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1) With regard to Health Canada’s Low Risk Drinking Guidelines, Guideline 1 refers to
__________ patterns of drinking and Guideline 2 to __________ patterns of drinking.
a. chronic; acute
b. chronic; chronic
c. acute; chronic
d. acute; acute

Answer: a
Diff: 2
Type: MC
Page Reference: 220

2) Currently, about _____% of Canadians exceed the Low-Risk Drinking Guideline 1 and
about _____% of Canadians exceed the Low-Risk Drinking Guideline 2.
a. 14; 10
b. 5; 10
c. 10; 14
d. 14; 5

Answer: a
Diff: 3
Type: MC
Page Reference: 220

3) For each person with an alcohol addiction, it is estimated that __________ family
members are directly affected.
a. two
b. four
c. five
d. six

Answer: b
Diff: 2
Type: MC
Page Reference: 220

4) Alcoholics tend to be stereotyped on the dimension of __________.

a. age
b. gender
c. socioeconomic level
d. all of the above

Answer: d
Diff: 1
Type: MC
Page Reference: 220–221

5) Alcoholism is diagnosed by __________.

a. breathalyzer tests
b. a collection of signs, symptoms, and behaviours
c. urine analysis
d. a throat swab

Answer: b
Diff: 1
Type: MC
Page Reference: 223

6) A preoccupation with drinking would be an example of the _______ component of the

criteria used to define alcoholism.
a. psychological-behavioural
b. social
c. physical
d. cultural

Answer: a
Diff: 2
Type: MC
Page Reference: 220

7) Symptomatic drinking is indicated by __________.

a. drinking as a way of enjoying good friends
b. drinking as a way of relieving tension
c. drinking as a way of quickly passing out
d. drinking as a way of making friends

Answer: b
Diff: 2
Type: MC
Page Reference: 222

8) Craving for alcohol means that alcoholism has which characteristic?

a. physical dependence
b. psychological dependence
c. a combination of physical and psychological dependence
d. a combination of occasional and spree drinking

Answer: b
Diff: 2
Type: MC
Page Reference: 223

9) Out-of-control drinking would be indicated by __________.

a. intense craving for alcohol
b. domestic violence
c. hanging out at bars
d. depression

Answer: a
Diff: 2
Type: MC
Page Reference: 223

10) An example of a social component of the criteria used to define alcoholism is

__________.
a. binge drinking
b. symptomatic drinking
c. domestic instability
d. stockpiling alcohol
Answer: c
Diff: 2
Type: MC
Page Reference: 222

11) Which of the following behaviours would not be classified as a psychological-

behavioural component of the criteria used to define alcoholism?
a. Spree or binge drinking
b. Symptomatic drinking
c. Spousal abuse
d. A craving for alcohol

Answer: c
Diff: 3
Type: MC
Page Reference: 222

12) Alcoholics Anonymous is based upon the idea of __________.

a. absolute devotion to its ideals
b. absolute abstinence
c. absolute commitment toward responsible drinking
d. absolute allegiance to one’s country

Answer: b
Diff: 2
Type: MC
Page Reference: 222

13) Chronic alcohol intake results in __________.

a. domestic tranquility
b. symptoms of depression
c. heart failure
d. symptoms of psychosis

Answer: b
Diff: 1
Type: MC
Page Reference: 222

14) Alcohol is a depressant drug __________.

a. and one-half of all alcoholics have previously shown signs of depression
b. but relatively few alcoholics have previously shown signs of depression
c. but the effects of alcohol reduce the likelihood of clinical depression
d. and depressive symptoms in alcoholics are likely to be alcohol-induced

Answer: d
Diff: 2
Type: MC
Page Reference: 222

15) Which area(s) of the brain are most affected by heavy drinking?
a. Cerebral cortex and forebrain
b. Forebrain and medulla
c. Cerebellum and cerebral cortex
d. Pons and thalamus

Answer: c
Diff: 2
Type: MC
Page Reference: 223

16) Neuroimaging procedures such as CT and MRI scans show a link between heavy
drinking and destructive effects __________.
a. in the liver
b. in the kidney
c. in the brain
d. in the pancreas

Answer: c
Diff: 1
Type: MC
Page Reference: 223
17) CT and MRI scans show a link between heavy drinking and shrinkage of
__________.
a. the testes
b. the colon
c. the thyroid gland
d. brain matter

Answer: d
Diff: 1
Type: MC
Page Reference: 223

18) A sensitivity to the mere mention of a possible drinking problem is referred to as

