Chapter 59 Wilkins: The Patient with a Substance Disorder

The need for higher doses of a drug to achieve the same effects is called:

a) dependence.

b) craving.

c) nystagmus.

d) euphoria.

e) tolerance.

e

Extreme mental excitement marked by rapid succession of confused and unconnected ideas that may be accompanied by illusions and tremors is known as:

a) dementia.

b) hallucination.

c) psychosis.

d) delirium.

e) euphoria

d

Behavioral signs of alcohol intoxication include all of the following, except:

a) aggressiveness.

b) alertness.

c) unsteady gait.

d) mood instability.

e) impaired judgment.

b

A blood alcohol concentration (BAC) of __________ has been established as the legal level of intoxication.

a) 8%

b) 80%

c) 0.8%

d) 0.008%

e) 0.08%

e

Liver damage due to chronic alcohol consumption is a result of the presence of high levels of what substance?

a) Alkaline

b) Amides

c) Acetaldehyde

d) Formaldehyde

e) Isotones

c

What amount of consumed alcohol is absorbed and metabolized by the liver?

a) 20%

b) 30%

c) 60%

d) 80%

e) 90%

e

Which of the following facial/oral abnormalities is frequently found in individuals with fetal alcohol syndrome?

a) Large demineralized teeth

b) Small chin with short nose length

c) Over pronounced maxilla and distinct philtrum

d) Widened oral cavity with malformed teeth

e) Full midface with flattened philtrum

b

All of the following are high-risk cardiovascular diseases associated with chronic alcohol abuse, except:

a) cardiomyopathy.

b) hypertension.

c) congenital heart defect.

d) arrhythmia.

d

A) Wernicke-Korsakoff syndrome is a disorder that is linked to chronic alcoholism. B) The disorder is tied to a deficiency in niacin, which is common in the chronic alcoholic.

a. Statement A is true and statement B is false.

b. Statement A is false and statement B is true.

c. Both statements are true.

d. Both statements are false.

a

A) Alcohol passes freely across the placenta and therefore may cause birth defects in the fetus. B) After birth of the infant, alcohol use is safe for use by the breastfeeding mother because it is not transmitted in breast milk.

a. Statement A is true and statement B is false.

b. Statement A is false and statement B is true.

c. Both statements are true.

d. Both statements are false.

a

The following illnesses are involved with chronic alcohol abuse, except:

a) acute gastritis.

b) increased risk of neoplasms.

c) kyphosis.

d) liver disease.

e) Wernicke-Korsakoff syndrome.

c

What is the brand name of the generic drug used to deter consumption of alcohol by persons being treated for alcohol dependency?

a) Antabuse

b) Dilaudid

c) Nystatin

d) Penciclovir

e) Procardia

a

All of the following are oral conditions that can be characteristic of meth abuse, except:

a) cleft palette.

b) xerostomia.

c) rampant caries.

d) periodontal disease.

e) erosion.

a

A) Alcohol abuse is associated with an increased risk of cancer of the gastrointestinal and respiratory tracts. B) Alcohol abuse combined with tobacco abuse increases risk for oral cancer.

a. Statement A is true and statement B is false.

b. Statement A is false and statement B is true.

c. Both statements are true.

d. Both statements are false.

c

All of the following are symptoms of alcohol withdrawal syndrome, except:

a) anxiety.

b) xerostomia.

c) night sweats.

d) hallucinations.

e) headaches.

c

Which drug results in short stature?

a) Marijuana

b) Morphine

c) Stimulants

d) Steroids

d

Which medication competes with opioids at the opioid receptor sites, therefore blocking the effects of heroin?

a) Methadone

b) Phenobarbatal

c) Naltrexone

d) LAAM

c

Which of the following has the side effect of trismus?

a) Meth

b) Cocaine

c) Speed

d) Cannabis

b

The usual oral tissue response expected following periodontal instrumentation may be limited by the changes in the patient's tissues. All of the following are correct concerning limits, except:

a) prolonged bleeding time due to the impaired clotting mechanism from chronic liver disease.

b) resistance to local anesthetic.

c) routine healing.

d) interference with collagen formation and deposition.

c

A) Oral candidiasis can be present with substance abuse due to immunosuppression. B) Due to immunosuppression and inadequate nutrition, tissue healing is good.

a. Statement A is true and statement B is false.

b. Statement A is false and statement B is true.

c. Both statements are true.

d. Both statements are false.

a

Snorting of cocaine can result in perforation of the:

a) nasal septum.

b) floor of mouth.

c) alveolar Ridge.

d) palate.

d

a 0erson who is a chronic alcoholic can suffer from the deficiency of what nutrient

niacin

riboflavin

magnesium

thiamine

zinc

thiamine

DEA has classifications. which schedule is ....

has medical use, moderate abuse potential. such as Tylenol w codeine, ketamine. anabolic steroids, testosterone

schedule III