1. Drug abuse Quiz How much do you know?

2. Definitions Substance Abuse: patterned use of a substance (drug) in which the user consumes the substance in amounts or with methods which are harmful to themselves or others. Substance Dependence: occurs when user require one or more drugs to function normally Substance Addiction: a compulsive, irresistible pattern of drug use, despite negative consequences

3. Definition (cont) Substance intoxication: Reversible, substance- specific syndrome caused by the recent ingestion of or exposure to a substance Substance withdrawal: substance-specific, maladaptive behavioral change, with physiologic and cognitive concomitants, caused by the cessation of or reduction in heavy and prolonged substance use.

4. Alcohol Marijuana Cocaine Amphetamines Opioids Inhalants PCP Hallucinogens Anabolic Steroids

5. Case Study A 29-year-old man is brought in by judicial order for evaluation of his continued involvement with heroin use. The man denies that he is addicted but is willing to enter treatment to avoid more severe criminal penalties. Which of the following is essential to determine the presence of heroin dependence in this individual? A.A family history of substance abuse B.Numerous arrests for dealing heroin C.He vehemently denies that his use of heroin causes him any problems D.He spends all his time trying to obtain heroin and can’t stop himself from using it. E.He is cooperative with treatment planning

6. Question 1 Most adults who smoke started smoking after age 18. A.True B.False

7. Question 2 When a person gradually needs a larger dose of a drug to get the same effects, it's referred to as: A.Relapsing B.Tolerance C.Withdrawal

8. Question 3 Which of the harmful chemical below is not ingested with cigarette smoking? A.Cyanide (a poison) B.Benzene (a toxic liquid sometimes used as motor fuel) C.Formaldehyde (a substance used to preserve dead things) D.All of the above E.None of the above

9. Question 4 Which of the under listed drug, can cause users to hallucinate, vomit, lose their sense of time, and even stop breathing. A.Cocaine B.Ecstasy C.Ketamine

10. Question 5 Most people who are treated for drug abuse need to stay in treatment for at least three months. A. True B. False

11. Question 6 Characteristics common to people with addiction who are not in recovery include: A.Fear, loneliness, delusions, lack of will power. B.Insecurity, hypersensitivity, lack of adaptive defenses, fear. C.Fear, loneliness, hypersensitivity, “self will run riot.” D.“Self will run riot,” loneliness, insecurity, rational thinking.

12. Question 7 Initial sign of alcohol use is that for most people, it… A.Moves them into euphoria with a plunge into pain before returning to normal. B.Produces euphoric feelings that draw them to repeat the alcohol use as soon as they have the opportunity, despite the subsequent pain. C.Moves the person towards euphoria, with a return to normal D.Does not move them towards either pain or euphoria.

13. Question 8 Which statement is true: A.Cognition and judgment are mediated in the midbrain. B.The midbrain is responsible for the dopamine salience pathway. C.Addiction is mediated in the prefrontal cortex. D.The forebrain mediates “primitive” instincts such as such as appetite and fight or flight reactions.

14. Question 9 When graphed on the “feelings chart,” people with advanced addiction use substances to: A.Maintain a state of euphoria. B.Escape a state of pain and move into euphoria before going back to “normal.” C.Leave a “normal” state for the state of euphoria they have become accustomed to. D.Escape a state of pain and return to “normal.”

15. Question 10 Treatment for addiction: A.Is dependent on the internal motivation of the treatment recipient. B.Has about the same rate of success in producing disease remission as treatment for chronic medical conditions such as hypertension. C.Is 60% less likely to produce remission among intravenous narcotic drug users than among narcotic pill users. D.Provides acute care that is the most important component of sustaining recovery for people with addiction.

16. THANK YOU Please submit your answers sheet to Sam and Bon appetit