IC&RC Study Guide Questions With
Correct Answers | Latest Update
CAGE - Correct Answer-• The briefest and most widely used.
• Only four questions asked directly to the person.
• If someone answers yes to one of the questions then there is an indicator that their
might be a problem that needs to be further investigated.
• If they answer yes to two or more they are sent for further testing.
• Advantages-yes or no questions
• Disadvantages-not asking about time frame, self report, not in depth about
environment, not in depth
MAST - Correct Answer-• Widely used
• Good reliability and validity
• Original had 25 self administered questions the one now has only 22.
• Advantages-it could be a reality check to someone taking it, not very time consuming,
simple yes and no
• Disadvantage-it doesn't ask you to explain, doesn't ask time frame
AUDIT - Correct Answer-• Ten items 1-3 frequency and quantity 4-6 alcohol
dependence 7-10 how harmful alcohol use.
• Advantages-you can use it in an interview, it's not that long, it's more specific
• Disadvantage-not specific enough, doesn't add in the times when drinking is more
acceptable like vacation etc., not valid
• Can be self report questionnaire or an interview
DAST - Correct Answer-Screen drugs other than alcohol
POSIT - Correct Answer-139 items on it
Used for substance use problems and social, behavioral, and learning problems
Disadvantages-too long, repetitious, lack of consistency
Advantages-more detailed
SASSI - Correct Answer-• Doesn't directly question about alcohol/drug use (not like the
previous ones)
• Around 50 questions
• Asks questions about alcohol/drug use on one side and don't on the other
• Looking for defensiveness, looking at others, personal affect
• Disadvantages-could be hard to profile
DSM Axes - Correct Answer-o Axis I-Clinical syndromes
• Alcohol abuse, cannabis dependency
o Axis II-Personality disorders/mental retardation
• Not used very often in alcohol or chemical use
,o Axis III-Medical Conditions
• Psoriasis of the liver
o Axis IV-Psychosocial/environmental stressors
• Losing kids because of substance abuse, lacks good social support system
o Axis V-Global assessment of functioning
• 0-100 how the person is functioning overall
Narcotics possible effects - Correct Answer-Euphoria, drowsiness, respiratory
depression, constricted pupils, nausea
Narcotics effects of OD - Correct Answer-Slow/shallow breathing, clammy skin,
convulsions, coma, and possible death
Narcotics withdrawal syndrome - Correct Answer-Water eyes, runny nose, yawning,
loss of appetite, irritability, tremors, panic, cramps, nausea, chills, sweating.
Narcotics - Correct Answer-Heroin, Morphine, Hydrocodone, Hydromorphone,
Oxycodone, Codeine
Depressants - Correct Answer-Hydroxybutyric Acid, gamma, Benzodiazepines etc.
Depressant effects - Correct Answer-slurred speech, disorientation, drunken behavior
without odor of alc., impaired memory of events, interacts with alc.
Depressant overdose - Correct Answer-shallow respiration, clammy skin, dilated pupils,
weak and rapid pulse, coma, and possible death.
Depressant withdrawal - Correct Answer-Anxiety, insomnia, tremors, delirium,
convulsions, possible death.
Stimulants - Correct Answer-Cocaine half life=one hour, Amphetamine=6-12 hours,
Methylphenidate=2 hours
Stimulant effects - Correct Answer-Increased alertness, excitation, euphoria, increased
pulse rate, increased blood pressure, insomnia, and loss of appetite, dilated pupils.
Stimulant OD - Correct Answer-Agitation, increased body temperature, hallucinations,
convulsions, and possible death
Stimulant withdrawal - Correct Answer-Apathy, long periods of sleep, irritability,
depression (possible with suicidal potential), and disorientation, increased appetite,
anhedonia (absence of pleasure) and craving.
Hallucinogens - Correct Answer-MDMA and Analogs, LSD, Phencyclidine,
,Hallucinogen signs and symptoms - Correct Answer-Increased reflexes, tremors,
weakness, flushing and chills, seizures, inappropriate mood, elation, hallucinations,
bizarre behavior, disorientation, confusion, delusions, and impaired judgement.
Hallucinogen OD - Correct Answer-Increased body temp, electrolyte imbalance, cardiac
arrest, unable to direct movement, feel pain, or remember.
Hallucinogen withdrawal - Correct Answer-Muscle aches, drowsiness, depression, acne,
and drug seeking behavior.
