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Drug Use and Misuse, 9th Edition by Maisto, Galizio, and Connors
, COMPLETE TEST BANK
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Drug Use and Misuse, 9th Edition by Maisto, Galizio, and Connors
Chapter 1 – Drug Use and Misuse
Theme: Definitions of drug use, abuse, and dependence; patterns and
classifications of drug-taking behavior; scope of the problem globally and
nationally.
1. What is the most accurate definition of drug misuse in the context of public
health?
a. Using an illegal drug in any amount
b. Taking a drug in a manner or dose other than prescribed, whether or not harm
occurs
c. Using a drug to alter mood or consciousness in a social setting
d. Continuing drug use despite negative consequences
✅ Correct Answer: b. Taking a drug in a manner or dose other than prescribed,
whether or not harm occurs
Rationale: Misuse refers to the incorrect use of a legal medication, such as taking
higher doses or using someone else’s prescription, regardless of whether harm
occurs. Option a is illegal use, not necessarily misuse. Option c describes
recreational use. Option d describes dependence, not misuse.
References: Definitions of Drug Use, Abuse, and Dependence
Topics: Public Health Terminology
Keywords: Misuse, Definitions, Public Health
2. Which term describes a pattern of substance use characterized by tolerance,
withdrawal, and compulsive drug-seeking behavior?
a. Drug abuse
b. Drug misuse
c. Drug dependence
d. Recreational drug use
✅ Correct Answer: c. Drug dependence
Rationale: Dependence is a physiological and/or psychological state in which the
body adapts to drug presence, leading to tolerance and withdrawal, often
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Drug Use and Misuse, 9th Edition by Maisto, Galizio, and Connors
accompanied by compulsive drug-seeking. Abuse (a) focuses on harmful patterns
without necessarily involving physical dependence. Misuse (b) refers to
inappropriate but not necessarily chronic use. Recreational use (d) may not involve
dependence.
References: Definitions of Dependence
Topics: Substance Use Disorders
Keywords: Dependence, Tolerance, Withdrawal
3. How is drug abuse best differentiated from drug misuse?
a. Abuse involves any illegal drug, misuse does not
b. Abuse is defined solely by the type of drug
c. Abuse involves recurrent harmful consequences, whereas misuse may not
d. Abuse is a medical term, misuse is a legal term
✅ Correct Answer: c. Abuse involves recurrent harmful consequences, whereas
misuse may not
Rationale: Abuse is characterized by recurrent use that causes health, social, or
legal problems. Misuse can occur without harm, as in taking a prescription
incorrectly without consequence. The other options oversimplify or misrepresent
the terms.
References: Abuse vs. Misuse
Topics: Substance Use Patterns
Keywords: Abuse, Misuse, Harm
4. Which classification system groups drugs according to their effects on thoughts,
emotions, and behavior?
a. Therapeutic use classification
b. Chemical structure classification
c. Legal classification
d. Psychoactive effect classification
✅ Correct Answer: d. Psychoactive effect classification
Rationale: Psychoactive effect classification focuses on the impact on mood,
cognition, and behavior. Therapeutic use groups drugs by medical purpose (a),
chemical structure groups by molecular composition (b), and legal classification is
based on regulatory status (c).
References: Patterns and Classifications of Drug-Taking Behavior
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Drug Use and Misuse, 9th Edition by Maisto, Galizio, and Connors
Topics: Drug Classification Systems
Keywords: Psychoactive, Classification, Behavior
5. Which statement best explains the concept of drug tolerance?
a. Needing the same dose of a drug to achieve the same effect
b. Experiencing withdrawal symptoms when stopping the drug
c. Requiring progressively larger doses to achieve the same effect
d. Using drugs for longer than intended
✅ Correct Answer: c. Requiring progressively larger doses to achieve the same
effect
Rationale: Tolerance develops when the body adapts to a drug, requiring higher
doses for the same impact. Withdrawal (b) occurs when stopping the drug. Using
longer than intended (d) is a behavioral sign of problematic use but not tolerance.
Option a is the opposite of tolerance.
