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MULTIPLE CHOICE
1. Ethyl alcohol, which is found in beverage alcohol, functions as a central nervous system (CNS) ____.
a. neutralizer c. stimulant
b. psychedelic d. depressant
ANS: D PTS: 1
REF: Alcohol: The Most Commonly Used Depressant Substance
2. Which region of the world reports the lowest levels of alcohol consumption?
a. Middle East c. South America
b. North America d. Australia
ANS: A PTS: 1
REF: Alcohol: The Most Commonly Used Depressant Substance
3. According to a 2009 survey conducted by the Substance Abuse and Mental Health Services
Administration (SAMHSA), what percent of all U.S. individuals 12 and older had consumed alcohol
within the last 30 days?
a. at least 12% c. at least 50%
b. at least 25% d. at least 75%
ANS: C PTS: 1
REF: Alcohol: The Most Commonly Used Depressant Substance
4. The number of grams of alcohol found in 100 milliliters of solution is referred to as the ____ of alcohol.
a. proof c. dosage
b. percentage d. unit
ANS: B PTS: 1
REF: Alcohol Production Through Fermentation and Distillation
5. Marty is looking for a bottle of vodka for a holiday party. He settles on a bottle of vodka that has 40g of
alcohol in 100 mL of solution. What is the proof of this vodka?
a. 20 c. 80
b. 40 d. 100
ANS: C PTS: 1
REF: Alcohol Production Through Fermentation and Distillation
6. Mike works at a plant that produces alcoholic beverages. He is in charge of overseeing a procedure that
uses yeast cells and grain to make the alcohol. What process is Mike using?
a. evaporation c. condensation
b. distillation d. fermentation
ANS: D PTS: 1
REF: Alcohol Production Through Fermentation and Distillation
8. Liquors have a much higher alcohol content than beers and wine. Why?
a. The fermentation process used to generate liquors yields a higher content of alcohol.
b. Liquors use a distillation process, which bypasses the need for fermentation.
c. Liquors go through a process of fermentation and distillation, which concentrates the
alcohol.
d. Yeast cells used in the distillation process require minimal sugar substrates.
ANS: C PTS: 1
REF: Alcohol Production Through Fermentation and Distillation
9. The earliest recorded history of alcohol dates to a time when taverns in Samaria and Egypt sold alcohol,
and traders transported alcohol throughout the known world. When was this early recorded history?
a. 3200 B.C c. 1200 A.D.
b. 1200 B.C. d. 3200 A.D.
ANS: A PTS: 1 REF: The History of Alcohol Consumption
10. The history of alcohol consumption shows that alcohol usage was ____.
a. supported without opposition
b. an important part of medicine
c. discouraged in religious practices
d. restricted to fermented beverages until the 19th century
ANS: B PTS: 1 REF: The History of Alcohol Consumption
11. What historical role did the 18th Amendment play in the usage of alcohol in the United States?
a. Banned sale and distribution of alcohol
b. Banned the consumption of alcohol
c. Protected the right to consume alcohol
d. Protected the right to free trade of alcohol
ANS: A PTS: 1 REF: The History of Alcohol Consumption
12. Seth consumes two alcoholic beverages. As a result, he has 0.05 grams of alcohol in his body per 100-ml
volume of blood. What is Seth’s blood alcohol concentration (BAC)?
a. 0.005 c. 0.5
b. 0.05 d. 5
ANS: B PTS: 1 REF: Pharmacokinetic Factors and Alcohol’s Effects
14. Identical twins Erin and Jill drink the same amount of alcohol at a party. Erin has a plate of pasta before
consuming the alcohol; Jill drinks on an empty stomach. Why is Jill more likely to feel stronger effects of
the alcohol?
a. When Erin’s bran processes the rewarding properties of food, this competes with the
alcohol reward pathways.
b. On a full stomach, alcohol remains in the stomach longer, which facilitates metabolism
before absorption.
c. A full stomach facilitates passage of food through the digestive system to the liver, where
most alcohol is metabolized.
d. On an empty stomach, alcohol dehydrogenase production depletes, which allows alcohol
levels to build up
ANS: B PTS: 1 REF: Pharmacokinetic Factors and Alcohol’s Effects
20. Sean is a chronic user of alcohol. What types of changes on the GABAergic system would we expect to
find in Sean’s brain?
