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Test Bank for Drugs, Society, and Human Behavior 16th Edition

Test Bank for Drugs, Society, and Human Behavior


16th Edition

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Chapter 07 - Depressants and Inhalants

Chapter 07
Depressants and Inhalants

Multiple Choice Questions

1. (p. 147) The CNS depressants include various prescription drugs referred to as
A. GHBs.
B. sedative-hypnotics.
C. entheogens.
D. catecholamines.

Blooms Level: 01. Remember

2. (p. 148) Which of these is NOT one of the early sedative-hypnotics used in medicine?
A. chloral hydrate
B. paraldehyde
C. butyrate
D. bromide salts

Blooms Level: 01. Remember

3. (p. 148) What has kept paraldehyde from being widely used?
A. danger to the CNS
B. bad taste and odor
C. danger to the respiratory system
D. irritation to the gastric system

Blooms Level: 01. Remember

7-1
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McGraw-Hill Education.
Chapter 07 - Depressants and Inhalants

4. (p. 148) How are barbiturates usually classified?


A. duration of action
B. price
C. chemical structure
D. strength of hypnotic effect

Blooms Level: 01. Remember

5. (p. 149) Among the barbiturates, when prescribing a sleeping pill (hypnotic), physicians
would usually choose a
A. higher dose of a short-acting drug.
B. lower dose of a long-acting drug.
C. higher dose of a long-acting drug.
D. lower dose of a short-acting drug.

Blooms Level: 01. Remember

6. (p. 150) Two drugs that were introduced as being safer than the barbiturates, but in the long
run proved to be not much safer, were
A. fluoxetine and paroxetine.
B. toluene and xylene.
C. meprobamate and methaqualone.
D. perphenazine and thiazine.

Blooms Level: 01. Remember

7. (p. 152) The major advantage of the benzodiazepines over the barbiturates seems to be the
A. lower cost.
B. greater effectiveness.
C. shorter duration of activity.
D. greater safety margin.

Blooms Level: 01. Remember

7-2
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McGraw-Hill Education.
Chapter 07 - Depressants and Inhalants

8. (p. 152) Librium (chlordiazepoxide) and Valium (diazepam) were the first widely sold
A. benzodiazepines.
B. barbiturates.
C. methaqualones.
D. sedatives.

Blooms Level: 01. Remember

9. (p. 152) The "date-rape" drug Rohypnol (flunitrazepam)


A. is no longer manufactured legally.
B. is sold as a hypnotic agent (sleeping pill) in many countries other than the U.S.
C. was never marketed by any company because of its unusual impairment of memory.
D. is available by prescription in the U.S.

Blooms Level: 01. Remember

10. (p. 153) When benzodiazepines bind to their receptor site, they
A. release barbiturates.
B. block acetylcholine receptors.
C. reduce the membrane electrical potential.
D. enhance the inhibitory effects of GABA.

Blooms Level: 01. Remember

11. (p. 156) Zolpidem (Ambien) is:


A. an older sleeping pill that is no longer marketed.
B. an intermediate-acting barbiturate.
C. not a benzodiazepine chemically, but it has similar effects.
D. a long-acting benzodiazepine.

Blooms Level: 01. Remember

7-3
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McGraw-Hill Education.
Chapter 07 - Depressants and Inhalants

12. (p. 153) The four most widely sold benzodiazepines are all longer-acting drugs sold
primarily as
A. anxiolytics.
B. analgesics.
C. hypnotics.
D. antidepressants.

Blooms Level: 01. Remember

13. (p. 153) Sedative-hypnotic agents bind to which receptors in the brain?
A. glutamate
B. GHB
C. serotonin
D. GABA

Blooms Level: 01. Remember

14. (p. 158) Animal self-administration experiments and studies of drug choice among humans
indicate that
A. benzodiazepines have no dependence liability.
B. rats and people are very different in the drugs they choose to self-administer.
C. short-acting barbiturates are more likely to lead to dependence than any of the
benzodiazepines.
D. all of the benzodiazepines have high dependence liability.

Blooms Level: 01. Remember

15. (p. 158) Withdrawal from long-term use of sedative-hypnotic drugs is characterized by
A. aching, high blood pressure, drowsiness.
B. anxiety, impaired concentration, insomnia, convulsions.
C. rapid mood swings.
D. minor discomfort, but no serious symptoms.

Blooms Level: 01. Remember

7-4
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McGraw-Hill Education.
Chapter 07 - Depressants and Inhalants

16. (p. 163) One of the most dangerous acute effects of taking depressants in combination with
alcohol is
A. the "cheese reaction".
B. respiratory depression.
C. seizures.
D. slurred speech.

Blooms Level: 01. Remember

17. (p. 158) Which of the following drugs could theoretically be used to treat barbiturate
withdrawal?
A. methamphetamine
B. fluoxetine
C. alcohol
D. modafinil

Blooms Level: 01. Remember


Blooms Level: 02. Understand

18. (p. 160) One of the oldest gaseous anesthetics, popularly known as "laughing gas," is
A. butane.
B. diazepam.
C. pentobarbital.
D. nitrous oxide.

Blooms Level: 01. Remember

19. (p. 161) What household product contains nitrous oxide?


