COMPLETE TEST BANK
Drug Use and Misuse, 9th Edition by Stephen A. Maisto, Mark Galizio, and Gerard J. Connors.
, COMPLETE TEST BANK
Drug Use and Misuse, 9th Edition by Stephen A. Maisto, Mark Galizio, and Gerard J. Connors.
Chapter 1 – Drug Use and Misuse
1. Which definition best distinguishes drug misuse from drug abuse in the
context of public health?
a. Misuse refers to intentional, repeated, and compulsive use of a substance
despite harm; abuse refers to accidental overdose.
b. Misuse refers to use of a drug for a purpose other than intended, while
abuse refers to patterns that cause significant impairment or distress.
c. Misuse and abuse are interchangeable terms referring to any illegal use of a
drug.
d. Misuse refers to physical dependence; abuse refers to psychological
dependence.
✅ Correct Answer: b
Rationale: Misuse is generally defined as using a drug for a purpose other
than its intended medical use, such as taking more than prescribed or using
someone else’s medication. Abuse involves patterns of use that lead to
clinically significant impairment or distress, which may or may not include
dependence.
Difficulty: Advanced
Learning Objective: Differentiate between drug misuse and drug abuse
according to public health definitions.
Keywords: drug misuse, drug abuse, definitions
2. What is the most accurate term for a pattern of drug use involving
compulsive seeking and use, tolerance, and withdrawal symptoms?
a. Drug misuse
b. Drug abuse
c. Drug dependence
d. Recreational use
✅ Correct Answer: c
Rationale: Drug dependence encompasses both physiological and
psychological processes, including tolerance, withdrawal, and compulsive
, COMPLETE TEST BANK
Drug Use and Misuse, 9th Edition by Stephen A. Maisto, Mark Galizio, and Gerard J. Connors.
use. Misuse and abuse may occur without dependence, but dependence
indicates a more severe and chronic condition.
Difficulty: Advanced
Learning Objective: Define drug dependence and distinguish it from misuse
and abuse.
Keywords: dependence, tolerance, withdrawal
3. Which classification method organizes drugs based on the condition they
are used to treat?
a. Chemical structure
b. Mechanism of action
c. Therapeutic use
d. Legal status
✅ Correct Answer: c
Rationale: Therapeutic use classification groups drugs according to their
intended medical purpose, such as analgesics for pain or antidepressants for
depression. This is different from classifications by chemical structure,
pharmacological action, or legal status.
Difficulty: Moderate
Learning Objective: Identify drug classification methods and their purposes.
Keywords: classification, therapeutic use
4. According to epidemiological data, which factor is most predictive of
lifetime drug use prevalence in the U.S.?
a. Gender
b. Socioeconomic status
c. Age
d. Marital status
✅ Correct Answer: c
Rationale: National surveys consistently show that younger adults,
particularly those aged 18–25, have the highest rates of drug use across most
categories. Age is a stronger predictor than gender, SES, or marital status.
, COMPLETE TEST BANK
Drug Use and Misuse, 9th Edition by Stephen A. Maisto, Mark Galizio, and Gerard J. Connors.
Difficulty: Advanced
Learning Objective: Interpret epidemiological trends in drug use.
Keywords: prevalence, age, epidemiology
5. Which of the following best explains why prevalence rates from the
National Survey on Drug Use and Health (NSDUH) may underestimate
actual drug use?
a. The survey excludes people under 18.
b. The survey uses self-report, which may lead to underreporting.
c. The survey is conducted in treatment centers only.
d. The survey measures only prescription drug use.
✅ Correct Answer: b
Rationale: NSDUH relies on self-reported data, and social desirability bias
or fear of legal consequences may lead to underreporting of illegal or
stigmatized drug use. The survey includes individuals aged 12+, not just
adults, and covers a broad range of substances.
Difficulty: Advanced
Learning Objective: Evaluate the limitations of epidemiological drug use
data.
Keywords: NSDUH, self-report bias, underestimation
6. Why is it important to distinguish between incidence and prevalence in
drug use statistics?
a. Incidence measures total cases in a population, while prevalence measures
new cases.
b. Incidence measures new cases, while prevalence measures total cases.
c. Incidence is used only in medical contexts, prevalence in legal contexts.
d. Incidence is more accurate than prevalence.
✅ Correct Answer: b
Rationale: Incidence refers to the number of new cases in a given time
frame, while prevalence includes all existing cases (new and old). The
distinction is critical for understanding trends and planning interventions.
, COMPLETE TEST BANK
Drug Use and Misuse, 9th Edition by Stephen A. Maisto, Mark Galizio, and Gerard J. Connors.
Difficulty: Moderate
Learning Objective: Differentiate between epidemiological measures of
drug use.