a. Increased metabolism of GABA
b. Reduced number of GABA receptors
c. GABA receptors that are more sensitive to the effects of alcohol
d. Greater inhibition of GABA neurons
ANS: B PTS: 1 REF: Alcohol and Central Nervous System Functioning
21. Graduate student Adrienne studies the effects of alcohol on voltage-gated calcium channels. After
performing a series of experiments, Adrienne finds that alcohol, because of its action on these channels,
____.
a. increases neurotransmitter release
b. decreases neurotransmitter release
c. increases the packaging of neurotransmitters into vesicles
d. decreases the packaging of neurotransmitters into vesicles
ANS: A PTS: 1 REF: Alcohol and Central Nervous System Functioning
22. According to a study by Ding et al. (2011), the serotonergic 5-HT3 receptor is important for alcohol’s
ability to increase ____ concentrations in the nucleus accumbens.
a. GABA c. norepinephrine
b. glutamate d. dopamine
ANS: D PTS: 1 REF: Alcohol and Central Nervous System Functioning
23. In a microdialysis study by Cohen and colleagues (2002), administration of the cannabinoids CB1
receptor antagonist rimonabant prevented alcohol from increasing ____ levels in the nucleus accumbens
of rats.
a. dopamine c. acetylcholine
b. serotonin d. GABA
ANS: A PTS: 1 REF: Alcohol and Central Nervous System Functioning
24. In general, what type of effects does low dose alcohol have on the brain?
a. Neither excitatory nor depressant effects on physiological and psychological functions
b. Both excitatory and depressant effects for most physiological and psychological functions
c. Excitatory effects for certain physiological and psychological functions
d. Depressant effects on physiological and psychological functions
ANS: C PTS: 1 REF: Pharmacological Effects of Alcohol
29. Amber is contemplating kicking her once-a-day glass of red wine habit. But then she is surprised to find
out that low dose alcohol has health benefits. What does Amber learn about alcohol’s role in promoting
cardiovascular health?
a. Alcohol increases low-density lipoprotein (LDL) levels.
b. Alcohol decreases low-density lipoprotein (LDL) levels.
c. Alcohol activates plasmin.
d. Alcohol promotes blood platelet formation.
ANS: C PTS: 1 REF: Pharmacological Effects of Alcohol
30. Alcohol use causes poor judgment because of a weakening of behavioral control that manifests as poor
risk assessment, engagement in dangerous behavior, and impulsivity. This process is referred to as ____.
a. desensitization c. deregulation
b. disinhibition d. disengagement
ANS: B PTS: 1 REF: Pharmacological Effects of Alcohol
34. In a study by Schulte and colleagues (2001), participants were asked to identify square patterns formed by
X’s in a rapid series of differently patterned screens. Alcohol-treated participants who had a BAC of 0.05
or higher produced more errors than placebo-treated patients. This study demonstrates that alcohol
disrupts ____.
a. divided attention c. coordination
b. reaction time d. disinhibition
ANS: A PTS: 1 REF: Pharmacological Effects of Alcohol
36. Based on a study by Liguori et al. (1999), participants can detect clear drug effects at BACs of 0.05. What
were these drugs effects?
a. feelings of depression and delirium c. feeling high and moderate delirium
b. feelings of depression and dizziness d. feeling high and mild dizziness
ANS: D PTS: 1 REF: Pharmacological Effects of Alcohol
37. What hypothesis did Conger (1956) develop to explain habitual alcohol use?
a. chronic disinhibition hypothesis c. tolerance subjectivity hypothesis
b. tension reduction hypothesis d. alcohol state dependent hypothesis
ANS: B PTS: 1 REF: Pharmacological Effects of Alcohol
38. Gabe has a BAC of 0.25. How will Gabe’s cognitive function be affected by this acute increase in blood
alcohol level?
a. He may suffer a seizure.
b. He may experience reversible dementia.
c. He will feel more alert, but in fact will not be.
d. He may experience increased personal insight.