__________.
a. symptomatic drinking
b. enabling
c. denial
d. a combination of symptomatic drinking and enabling

Answer: c
Diff: 2
Type: MC
Page Reference: 223

19) Which of the following people is an enabler?

a. A man checking himself into a rehabilitation facility
b. A woman taking her brother to an Alcoholics Anonymous meeting
c. A father giving his son money to pay rent when his son spent his paycheque on alcohol
d. A mother kicking her daughter out of the house due to her alcoholism

Answer: c
Diff: 1
Type: MC
Page Reference: 223

20) Enablers __________.

a. can be helpful in treatment and rehabilitation
b. make it possible for alcoholics to get help
c. inadvertently delay the onset of treatment
d. are typically not members of the family

Answer: c
Diff: 2
Type: MC
Page Reference: 223

21) According to the text, _____ most often delay(s) the onset of treatment for alcohol
abuse.
a. denial
b. enabling
c. financial problems
d. both A and B

Answer: d
Diff: 2
Type: MC
Page Reference: 223

22) In the DSM-5, a new diagnostic category for alcohol-related problems combines two
previously separate syndromes: __________.
a. alcohol abuse and alcoholism
b. alcohol dependence and alcoholism
c. alcohol abuse and alcohol dependence
d. alcohol addiction syndrome and alcohol abuse

Answer: c
Diff: 2
Type: MC
Page Reference: 224

23) According to previous DSM-IV criteria, __________.

a. alcohol abuse is more severe than alcoholism
b. alcohol dependence is more severe than alcohol abuse
c. alcohol abuse is more severe than alcohol dependence
d. alcohol dependence is more severe than alcoholism

Answer: b
Diff: 2
Type: MC
Page Reference: 224

24) Which of the following is NOT a previous DSM-IV diagnosis now combined under
alcohol use disorder in the DSM-5?
a. Alcohol abuse
b. Alcohol dependence
c. Symptomatic drinking
d. all of the above

Answer: c
Diff: 1
Type: MC
Page Reference: 224

25) Sara has been drinking alcohol for two months. She even drives her friends home on
weekends when she has been drinking heavily. According to the DSM-5, Sara meets one
of the criteria for __________.
a. alcohol abuse
b. alcohol dependence
c. systematic drinking
d. alcohol use disorder

Answer: d
Diff: 2
Type: MC
Page Reference: 224–225

26) Steven has been drinking alcohol for two months. He finds himself drinking even
though he has attempted to stop many times. Last time he tried, he felt he had to drink
just to stop his massive headache. He ended up drinking so much that night that the next
day he overslept and missed work. According to the DSM-5, Steven meets one of the
criteria for __________.
a. alcohol abuse
b. alcohol dependence
c. systematic drinking
d. alcohol use disorder

Answer: d
Diff: 2
Type: MC
Page Reference: 224–225

27) According to the DSM-5, a persistent desire or one or more unsuccessful attempts to
cut down or control drinking is one of the criteria for __________.
a. alcoholism
b. alcohol use disorder
c. alcohol abuse
d. alcohol dependence

Answer: b
Diff: 2
Type: MC
Page Reference: 224–225

28) According to the DSM-5, how many criteria does an individual need to meet in order
to receive a diagnosis of alcohol use disorder?
a. two
b. four
c. six
d. eight

Answer: a
Diff: 3
Type: MC
Page Reference: 224–225

29) The sub-classifications of alcohol use disorder in the DSM-5 are __________.
a. mild, moderate, and severe
b. alcohol abuse and alcohol dependence
c. alcoholism and alcohol abuse
d. moderate, severe and extreme

Answer: a
Diff: 3
Type: MC
Page Reference: 224–225

30) Which of the following criteria is no longer included in the DSM-5?

a. Recurrent alcohol-related legal problems
b. Craving or strong desire to use alcohol
c. Recurrent alcohol use in situations where it is physically hazardous
d. Persistent desire or unsuccessful efforts to cut down or control alcohol use

Answer: a
Diff: 3
Type: MC
Page Reference: 223

31) Which of the following criteria is a new addition to the DSM-5?

a. recurrent alcohol-related legal problems
b. craving or strong desire to use alcohol
c. recurrent alcohol use in situations where it is physically hazardous
d. persistent desire or unsuccessful efforts to cut down or control alcohol use

Answer: b
Diff: 3
Type: MC
Page Reference: 223

32) During chronic alcohol consumption, tolerance occurs because __________.

a. alcohol dehydrogenase levels are higher
b. the brain is less sensitive to alcohol
c. of a combination of A and B
d. Neither A nor B is a reason for tolerance.

