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Synergistic effect - Practice exam materials
Advanced Theory and Treatment of Substance Abuse (Liberty University)
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• Question 1
.
The major receptor sites for opioids are the mu, delta, kappa, and nociceptin.
Selected Answer: True
Answers: True
False
.A. true. .4.13
• Question 2 .
Human beings have naturally occurring (endogenous) opioids, which cause
many of the same effects as those caused by taking opioid drugs
(exogenous opioids).
Selected Answer: True
Answers: True
False
..4.12-4.13
• Question 3 .
Heroin was first developed to be a non-addictive medical alternative to morphine.
Selected Answer: True
Answers: True
False
.ANSWER: A. true. .4.8
• Question 4 .
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Opiate addiction was first documented about 100 years ago.
Selected Answer: False
Answers: True
False
Response ANSWER: B. false. It was first documented about 2,500 years ago. .
Feedback: 4.7
• Question 5
.
Treatment for addiction to opiates requires a physiological and psychological process.
Selected Answer: True
Answers: True
False
..4.25
• Question 6 .
The "stop" switch in the brain, which tells your mind and body that it has had enough
and functions
to turn of the brain’s “go switch”, is located in the brain stem
Selected Answer: False
Answers: True
False
..4.17
• Question 7 .
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Needing a dose of a drug just to feel "normal" is a sign of tolerance.
Selected Answer: True
Answers: True
False
..4.19
• Question 8 .
One of the symptoms of chronic opiate use is itchy skin.
Selected Answer: True
Answers: True
False
..4.18
• Question 9 .
Alcohol is a major stimulant.
Selected Answer: False
Answers: True
False
.B. false. .4.1, 4.2
• Question 10 .
Most sedative-hypnotics are from natural sources.
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Quest
Quest
Selected Answer: False
Answers: True
False
Response B. false. All modern prescription sedative-hypnotics are synthetic. Pages
Feedback: 4.2, 4.34
• ion 11 .
Which of the following is true about the purity of heroin at the retail level?
Selected Answer:
It varies from 10% to 70%.
Answers: It increases the farther it is from the original source location.
It varies from 10% to 70%.
It is relatively constant because it is plant based and natural.
It is neutralized when mixed with cocaine.
. B. The DEA estimates heroin purity at from 10% to 70%. P.4.24
• ion 12 .
Which of the following statements is true?
Selected Answer:
Answers: Most heroin abusers began by abusing prescription opioids.
Prescription drug abuse affects only a select social class.
Most heroin abusers began by abusing prescription opioids.
OxyContin affects the body in ways that are entirely different from heroin.
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Making prescription drugs available over the counter would reduce their
abuse
potential.
Response B. Most heroin abusers began by abusing prescription opioids, specifically.
Feedback: .4.6
• Question 13
.
Which of the following statements about opioids is true?
Selected Answer:
Answers:
.
Question 14
•
There is almost no limit to the level of opioid tolerance a human can develop.
Alcohol can help counteract the stimulant effects of opioids.
There is almost no limit to the level of opioid tolerance a human can develop.
Opioid use is self-limiting.
Synthetic opiate prescription drugs, such as OxyContin, are not addictive.
ANSWER: B. Tolerance to opiates/opioids develops rapidly, with users being
able to tolerate great amounts within just a few days. .4.19
.
Which of the following substances have been abused for their major effects as a sedative-
hypnotic?
#1. GBL (gamma butyllactone) #2. Seroquel (quetiapine)
#3. Placidyl (ethchlorvynol)
#4. Sudafed (pseudoephedrine)
Selected Answer:
substances 1, 3, and
4 only Answers: substances 1, 3, and
4 only
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substances 1, 2, and 3 only
substances 2, 3, and 4 only
substances 1, 2, 3, and 4
. B. Pages 4.4, 4.44
• Question 15 .
Why is it dangerous to combine an opioid with a downer like alcohol,
barbiturates, or benzodiazepines?
Selected Answer:
Answers:
.
Question 16
because the combination of depressants increases the potential for respiratory
depression, overdose, and death
because the combination of depressants increases the potential for respiratory
depression, overdose, and death
because it is a combination of licit and illicit drugs
because they increase heart rate and respiration and can cause a heart attack
because they increase the potential of the user's becoming chemically dependent
A. Combination use of downers results in additive and synergistic depressant
effects. Pages 4.25, 4.38, 4.44
•
.
Which of the following drugs is an opioid antagonist that may be used to
prevent an opioid overdose?
Selected Answer: naloxone
Answers:
naloxone
tramadol
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amphetamine
methamphetamine
.A. naloxone. .4.7
• Question 17 .
Which of the following factors have led to increases in drug experimentation,
abuse, and addiction among U.S. military personnel who served in Iraq and
Afghanistan?
#1. the stress of years of war and combat
#2. the availability of prescription opiates like hydrocodone and oxycodone
#3. the availability of heroin
#4. post-traumatic stress
Selected Answer:
factors 1, 2, 3, and 4
Answers: factors 1, 3, and 4
factors 1, 2, and 3 factors 2, 3, and 4
factors 1, 2, 3, and 4
.ANSWER: D. .4.26
•
Question 18
.
Of the following semi-synthetic/synthetic opiate drugs, which is not a correct match
with the trade pharmaceutical name listed after it?
Selected Answer:
diacetylmorp
hine |
Suboxone
Answers: oxycodone | Percodan, Percocet
oxycodone | OxyContin
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diacetylmorphine | Suboxone
hydrocodone | Vicodin
. ANSWER: C. Suboxone is a combination of buprenorphine and
naloxone. Pages 4.30
•
Question 19
.
Which of the following statements concerning cross-tolerance of and
cross-dependence on drugs are true?
#1. As tolerance to a depressant drug develops, the user also develops
tolerance to other downers.
#2. As tissue dependence on a depressant drug develops, the user also develops
dependence on other drugs in its same chemical family.
#3. As tolerance to a drug develops, the user can also develop tolerance to other drugs he
actually uses from different chemical families.
#4. As tissue dependence on a drug develops, the user can also develop
dependence on other drugs in a different chemical family.
Selected Answer:
statements 2, 3, and
4 only Answers: statements 1, 3, and
4 only statements 1, 2, and 3 only
statements 2, 3, and 4 only
.D. .4.44
•
Question 20
statements 1, 2, 3, and 4
.
The synergistic effect of drugs refers to
Selected Answer:
•
the combination of two or more depressant drugs, which magnifies their effect on
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Answers: the CNS
the hallucinations produced by psychedelics
the combination of two or more depressant drugs, which magnifies their effect on
the CNS the canceling effect that occurs when you take two or more drugs (e.g., one
upper and one downer)
the length of time a drug is detectable in urine
. ANSWER: B. The combination of two or more depressant drugs, which
magnifies their effect on the CNS. Pages 4.25, 4.44
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