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1 | |
The American Medical Association describes alcoholism as |
| | A) | a disease that is curable and with the new medical treatments available will soon eliminate alcoholism altogether. |
| | B) | a disease that is basically incurable and therefore management of the symptoms is all that the physician can strive for. |
| | C) | an illness characterized by significant impairment directly related to persistent and excessive use of alcohol. Impairment can involve physiological and social dysfunction, and for psychological, social and genetic reasons some people are more vulnerable to this disorder than others. |
| | D) | a social issue and therefore little can be done from a medical standpoint to eradicate the stigma of alcoholism from society. |
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2 | |
Which of the following is most efficiently absorbed? |
| | A) | Fat |
| | B) | Protein |
| | C) | Carbohydrates |
| | D) | Alcohol |
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3 | |
How many calories would be provided in a 5 ounce glass of wine given the following information: alcohol - 13 grams, carbohydrate - 3 grams, fat - 0 grams, and protein - 0 grams? |
| | A) | 64 kcals |
| | B) | 129 kcals |
| | C) | 91 kcals |
| | D) | 103 kcals |
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4 | |
Which one of the following carbohydrates would need to be malted during the fermentation process of making beer? |
| | A) | A monosaccharide such as glucose. |
| | B) | A disaccharide such as maltose. |
| | C) | A polysaccharide such as starch. |
| | D) | A yeast to start the fermentation process. |
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5 | |
What is the purpose of aging wine and some distilled spirits in oak barrels? |
| | A) | Aging in oak barrels decreases the acidity and removes undesirable impurities. |
| | B) | Aging imparts the essence of oak, a common flavor noted in all alcoholic beverages. |
| | C) | Oak barrels are the only storage container that protects the beverages from bacterial contamination. |
| | D) | Putting spirits in oak barrels prevents the alcohol from aging any further after the distillation is complete. |
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6 | |
Which group(s) of people do not metabolize very much alcohol? |
| | A) | Eskimos |
| | B) | Native Americans |
| | C) | Chinese |
| | D) | All of the above. |
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7 | |
You may have heard the advice to not drink on an empty stomach. Why is this such good advice? |
| | A) | If you drink on an empty stomach the alcohol will sour in the acidic environment of the stomach causing you to vomit. |
| | B) | Food slows the stomach's emptying rate thus slowing the absorption of alcohol into the bloodstream. |
| | C) | Food stimulates secretions such as gastric acid which dilutes the alcohol and slows its absorption into the bloodstream. |
| | D) | The food absorbs some of the alcohol preventing a hangover the next day. |
| | E) | B and C |
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8 | |
Alcohol is most damaging to |
| | A) | the brain cells since alcohol can be used as an energy source even before glucose. |
| | B) | the stomach cells since this is the site where ADH (alcohol dehydrogenase) metabolizes alcohol. |
| | C) | the cells of the gastrointestinal tract since they are in direct contact with ingested alcohol. |
| | D) | the liver cells where alcohol is oxidized. |
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9 | |
A product of alcohol metabolism is |
| | A) | Alcohol dehydrogenase |
| | B) | MEOS |
| | C) | Catalase |
| | D) | Acetaldehyde |
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10 | |
Alcohol itself is toxic in high quantities. Mixed with sedatives, it creates an extremely lethal combination. Why is this combination potentially so deadly? |
| | A) | When the two mix a deadly carcinogen is formed. |
| | B) | The sedatives make the drinker so sleepy they don't realize how much they are drinking and will over-consume more alcohol than they normally would. |
| | C) | If large amounts of alcohol and sedatives are consumed simultaneously, the alcohol gets preferred breakdown in the MEOS system. |
| | D) | More CO2 is produced in the metabolism of alcohol than the lungs can handle. |
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11 | |
An alcoholic may exhibit one of the symptoms of excessive, chronic alcohol consumption called acites: |
| | A) | Acites is the name of the cancer that forms in the esophagus. |
| | B) | Acites describes the deep, wide grooves that form in the brain. |
