Exam 4 Notes -Addiction

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Metropolitan State University Of Denver *

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Medicine

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Apr 3, 2024

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Ch. 15 1. According to the National Academies of Science, there is substantial evidence the cannabis does which of the following? a. All of these i. decreases reports of muscle spasticity in MS patients ii. decreases chronic pain in adults iii. decreases nausea in chemotherapy patients According to the National Academies of Science, there is substantial evidence that cannabis does which of the following? 2. According to the National Academies of Science, there is substantial evidence that cannabis does which of the following? a. worsens respiratory issues 3. There are FDA-approved pill forms of THC that are obtainable by prescription for medical purposes. a. True 4. Endocannabinoids are an example of _______, which go backwards across the synapse to give feedback to the presynaptic cell. a. retrograde messengers 5. According to the National Academies of Science, there is insufficient evidence to support that long-term cannabis usage elevates risk of schizophrenia or other psychosis. a. False 6. Cesamet (nabilone) and Marinol (dronabinol) are ___________. a. All of these i. controlled substances ii. available by prescription iii. synthetic cannabinoids that are FDA-approved for medicinal purposes 7. The textbook states that cannabis is not really a drug by the FDA (Food and Drug Administration). Why wouldn't the FDA consider it a drug? a. Cannabis is a plant with many chemicals in it; drugs are purified and can be administered in known dosages. 8. CBD (cannabidiol) is generally associated with _________. a. medicinal effects of cannabis 9. Which of the following is expected if a woman smokes cannabis during pregnancy? a. low infant birth weight (baby born smaller) 10. When eaten, cannabis is converted into a metabolite which is significantly LESS potent than the original active ingredient of the substance.
a. False 11. A common problem associated with cannabis edibles is ______. a. people eating too much when they get impatient that the effects haven't been felt yet 12.For nearly 100 years, cannabis oil was included in the Pharmacopeia of the United States, in recognition of medical use. a. True 13. Frequent cannabis use does not lead to tolerance or withdrawal. a. False 14. "Reefer Madness" is ________. a. an anti-marijuana propaganda film from the 1930s 15.Which of the following is true about cannabis? a. There are >100 cannabinoids in the plant 16.Which of the following has been supported by a recent review by the National Academy of Science as a medical benefit of marijuana use backed by substantial evidence? a. pain relief 17.Cannabis indica strains are always high in CBD and low in THC. a. False 18.Synthetic cannabinoids tend to be less potent than THC. a. False 19.THC produces its effects in the brain by _______. a. binding CB receptors 20.Which of the following helped change Dr. Sanjay Gupta's views on medical marijuana? a. All of these i. The placement of cannabis on its current schedule was based on a lack of scientific evidence on marijuana ii. Lots of people die from opioid overdoses every day, but no one seems to be dying from medical marijuana. iii. He believes there are real medical benefits of marijuana, such as treating pain and seizures. 21.When an endocannabinoid molecule binds to CB receptors on the presynaptic membrane, what effect does this have? a. The amount of neurotransmitter released is decreased. 22.Synthetic cannabinoids were originally made for research purposes.
a. True 23.Which of the following would be reasons why people who use medical marijuana might prefer it to FDA-approved synthetic THC pills? a. Both of these i. If the FDA-approved medications are not covered by a person's insurance, they are much more expensive than medical marijuana. ii. It's easier to control the dosage with smoked marijuana than THC pills. 24.THC [delta-9-tetrahydrocannabinol] and CBD [cannabidiol] are examples of _______. a. phytocannabinoids 25.The Institute of Cannabis Research is located in which of the following locations? a. in the state of Colorado at CSU-Pueblo 26.According to survey data discussed in the text, <1% of people who try marijuana will become dependent on it. a. False 27.Based on research, it appears that CBD may counteract some of the effects of THC. a. True 28.Currently, the concentration of THC in marijuana (buds & flowers of the cannabis plant) seized by law enforcement would be expected to be at least _______. a. 12% 29.The earliest use of the cannabis plant is believed to be for hemp fibers. a. True 30.CBD (cannabidiol) is generally associated with _________. a. medicinal effects of cannabis 31.Why did early colonists settling in North America grow cannabis? a. primarily for the hemp fibers that could be used to make cloth, paper, and rope 32.11-hydroxy-THC is _________. a. a metabolite of THC that is at least as potent as THC itself 33.Where are CB2 receptors most commonly found? a. in the immune system 34.There is a high risk of a person dying from suppression of the respiratory center in the medulla if they take high doses of cannabis. a. False
