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The opiate-antagonist naltrexone is a treatment for substance abuse that works by


A) substituting a chemically similar drug for the addictive drug.
B) both counteracting the effects of opiates and producing withdrawal symptoms.
C) producing a cross-tolerance effect in a drug user.
D) producing only a temporary euphoric effect if opiates continue to be used.

E) B) and D)
F) A) and B)

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Among the so-called recreational or illicit "designer drugs" is a dissociative anesthetic that produces a sense of detachment along with a reduced awareness of pain. It is called .


A) Ecstasy (MDMA)
B) "K" or "Special K"
C) Eve
D) Nexus

E) A) and D)
F) None of the above

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A report from the Substance Abuse and Health Services Administration (2012) indicates that just under of Americans reported binge drinking in the month preceding the report.


A) 2%
B) 24%
C) 51%
D) 65%

E) B) and C)
F) A) and D)

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A commonly held-opinion is that alcohol increases social skills because it loosens inhibitions in communication. Describe recent research that supports or negates this opinion.

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Although alcohol may seem to make us mor...

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The disease model of dependence


A) assumes that dependence is caused by a psychological disorder.
B) assumes that dependence is caused by an underlying physiological disorder.
C) is a psychosocial perspective.
D) assumes that dependence is a failure of self-control.

E) All of the above
F) A) and D)

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The "pleasure pathways," or internal reward centers, in the human brain are primarily made up of ______________.


A) dopamine-sensitive neurons
B) serotonin-sensitive neurons
C) both of these
D) neither of these

E) B) and C)
F) A) and D)

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Ecstasy, or MDMA,


A) increases appetite.
B) rarely causes Emergency Room visits.
C) is now used more than LSD.
D) acts like speed, but has major withdrawal symptoms.

E) B) and C)
F) A) and C)

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Although most psychoactive substances interact with specific substances in brain cells, the effects of are much more complex because several different neurotransmitter systems are affected.


A) opiates
B) tranquilizers
C) alcohol
D) marijuana

E) A) and B)
F) A) and C)

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Which of the following neurotransmitters affects the emotion of anxiety during alcohol use?


A) GABA
B) Serotonin
C) Glutamate
D) Dopamine

E) B) and D)
F) None of the above

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Until 1903, Coca-Cola contained which of the following?


A) Cocaine
B) Heroin
C) Caffeine
D) Chocolate

E) B) and D)
F) A) and B)

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What explains the apparent stimulation, feeling of well-being, and outgoing behavior that occur as the initial effects of alcohol ingestion?


A) Depression of the inhibitory centers in the brain
B) Activation of the inhibitory centers in the brain
C) Depression of the autonomic nervous system
D) Stimulation of the autonomic nervous system

E) A) and B)
F) All of the above

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Which of the following are examples of opioids?


A) Chemicals in the poppy
B) Hydrocodone
C) Enkephalins
D) All of the above

E) C) and D)
F) A) and C)

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Nicotine synergism refers to combining nicotine with .


A) contextual cues
B) expectancies
C) practice
D) experience

E) B) and C)
F) All of the above

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The field of research that studies how genes work to affect addiction is called .


A) behavior genetics
B) the genome project
C) functional genomics
D) genetic cross-transformation

E) B) and D)
F) C) and D)

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The community reinforcement approach, a new type of program that has been started to address the problem of substance abuse, includes all of the following components EXCEPT


A) a non-substance-abusing relative participates with the alcoholic in relationship improvement sessions.
B) encouraging the substance abuser to accept that his or her friends may continue to be users but associating with them is still OK.
C) assistance with employment, education, finances, or other social service areas is provided to help reduce stress.
D) suggesting options for new recreational activities to replace previous drug-related activities.

E) All of the above
F) B) and C)

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Drug­addicted parents may contribute to their child's drug use by


A) failing to monitor the child's behavior.
B) making drugs available to the child.
C) creating an environment where peers use drugs.
D) all of the above.

E) C) and D)
F) B) and D)

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All of the following analgesic substances are classified as opiates EXCEPT .


A) cocaine
B) codeine
C) heroin
D) morphine

E) C) and D)
F) B) and D)

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Contingency management involves


A) the use of reinforcement for specific behaviors.
B) the elimination of abuse cues.
C) altering expectations.
D) use of medications to create substance aversions.

E) B) and C)
F) All of the above

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Peak alcohol use is typical:


A) during late teen years
B) in graduate school
C) during the early 20s
D) over the age of 65

E) C) and D)
F) None of the above

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Fetal alcohol syndrome (FAS) is a combination of problems that can occur in a child whose mother drank alcohol while pregnant. Symptoms of FAS include all of the following EXCEPT


A) cognitive deficits and behavior problems.
B) distorted facial features.
C) learning difficulties.
D) excessive fetal growth.

E) C) and D)
F) None of the above

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