Cannabis effects - Correct Answer-Euphoria, relaxed inhibitions, increased appetite,
disorientation,
Cannabis problems - Correct Answer-impairment of ability to learn. Medical effects with
prolonged use include respiratory problems, possible impaired immune function and
possible reproductive problems including low birth weight infants.
Cannabis withdrawal - Correct Answer-Rare. Appear limited to some heavy users.
Possible irritability, restlessness, craving, loss of appetite, nausea, diarrhea, muscle
twitching, overt aggression and depression.
Anabolic Steroids effects - Correct Answer-Virilization, edema, testicular atrophy,
gynecomastia, acne aggressive behavior
Anabolic Steroids withdrawal - Correct Answer-Possible depression
Inhalants effects - Correct Answer-flushing, hypotension, headache, cardiac
depressants leading to "sudden sniffing death.
Inhalants signs and symptoms - Correct Answer-possible asphyxiation and frostbite of
nose, lips, or larynx if inhaled from a tank, loss of motor control, nausea, ataxia, muscle
weakness, dysarthria, nystagmus, diminished reflexes.
Inhalants withdrawal - Correct Answer-Agitation -psychological but no known physical
symptoms
Alcohol common problems - Correct Answer-Tolerance, Dependence, Depression,
neurologic deficits, hypertension, liver and heart disease.
Alcohol OD - Correct Answer-Vomiting, respiratory depression, loss of consciousness,
possible death.
Alcohol Withdrawal - Correct Answer-Trembling, autonomic hyperactivity, Anxiety,
insomnia, vitamin deficiency, confusion, hallucination, and convulsions.
, Alcohol acute effects - Correct Answer-low doses: euphoria, mild stimulation, relaxation,
and lowered inhibitions. high doses: drowsiness, slurred speech, nausea, emotional
volatility, loss of coordination, visual distortions, impaired memory, sexual dysfunctions,
loss of consciousness/increased risk or injuries, violence, fetal damage.
Sedative Hypnotics desired effects - Correct Answer-Similar to alcohol. Reduction of
anxiety; possible elation, secondary to decrease alertness and judgment.
Sedative Hypnotics acute effects - Correct Answer-Sedation, impaired judgement,
impaired operation of vehicles, respiratory and cardiac depression with overdose (much
less likely with benzodiazepines alone).
Sedative Hypnotics interaction with alcohol - Correct Answer-Potentiation of effects,
especially respiratory depression, Some degree of cross tolerance.
Sedative Hypnotics common problems - Correct Answer-Tolerance, dependence,
addiction, elderly falls, respiratory depression
Sedative Hypnotics withdrawal - Correct Answer-Similar to alcohol, but may have
slower onset. Severity and time of onset vary with half life of drug. Mild: anxiety,
restlessness, nausea, vomiting, insomnia, hypertension, tachycardia, agitation, tremors,
sensory, hypersensitivity, dizziness, confusion, fatigue. Severe: Autonomic hyperactivity,
vital sign instability, elevated temp, delusions, hallucinations, mania, delirium, catatonia,
seizures, tremulousness, altered perceptions, w/d seizures possibly leading to death.
Sedative Hypnotics Medical uses - Correct Answer-Sleep, anxiety, muscle relaxation,
alcohol, and sedative/hypnotic w/d, control of seizures includes Benzodiazepines,
barbiturates, and others.
Sedative Hypnotics physical/mental exam - Correct Answer-Slurred speech, ataxia,
stupor, coma, and for nonbenzo's respiratory depression. confusion, impaired
judgement, delirium.
Cocaine action - Correct Answer-affects dopamine, norepinephrine, and serotonin
levels. Blocks re-uptake of dopamine, prolonging dopamine effects. Depletes it with
prolonged use. Toxic effects on cardiac, respiratory, and cns.
Amphetamines and Methylphenidate action (stimulant) - Correct Answer-Direct neuron
release of dopamine and norepinephrine and blockade of catecholamine re-uptake
produce euphoric effects. Various toxic effets on the sympathetic nervous system.
Stimulant physical and mental status - Correct Answer-pupils dilated, dry mouth, cardiac
arrhythmias, twitching, tremors, convulsions, stroke, coma, confusion, disinhibited
behavior, paranoid thoughts, hallucinations, hyper vigilance, elevation and or
depression, suicidal behavior, impaired judgement.
