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76 Multiple-Choice Practice Exam Questions for Addiction

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I made these questions as practice for the Addiction exam, so I tried to include most important materials from the course. - always one correct answer option - includes materials from all mandatory reading and lectures - they are in the same order as they appear in the course materials - answer sheet on last page - you can find the context for each question in my summary (separate document for sale in my profile) Some questions are more difficult and sometimes up to (philosophical) debate.

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Addiction - Erasmus University Rotterdam
Academic Year 2025-26
76 Multiple-Choice Practice Questions
- always one correct answer option
- includes materials from all mandatory reading and lectures
- they are in the same order as they appear in the course materials
- answer sheet on last page
- you can find the context for each question in my summary
(separate document for sale in my profile)
- good luck :)

, 1. How did the DSM first describe addiction?
a) as a behavioral disorder
b) as a personality disorder
c) as an externalizing disorder
d) as substance use disorder

2. What impact did the emergence of the term ‘dependence’ not have?
a) clearer distinction between compulsion and physical effects
b) more attention to the nature and impact of addiction
c) more attention on the physical consequences of addiction
d) an understanding that addiction to different substances have the same underlying mechanisms

3. According to the Brain Disease Model, drugs induce a reduced activity in which part of the brain?
a) prefrontal regions
b) basal ganglia
c) hippocampus
d) amygdala

4. The Brain Disease Model names 3 models of neuroadaptation. Which of the following is not one of them?
a) subcortical regions underlying responsiveness become desensitized
b) desensitized regions become activated by drug-related cues
c) prefrontal cortex becomes hypoactive
d) increased myelination in the dopaminergic system

5. The following statements are sources of evidence for which argument of addiction:
I. craving undermines attempts to curtail drug use
II. high levels of relapse
a) I. is for brain disease model, II. is for (partial) loss of free will argument
b) II. is for brain disease model, I. is for loss of free will argument
c) both I. and II. are for brain disease model
d) both I. and II. are for loss of free will argument

6. The fact that many people with addiction can control their use if given financial incentives is proof of what?
a) that addiction is not just a brain disease
b) that addiction doesn’t lead to a complete loss of free will
c) both
d) neither

7. Complete the sentence: According to the contextualized reinforcer pathology model, there is a constant
balance in __________, weighing on the availability of the drug and alternative __________
a) control; reinforcers
b) reinforcers; drugs
c) attention; reinforcers
d) dopamine activity; cues

8. Which of the following statement(s) is/are true?
I. SUD has stronger associations with the externalizing pathway than with the internalizing pathway
II. the developmental epidemiology of SUD is homogeneous
a) I. is true and II. is false
b) I. is false and II. is true
c) both I. and II. are true
d) both I. and II are false

9. Which substances stimulate the perceptual systems?
a) benzodiazepines, alcohol
b) LSD, cannabis, ketamine
c) heroin, prescription drugs
d) cocaine, amphetamines

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