absorbs the most alcohol after it is ingested is the
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small intestine
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A neurotransmitter most affected by alcohol is
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GABA
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Which is not a direct effect of alcohol abuse
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asthma
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The organ which metabolizes most of the alcohol consumed is
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The liver
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Which is not a direct effect of alcohol abuse
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tuberculosis
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Which of the following is usually not an alcohol-related disease or disorder?
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Alzheimer's disease
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Which is a symptom of severe alcohol withdrawal?
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Convulsions and seizures
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Alcohol is more likely to cause violence in a person who
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has a history of violence
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What percent of motor vehicle fatalities in 2001 involved alcohol use?
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40%
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Which of the following is not true for African American use of alcohol
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More white women abstain from alcohol than black women
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What percent of the adult american population drank in the last month?
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52%
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True or false: in the process of metabolism of alcohol by the liver, one of the metabolites is acetic acid, more commonly called vinegar
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True
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In males, some alcohol is metabolized in the stomach before it is able to be absorbed into the bloodstream
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True
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A female of the same weight as a male will raise her blood alcohol concentration more per drink than the male
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true
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True or false: Alcohol is metabolized by the liver at a rate of about one ounce of pure alcohol every hour
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False
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The effects of any drug, including alcohol, depends on the dosage
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True
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True or false: Low-to-moderate doses of alcohol are safe for all adults except pregnant women
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false. alcohol is metabolized by the liver a a rate of about one ounce of pure alcohol (1.5 drinks every 3 hours)
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Fermentation is a process whereby yeast changes sugar into alcohol and carbon dioxide.
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True
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True or false: naturally fermented beverages can reach an alcohol concentration by almost 98%
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False
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True or False: binge drinking is defined as drinking 10 or more drinks in one sitting for males, 8 for females
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False. it is defined as 5 drinks in one sitting for males, 4 drinks for females
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There is a direct correlation between average number of drinks per week by college students and their grade average
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True
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Alcohol use during preganancy is the leading cause of mental retardation in the United states
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True
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Which of the following is NOT a general effect of all arounders?
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intensifying one's ability to reason so that sensation takes on less importance
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The crossover or mixing of senses is called
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synesthesia
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Effects of LSD trip last about
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6-8 hours
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The phrase 'turn on, tune in and drop our' was coined by the LSD guru
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Dr. Timothy Leary
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Which of the following statements about peyote is not true
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Mescaline is chemically related to THC
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Which of the following statements is not true about MDMA or ecstasy?
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MDMA is a recreational drug and has never been used therapeutically.
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Which of the following in high doses does not cause psychedelic reactions
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The common weed dandelion
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Which of the following is not a side effect of MDMA use
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Shrinking of the stomach
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The term "sinsemilla" refers to
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a growing technique for increasing the THC content in marijuana
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Which of the following is not a true statement about marijuana?
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High-concentration THC marijuana is new, not available in the 1960s
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Which of the following is a short-term effect of marijuana use? A. impairment of tracking ability B. distortion of a sense of time C. increased appetite D. all of the above
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All of the above
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Which of the following is NOT a long- term effect of smoking marijuana? A. acute and chronic bronchitis B. tones down the natural tendencies of the user C. slows learning and disrupts concentration D. probably depresses the immune system
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Tones down the natural tendencies of the user
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Which of the following is not a symptom of marijuana withdrawal
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Seizures
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The institute of medicines report on marijuana and medicine concluded all of the following EXCEPT
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There is strong evidence that marijauna use leads to abuse
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True or false: standard drug testing checks for LSD
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False
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True or false: Withdrawal from LSD is very dangerous due to its characteristic physical withdrawal symptoms
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False
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Frequent and persistent use of LSD is probably due to psychological dependence rather than physical dependence (addiction).
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True
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The chemical structure of psilocybin is similar to LSD.
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True
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The major danger in "'shroom" harvesting is mistaking poisonous mushrooms for those containing psilocybin
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True
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True or false: In 2002 about twice as many high school students had used MDMA (ecstasy) than LSD.
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false
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One serious effect of MDMA use is the depletion of serotonin.
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true
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MDMA use can cause body temperature to rise to a point that the extreme heat can coagulate the blood.
