Substance Abuse Quiz IDK


Currently refers to naturally occurring substances derived from the opium poppy and their synthetic substitue

What are drugs referred to that have an association with opium?

Opioid (or opiate) narcotics

What has the term narcotic been incorrectly used for?

Many substances including marijuana and cocaine

Although opioid narcotics possess abuse potential....

they have important clinical value

The most common clinical use of opioid narcotics is as

analgesics to relieve pain


The opioid narcotics relieve pain by activating the same group of receptors that are controlled by endogenous substances, released in response to stress or pain

Activation of opioid receptors

The opioid narcotics relieve pain by activating the same group of receptors that are controlled by endogenous substances called endorphins , released in response to stress or pain

Opioid narcotics are CNS depressants


All the opioid narcotic agents that activate opioid receptors have abuse potential and are classified as scheduled drugs


Tolerance begins...

with the first dose of a narcotic , although it does not become clinically evident until after 2 to 3 weeks of frequent use

What factors make an individual vulnerable to opioid abuse?

Family history of substance abuse issues (genetic vulnerability)
Dependence on nicotine, alcohol or sleeping pills
Use of psychiatric medications
Younger than 65 years of age

Heroin is classified as a Schedule I drug


Some of the recent increases in heroin use likely due to...

increased abuse of Rx opioid painkillers

Patients should be educated about potential abuse problems prior to being prescribed opioid drugs


If significant abuse is suspected, the prescribing clinician should discuss their concerns with the patient to find appropriate steps to stop abuse


Heroin has a bitter taste and is often cut with...

quinine which can be a deadly adulterant

Heroin plus the artifical narcotic ______ can be dangerous due to its unexpected potency


Heroin is frequently used with ____


Heroin combined with cocaine is called _____


how to do heroin...

Snorting the powder (nasal insufflation)
Injecting into muscle (intramuscular)
Mainlining (intravenous injection)

Amphetamine.... Synthetic chemical structure similar to natural neurotransmitters:

Norepinephrine, dopamine and epinephrine

Increase the release and block the metabolism


approved uses of amphetamines

Attention Deficit Hyperactivity Disorder (ADHD)
Weight reduction

Side Effects of Therapeutic Doses

Abuse and addiction
Cardiovascular toxicties
Increased heart rate
Elevated blood pressure
Damage to blood vessels

Methods of Amphetamine Administration

Oral Ingestion (least efficient delivery method)
Intravenous Injection

High doses of amphetamine...

can cause brain damage

Ecstasy enhances sensory input and....

has both stimulant and psychedelic effects

Ecstasy also releases...

both serotonin and dopamine and increases levels of oxytocin in the blood

Cocaine administration

It enhances sensory input and has both stimulant and psychedelic effects; it releases both serotonin and dopamine, and increases levels of oxytocin in the blood

Pharmacological Effects of Cocaine

Blocks the reuptake of these substances following their release from neurons
-Euphoria and positive feelings
- ups cardiovascular activity
-local anesthetic effect

What is the most frequently consumed stimulant in the world?


What is caffeine classified as?


what is the average daily intake of caffeine?

2-3 cups of coffee a day

What is the leading preventable cause of disease and premature death in the US?


Tobacco is the single largest cause of preventable death worldwide, and a risk factor of 75% of leading causes of death

WHO estimated that tobacco use kills 6 million people worldwide each year

In 2011, 68.2 million Americans what % of the population age 12+ reported current use of a tobacco product?


The amount of nicotine absorbed depends upon

The exact composition of the tobacco
How densely the tobacco is packed in the cigarette
Whether a filter is used & characteristics of the filter
The volume of smoke inhaled
The number of cigarettes smoked

Nicotine is a stimulant

But not the biggest problem per se
The inhalation of combusted materials, toxins and carcinogens is what is most harmful to tobacco smokers

Cigarette smoking is a major cause of cancers of the lungs, bladder, pancreas, cervix, esophagus, stomach, oral cavity and kidney


There is NO conclusive evidence of reduced health risks associated with low-tar cigarettes


Electronic cigarettes (e-cigarettes) are devices that deliver nicotine (or other substances) to users as a vapor

FDA has not fully evaluated e-cigarettes for effectiveness or safety
FDA only regulates e-cigarettes marketed for therapeutic purposes