Question 1

Chewing tobacco will not lead to cancer because the tobacco is not burned nor the smoke inhaled.

Accepted Answer

A) True 
 B)False  False

Question 2

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

Accepted Answer

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

Question 3

The triad of narcotic overdose is:

Accepted Answer

A)  respiratory depression, pinpoint pupils, and coma. 
B)  hyperactive behavior, dilated pupils, and cardiac arrhythmias. 
C)  elevated blood pressure, blank stare, and rigidity. 
D)  respiratory depression, cardiac depression, and sleep. 
A)  respiratory depression, pinpoint pupils, and coma. 
B)  hyperactive behavior, dilated pupils, and cardiac arrhythmias. 
C)  elevated blood pressure, blank stare, and rigidity. 
D)  respiratory depression, cardiac depression, and sleep. A

Question 4

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

Accepted Answer

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. 
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.

Question 5

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

Accepted Answer

A) True 
 B)False

Question 6

Enabling is an inappropriate behavior that requires family therapy because it involves the actions that family or friends take to supply the addict with the drug.

Accepted Answer

A)  Both the statement and the reason are correct and related. 
B)  Both the statement and the reason are correct but not related. 
C)  The statement is correct, but the reason is not. 
D)  The statement is not correct, but the reason is correct. 
E)  Neither the statement nor the reason is correct. 
A)  Both the statement and the reason are correct and related. 
B)  Both the statement and the reason are correct but not related. 
C)  The statement is correct, but the reason is not. 
D)  The statement is not correct, but the reason is correct. 
E)  Neither the statement nor the reason is correct.

Question 7

Disulfiram is an agent used in the treatment of:

Accepted Answer

A)  ethyl alcohol withdrawal. 
B)  opioid withdrawal. 
C)  barbiturate overdose. 
D)  alcoholism. 
A)  ethyl alcohol withdrawal. 
B)  opioid withdrawal. 
C)  barbiturate overdose. 
D)  alcoholism.

Question 8

Which of the following statements is true of alcoholism?

Accepted Answer

A)  A genetic link for alcoholism 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. 
A)  A genetic link for alcoholism 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.

Question 9

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

Accepted Answer

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. 
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.

Question 10

Chronic alcohol use increases the risk of cancer of the mouth, pharynx, larynx, esophagus, and liver, which may occur with tobacco use in a(n)_____ effect.

Accepted Answer

A)  additive 
B)  synergistic 
C)  negative 
D)  canceling 
A)  additive 
B)  synergistic 
C)  negative 
D)  canceling

Question 11

Dental health care workers should have heightened awareness of the issues of drug abuse because:

Accepted Answer

A)  their coworkers may abuse drugs in the workplace. 
B)  "shoppers" may interact with health care workers in an effort to obtain controlled substances. 
C)  patients who abuse drugs intravenously are more likely to contract sexually transmitted or blood-borne diseases that are transmissible to the dental health care worker. 
D)  dentist's offices have prescription pads and abusable substances that need to be safely monitored. 
E)  of all of the above. 
A)  their coworkers may abuse drugs in the workplace. 
B)  "shoppers" may interact with health care workers in an effort to obtain controlled substances. 
C)  patients who abuse drugs intravenously are more likely to contract sexually transmitted or blood-borne diseases that are transmissible to the dental health care worker. 
D)  dentist's offices have prescription pads and abusable substances that need to be safely monitored. 
E)  of all of the above.

Question 12

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

Accepted Answer

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

Question 13

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

Accepted Answer

A) True 
 B)False

Question 14

Bupropion is an effective treatment for alcoholism.

Accepted Answer

A) True 
 B)False

Question 15

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

Accepted Answer

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

Question 16

Physical dependence:

Accepted Answer

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. 
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.

Question 17

Tolerance is characterized by the need to _____ the dose continually to achieve a desired effect or providing the same dose that produces a(n)_____ effect.

Accepted Answer

A)  increase; increasing 
B)  increase; diminishing 
C)  decrease; increasing 
D)  decrease; diminishing 
A)  increase; increasing 
B)  increase; diminishing 
C)  decrease; increasing 
D)  decrease; diminishing

Question 18

Abuse is the use of a drug for a disease state in a way considered inappropriate.

Accepted Answer

A) True 
 B)False

Question 19

Signs and symptoms of an acute overdose of amphetamines include:

Accepted Answer

A)  pinpoint pupils. 
B)  hypothermia. 
C)  diaphoresis. 
D)  excessive salivation. 
A)  pinpoint pupils. 
B)  hypothermia. 
C)  diaphoresis. 
D)  excessive salivation.

Question 20

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

Accepted Answer

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

Exam 26: Drug Abuse

Chewing tobacco will not lead to cancer because the tobacco is not burned nor the smoke inhaled.

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

The triad of narcotic overdose is:

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

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

Enabling is an inappropriate behavior that requires family therapy because it involves the actions that family or friends take to supply the addict with the drug.

Disulfiram is an agent used in the treatment of:

Which of the following statements is true of alcoholism?

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

Chronic alcohol use increases the risk of cancer of the mouth, pharynx, larynx, esophagus, and liver, which may occur with tobacco use in a(n)_____ effect.

Dental health care workers should have heightened awareness of the issues of drug abuse because:

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

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

Bupropion is an effective treatment for alcoholism.

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

Physical dependence:

Tolerance is characterized by the need to _____ the dose continually to achieve a desired effect or providing the same dose that produces a(n)_____ effect.

Abuse is the use of a drug for a disease state in a way considered inappropriate.

Signs and symptoms of an acute overdose of amphetamines include:

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

Information Sources, Regulatory Agencies, Drug Legislation, and Prescription Writing

Drug Action and Handling

Adverse Reactions

Autonomic Drugs

Nonopioid (Nonnarcotic)Analgesics

Opioid (Narcotic)Analgesics and Antagonists

Antiinfective Agents

Antifungal and Antiviral Agents

Local Anesthetics

General Anesthetics

Antianxiety Agents

Oral Conditions and Their Treatment

Hygiene-Related Oral Disorders

Drugs for the Treatment of Cardiovascular Disease

Drugs for the Treatment of Gastrointestinal Disorders

Drugs for the Treatment of Seizure Disorders

Drugs for the Treatment of Central Nervous System Disorders

Adrenocorticosteroids

Drugs for the Treatment of Respiratory Disorders

Drugs for the Treatment of Allergic Rhinitis

Drugs for the Treatment of Diabetes Mellitus

Drugs for the Treatment of Other Endocrine Disorders

Antineoplastic Drugs

Emergency Drugs

Pregnancy and Breast Feeding

Natural/Herbal Products and Dietary Supplements

Filters

Tolerance is characterized by the need to _ the dose continually to achieve a desired effect or providing the same dose that produces a(n)_ effect.