ALU 101 textbook UPDATED Exam
Questions and CORRECT Answers
1 - CORRECT ANSWER - Which is statement is true?
1. In substance abuse, the substance continues to be used despite it causing a persistent physical
or psychological problem
2. Withdrawal symptoms never occur in substance abuse
3. There are no risks to one's occupation associated with substance abuse
4. Cravings are not associated with substance abuse
4 - CORRECT ANSWER - The following statements about the adverse effects of
excessive alcohol use are true EXCEPT:
1. Alcohol abuse is a common cause of pancreatitis
2. Alcohol abuse can cause hepatic steatosis (fatty liver), alcoholic hepatitis, and cirrhosis
3. Alcohol abuse can cause cardiomyopathy, hypertension, stroke, and atrial fibrillation
4. Heavy alcohol use results in good mental functioning
1 - CORRECT ANSWER - Which of the following is true?
1. Alcohol is metabolized in the liver
,2. Alcohol in general is a central nervous system (CNS) stimulant
3. Hallucinations and seizures do not occur in alcohol withdrawal
4. Alcohol does not affect neurotransmitters
A, B and C - CORRECT ANSWER - Which of the following are true:
A. Alcohol increases the release of dopamine, activating the reward centers of the brain
B. Alcohol decreases the excitatory activity of the N
methyl D aspartate (NMDA) receptor, which is involved in memory formation , leading to
memory deficits and
impaired judgment
C. Alcohol increases the inhibitory activity of the gamma
aminobutyric acid (GABA) receptors, which is responsible for its sedative effects
2 - CORRECT ANSWER - Mallory-Weiss syndrome is:
1. A syndrome named after an important historical GI physician
2. Esophageal bleeding caused by a mucosal tear in the
esophagus from repeated episodes of vomiting
3. Renal failure due to alcohol abuse
4. A type of psychiatric disorder
,A, B and C - CORRECT ANSWER - Which are consequences of chronic heavy alcohol
use?
A. Increased risk for developing cancers of the mouth, pharynx and esophagus
B. Elevation of Mean Corpuscular Volume (MCV), which is a measure of the size of red blood
cells (i.e. macrocytosis)
C. Elevation in HDL cholesterol and triglycerides
3 - CORRECT ANSWER - All of the following are true EXCEPT:
1. Chronic heavy alcohol use results in an elevation in liver enzymes, especially in the following
pattern: Aspartate amino
transferase (AST) and alanine aminotransferase (ALT) are increase in a ratio that is AST/ALT
ratio > 2
2. Nutritional deficiencies seen with chronic heavy alcohol intake include folate, Vitamin B12,
and Thiamine
3. Alcohol improves immune function
4. Chronic heavy alcohol use may cause polyneuropathy
A, B and C - CORRECT ANSWER - Medications used to treat alcohol abuse include:
A. Disulfiram (Antabuse)
B. Naltrexone (Revia)
C. Acamprosate (Campral)
, 1 - CORRECT ANSWER - The following are true statements EXCEPT:
1. Alcohol abuse is not associated with psychiatric problems
2. Alcohol abuse may be associated with adverse findings in motor vehicle records (MVRs),
such as DUIs, speeding, and reckless driving
3. Alcohol abuse may be associated with an unstable employment records, such as frequent job
changes, poor attendance, unexplained periods of unemployment
4. Alcohol users often use tobacco as well
4 - CORRECT ANSWER - The following statements are true EXCEPT:
1. Elevation in gamma
glutamyl transpeptidase (GGT or GGTP) is often elevated in chronic heavy alcohol use
2. The CAGE Questionnaire is a screening test for alcohol abuse that consists of 4 questions
3. In marijuana, the active ingredient associated with intoxication is delta-9 tetrahydrocannabinol
(THC)
4. Heavy marijuana use has no health risks
4 - CORRECT ANSWER - Complications of cocaine use include all EXCEPT:
1. Cardiovascular effects, such as arrhythmias and MI
2. Respiratory effects, including respiratory failure
3. Strokes
Questions and CORRECT Answers
1 - CORRECT ANSWER - Which is statement is true?
