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The 5th Edition of the Diagnostic and Statistical Manual of Mental Disorders classifies substance abuse and substance dependence as:


A) Substance Abuse Disorder.
B) Substance Use Disorder.
C) Substance Dependence Disorder.
D) Substance Diagnostic Disorder.

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All drugs of abuse affect dopamine levels in the same manner by directly facilitating release from the presynaptic neuron and increasing levels in the synapse.

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People are thought to develop addictive behaviors because of:


A) a moral failing as a human being.
B) lower D2 levels.
C) higher D2 levels.
D) decreased activity in the dopamine system.

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B

Some evidence suggests that people could be prone to addiction because of:


A) increased dopamine receptor expression.
B) higher levels of D2 receptors.
C) higher levels of GABA receptors.
D) lower levels of D2 receptors.

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An important change that appears to commonly develop in the brain of chronic drug users is:


A) a higher metabolic rate in the frontal lobe.
B) a lower metabolic rate in the frontal lobe.
C) higher firing rate of neurons in the nucleus accumbens.
D) lower overall activity in the ventral tegmental area (VTA) .

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For patients with a lifetime diagnosis of bipolar disorder,approximately _____ meet the criteria for substance abuse or dependence.


A) 25%
B) 50%
C) 75%
D) 90%

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Downstream neurons connecting frontal lobe structures with the nucleus accumbens (NAc) and the ventral tegmental area (VTA) use _____ as their primary neurotransmitter.


A) dopamine
B) glutamate
C) GABA
D) serotonin

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Schedule II drugs:


A) have a high potential for abuse.
B) are not prescribed in the United States.
C) have a low potential for psychological dependence.
D) are rarely prescribed outside the United States.

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A

The reward circuit in the brain involves the neurotransmitter:


A) serotonin.
B) norepinephrine.
C) acetylcholine.
D) dopamine.

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Randy is a chronic cocaine user; he would probably experience less pleasure eating a really excellent meal in comparison to someone that is not a drug user.

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The key pathway in the brain reward circuit are the neurons connecting the ventral tegmental area with the amygdala.

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Neuroimaging suggests that when compared to nondrug users,cocaine addicts have a(n) _____ receptors.


A) decreased number of dopamine (D2)
B) increased number of dopamine (D2)
C) decreased number of GABA
D) increased number of GABA

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Recent evidence from the National Survey on Drug Use and Health suggests that drug use is _____ among teenagers and is _____ for individuals in their fifties.


A) moderate; decreasing
B) lowest; declining
C) highest; increasing
D) highest; falling

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The 5th Edition of the Diagnostic and Statistical Manual of Mental Disorders requires that patients diagnosed with mild substance abuse disorder must:


A) have a comorbid anxiety disorder.
B) have comorbid depression
C) exhibit two to three symptoms.
D) exhibit at least four specific symptoms.

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Drug use often begins during adolescence.

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Drug craving is thought to be associated with:


A) increased glutamatergic reactivity.
B) upregulation of dopamine receptors.
C) downregulation of GABA receptors.
D) decreased GABAergic reactivity.

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In addition to dopamine,serotonin is the other important neurotransmitter that has been shown to be important in the brain reward circuit.

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Drug addiction is a moral failing on the part of an individual that compulsively uses drugs.

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Schedule I drugs have no currently accepted medical use in the United States.

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Nicotine is thought to be addictive because it:


A) enhances influx of calcium into the presynaptic cell.
B) enhances binding of dopamine at the postsynaptic receptor.
C) blocks the reuptake / transport of dopamine.
D) stimulates the release of dopamine.

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D

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