Chapter 27: Substance Abuse and Associated Problems
VanMeter and Hubert: Gould’s Pathophysiology for the Health Professions, 7th
Edition
MULTIPLE CHOICE
1. What is/are the typical effect(s) of psychedelic substances?
a. Drowsiness and euphoria
b. Marked stimulation of the central nervous system (CNS)
c. Lethargy and decreased metabolic rate
d. Altered perception and awareness as well as hallucinations
ANS> D
2. Which of the following statements is characteristic of alcohol?
a. It is primarily a CNS stimulant.
b. It may cause congenital defects in infants born to alcoholic mothers.
c. It does not interact with other drugs in the CNS.
d. It usually causes severe kidney damage.
ANS> B
3. What is physiological dependence?
a. An intense emotional need for a drug in order to function
b. Adaptation of the body to a drug, resulting in withdrawal signs after the drug is
discontinued
c. The need for an ever-increasing dose to produce the same effect
d. Continuing to take a drug when it is not required medically
ANS> B
4. What is a common indication of substance abuse?
a. Behavioral change
b. Weight gain
c. Depression
d. Loss of sensory function
ANS> A
5. A patient who has developed a tolerance for codeine will
a. demonstrate physical signs when the drug is discontinued.
b. require a larger dose than expected to control pain.
c. require a smaller dose than expected to control pain.
d. show signs or symptoms of drug toxicity.
ANS> B
6. Chemical dependency has been associated with all the following EXCEPT
a. hereditary factors.
b. disease requiring certain prescription drugs.
c. easy access to many kinds of drugs.
, Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 213
d. increased acceptance of alcohol or marijuana to cope with stress.
e. increased work productivity.
ANS> E
7. Which of the following is/are NOT a common sign(s) of withdrawal?
a. Irritability
b. Respiratorydepression
c. Nausea and vomiting
d. Psychotic episodes and convulsions
e. Tremors
ANS> B
8. When an increased dosage of a drug causes toxic effects, it is called
a. synergism.
b. neurostimulant.
c. overdose.
d. detoxification.
ANS> C
9. Withdrawal from any drug is best accomplished
a. with medical support.
b. with legally prescribed drugs.
c. following intensive counseling.
d. using CNS stimulants.
ANS> A
10. Chronic alcoholism is likely to cause all of the following EXCEPT
a. cirrhosis.
b. mental confusion.
c. loss of motor coordination.
d. altered personality and amnesia.
e. respiratory failure.
ANS> E
11. Which of the following is a synthetic opioid that prevents withdrawal symptoms and improves
function?
a. Antabuse
b. Methadone
c. Cocaine
d. Diazepam
ANS> B
12. Synergism can cause an emergency situation when
a. antidotes for respiratory depression are given too quickly.
b. a combination of alcohol and drugs has been taken.
c. a large dose of a drug affects the CNS.
d. an individual involuntarily develops a habit.