Chapter 17 1. Men and women face the exact same issues when seeking substance abuse treatment. a. False 2. Jellinek's 4-stage model of alcoholism is _______. a. based on a sample of inpatient male alcoholics from the mid-twentieth century 3. Prior to the introduction of the disease model, many people attributed addiction to weak moral character. a. True 4. According to NIDA, medically-assisted detox is usually sufficient to ensure long-term abstinence. a. False 5. Physically shaking inbetween bouts of drinking is characteristic of someone in the _____ stage of alcoholism. a. Chronic 6. Recognizing addiction as a _______ acknowledges the biological, psychological, and social nature of the condition. a. disease 7. In Jellinek's 4-stage model, drinking frequently as a coping device to reduce tension is characteristic of which stage of alcoholism? a. Symptomatic 8. Which of the following is NOT included in text s list of behavioral addictions? a. stamp collecting 9. Enablers, victims, and provokers are _______. a. people who unintentionally contribute to a person's addiction 10.Eye openers are _______. a. characteristic of the crucial phase of Jellinek s model of alcoholism 11.According to NIAAA's data, which led to categorization of 5 subtypes of alcoholics, the vast majority of alcoholics are middle-aged individuals who have been abusing alcohol for decades and are extremely dysfunctional. a. False 12.According to Jellinek, a habitual symptomatic excessive drinker ______. a. doesn't lose control
13.In the Journey to Oblivion, recovery is framed as _______. a. a mutiny against a robot pilot in a transport capsule 14.According to data collected by the NIAAA [National Institute on Alcohol Abuse and Alcoholism], most alcoholics are middle-aged adults who have been struggling with alcoholism for decades. a. False 15.Which of the following is most consistent with the disease model of addiction? a. A person with a predisposition for addiction can circumvent becoming an addict. 16.As described in the text, a person s _________ dwindle to near zero as they progress through stages of addiction; however, these are reconstructed during recovery from addiction. a. Values 17.Blackouts are _______. a. Both of these i. losses of memory for what happened during an episode of heavy drinking ii. characteristic of Jellinek's 2nd stage of alcoholism 18.Mindy works in an office with Lee, and they are good friends. Mindy has a serious drinking problem, and she is frequently late to work. When she does arrive, she's often not very functional and struggles to get through the day. Sometimes she sneaks drinks to help herself get by. Meanwhile, her work would be suffering--except that Lee covers for her by putting together reports and completing projects that the boss assigned to Mindy. Being a good friend, Lee doesn't reveal to the boss that Mindy isn't doing her own work because he doesn't want her to get in trouble or possibly lose her job. Which of the following best fits Lee? a. Hes a victim
Chapter 18 1. Meichenbaum's Stress Inoculation Model involves which of the following? a. mental preparation, skills development, and rehearsal 2. Which of the following is a stress-resilience factor that helps protect a person from developing PTSD? a. an internal locus of control 3. Which of the following is NOT part of SCRAM ? a. Stages of addiction 4. NIDA recommends assessing and treating addiction clients for communicable diseases. a. True 5. Why might gender-focused treatment be especially helpful for women? a. All of these i. It helps avoid negative gender stereotypes about women who use substances. ii. Women often have shared issues related to their substance use, such as parenting stressors and/or domestic violence iii. It may be easier for clients to be able to disclose personal issues among other women. 6. According to NIDA, medically-assisted detox is usually sufficient to ensure long-term abstinence. a. False 7. Men and women face the exact same issues when seeking substance abuse treatment. a. False 8. 12 Step Programs ______. a. All of these i. began with Alcoholics Anonymous ii. are often incorporated into inpatient treatment programs iii. emphasize calling upon a higher power 9. The convergent model for client assessment involves both self-report and other-report information to try to determine the true degree of substance use by the client. a. True
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