Addictions


'Hover' in the centre of the end box and the answer will appear.
1. The following are characteristic of Alcohol Dependency Syndrome as described by Edwards:  
A. Tolerance
T
B. Withdrawal symptoms
T
C. Narrowing of repetoire
T
D. Desire for need to help
F
E. Salience of drinking
T
   
2. Regarding the epidemiology of alcohol dependence:  
A. Equal sex prevalence
F
B. Women tend to present later
T
C. Women are more likely to develop physical complications
T
D. Higher rates in the divorced or separated
T
E. Lower rates in ‘middle’ social groups
T
   
3. The following are true:  
A. Higher rates of alcoholism among 1st degree relatives of alcoholics
T
B. Higher rates of childhood conduct disorder
T
C. Adopted sons of alcoholics have no greater risk of developing the disorder
F
D. Associations with the D2 receptor
T
E. Association with antisocial personality disorder
T
   
4. The following biochemical effects of alcohol are recognized:  
A. Dopamine release in the nucleus basalis
F
B. 5-HT antagonism
F
C. Potentiation of NMDA receptor channels in glutamate receptor
F
D. Inhibition of GABA receptor complex
F
E. Craving may be due to Dopamine release
T
   
5. The following are complications of alcohol misuse:  
A. Gastric carcinoma
T
B. Colorectal carcinoma
T
C. Diabetes mellitus
T
D. Renal agenesis
F
E. Zieve’s syndrome
T
   
6. The following are recognized neurological complications of alcohol misuse:  
A. Central pontine myelinolysis
T
B. Auditory hallucinations in clear consciousness
T
C. Extra-campine hallucinations
F
D. Optic atrophy
T
E. Peripheral neuropathy
T
   
7. The following are features of the Foetal Alcohol Syndrome:  
A. Normal IQ
F
B. Renal abnormalities
T
C. Cleft palate
T
D. Congenital heart disease
T
E. Macrocephaly
F
   
8. The following are recognized psychiatric complications of alcohol misuse:  
A. Major depressive illness
T
B. Suicide
T
C. Schizophrenia
T
D. Morbid jealousy
T
E. Dementia
T
   
9. The following are characteristic of Wernicke’s encephalopathy:  
A. Clouding of consciousness
T
B. Visual hallucinations
F
C. Ataxia
T
D. Ophthalmoplegia
T
E. Hypertension
F
   
10. Features of Korsakoff’s psychosis may include:  
A. Amnesia
T
B. Higher prevalence in women F
C. Orientation F
D. Confabulation
T
E. Later onset in women
F
   
11. Structures affected by Korsakoff’s syndrome typically include:  
A. Nucleus accumbens
F
B. Mamillary bodies
T
C. Floor of the third ventricle
F
D. Thalamic nuclei
T
E. Frontal lobes
T
   
12. Features of alcoholic pellagra encephalopathy may include:  
A. Due to niacin deficiency
T
B. Seizures
F
C. Confusion
T
D. Hypersomnia
F
E. Clasp-knife rigidity
F
   
13. Regarding the epidemiology of drug misuse:  
A. More common in men
T
B. Most cases begin after the age of 18
F
C. Most people present after 6-12 months of continuous use
F
D. Around 15 % of opiate addicts have attempted suicide
T
E. 75 % of addicts meet criteria for another psychiatric diagnosis
T
   
14. The following have been suggested in the aetiology of drug misuse:  
A. Abnormalities of 5-HT systems
T
B. Secondary reinforcement
T
C. ‘Peer group activation’
T
D. Projection
F
E. Reaction formation
F
   
15. The following statements are true:  
A. Cocaine acts on the 5-HT system
F
B. Hallucinogens increase dopamine activity
F
C. PCP acts on the gluatamate receptor
T
D. Ecstasy is a 5-HT agonist
F
E. Cannabinoids bind to the GABA receptor
F
   
16. Features suggestive of a poor outcome in drug misuse may include:  
A. Episodic use
F
B. Antisocial personality disorder
T
C. Late onset of abuse
F
D. Short history of use
F
E. Early drop-out from maintenance programs
T


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