References: Physiological Adaptation to Drugs
Topics: Tolerance Mechanisms
Keywords: Tolerance, Dose, Adaptation
6. Which global public health indicator provides the most reliable data on the
prevalence of drug use internationally?
a. National Survey on Drug Use and Health (NSDUH)
b. World Drug Report by the United Nations Office on Drugs and Crime
(UNODC)
c. Monitoring the Future (MTF) survey
d. Drug Abuse Warning Network (DAWN)
✅ Correct Answer: b. World Drug Report by the United Nations Office on Drugs
and Crime (UNODC)
Rationale: The UNODC’s World Drug Report compiles international data,
providing global prevalence estimates. NSDUH (a) and MTF (c) are U.S.-specific.
DAWN (d) tracks emergency department drug mentions in the U.S., not global
use.
References: Scope of the Problem Globally and Nationally
Topics: Epidemiological Data Sources
Keywords: UNODC, Global Drug Use, Epidemiology
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Drug Use and Misuse, 9th Edition by Maisto, Galizio, and Connors
7. Which factor is most strongly associated with a higher risk of developing a
substance use disorder?
a. Limited drug availability in the community
b. Early initiation of drug use during adolescence
c. Strong family and social support
d. Strict drug policy enforcement
✅ Correct Answer: b. Early initiation of drug use during adolescence
Rationale: Early initiation increases neurobiological vulnerability due to brain
development, significantly raising the risk of dependence. Limited availability (a)
and strong support (c) reduce risk. Strict enforcement (d) affects supply but not
necessarily individual susceptibility.
References: Risk Factors for Substance Use
Topics: Developmental Risk
Keywords: Adolescence, Risk Factor, Prevention
8. What is the most appropriate term for nonmedical use of prescription stimulants
to improve academic performance?
a. Drug abuse
b. Drug misuse
c. Drug dependence
d. Recreational drug use
✅ Correct Answer: b. Drug misuse
Rationale: This is misuse because the drugs are taken in a manner not prescribed,
even if for functional purposes like studying. Abuse involves harm or negative
consequences, which may or may not be present here. Dependence (c) involves
physiological adaptation, and recreational use (d) implies pleasure-seeking.
References: Patterns of Drug-Taking Behavior
Topics: Prescription Drug Use
Keywords: Misuse, Stimulants, Nonmedical
9. Which statement best describes the relationship between drug use prevalence
and drug-related harm at the population level?
a. Higher prevalence always results in higher harm
b. Harm is independent of prevalence
c. Harm depends on both prevalence and the drug’s risk profile
d. Low-prevalence drugs cause minimal harm
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Drug Use and Misuse, 9th Edition by Maisto, Galizio, and Connors
✅ Correct Answer: c. Harm depends on both prevalence and the drug’s risk
profile
Rationale: A drug’s impact depends on how widely it’s used and its potential for
harm per user. For example, alcohol has high prevalence and moderate individual
harm, leading to high overall societal harm. Low-prevalence drugs can still cause
significant harm if highly dangerous.
References: Scope of the Problem
Topics: Public Health Burden
Keywords: Prevalence, Harm, Risk Profile
10. Which type of drug classification would place both alcohol and
benzodiazepines in the same category?
a. Chemical classification
b. Therapeutic classification
c. Legal classification
d. Pharmacological effect classification
✅ Correct Answer: d. Pharmacological effect classification
Rationale: Both are central nervous system depressants. They differ chemically
but share similar pharmacological effects. Therapeutic use (b) and legal status (c)
differ between them.
References: Classification of Drugs
Topics: Pharmacological Categories
Keywords: Depressants, Classification, CNS
11. Which concept explains why an individual who used to drink two beers to feel
relaxed now needs four to achieve the same effect?
a. Cross-dependence
b. Cross-tolerance
c. Tolerance
d. Drug misuse
✅ Correct Answer: c. Tolerance
Rationale: Tolerance occurs when the body adapts to a drug’s presence, reducing
its effects at a given dose. Cross-tolerance (b) occurs between different drugs of
similar action. Cross-dependence (a) is when one drug can prevent withdrawal
from another. Misuse (d) refers to improper use patterns, not physiological
adaptation.