A. fuel gas
B. hair spray
C. spray paint
D. whipped cream dispensers

Blooms Level: 01. Remember

7-5
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McGraw-Hill Education.
Chapter 07 - Depressants and Inhalants

20. (p. 161) The modern era of abuse of volatile solvents by young people can be traced to a
1959 newspaper report of
A. gasoline huffing.
B. glue sniffing.
C. lead paint poisoning.
D. nitrite abuse.

Blooms Level: 01. Remember

21. (p. 162) Inhalant use has traditionally been more common among
A. poor Hispanic and Native American youth.
B. middle-class white children.
C. middle-class black children.
D. construction workers.

Blooms Level: 01. Remember

22. (p. 162) GHB (gamma hydroxybutyric acid)


A. is derived from morning glory seeds.
B. occurs naturally in the brain.
C. is a gas used to make whipped cream.
D. blocks the intoxicating effects of alcohol.

Blooms Level: 01. Remember

23. (p. 162) The usual recreational dose of GHB when taken alone is about
A. 10-20 milligrams.
B. 100 micrograms.
C. 1-5 grams.
D. 100-200 grams.

Blooms Level: 01. Remember

7-6
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McGraw-Hill Education.
Chapter 07 - Depressants and Inhalants

24. (p. 161) Anecdotally, __________ (or "poppers") are used to enhance sexual pleasure.
A. nitrous oxide
B. amyl nitrite
C. GHB
D. Rohypnol

Blooms Level: 01. Remember

True / False Questions

25. (p. 148) Paraldehyde is a CNS depressant that is currently available in several over-the-
counter medications.
FALSE

Blooms Level: 01. Remember

26. (p. 149) When barbiturates were the most popular sedative-hypnotics, low doses of the long-
acting types were used as sleeping pills.
FALSE

Blooms Level: 01. Remember

27. (p. 151-152) Benzodiazepines replaced barbiturates primarily because they were believed to be
safer.
TRUE

Blooms Level: 01. Remember

28. (p. 152-153) Ambien (zolpidem) is a popular benzodiazepine used to treat anxiety.
FALSE

Blooms Level: 01. Remember

7-7
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McGraw-Hill Education.
Chapter 07 - Depressants and Inhalants

29. (p. 151) Sodium pentathol is long-acting barbiturate used to treat insomnia.
FALSE

Blooms Level: 01. Remember

30. (p. 158) Among the sedative-hypnotic drugs, short-acting barbiturates seem to be the most
likely to lead to drug dependence.
TRUE

Blooms Level: 01. Remember

31. (p. 160) Nitrous oxide ("laughing gas") is a Schedule I controlled substance.
FALSE

Blooms Level: 01. Remember

32. (p. 162) The majority of "huffers" (users of inhalants) are above age 25.
FALSE

Blooms Level: 01. Remember

33. (p. 160) Volatile solvents that act as CNS depressants are found in a wide variety of
household products.
TRUE

Blooms Level: 01. Remember

34. (p. 156) According to the DAWN data set, zolpidem-related emergency room visits declined
between 2005 and 2010.
FALSE

Blooms Level: 01. Remember

7-8
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McGraw-Hill Education.
Chapter 07 - Depressants and Inhalants

Essay Questions

35. (p. 158) Explain how a drug's rate of onset and duration of action affect psychological
dependence and withdrawal. Give examples from this chapter.

Drugs with rapid onset of action will be more likely than slow-acting drugs to produce
psychological dependence. Examples include short-acting barbiturates, like secobarbital, and
Xanax, a rapid-acting benzodiazepine. Physical dependence occurs when the drug leaves the
system more rapidly than the body can adapt. Drugs with a short duration of action, such as
secobarbital, leave the body rapidly and are much more likely to produce physical withdrawal
symptoms than are longer-acting drugs.

Blooms Level: 01. Remember


Blooms Level: 02. Understand

36. (p. 156) Discuss the use of medications as hypnotics (sleeping pills). What types of drugs are
used, and what are some of the concerns associated with the use of sleeping pills? Are there
any alternatives to drug use?

Although many people complain of poor sleep, most do not take prescription medications for
this. Both benzodiazepine (e.g., Halcion) and non-benzodiazepine (e.g., Ambien) drugs are
typically used. Concerns include dependence, respiratory depression when combined with
alcohol, and people driving, walking around, etc., while still under the drug's influence
("sleepwalking").

Blooms Level: 01. Remember


Blooms Level: 02. Understand

7-9
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McGraw-Hill Education.
Test Bank for Drugs, Society, and Human Behavior 16th Edition

Chapter 07 - Depressants and Inhalants

37. (p. 162-163) GHB has been used for several purposes. Describe its recent history of various
medical and recreational uses and its status as a controlled substance.

GHB was sold as a dietary supplement and used to stimulate muscle growth. In high doses,
GHB has alcohol-like effects, and its recreational use led to banning it from dietary
supplements in 1990. Its use as a date-rape drug led Congress to direct that GHB be placed on
Schedule I in 2000. In 2002, a prescription version (Xyrem) was made available for treating
narcolepsy. Xyrem is on Schedule III.

Blooms Level: 01. Remember


Blooms Level: 02. Understand

7-10
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