Answer: c
Diff: 2
Type: MC
Page Reference: 226

33) An alcohol-tolerant drinker may feel the intoxication level equivalent to a BAC of
____ while actually having a BAC of _____.
a. 0.10%;0.05%
b. 0.08%; 0.18%
c. 0.10%; 0.10%
d. 0.25%; 0.10%

Answer: b
Diff: 3
Type: MC
Page Reference: 226

34) An alcohol-tolerant drinker will feel _____ when actually he or she is _____ (by
behavioural standards).
a. sober; drunk
b. drunk; sober
c. sober; sober
d. drunk; drunk

Answer: a
Diff: 2
Type: MC
Page Reference: 226

35) Jason is an alcohol-dependent individual. He drank 10 shots of tequila. His last drink
was at 2 a.m. He should expect withdrawal symptoms to begin at about __________.
a. 2:45 a.m.
b. 3:15 a.m.
c. 4:30 a.m.
d. 8:00 a.m.

Answer: d
Diff: 3
Type: MC
Page Reference: 226

36) Physical withdrawal symptoms in an alcohol-dependent individual occur at a

prevalence rate of about __________.
a. 1 to 2%
b. 5 to 18%
c. 50 to 60%
d. 95 to 100%

Answer: b
Diff: 3
Type: MC
Page Reference: 226

37) The most commonly observed group of symptoms associated with alcohol
withdrawal is referred to as __________.
a. Wernicke-Korsakoff syndrome
b. Tourette syndrome
c. alcohol withdrawal syndrome
d. delirium tremens

Answer: c
Diff: 2
Type: MC
Page Reference: 226

38) Heather began having physical withdrawal symptoms about 24 hours after she
stopped drinking. She kept waking up from vivid dreams. She was trembling and
sweating. Her heart rate was rapid, and she felt nauseated. Heather is suffering from
__________.
a. Wernicke-Korsakoff syndrome
b. Tourette’s syndrome
c. alcohol withdrawal syndrome
d. delirium tremens

Answer: c
Diff: 2
Type: MC
Page Reference: 226

39) Which of the following physical withdrawal symptom pertains to both clusters of
physical withdrawal effects?
a. Fever
b. Hallucinations
c. Sweating
d. Vomiting

Answer: c
Diff: 3
Type: MC
Page Reference: 226

40) Life-threatening events (e.g., heart failure, dehydration) are common with _____.
a. Wernicke-Korsakoff syndrome
b. alcohol withdrawal syndrome
c. fatty liver
d. delirium tremens

Answer: d
Diff: 2
Type: MC
Page Reference: 226

41) Timon is having physical withdrawal symptoms from alcohol. He started feeling
confused and feverish. He is sweating and hallucinating. Timon is most likely suffering
from __________.
a. Wernicke-Korsakoff syndrome
b. Tourette syndrome
c. alcoholic cirrhosis
d. delirium tremens

Answer: d
Diff: 2
Type: MC
Page Reference: 226

42) Which of the following is NOT one of the three forms of liver disease caused by
chronic alcohol consumption?
a. Fatty liver
b. Alcoholic hepatitis
c. Alcoholic cirrhosis
d. Delirium tremens

Answer: d
Diff: 1
Type: MC
Page Reference: 226–227

43) Extreme disorientation and confusion are two symptoms of __________.

a. Tourette’s syndrome
b. delirium tremens
c. cirrhosis of the liver
d. alcoholic hepatitis

Answer: b
Diff: 2
Type: MC
Page Reference: 226

44) Which form of liver disease is characterized by inflammation of liver tissue, jaundice,
and abdominal pain?
a. fatty liver
b. alcoholic hepatitis
c. alcoholic cirrhosis
d. delirium tremens

Answer: b
Diff: 2
Type: MC
Page Reference: 226–227
45) Of the three types of alcohol-related liver diseases, the least severe of them is
__________.
a. fatty liver
b. alcoholic hepatitis
c. alcoholic cirrhosis
d. jaundice

Answer: a
Diff: 2
Type: MC
Page Reference: 226–227

46) A yellowing of the skin is referred to as __________.

a. delirium tremens
b. cyanosis
c. jaundice
d. cirrhosis

Answer: c
Diff: 1
Type: MC
Page Reference: 226

47) The form of liver disease that chokes off blood vessels and interferes with utilization
of oxygen is __________.
a. fatty liver
b. alcoholic hepatitis
c. alcoholic cirrhosis
d. delirium tremens

