CADC Practice Exam Questions (Test 1)
1. A wife refers her husband for substance abuse counseling. His drug of choice is
cocaine, which he has been using episodically with friends at a poker game—biweekly
to weekly—for some years. She is disturbed at the illicit nature of the drug and the long-
standing use. He states that though he recreationally uses, he doesn't crave cocaine,
doesn't seek it out but rather uses with friends at the game who bring it. He feels that
other than his wife being upset, he has no other social or occupational issues. Given the
information provided, how is his use of cocaine BEST described?
a. Substance abuse
b. Cocaine intoxication
c. Cocaine use disorder
d. None of the above - Answer d. None of the above
2. What does the experienced effect of a drug depend upon?
a. The amount taken and past drug experiences
b. The modality of administration
c. Polydrug use, setting, and circumstance
d. All of the above - Answer d. All of the above
3. How is drug tolerance BEST described?
a. The inability to get intoxicated
b. The need for less of a drug to get intoxicated
c. Increased sensitivity to a drug over time
d. Decreased sensitivity to a drug over time - Answer d. Decreased sensitivity to a drug
over time
4. Which of the following is NOT a "drug cue"?
a. A prior drug-use setting
b. Drug use paraphernalia
c. Seeing others use drugs
d. Drug avoidance strategies - Answer d. Drug avoidance strategies
5. What happens as tolerance for barbiturates develops?
a. The margin between intoxication and lethality increases
b. The margin between intoxication and lethality decreases
c. The margin between intoxication and lethality stays the same
d. Tolerance does not develop for barbiturates - Answer c. The margin between
intoxication and lethality stays the same
,6. What is the MOST common symptom of Wernicke's encephalopathy?
a. New memory formation
b. Loss of older memories
c. Psychosis
d. Confusion - Answer d. Confusion
7. Which of the following conditions does alcohol NOT induce?
a. Steatosis
b. Nephrosis
c. Hepatitis
d. Cirrhosis - Answer b. Nephrosis
8. What does formication refer to?
a. The creation of freebase cocaine
b. Sex between two unmarried individuals
c. A sensation of bugs crawling under the skin
d. Extrapyramidal symptoms of agitation - Answer c. A sensation of bugs crawling under
the skin
9. What is/are the organ(s) most damaged by cocaine abuse?
a. The brain
b. The lungs
c. The kidneys
d. The heart - Answer d. The heart
10. Which of the following is NOT a basic chemical class of amphetamines?
a. Amphetamine sulphate
b. Phenethylamine
c. Dextroamphetamine
d. Methamphetamine - Answer b. Phenethylamine
11. In terms of difficulty quitting (dependence), which of the following four drugs ranks
the highest?
a. Alcohol
b. Cocaine
c. Heroin
d. Nicotine - Answer d. Nicotine
12. Which of the statements below is MOST correct?
, a. THC content in all marijuana is about the same.
b. THC content in hashish is lower than in a joint.
c. THC content in marijuana is predictable.
d. THC content in marijuana varies widely. - Answer d. THC content in marijuana varies
widely.
13. Regarding substance abuse, what does Convergence Theory propose?
a. Rates of substance abuse among women are converging with those of men.
b. All individuals eventually narrow drug use to a drug of choice preference.
c. Age is a key factor in eventual substance abuse abstinence.
d. As individuals age, gender disparities in rates of abuse tend to converge. - Answer a.
Rates of substance abuse among women are converging with those of men.
14. Among psychiatric disorders in the elderly, where does alcohol abuse rank?
a. twenty-fifth
b. fifteenth
c. fifth
d. third - Answer d. third
15. Which of the following subcategories of alcohol use disorder onset is NOT found in
the elderly?
a. Late-onset alcoholism
b. Delayed-onset alcoholism
c. Late-onset exacerbation drinking
d. Early-onset alcoholism - Answer d. Early-onset alcoholism
16. At an initial meeting with a new client, what is the FIRST requirement?
a. Establish rapport.
b. Evaluate readiness for change.
c. Review rules and expectations.
d. Discuss confidentiality regulations. - Answer a. Establish rapport.
17. What does motivational interviewing primarily involve?
a. Focused confrontation
b. Behavioral accountability
c. Reality testing
d. Supportive persuasion - Answer d. Supportive persuasion
18. What percentage of individuals with a dual diagnosis (co-occurring disorders [COD]
—i.e., substance abuse disorder and an existing mental illness) received treatment for
only their mental illness?