Keywords: incidence, prevalence, epidemiology
7. Which scenario best represents drug abuse rather than misuse?
a. Taking a higher dose of prescribed painkillers after surgery without
consulting a doctor.
b. Sharing a prescription antibiotic with a family member.
c. Drinking alcohol daily to cope with stress despite declining work
performance.
d. Using over-the-counter medication for an unapproved symptom.
✅ Correct Answer: c
Rationale: Abuse involves continued use despite harm, as in drinking to
cope while experiencing negative consequences. Misuse includes incorrect or
inappropriate use, but without the pattern of harm seen in abuse.
Difficulty: Advanced
Learning Objective: Apply definitions of misuse and abuse to real-world
scenarios.
Keywords: misuse, abuse, case example
8. How does the World Health Organization define drug dependence?
a. Physical withdrawal symptoms upon cessation.
b. A cluster of cognitive, behavioral, and physiological phenomena after
repeated use.
c. Use of illegal substances only.
d. Tolerance without withdrawal.
✅ Correct Answer: b
Rationale: WHO’s definition emphasizes the combination of cognitive,
behavioral, and physiological factors that develop after repeated drug use,
including a strong desire to take the drug, difficulty controlling use, and
persistence despite harm.
, COMPLETE TEST BANK
Drug Use and Misuse, 9th Edition by Stephen A. Maisto, Mark Galizio, and Gerard J. Connors.
Difficulty: Advanced
Learning Objective: Recall the WHO definition of drug dependence.
Keywords: WHO, dependence, definition
9. Which drug classification method is most helpful for policymakers
considering legal regulation?
a. Therapeutic use
b. Mechanism of action
c. Chemical structure
d. Legal status
✅ Correct Answer: d
Rationale: Classifying drugs by legal status (e.g., controlled substances
schedules) directly relates to regulation and enforcement policies. Other
classification systems are more relevant to medical or scientific purposes.
Difficulty: Moderate
Learning Objective: Relate classification systems to policy contexts.
Keywords: classification, legal status, regulation
10. Which global trend most significantly influences the spread of drug use
across borders?
a. Localized cultural traditions
b. International trade and travel
c. Regional agricultural practices
d. Genetic predisposition in populations
✅ Correct Answer: b
Rationale: Increased globalization through trade, travel, and communication
facilitates the spread of both legal and illegal drugs, impacting availability
and cultural norms.
Difficulty: Advanced
Learning Objective: Identify global factors affecting drug use patterns.
Keywords: globalization, drug trends
Drug Use and Misuse, 9th Edition by Stephen A. Maisto, Mark Galizio, and Gerard J. Connors.
, COMPLETE TEST BANK
Drug Use and Misuse, 9th Edition by Stephen A. Maisto, Mark Galizio, and Gerard J. Connors.
Chapter 1 – Drug Use and Misuse
1. Which definition best distinguishes drug misuse from drug abuse in the
context of public health?
a. Misuse refers to intentional, repeated, and compulsive use of a substance
despite harm; abuse refers to accidental overdose.
b. Misuse refers to use of a drug for a purpose other than intended, while
abuse refers to patterns that cause significant impairment or distress.
c. Misuse and abuse are interchangeable terms referring to any illegal use of a
drug.
d. Misuse refers to physical dependence; abuse refers to psychological
dependence.
✅ Correct Answer: b
Rationale: Misuse is generally defined as using a drug for a purpose other
than its intended medical use, such as taking more than prescribed or using
someone else’s medication. Abuse involves patterns of use that lead to
clinically significant impairment or distress, which may or may not include
dependence.
Difficulty: Advanced
Learning Objective: Differentiate between drug misuse and drug abuse
according to public health definitions.
Keywords: drug misuse, drug abuse, definitions
2. What is the most accurate term for a pattern of drug use involving
compulsive seeking and use, tolerance, and withdrawal symptoms?
a. Drug misuse
b. Drug abuse
c. Drug dependence
d. Recreational use
✅ Correct Answer: c
Rationale: Drug dependence encompasses both physiological and
psychological processes, including tolerance, withdrawal, and compulsive
, COMPLETE TEST BANK
Drug Use and Misuse, 9th Edition by Stephen A. Maisto, Mark Galizio, and Gerard J. Connors.
use. Misuse and abuse may occur without dependence, but dependence
indicates a more severe and chronic condition.
Difficulty: Advanced
Learning Objective: Define drug dependence and distinguish it from misuse
and abuse.
Keywords: dependence, tolerance, withdrawal
3. Which classification method organizes drugs based on the condition they
are used to treat?
a. Chemical structure
b. Mechanism of action
c. Therapeutic use
d. Legal status
✅ Correct Answer: c
Rationale: Therapeutic use classification groups drugs according to their
intended medical purpose, such as analgesics for pain or antidepressants for
depression. This is different from classifications by chemical structure,
pharmacological action, or legal status.