FOR
Drug Use and Misuse, 9th Edition by Maisto, Galizio, and Connors
, COMPLETE TEST BANK
FOR
Drug Use and Misuse, 9th Edition by Maisto, Galizio, and Connors
Chapter 1 – Drug Use and Misuse
Theme: Definitions of drug use, abuse, and dependence; patterns and
classifications of drug-taking behavior; scope of the problem globally and
nationally.
1. What is the most accurate definition of drug misuse in the context of public
health?
a. Using an illegal drug in any amount
b. Taking a drug in a manner or dose other than prescribed, whether or not harm
occurs
c. Using a drug to alter mood or consciousness in a social setting
d. Continuing drug use despite negative consequences
✅ Correct Answer: b. Taking a drug in a manner or dose other than prescribed,
whether or not harm occurs
Rationale: Misuse refers to the incorrect use of a legal medication, such as taking
higher doses or using someone else’s prescription, regardless of whether harm
occurs. Option a is illegal use, not necessarily misuse. Option c describes
recreational use. Option d describes dependence, not misuse.
References: Definitions of Drug Use, Abuse, and Dependence
Topics: Public Health Terminology
Keywords: Misuse, Definitions, Public Health
2. Which term describes a pattern of substance use characterized by tolerance,
withdrawal, and compulsive drug-seeking behavior?
a. Drug abuse
b. Drug misuse
c. Drug dependence
d. Recreational drug use
✅ Correct Answer: c. Drug dependence
Rationale: Dependence is a physiological and/or psychological state in which the
body adapts to drug presence, leading to tolerance and withdrawal, often
, COMPLETE TEST BANK
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Drug Use and Misuse, 9th Edition by Maisto, Galizio, and Connors
accompanied by compulsive drug-seeking. Abuse (a) focuses on harmful patterns
without necessarily involving physical dependence. Misuse (b) refers to
inappropriate but not necessarily chronic use. Recreational use (d) may not involve
dependence.
References: Definitions of Dependence
Topics: Substance Use Disorders
Keywords: Dependence, Tolerance, Withdrawal
3. How is drug abuse best differentiated from drug misuse?
a. Abuse involves any illegal drug, misuse does not
b. Abuse is defined solely by the type of drug
c. Abuse involves recurrent harmful consequences, whereas misuse may not
d. Abuse is a medical term, misuse is a legal term
✅ Correct Answer: c. Abuse involves recurrent harmful consequences, whereas
misuse may not
Rationale: Abuse is characterized by recurrent use that causes health, social, or
legal problems. Misuse can occur without harm, as in taking a prescription
incorrectly without consequence. The other options oversimplify or misrepresent
the terms.
References: Abuse vs. Misuse
Topics: Substance Use Patterns
Keywords: Abuse, Misuse, Harm
4. Which classification system groups drugs according to their effects on thoughts,
emotions, and behavior?
a. Therapeutic use classification
b. Chemical structure classification
c. Legal classification
d. Psychoactive effect classification
✅ Correct Answer: d. Psychoactive effect classification
Rationale: Psychoactive effect classification focuses on the impact on mood,
cognition, and behavior. Therapeutic use groups drugs by medical purpose (a),
chemical structure groups by molecular composition (b), and legal classification is
based on regulatory status (c).
References: Patterns and Classifications of Drug-Taking Behavior
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Drug Use and Misuse, 9th Edition by Maisto, Galizio, and Connors
Topics: Drug Classification Systems
Keywords: Psychoactive, Classification, Behavior
5. Which statement best explains the concept of drug tolerance?
a. Needing the same dose of a drug to achieve the same effect
b. Experiencing withdrawal symptoms when stopping the drug
c. Requiring progressively larger doses to achieve the same effect
d. Using drugs for longer than intended
✅ Correct Answer: c. Requiring progressively larger doses to achieve the same
effect
Rationale: Tolerance develops when the body adapts to a drug, requiring higher
doses for the same impact. Withdrawal (b) occurs when stopping the drug. Using
longer than intended (d) is a behavioral sign of problematic use but not tolerance.
Option a is the opposite of tolerance.