Correct Answers | Latest Update
CAGE - Correct Answer-• The briefest and most widely used.
• Only four questions asked directly to the person.
• If someone answers yes to one of the questions then there is an indicator that their
might be a problem that needs to be further investigated.
• If they answer yes to two or more they are sent for further testing.
• Advantages-yes or no questions
• Disadvantages-not asking about time frame, self report, not in depth about
environment, not in depth
MAST - Correct Answer-• Widely used
• Good reliability and validity
• Original had 25 self administered questions the one now has only 22.
• Advantages-it could be a reality check to someone taking it, not very time consuming,
simple yes and no
• Disadvantage-it doesn't ask you to explain, doesn't ask time frame
AUDIT - Correct Answer-• Ten items 1-3 frequency and quantity 4-6 alcohol
dependence 7-10 how harmful alcohol use.
• Advantages-you can use it in an interview, it's not that long, it's more specific
• Disadvantage-not specific enough, doesn't add in the times when drinking is more
acceptable like vacation etc., not valid
• Can be self report questionnaire or an interview
DAST - Correct Answer-Screen drugs other than alcohol
POSIT - Correct Answer-139 items on it
Used for substance use problems and social, behavioral, and learning problems
Disadvantages-too long, repetitious, lack of consistency
Advantages-more detailed
SASSI - Correct Answer-• Doesn't directly question about alcohol/drug use (not like the
previous ones)
• Around 50 questions
• Asks questions about alcohol/drug use on one side and don't on the other
• Looking for defensiveness, looking at others, personal affect
• Disadvantages-could be hard to profile
DSM Axes - Correct Answer-o Axis I-Clinical syndromes
• Alcohol abuse, cannabis dependency
o Axis II-Personality disorders/mental retardation
• Not used very often in alcohol or chemical use
,o Axis III-Medical Conditions
• Psoriasis of the liver
o Axis IV-Psychosocial/environmental stressors
• Losing kids because of substance abuse, lacks good social support system
o Axis V-Global assessment of functioning
• 0-100 how the person is functioning overall
Narcotics possible effects - Correct Answer-Euphoria, drowsiness, respiratory
depression, constricted pupils, nausea
Narcotics effects of OD - Correct Answer-Slow/shallow breathing, clammy skin,
convulsions, coma, and possible death
Narcotics withdrawal syndrome - Correct Answer-Water eyes, runny nose, yawning,
loss of appetite, irritability, tremors, panic, cramps, nausea, chills, sweating.
Narcotics - Correct Answer-Heroin, Morphine, Hydrocodone, Hydromorphone,
Oxycodone, Codeine
Depressants - Correct Answer-Hydroxybutyric Acid, gamma, Benzodiazepines etc.
Depressant effects - Correct Answer-slurred speech, disorientation, drunken behavior
without odor of alc., impaired memory of events, interacts with alc.
Depressant overdose - Correct Answer-shallow respiration, clammy skin, dilated pupils,
weak and rapid pulse, coma, and possible death.
Depressant withdrawal - Correct Answer-Anxiety, insomnia, tremors, delirium,
convulsions, possible death.
Stimulants - Correct Answer-Cocaine half life=one hour, Amphetamine=6-12 hours,
Methylphenidate=2 hours
Stimulant effects - Correct Answer-Increased alertness, excitation, euphoria, increased
pulse rate, increased blood pressure, insomnia, and loss of appetite, dilated pupils.
Stimulant OD - Correct Answer-Agitation, increased body temperature, hallucinations,
convulsions, and possible death
Stimulant withdrawal - Correct Answer-Apathy, long periods of sleep, irritability,
depression (possible with suicidal potential), and disorientation, increased appetite,
anhedonia (absence of pleasure) and craving.
Hallucinogens - Correct Answer-MDMA and Analogs, LSD, Phencyclidine,
,Hallucinogen signs and symptoms - Correct Answer-Increased reflexes, tremors,
weakness, flushing and chills, seizures, inappropriate mood, elation, hallucinations,
bizarre behavior, disorientation, confusion, delusions, and impaired judgement.
Hallucinogen OD - Correct Answer-Increased body temp, electrolyte imbalance, cardiac
arrest, unable to direct movement, feel pain, or remember.
Hallucinogen withdrawal - Correct Answer-Muscle aches, drowsiness, depression, acne,
and drug seeking behavior.