1. In substance abuse, the substance continues to be used despite it causing a persistent physical
or psychological problem
2. Withdrawal symptoms never occur in substance abuse
3. There are no risks to one's occupation associated with substance abuse
4. Cravings are not associated with substance abuse
4 - CORRECT ANSWER - The following statements about the adverse effects of
excessive alcohol use are true EXCEPT:
1. Alcohol abuse is a common cause of pancreatitis
2. Alcohol abuse can cause hepatic steatosis (fatty liver), alcoholic hepatitis, and cirrhosis
3. Alcohol abuse can cause cardiomyopathy, hypertension, stroke, and atrial fibrillation
4. Heavy alcohol use results in good mental functioning
1 - CORRECT ANSWER - Which of the following is true?
1. Alcohol is metabolized in the liver
,2. Alcohol in general is a central nervous system (CNS) stimulant
3. Hallucinations and seizures do not occur in alcohol withdrawal
4. Alcohol does not affect neurotransmitters
A, B and C - CORRECT ANSWER - Which of the following are true:
A. Alcohol increases the release of dopamine, activating the reward centers of the brain
B. Alcohol decreases the excitatory activity of the N
methyl D aspartate (NMDA) receptor, which is involved in memory formation , leading to
memory deficits and
impaired judgment
C. Alcohol increases the inhibitory activity of the gamma
aminobutyric acid (GABA) receptors, which is responsible for its sedative effects
2 - CORRECT ANSWER - Mallory-Weiss syndrome is:
1. A syndrome named after an important historical GI physician
2. Esophageal bleeding caused by a mucosal tear in the
esophagus from repeated episodes of vomiting
3. Renal failure due to alcohol abuse
4. A type of psychiatric disorder
,A, B and C - CORRECT ANSWER - Which are consequences of chronic heavy alcohol
use?
A. Increased risk for developing cancers of the mouth, pharynx and esophagus
B. Elevation of Mean Corpuscular Volume (MCV), which is a measure of the size of red blood
cells (i.e. macrocytosis)
C. Elevation in HDL cholesterol and triglycerides
3 - CORRECT ANSWER - All of the following are true EXCEPT:
1. Chronic heavy alcohol use results in an elevation in liver enzymes, especially in the following
pattern: Aspartate amino
transferase (AST) and alanine aminotransferase (ALT) are increase in a ratio that is AST/ALT
ratio > 2
2. Nutritional deficiencies seen with chronic heavy alcohol intake include folate, Vitamin B12,
and Thiamine
3. Alcohol improves immune function
4. Chronic heavy alcohol use may cause polyneuropathy
A, B and C - CORRECT ANSWER - Medications used to treat alcohol abuse include:
A. Disulfiram (Antabuse)
B. Naltrexone (Revia)
C. Acamprosate (Campral)
, 1 - CORRECT ANSWER - The following are true statements EXCEPT:
1. Alcohol abuse is not associated with psychiatric problems
2. Alcohol abuse may be associated with adverse findings in motor vehicle records (MVRs),
such as DUIs, speeding, and reckless driving
3. Alcohol abuse may be associated with an unstable employment records, such as frequent job
changes, poor attendance, unexplained periods of unemployment
4. Alcohol users often use tobacco as well
4 - CORRECT ANSWER - The following statements are true EXCEPT:
1. Elevation in gamma
glutamyl transpeptidase (GGT or GGTP) is often elevated in chronic heavy alcohol use
2. The CAGE Questionnaire is a screening test for alcohol abuse that consists of 4 questions
3. In marijuana, the active ingredient associated with intoxication is delta-9 tetrahydrocannabinol
(THC)
4. Heavy marijuana use has no health risks
4 - CORRECT ANSWER - Complications of cocaine use include all EXCEPT:
1. Cardiovascular effects, such as arrhythmias and MI
2. Respiratory effects, including respiratory failure
3. Strokes
