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Which agent has a withdrawal syndrome characterized by yawning,rhinorrhea,and chills that alternate with excessive sweating?


A) Amphetamine
B) Diazepam
C) Nicotine
D) Heroin

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

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Bupropion is an effective treatment for alcohol use disorder.

A) True
B) False

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"Bath salts" are related to


A) marijuana.
B) opioid analgesics.
C) amphetamines.
D) lysergic acid diethylamide (LSD) .

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

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E-cigarettes do not inhale the tars and other substances found in regular cigarettes.Children,teenagers,and pregnant women should not use them.


A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true.

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

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Agents capable of changing behavior or inducing a psychosis-like reaction are termed


A) psychedelic.
B) hallucinogenic.
C) psychoactive.
D) psychotomimetic.

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

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Advanced periodontal disease,jaundice,and palmar erythema are signs of


A) smokeless tobacco use.
B) Wernicke encephalopathy.
C) advanced alcoholic liver disease.
D) chronic nitrous oxide use.

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

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During drug withdrawal,symptoms appear that are opposite of the symptoms of drug use.

A) True
B) False

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Which of the following are true of nicotine in smoking tobacco and smokeless tobacco? (Select all that apply. )


A) There are many other components of tobacco smoke that are harmful in addition to nicotine.
B) About one-half of the adult American population smokes cigarettes.
C) Chronic use of tobacco is causally related to many serious diseases,including coronary artery disease and oral and lung cancers.
D) Smokeless tobacco is a safe alternative to smoking cigarettes.

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

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At which stage of ethyl alcohol withdrawal are hallucinations most prevalent?


A) Stage 1
B) Stage 2
C) Stage 3
D) Ethyl alcohol withdrawal is not associated with hallucinations

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

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Prescribing _____ for analgesia is best when treating a dental patient who abuses opioids.


A) Tylenol #3 with codeine
B) Vicodin
C) Percocet
D) nonsteroidal antiinflammatory drugs (NSAIDs)

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

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The recurrent use of alcohol and/or drugs causing clinically and functionally significant impairment is called


A) enabling.
B) psychologic dependence.
C) substance use disorders.
D) tolerance.
E) abstinence syndrome.

F) C) and D)
G) A) and B)

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All of the following statements are descriptive of psychologic dependence except which one?


A) It may vary from mild desire to compulsive obsession.
B) It is not as strong as physical dependence.
C) It often involves drug-seeking behavior.
D) It is a state in which the person feels unable to maintain optimal performance without the drug.

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

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Physical dependence


A) is a state of mind in which a person believes that he or she is unable to maintain optimal performance without having taken a drug.
B) is established by withdrawal syndrome.
C) refers to the altered physiologic state that results from constantly increasing drug concentrations.
D) Both A and B are correct.
E) Both B and C are correct.

F) A) and C)
G) C) and E)

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Which of the following statements is true regarding addiction,habituation,and dependence?


A) When comparing drugs of the same group,the time required to produce physical dependence is longest with a rapidly metabolized drug and shortest with a slowly metabolized drug.
B) Cross-tolerance may be either partial or complete and is determined more by the pharmacologic effect of the drug than by its chemical structure.
C) The longer the half-life of the drug is,the quicker the withdrawal will be.
D) A barbiturate can be substituted for an opioid,and vice versa.

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

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Drug withdrawal from sedative-hypnotic agents can be more life threatening than withdrawal from opioids.

A) True
B) False

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Abuse of _____ is the number one public health problem in the United States.


A) opioids
B) stimulants
C) alcohol
D) hallucinogens

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

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Which drug is associated with a deficiency of coagulation factors II,VII,IX,and X after chronic abuse?


A) Ethyl alcohol
B) Nicotine
C) Cocaine
D) Nitrous oxide

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

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Which of the following drugs may be used to reduce alcohol craving?


A) Metronidazole
B) Naltrexone
C) Chlordiazepoxide
D) Vitamin K

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

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Nitrous oxide abuse


A) can lead to physical dependence.
B) is primarily seen in food service employees.
C) can cause infertility.
D) can cause myelocytosis.

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

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Which of the following statements is true of alcohol use disorder?


A) A genetic link for alcohol use disorder exists.
B) Inpatient detoxification is required for most alcoholics.
C) Penicillin is known to produce a disulfiram-like reaction.
D) A patient will vomit if he or she takes naltrexone while consuming alcohol.

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

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