Cannabis effects - Correct Answer-Euphoria, relaxed inhibitions, increased appetite,
disorientation,
Cannabis problems - Correct Answer-impairment of ability to learn. Medical effects with
prolonged use include respiratory problems, possible impaired immune function and
possible reproductive problems including low birth weight infants.
Cannabis withdrawal - Correct Answer-Rare. Appear limited to some heavy users.
Possible irritability, restlessness, craving, loss of appetite, nausea, diarrhea, muscle
twitching, overt aggression and depression.
Anabolic Steroids effects - Correct Answer-Virilization, edema, testicular atrophy,
gynecomastia, acne aggressive behavior
Anabolic Steroids withdrawal - Correct Answer-Possible depression
Inhalants effects - Correct Answer-flushing, hypotension, headache, cardiac
depressants leading to "sudden sniffing death.
Inhalants signs and symptoms - Correct Answer-possible asphyxiation and frostbite of
nose, lips, or larynx if inhaled from a tank, loss of motor control, nausea, ataxia, muscle
weakness, dysarthria, nystagmus, diminished reflexes.
Inhalants withdrawal - Correct Answer-Agitation -psychological but no known physical
symptoms
Alcohol common problems - Correct Answer-Tolerance, Dependence, Depression,
neurologic deficits, hypertension, liver and heart disease.
Alcohol OD - Correct Answer-Vomiting, respiratory depression, loss of consciousness,
possible death.
Alcohol Withdrawal - Correct Answer-Trembling, autonomic hyperactivity, Anxiety,
insomnia, vitamin deficiency, confusion, hallucination, and convulsions.
, Alcohol acute effects - Correct Answer-low doses: euphoria, mild stimulation, relaxation,
and lowered inhibitions. high doses: drowsiness, slurred speech, nausea, emotional
volatility, loss of coordination, visual distortions, impaired memory, sexual dysfunctions,
loss of consciousness/increased risk or injuries, violence, fetal damage.
Sedative Hypnotics desired effects - Correct Answer-Similar to alcohol. Reduction of
anxiety; possible elation, secondary to decrease alertness and judgment.
Sedative Hypnotics acute effects - Correct Answer-Sedation, impaired judgement,
impaired operation of vehicles, respiratory and cardiac depression with overdose (much
less likely with benzodiazepines alone).
Sedative Hypnotics interaction with alcohol - Correct Answer-Potentiation of effects,
especially respiratory depression, Some degree of cross tolerance.
Sedative Hypnotics common problems - Correct Answer-Tolerance, dependence,
addiction, elderly falls, respiratory depression
Sedative Hypnotics withdrawal - Correct Answer-Similar to alcohol, but may have
slower onset. Severity and time of onset vary with half life of drug. Mild: anxiety,
restlessness, nausea, vomiting, insomnia, hypertension, tachycardia, agitation, tremors,
sensory, hypersensitivity, dizziness, confusion, fatigue. Severe: Autonomic hyperactivity,
vital sign instability, elevated temp, delusions, hallucinations, mania, delirium, catatonia,
seizures, tremulousness, altered perceptions, w/d seizures possibly leading to death.
Sedative Hypnotics Medical uses - Correct Answer-Sleep, anxiety, muscle relaxation,
alcohol, and sedative/hypnotic w/d, control of seizures includes Benzodiazepines,
barbiturates, and others.
Sedative Hypnotics physical/mental exam - Correct Answer-Slurred speech, ataxia,
stupor, coma, and for nonbenzo's respiratory depression. confusion, impaired
judgement, delirium.
Cocaine action - Correct Answer-affects dopamine, norepinephrine, and serotonin
levels. Blocks re-uptake of dopamine, prolonging dopamine effects. Depletes it with
prolonged use. Toxic effects on cardiac, respiratory, and cns.
Amphetamines and Methylphenidate action (stimulant) - Correct Answer-Direct neuron
release of dopamine and norepinephrine and blockade of catecholamine re-uptake
produce euphoric effects. Various toxic effets on the sympathetic nervous system.
Stimulant physical and mental status - Correct Answer-pupils dilated, dry mouth, cardiac
arrhythmias, twitching, tremors, convulsions, stroke, coma, confusion, disinhibited
behavior, paranoid thoughts, hallucinations, hyper vigilance, elevation and or
depression, suicidal behavior, impaired judgement.