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True
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PCP or "angel dust" is one of the safer hallucinogenic substances since it is an anesthetic used by physicians and veterinarians. True False
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False
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Hashish is a potent form of marijuana made from the sticky resins of the Cannabis plant.
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True
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Which statement is NOT true for inhalants? A. Inhalants are cheap, readily available, and widespread. B. In law enforcement, inhalant abuse has a low status among drug abuse problems. C. Inhalants are slow acting. D. Inhalants have more direct effect on body tissues than most other psychoactive drugs.
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Inhalants are slow acting
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Which is a method of using inhalants?
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"balloon and cracker"
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Which is a reason people use inhalants? A. They are cheaper. B. The high comes and goes quickly. C. They temporarily elevate mood and reduce inhibitions. D. All of the above.
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All of the above
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The most abused solvent inhalant is
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Toluene
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Which is a warning sign of organic solvent abuse
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chemical odor on the body
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Which is NOT true of nitrous oxide (laughing gas)? A. When inhaled, it has a rapid onset and rapid dissolution of effects. B. It is classified as a controlled substance. C. To possess nitrous oxide with the intent to use for other than medical, dental or commercial purposes is a misdemeanor in most states. D. Long-term exposure can cause nerve cell damage due to lack of oxygen.
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It is classified as a controlled substance
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Which is NOT one of the three main types of drugs used by athletes? A. therapeutic drugs B. performance-enhancing drugs C. hypertensive medications D. street drugs
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Hypertensive medications
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Which is NOT a true statement about steroids? A. Many young people use AASs strictly to enhance personal appearance. B. Long-term steroid use by men causes excessive masculinizing effects. C. Heavy use of steroids can cause psychotic episodes. D. There are distinct withdrawal symptoms from heavy steroid use.
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Long-term steroid use by men causes excessive masculinizing effects
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Which of the following is a popular nutritional supplement used by many athletes?
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Creatine
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Which of the following would NOT be an impulse control disorder? A. compulsive walking B. compulsive gambling C. compulsive eating D. compulsive shopping
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Compulsive walking
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To the compulsive gambler, "to chase" means
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To continue to gamble to recoup previous losses
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Which of the following is not an eating disorder as defined by DSM IV TR?
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Compulsive eating disorder
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Which statement is most true regarding anorexics?
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They don't know how thin they are and want to get thinner
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Which behavior is found in sexual compulsivity?
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Masturbation
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Concerning Internet addiction, which of the following is NOT true? A. Some individuals experience a stimulant- like rush when online. B. Some Internet users log onto sex sites compulsively. C. Almost all Internet addiction is about sex sites on the Net; games and chat rooms are not that attractive to the Internet addict. D. Problems begin when the online relationships draw the Net surfer from his or her real-life relationships.
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c. Almost all Internet addiction is about sex sites on the Net; games and chat rooms are not that attractive to the Internet addict.
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Inhalant abuse is a very modern form of drug abuse since it started only with the invention of aerosol cans. True False
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False
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Nitrous oxide use can cause hallucinations.
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True
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The liability for physical dependence and addiction to inhalants is less than for other depressants
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True
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The use of drugs in sports by athletes is a relatively new phenomenon. True False
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False
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The main difference between impulse control disorders and obsessive-compulsive disorders is whether the behavior is used primarily to reduce anxiety without deriving pleasure from the activity or whether the behavior initially starts out as pleasurable.
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true
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The proliferation of fast-food restaurants is an example of an environmental factor that could influence compulsive eating
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true
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Compulsive gambling can be as problematic as any drug-based addiction
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true
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There is no evidence to suggest that there may be a genetic (hereditary) predisposition to pathological gambling. True False
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False
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Depression is a major reason some people become compulsive shoppers
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true
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The danger of generalizing the concept of addiction obscures the distinctive characteristics of a specific addiction that needs to be addressed in treatment.
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True
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Historically, there have been three methods to achieve prevention goals. Which of the following is NOT one of those methods? A. reduce the supply B. reduce the prison population C. reduce the demand D. reduce the harm
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Reduce the prison population
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Which of the following is a prevention program that has been tried?
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Temperance program
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Which of the following is NOT a component of the public health model? A. environment B. agent C. guest D. host
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Guest