ANS: B PTS: 1 REF: Pharmacological Effects of Alcohol
41. What typically causes a person with a high BAC to pass out?
a. Extreme exhaustion
b. Loss of GABA receptors
c. Dampening of cortical arousal areas
d. Increased activation of dopamine receptors
ANS: C PTS: 1 REF: Pharmacological Effects of Alcohol
42. Tyler finds himself in the emergency room after suffering from alcohol poisoning. Tyler’s BAC must
have been at least ____.
a. 0.025 c. 0.25
b. 0.05 d. 0.5
ANS: C PTS: 1 REF: Pharmacological Effects of Alcohol
44. Barry, an alcoholic, is at risk for low cardiac output associated with chronic alcohol use referred to as
alcoholic ____.
a. cardiomyopathy c. cardiac dysrhythmias
b. myocardial infarction d. endocarditis
ANS: A PTS: 1 REF: Pharmacological Effects of Alcohol
45. Barry, an alcoholic, suffers from alcoholic cardiomyopathy. What are the characteristics of this disorder?
a. enlargement of the heart, and constriction of the heart chambers
b. enlargement of the heart, and dilation of the heart chambers
c. atrophy of the heart, and constriction of the heart chambers
d. atrophy of the heart, and dilation of the heart chambers
ANS: B PTS: 1 REF: Pharmacological Effects of Alcohol
47. Chronic alcohol use can lead to chronic liver disease, characterized by tissue scarring and poor liver
function referred to as a(n) ____.
a. hepatitis c. hepatic steatosis
b. intrahepatic cholestasis d. cirrhosis
ANS: D PTS: 1 REF: Pharmacological Effects of Alcohol
48. Unaware that she is pregnant, Tabitha engages in heavy alcohol drinking during most of her pregnancy. If
Tabitha’s baby develops fetal alcohol syndrome, what facial characteristics will be prominent?
a. Abnormally large eye openings c. Fuller than normal upper lip
b. Eyes set far apart d. Hydrocephalus (large head)
ANS: B PTS: 1 REF: Pharmacological Effects of Alcohol
49. Derek, an alcoholic, was just diagnosed with Korsakoff’s syndrome. A possible cause and a symptom of
this syndrome is ____.
a. GABA receptor loss and high blood pressure
b. GABA receptor loss and memory loss
c. vitamin B6 deficiency and high blood pressure
d. vitamin B1 deficiency and memory loss
ANS: D PTS: 1 REF: Pharmacological Effects of Alcohol
51. Increases in alcohol dehydrogenase levels is characteristic of which form of alcohol tolerance?
a. metabolic tolerance to alcohol c. behavioral tolerance to alcohol
b. pharmacodynamic tolerance to alcohol d. acute tolerance to alcohol
ANS: A PTS: 1 REF: Pharmacological Effects of Alcohol
52. Increases in NMDA receptor levels is characteristic of which form of alcohol tolerance?
a. metabolic tolerance to alcohol c. behavioral tolerance to alcohol
b. pharmacodynamic tolerance to alcohol d. acute tolerance to alcohol
ANS: B PTS: 1 REF: Pharmacological Effects of Alcohol
56. Dean is an alcoholic. During withdrawal from alcohol, he experiences a seizure. What biological adaptive
response played a role in his seizure?
a. Increased glutamate synthesis c. Increased glutamate receptor levels
b. Increased glutamate metabolism d. Decreased glutamate receptor levels
ANS: C PTS: 1 REF: Pharmacological Effects of Alcohol
58. Estelle is prescribed medication to treat her alcohol dependence. This medication weakens alcohol’s
reinforcing properties by blocking opioid receptors. What medication was she prescribed?
a. Disulfiram c. Acamprosate
b. Naltrexone d. Burpropion
ANS: B PTS: 1
REF: Psychosocial Interventions, Therapeutic Drugs, and Alcohol Use Disorders
ESSAY
1. Describe current pharmacological strategies for treating alcohol dependence. Provide examples of specific
medications and their biological mechanisms of action. When applicable, discuss studies that support the
effectiveness of these strategies.
PTS: 1
REF: Psychosocial Interventions, Therapeutic Drugs, and Alcohol Use Disorders
2. The term hangover refers to an unpleasant experience that occurs after alcohol consumption. Describe the
symptoms and social cost of a hangover. In addition, discuss and analyze the five theories describing the
biological origins of a hangover, discussing relevant studies that support the theories.