References: Physiological Adaptation to Drugs
Topics: Tolerance Mechanisms
Keywords: Tolerance, Dose, Adaptation
6. Which global public health indicator provides the most reliable data on the
prevalence of drug use internationally?
a. National Survey on Drug Use and Health (NSDUH)
b. World Drug Report by the United Nations Office on Drugs and Crime
(UNODC)
c. Monitoring the Future (MTF) survey
d. Drug Abuse Warning Network (DAWN)
✅ Correct Answer: b. World Drug Report by the United Nations Office on Drugs
and Crime (UNODC)
Rationale: The UNODC’s World Drug Report compiles international data,
providing global prevalence estimates. NSDUH (a) and MTF (c) are U.S.-specific.
DAWN (d) tracks emergency department drug mentions in the U.S., not global
use.
References: Scope of the Problem Globally and Nationally
Topics: Epidemiological Data Sources
Keywords: UNODC, Global Drug Use, Epidemiology
, COMPLETE TEST BANK
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Drug Use and Misuse, 9th Edition by Maisto, Galizio, and Connors
7. Which factor is most strongly associated with a higher risk of developing a
substance use disorder?
a. Limited drug availability in the community
b. Early initiation of drug use during adolescence
c. Strong family and social support
d. Strict drug policy enforcement
✅ Correct Answer: b. Early initiation of drug use during adolescence
Rationale: Early initiation increases neurobiological vulnerability due to brain
development, significantly raising the risk of dependence. Limited availability (a)
and strong support (c) reduce risk. Strict enforcement (d) affects supply but not
necessarily individual susceptibility.
References: Risk Factors for Substance Use
Topics: Developmental Risk
Keywords: Adolescence, Risk Factor, Prevention
8. What is the most appropriate term for nonmedical use of prescription stimulants
to improve academic performance?
a. Drug abuse
b. Drug misuse
c. Drug dependence
d. Recreational drug use
✅ Correct Answer: b. Drug misuse
Rationale: This is misuse because the drugs are taken in a manner not prescribed,
even if for functional purposes like studying. Abuse involves harm or negative
consequences, which may or may not be present here. Dependence (c) involves
physiological adaptation, and recreational use (d) implies pleasure-seeking.
References: Patterns of Drug-Taking Behavior
Topics: Prescription Drug Use
Keywords: Misuse, Stimulants, Nonmedical
9. Which statement best describes the relationship between drug use prevalence
and drug-related harm at the population level?
a. Higher prevalence always results in higher harm
b. Harm is independent of prevalence
c. Harm depends on both prevalence and the drug’s risk profile
d. Low-prevalence drugs cause minimal harm
, COMPLETE TEST BANK
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Drug Use and Misuse, 9th Edition by Maisto, Galizio, and Connors
✅ Correct Answer: c. Harm depends on both prevalence and the drug’s risk
profile
Rationale: A drug’s impact depends on how widely it’s used and its potential for
harm per user. For example, alcohol has high prevalence and moderate individual
harm, leading to high overall societal harm. Low-prevalence drugs can still cause
significant harm if highly dangerous.
References: Scope of the Problem
Topics: Public Health Burden
Keywords: Prevalence, Harm, Risk Profile
10. Which type of drug classification would place both alcohol and
benzodiazepines in the same category?
a. Chemical classification
b. Therapeutic classification
c. Legal classification
d. Pharmacological effect classification
✅ Correct Answer: d. Pharmacological effect classification
Rationale: Both are central nervous system depressants. They differ chemically
but share similar pharmacological effects. Therapeutic use (b) and legal status (c)
differ between them.
References: Classification of Drugs
Topics: Pharmacological Categories
Keywords: Depressants, Classification, CNS
11. Which concept explains why an individual who used to drink two beers to feel
relaxed now needs four to achieve the same effect?
a. Cross-dependence
b. Cross-tolerance
c. Tolerance
d. Drug misuse
✅ Correct Answer: c. Tolerance
Rationale: Tolerance occurs when the body adapts to a drug’s presence, reducing
its effects at a given dose. Cross-tolerance (b) occurs between different drugs of
similar action. Cross-dependence (a) is when one drug can prevent withdrawal
from another. Misuse (d) refers to improper use patterns, not physiological
adaptation.