| | C) | Acites describes the condition of the heart when it nearly doubles in size. |
| | D) | Acites is the term used when fluid fills the abdomen as a result of liver damage. |
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12 | |
A severe thiamin deficiency with symptoms of eye problems, difficulty walking and deranged mental function caused by excessive alcohol consumption is called: |
| | A) | Wernicke-Korsakoff syndrome |
| | B) | Scurvy |
| | C) | Polyneuropathy |
| | D) | Tetany |
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13 | |
Which of the following are possible mechanisms that underlie the liver damage as seen in cirrhosis? |
| | A) | Buildup of acetaldehyde concentration |
| | B) | Free radicals |
| | C) | Inflammation |
| | D) | All of the above. |
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14 | |
Alcohol consumed during pregnancy can result in |
| | A) | Fetal alcohol syndrome (FAS) |
| | B) | Fetal alcohol effect (FES) |
| | C) | Alcoholic cardiomyopathy |
| | D) | Alcoholic addiction |
| | E) | A and B |
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15 | |
Of the following risk factors, which one has been shown by various research studies to account for 50% of a person's risk for alcoholism? |
| | A) | Gender |
| | B) | Genetics |
| | C) | Ethnicity |
| | D) | Parental influence |
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16 | |
A useful tool to investigate potential for alcohol abuse and dependence is |
| | A) | the Facies stigma |
| | B) | the Ecchymoses diagnostic tool |
| | C) | the Aversion Therapy challenge test |
| | D) | CAGE |
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17 | |
Which of the following has been shown to be very useful in helping a recovering alcoholic develop new habits to manage anger, resolve conflicts, and find ways to have fun while sober? |
| | A) | Alcoholics Anonymous |
| | B) | Al-Anon |
| | C) | Religious counseling |
| | D) | Both A and C |
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18 | |
Treatment of alcoholism must rely solely on psychological therapy, hospitalization to treat the symptoms, and family support. At this time there are no medications to treat alcoholism. |
| | A) | True |
| | B) | False |
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19 | |
Acute alcohol intoxication is a major cause of |
| | A) | suicide |
| | B) | hazing deaths |
| | C) | academic failure |
| | D) | All of the above. |
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20 | |
The warning signs and symptoms of alcohol poisoning include: |
| | A) | Semiconsciousness or unconscious |
| | B) | Slow respiration of eight or fewer breaths per minute. |
| | C) | Cold, clammy, pale or bluish skin. |
| | D) | Strong odor of alcohol. |
| | E) | All of the above. |
| | F) | None of the above. |
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21 | |
What is not true of cirrhosis, the liver disease? |
| | A) | Mostly affects obese individuals |
| | B) | Results from a fatty and inflamed liver |
| | C) | Develops in 15-20% of cases of alcoholism |
| | D) | Fat cells are replaced by scar tissue |
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22 | |
The U.S. standard for blood alcohol concentration will soon be changed from ___ in some states to ___ nationwide for anyone to be considered legally intoxicated. |
| | A) | 0.2, 0.1 |
| | B) | 0.1, 0.08 |
| | C) | 0.5, 1 |
| | D) | 0.1, 5 |
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23 | |
What is the correct serving size of beverages with equal alcohol content? |
| | A) | 5 ounces wine, 1.5 ounces hard liquor, 12 ounces beer |
| | B) | 8 ounces wine, 2 ounces hard liquor, 12 ounces beer |
| | C) | 3 ounces wine, 2 ounces hard liquor, 8 ounces beer |
| | D) | 5 ounces wine, 1 ounce hard liquor, 8 ounces beer |
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24 | |
Which of the following is true of alcohol metabolism? |
| | A) | Women and men metabolize alcohol the same. |
| | B) | Women have a lower activity of alcohol dehydrogenase |
| | C) | The recommended daily intake for women is 3 drink servings per day |
| | D) | The recommended daily intake for men is 4 drink servings per day |
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25 | |
What is the goal of Healthy People 2010 for binge drinking? |
| | A) | Reduce by at least one-half the amount of high school and college students engaging in binge drinking. |
| | B) | Increase the legal drinking age to 25 years. |
| | C) | Reduce the amount of high school binge drinking by 70%. |
| | D) | None of the above |
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