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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 | | 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, 0.1 |
| | D) | 0.1, 0.05 |
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4 | | 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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5 | | 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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6 | | 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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7 | | 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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8 | | 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) | Alcohol requires food to be metabolized properly. |
| | D) | The food absorbs some of the alcohol preventing a hangover the next day. |
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9 | | Alcohol is most damaging to: |
| | A) | the brain cells since alcohol is used as an energy source even before glucose. |
| | B) | the stomach cells since this is the site where alcohol dehydrogenase (ADH) 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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10 | | The end-product of alcohol metabolism is: |
| | A) | alcohol dehydrogenase. |
| | B) | carbon dioxide and water.. |
| | C) | glucose. |
| | D) | acetaldehyde. |
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11 | | 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 preferential metabolism. |
| | D) | More CO2 is produced in the metabolism of alcohol than the lungs can handle. |
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12 | | What is not true of cirrhosis, the liver disease? |
| | A) | mostly affects obese individuals |
| | B) | is 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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13 | | How many drinks define binge drinking? |
| | A) | 10-12 |
| | B) | 3 or more |
| | C) | 5 or more |
| | D) | 20 or more |
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14 | | Which of the following are possible mechanisms that underlie the liver damage seen in cirrhosis? |
| | A) | buildup of acetaldehyde |
| | B) | free radicals |
| | C) | inflammation |
| | D) | all of the above. |
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15 | | Alcohol consumed during pregnancy can result in: |
| | A) | fetal alcohol syndrome (FAS). |
| | B) | sexually transmitted diseases (STD). |
| | C) | heart muscle damage. |
| | D) | alcoholic addiction. |
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16 | | Of the following risk factors, which one has been shown by various research studies to account for 40-60% of a person's risk for alcoholism? |
| | A) | gender |
| | B) | genetics |
| | C) | ethnicity |
| | D) | parental influence |
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17 | | Which of the following organs is not affected by alcohol abuse? |
| | A) | heart |
| | B) | liver |
| | C) | esophagus |
| | D) | none of the above |
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18 | | 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) | all of the above |
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19 | | Which definition best describes alcohol dependence? |
| | A) | person has an inability to fulfill major obligations |
| | B) | person experiences problems in hazardous situations such as driving |
| | C) | person has repeated difficulty to control alcohol use despite consequences |
| | D) | person experiences problems such as social and interpersonal difficulties |
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20 | | 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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21 | | The warning signs 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) | all of the above. |
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22 | | 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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23 | | Which of the following is true of alcohol? |
| | A) | Women and men metabolize alcohol to the same extent. |
| | B) | Women have a lower activity of alcohol dehydrogenase in their stomach cells. |
| | C) | The recommended daily intake for women is 3 servings per day. |
| | D) | The recommended daily intake for men is 4 servings per day. |
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24 | | 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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25 | | When is the estimated discovery for alcohol? |
| | A) | 4,000 years ago |
| | B) | 6,000 years ago |
| | C) | 10,000 years ago |
| | D) | 14,000 years ago |
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