1. A wife refers her husband for substance abuse counseling. His drug of choice is
cocaine, which he has been using episodically with friends at a poker game—biweekly
to weekly—for some years. She is disturbed at the illicit nature of the drug and the long-
standing use. He states that though he recreationally uses, he doesn't crave cocaine,
doesn't seek it out but rather uses with friends at the game who bring it. He feels that
other than his wife being upset, he has no other social or occupational issues. Given the
information provided, how is his use of cocaine BEST described?
a. Substance abuse
b. Cocaine intoxication
c. Cocaine use disorder
d. None of the above - Answer d. None of the above
2. What does the experienced effect of a drug depend upon?
a. The amount taken and past drug experiences
b. The modality of administration
c. Polydrug use, setting, and circumstance
d. All of the above - Answer d. All of the above
3. How is drug tolerance BEST described?
a. The inability to get intoxicated
b. The need for less of a drug to get intoxicated
c. Increased sensitivity to a drug over time
d. Decreased sensitivity to a drug over time - Answer d. Decreased sensitivity to a drug
over time
4. Which of the following is NOT a "drug cue"?
a. A prior drug-use setting
b. Drug use paraphernalia
c. Seeing others use drugs
d. Drug avoidance strategies - Answer d. Drug avoidance strategies
5. What happens as tolerance for barbiturates develops?
a. The margin between intoxication and lethality increases
b. The margin between intoxication and lethality decreases
c. The margin between intoxication and lethality stays the same
d. Tolerance does not develop for barbiturates - Answer c. The margin between
intoxication and lethality stays the same
,6. What is the MOST common symptom of Wernicke's encephalopathy?
a. New memory formation
b. Loss of older memories
c. Psychosis
d. Confusion - Answer d. Confusion
7. Which of the following conditions does alcohol NOT induce?
a. Steatosis
b. Nephrosis
c. Hepatitis
d. Cirrhosis - Answer b. Nephrosis
8. What does formication refer to?
a. The creation of freebase cocaine
b. Sex between two unmarried individuals
c. A sensation of bugs crawling under the skin
d. Extrapyramidal symptoms of agitation - Answer c. A sensation of bugs crawling under
the skin
9. What is/are the organ(s) most damaged by cocaine abuse?
a. The brain
b. The lungs
c. The kidneys
d. The heart - Answer d. The heart
10. Which of the following is NOT a basic chemical class of amphetamines?
a. Amphetamine sulphate
b. Phenethylamine
c. Dextroamphetamine
d. Methamphetamine - Answer b. Phenethylamine
11. In terms of difficulty quitting (dependence), which of the following four drugs ranks
the highest?
a. Alcohol
b. Cocaine
c. Heroin
d. Nicotine - Answer d. Nicotine
12. Which of the statements below is MOST correct?
, a. THC content in all marijuana is about the same.
b. THC content in hashish is lower than in a joint.
c. THC content in marijuana is predictable.
d. THC content in marijuana varies widely. - Answer d. THC content in marijuana varies
widely.
13. Regarding substance abuse, what does Convergence Theory propose?
a. Rates of substance abuse among women are converging with those of men.
b. All individuals eventually narrow drug use to a drug of choice preference.
c. Age is a key factor in eventual substance abuse abstinence.
d. As individuals age, gender disparities in rates of abuse tend to converge. - Answer a.
Rates of substance abuse among women are converging with those of men.
14. Among psychiatric disorders in the elderly, where does alcohol abuse rank?
a. twenty-fifth
b. fifteenth
c. fifth
d. third - Answer d. third
15. Which of the following subcategories of alcohol use disorder onset is NOT found in
the elderly?
a. Late-onset alcoholism
b. Delayed-onset alcoholism
c. Late-onset exacerbation drinking
d. Early-onset alcoholism - Answer d. Early-onset alcoholism
16. At an initial meeting with a new client, what is the FIRST requirement?
a. Establish rapport.
b. Evaluate readiness for change.
c. Review rules and expectations.
d. Discuss confidentiality regulations. - Answer a. Establish rapport.
17. What does motivational interviewing primarily involve?
a. Focused confrontation
b. Behavioral accountability
c. Reality testing
d. Supportive persuasion - Answer d. Supportive persuasion
18. What percentage of individuals with a dual diagnosis (co-occurring disorders [COD]
—i.e., substance abuse disorder and an existing mental illness) received treatment for
only their mental illness?