Answer: c
Diff: 2
Type: MC
Page Reference: 227

48) The liver disease characterized by liver enlargement due to fat accumulation followed
by liver shrinkage due to cell loss is __________.
a. fatty liver
b. alcoholic hepatitis
c. alcoholic cirrhosis
d. delirium tremens

Answer: c
Diff: 2
Type: MC
Page Reference: 227

49) The degeneration of liver cells is characteristic of which liver disease?

a. Wernicke-Korsakoff syndrome
b. Fatty liver
c. Alcoholic hepatitis
d. Alcoholic cirrhosis

Answer: d
Diff: 2
Type: MC
Page Reference: 227

50) Of the three types of alcohol-related liver diseases, the only one that is not reversible
at least in part by abstinence from alcohol is __________.
a. fatty liver
b. alcoholic hepatitis
c. alcoholic cirrhosis
d. delirium tremens

Answer: c
Diff: 2
Type: MC
Page Reference: 227

51) Liver transplantation surgery is the only option that can successfully reverse
__________.
a. Wernicke-Korsakoff syndrome
b. fatty liver
c. alcoholic hepatitis
d. alcoholic cirrhosis

Answer: d
Diff: 1
Type: MC
Page Reference: 227

52) The percentage of heavy drinkers who eventually develop alcoholic cirrhosis of the
liver is __________.
a. 1 to 2%
b. 10 to 20%
c. 50 to 60%
d. 90 to 100%

Answer: b
Diff: 3
Type: MC
Page Reference: 227

53) Most deaths from alcohol cirrhosis occur in those who are __________.
a. 20 to 28 years old
b. 29 to 39 years old
c. 40 to 65 years old
d. over 65 years old

Answer: c
Diff: 3
Type: MC
Page Reference: 227

54) Analogy: Alcohol-induced chest pain is to the heart as alcohol-induced cirrhosis is to

__________.
a. the brain
b. the spleen and pancreas
c. the liver
d. the lungs
Answer: c
Diff: 1
Type: MC
Page Reference: 227

55) Cardiovascular problems __________.

a. can occur among alcoholics
b. have not been linked to alcoholism at all
c. appear to be improved among those engaged in chronic alcohol abuse
d. among alcoholics are indicated by the appearance of jaundice

Answer: a
Diff: 2
Type: MC
Page Reference: 227

56) Chronic alcohol abuse increases the risk of the cancer in the following organs,
EXCEPT for __________.
a. breast
b. pharynx
c. larynx
d. All cancers listed above are associated with chronic alcohol use.

Answer: d
Diff: 2
Type: MC
Page Reference: 227

57) Alcohol __________.

a. is a known carcinogen
b. is technically not a carcinogen
c. is linked with significantly increased risk of lung and stomach cancer
d. does not increase the risk of laryngeal cancer

Answer: b
Diff: 2
Type: MC
Page Reference: 227

58) Explanations for why chronic alcohol abuse carries an increased risk for certain
cancers include __________.
a. the carcinogenic character of alcohol
b. the enhancement of the carcinogenic effect of nonalcoholic chemicals
c. the depression of the immune system
d. both B and C

Answer: d
Diff: 2
Type: MC
Page Reference: 228

59) Dementia is a term that refers to __________.

a. a cognitive deficit
b. an abnormality in the brain
c. a decrease in alcohol dehydrogenase
d. a tendency toward violent behaviour

Answer: a
Diff: 1
Type: MC
Page Reference: 228

60) Alcoholic dementia has been linked to __________.

a. enlargement of brain ventricles
b. a widening of cortical fissures
c. a loss of acetylcholine-sensitive receptors
d. all of the above

Answer: d
Diff: 2
Type: MC
Page Reference: 228
61) Which of the following effects of chronic alcohol can be measured by CT and MRI
scans?
a. A reduction in the way the individual remembers information
b. A reduction in overall intelligence
c. A decrease in brain mass
d. A deficiency in short-term memory

Answer: c
Diff: 1
Type: MC
Page Reference: 228

62) There is a correlation between a decline in overall intelligence and __________.

a. occupational status
b. the type of alcohol consumed (beer versus distilled spirits)
c. enlargement of brain ventricles
d. the development of laryngeal cancer

Answer: c
Diff: 2
Type: MC
Page Reference: 228

63) Alcoholic dementia affects __________.

a. the heart
b. the spinal cord
c. the liver
d. the brain

Answer: d
Diff: 1
Type: MC
Page Reference: 228

64) In general, Wernicke-Korsakoff syndrome is ________ alcoholic dementia.

a. less severe than
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