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Alcohol - Chapter 5

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