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Alcohol - Chapter 5
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True/False - beer is the third most consumed beverage in the world
 
True
 
False
How much alcohol 1.5 ounces of liquor (80 proof) has?
 
18ml or 12 grams
 
20ml or 14 grams
 
16ml or 10 grams
 
14ml or 8 grams
Wine contains about what percentage of alcohol?
 
10–12%
 
12-14%
 
8-10%
 
14-16%
True/False - Men achieve a higher blood alcohol concentration faster than Women
 
False
 
True
what enzyme is Alcohol primarily metabolized?
 
Alcohol dehydrogenase (ADH)
 
CYP2E1
 
Acetaldehyde
 
Ethyl glucuronide
Where alcohol metabolism begins?
 
stomach
 
liver
 
small intestine
 
mouth
One standard drink (12 grams of alcohol) is metabolized at what rate?
 
1 drink per hour
 
2 drinks per hour
 
0.5 drink per hour
 
1.5 drinks per hour
A small quantity of alcohol remains unmetabolized and can be detected in urine, breath, and blood for ______days.
 
1–3
 
1-4
 
1-5
 
1-2
The term “at-risk drinking” refers to consumption of more than ______ drinks a week.
 
14
 
12
 
16
 
10
“heavy drinking” is often defined as consumption of greater than ____ grams of alcohol or _____drinks per occasion.
 
60 or 5
 
70 or 7
 
50 or 4
 
80 or 9
True/False - alcohol abuse is higher for blacks, Hispanics, and Asians men compared to whites and Native Americans
 
False
 
True
How many positive answers are considered a positive test for the CAGE screening test?
 
2
 
1
 
3
 
4
How many positive answers warrant further assessment for TWEAK screening test?
 
3
 
2
 
4
 
5
The Michigan Alcoholism Screening Test (MAST) assesses...
 
lifetime drinking results
 
12 months drinking results
 
1 year drinking results
 
2 years drinking results
The Alcohol Use Disorders Identification Test (AUDIT) assesses alcohol use...
 
over the previous 12 months
 
over the previous 6 months
 
over the previous 24 months
 
over the previous 18 months
what laboratory tests are useful state biomarkers for detection of alcohol use?
 
All the answers
 
Carbohydrate-deficient transferrin (CDT)
 
Ethyl glucuronide (EtG)
 
Gamma-glutamyl transferase (GGT)
True/False - the alcohol-dependent individual is nearly five times more likely than other members of the general population to have other psychiatric comorbidities?
 
True
 
False
One of the causes of Alcohol‑Induced Brain Damage...
The liver damaged by ethanol is not able to remove neurotoxic substances
What is leading nutritional cause of brain damage in “complicated alcoholics” and results in Wernicke’s encephalopathy?
 
Thiamine deficiency
 
Iron deficiency
 
Vitamin B12
 
Zinc deficiency
what is the most commonly occurring and the one most recognized by the public alcohol clinical syndrome?
 
Alcohol intoxication
 
Alcohol withdrawl
 
Alcohol delirium
 
Alcohol-induced psychotic
It has a slower onset, typically after days of heavy drinking...
 
Alcohol intoxication delirium
 
Alcohol-induced psychotic
 
Alcohol-induced anxiety
 
Alcohol withdrawal delirium
Alcohol’s action is primarily through stimulation of what receptor?
 
gamma-aminobutyric acid (GABA-A) receptors
 
N-methyl-d-aspartate (NMDA) receptors
 
Glutamate receptors
 
Dopamine receotors
What excitatory receptor Alcohol inhibits?
 
N-methyl-d-aspartate (NMDA) glutamate receptors
 
gamma-aminobutyric acid (GABA-A) receptors
 
Dopamine receptors
 
Serotonin receptors
what changes in the brain account for the alcohol withdrawal syndrome?
 
Deficiency in GABA-A receptors
 
Deficiency of NMDA receptors
 
Excess in GABA-A receptors
 
Deficiency of Dopamine receptors
alcohol withdrawal begins...
 
6–8 hours after the last drink
 
3–6 hours after the last drink
 
8-10 hours after the last drink
alcohol withdrawal seizures may develop between _________ after the last drink.
 
24 and 48 hours
 
12 and 24 hours
 
6 and 12 hours
 
48 and 72 hours
True/False - Alcohol-induced psychotic disorder is relatively rare.
 
True
 
False
what psychiatric disorders commonly co-occur with alcohol use disorders?
 
Major depressive
 
OCD
 
Bulimia
 
Insomnia
True/ False - alcoholism often have erectile dysfunction and infertility.
 
True
 
False
True/False - Drinking alcohol before bed helps with sleep.
 
False
 
True
Deaths attributed to cirrhosis?
 
50%
 
40%
 
60%
 
70%
Alcohol affects the GI track by...
 
All the answers
 
Direct damage on gut flora and cells
 
Decreased absorption of vitamins and minerals
 
Parotid gland enlargement
True/False - One drink per day for women and two drinks per day for men reduced total cardiovascular mortality by 18%.
 
True
 
False
True/False - Alcohol use is associated with decreased bone density in both men and women if they drink less than two drinks a day
 
False
 
True
Alcohol could cause cancer because...
it alter biological mechanisms in the body
One of effects of alcohol on the blood system can cause...
 
Thrombocytopenia
 
Increases red blood cell precursors in the bone marrow
 
surge of neutrophils
 
iron absorption is decrease
One of the mechanisms of alcohol’s impact on the immune system is...
 
Inflammation
 
Liver malfuction
 
Gut flora imbalance
Which one is a risk factors for Fetal alcohol spectrum disorder?
 
Developmental timing of exposure
 
High socioeconomic status
 
Single parent
 
Type of alcohol
Alcohol use disorder treatment principles
 
All the answers
 
pharmacotherapy
 
individual and group therapies
 
12-step programs


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