HSCI 336 - Health Aspects of Drug Use » Summer 2020 » Quiz 13

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Question #1
Heroin became the drug of choice for many opioid users
A.   during the 1920s, because it was easier to smuggle the small amounts needed for an effective dose.
B.   in the 1960s, because users believed that it was more pure than other opioids.
C.   around 1900, because it could be injected.
D.   during World War II, when supplies of raw opium were cut off.
Question #2
"Black tar" is
A.   a name given heroin from Mexico that is brown or black in its pure form.
B.   a type of street heroin that has been "cut" with powdered charcoal.
C.   an opium extract that is imported from Southeast Asia.
D.   a synthetic opioid that is twice as potent as pure heroin.
Question #3
At the current time, most of the heroin in the U.S. originates from poppy fields in
A.   Afghanistan.
B.   Laos and Thailand.
C.   China.
D.   Mexico.
Question #4
Vicodin and OxyContin are examples of
A.   NSAIDs.
B.   prescription opioids that are being misused at relatively high rates.
C.   fake drugs sold over the Internet that are actually placebos.
D.   narcotic antagonists.
Question #5
Which of these opioids is about 100 times as potent as morphine?
A.   codeine
B.   pentazocine
C.   methadone
D.   fentanyl
Question #6
Naloxone, nalorphine, and naltrexone are examples of
A.   fake drugs sold over the Internet that are actually placebos.
B.   prescription opioids that are being misused and abused at increasing rates.
C.   NSAIDs.
D.   opioid antagonists.
Question #7
Enkephalins, endorphins, and dynorphins are
A.   enzymes in the brain that convert morphine into its active form.
B.   three classes of endogenous chemicals that have effects similar to morphine.
C.   three chemical classes of synthetic prescription opioids.
D.   three types of opioid receptors found in the brain.
Question #8
Although pain relief is now the major medical use for opioids, they have been used to save many lives (especially in underdeveloped countries) because of their ability to
A.   decrease bleeding.
B.   treat diarrhea.
C.   lower blood pressure.
D.   decrease violent behavior.
Question #9
The textbook says that opioid withdrawal is similar to
A.   a hangover from alcohol.
B.   an allergy.
C.   a bad case of intestinal flu.
D.   a life-threatening disease.
Question #10
________ usually refers to a sudden increase in the number of users of a particular psychoactive substance.
A.   Doctor shopping
B.   Drug epidemic
C.   Ramp effect
D.   Substance dependence
Question #11
The most popular prescription opioids are hydrocodone and oxycodone.
A.   TRUE
B.   FALSE
Question #12
Long-term exposure to opioid drugs
A.   has not been clearly shown to produce damage to any tissue or organ system.
B.   is a common cause of kidney disease.
C.   causes damage to the mesolimbic dopamine system.
D.   can weaken the heart.
Question #13
Heroin is more potent than morphine because
A.   it is a synthetic opioid.
B.   it more readily crosses the blood-brain barrier.
C.   it is often injected instead of swallowed.
D.   it is a natural opioid.
Question #14
In recent years, heroin use has been a rapidly spreading problem in the United States, suggesting that it is becoming an epidemic.
A.   TRUE
B.   FALSE
Question #15
The two major active chemicals in opium are
A.   meperidine and oxycodone.
B.   heroin and cocaine.
C.   morphine and codeine.
D.   paregoric and laudanum.
Question #16
By the beginning of the 20th century, a greater percentage of Americans were addicted to opioids than at any time before or since. Opium smoking and medical use of injected pure morphine were important contributors to this, along with:
A.   alcohol prohibition.
B.   the growth of organized crime syndicates.
C.   patent medicines containing opium extracts or morphine.
D.   intravenous use of heroin.
Question #17
Possession of opium, morphine, or heroin without a prescription was made a crime by
A.   the 1970 Controlled Substances Act.
B.   the 1906 Pure Food and Drugs Act
C.   the 1986 Anti-Drug Abuse amendments.
D.   a 1915 Supreme Court decision.
Question #18
One of the major issues facing physicians today is that patients are NOT taking enough prescription opioids to manage their pain.
A.   FALSE
B.   TRUE
Question #19
Withdrawal from opioid drugs is often fatal
A.   TRUE
B.   FALSE
Question #20
The most popular prescription opioids are hydrocodone and oxycodone.
A.   FALSE
B.   TRUE
Question #21
Which of the following is a difference between heroin and morphine?
A.   Heroin is more readily absorbed from the stomach than morphine.
B.   Heroin is a more effective antipyretic medicine than morphine.
C.   Heroin is believed to be more potent and acts faster than morphine.
D.   Heroin reduces the inflammation in an injured area more effectively than morphine.

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