Difficulty: Moderate
Learning Objective: Identify drug classification methods and their purposes.
Keywords: classification, therapeutic use
4. According to epidemiological data, which factor is most predictive of
lifetime drug use prevalence in the U.S.?
a. Gender
b. Socioeconomic status
c. Age
d. Marital status
✅ Correct Answer: c
Rationale: National surveys consistently show that younger adults,
particularly those aged 18–25, have the highest rates of drug use across most
categories. Age is a stronger predictor than gender, SES, or marital status.
, COMPLETE TEST BANK
Drug Use and Misuse, 9th Edition by Stephen A. Maisto, Mark Galizio, and Gerard J. Connors.
Difficulty: Advanced
Learning Objective: Interpret epidemiological trends in drug use.
Keywords: prevalence, age, epidemiology
5. Which of the following best explains why prevalence rates from the
National Survey on Drug Use and Health (NSDUH) may underestimate
actual drug use?
a. The survey excludes people under 18.
b. The survey uses self-report, which may lead to underreporting.
c. The survey is conducted in treatment centers only.
d. The survey measures only prescription drug use.
✅ Correct Answer: b
Rationale: NSDUH relies on self-reported data, and social desirability bias
or fear of legal consequences may lead to underreporting of illegal or
stigmatized drug use. The survey includes individuals aged 12+, not just
adults, and covers a broad range of substances.
Difficulty: Advanced
Learning Objective: Evaluate the limitations of epidemiological drug use
data.
Keywords: NSDUH, self-report bias, underestimation
6. Why is it important to distinguish between incidence and prevalence in
drug use statistics?
a. Incidence measures total cases in a population, while prevalence measures
new cases.
b. Incidence measures new cases, while prevalence measures total cases.
c. Incidence is used only in medical contexts, prevalence in legal contexts.
d. Incidence is more accurate than prevalence.
✅ Correct Answer: b
Rationale: Incidence refers to the number of new cases in a given time
frame, while prevalence includes all existing cases (new and old). The
distinction is critical for understanding trends and planning interventions.
, COMPLETE TEST BANK
Drug Use and Misuse, 9th Edition by Stephen A. Maisto, Mark Galizio, and Gerard J. Connors.
Difficulty: Moderate
Learning Objective: Differentiate between epidemiological measures of
drug use.
Keywords: incidence, prevalence, epidemiology
7. Which scenario best represents drug abuse rather than misuse?
a. Taking a higher dose of prescribed painkillers after surgery without
consulting a doctor.
b. Sharing a prescription antibiotic with a family member.
c. Drinking alcohol daily to cope with stress despite declining work
performance.
d. Using over-the-counter medication for an unapproved symptom.
✅ Correct Answer: c
Rationale: Abuse involves continued use despite harm, as in drinking to
cope while experiencing negative consequences. Misuse includes incorrect or
inappropriate use, but without the pattern of harm seen in abuse.
Difficulty: Advanced
Learning Objective: Apply definitions of misuse and abuse to real-world
scenarios.
Keywords: misuse, abuse, case example
8. How does the World Health Organization define drug dependence?
a. Physical withdrawal symptoms upon cessation.
b. A cluster of cognitive, behavioral, and physiological phenomena after
repeated use.
c. Use of illegal substances only.
d. Tolerance without withdrawal.
✅ Correct Answer: b
Rationale: WHO’s definition emphasizes the combination of cognitive,
behavioral, and physiological factors that develop after repeated drug use,
including a strong desire to take the drug, difficulty controlling use, and
persistence despite harm.
, COMPLETE TEST BANK
Drug Use and Misuse, 9th Edition by Stephen A. Maisto, Mark Galizio, and Gerard J. Connors.
Difficulty: Advanced
Learning Objective: Recall the WHO definition of drug dependence.
Keywords: WHO, dependence, definition
9. Which drug classification method is most helpful for policymakers
considering legal regulation?
a. Therapeutic use
b. Mechanism of action
c. Chemical structure
d. Legal status
✅ Correct Answer: d
Rationale: Classifying drugs by legal status (e.g., controlled substances
schedules) directly relates to regulation and enforcement policies. Other
classification systems are more relevant to medical or scientific purposes.
Difficulty: Moderate
Learning Objective: Relate classification systems to policy contexts.
Keywords: classification, legal status, regulation
10. Which global trend most significantly influences the spread of drug use
across borders?
a. Localized cultural traditions
b. International trade and travel
c. Regional agricultural practices
d. Genetic predisposition in populations
✅ Correct Answer: b
Rationale: Increased globalization through trade, travel, and communication
facilitates the spread of both legal and illegal drugs, impacting availability
and cultural norms.
Difficulty: Advanced
Learning Objective: Identify global factors affecting drug use patterns.
Keywords: globalization, drug trends
