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Responsibility and Choice in Addiction

1.  Serotonin, gamma-aminobutyric acid (GABA), and opioid peptides are involved in the rewarding effects of alcohol.
A) True
B) False
2.  Abusable substances act on dopaminergic fibers to produce their reward-enhancing effects.
A) True
B) False
3.  Certain individuals seem more vulnerable to developing alcoholism because of their genetic background.
A) True
B) False
4.  Excessive use of addictive substances may result in permanent cognitive deficits that interfere with treatment planning, insight, and impulse control.
A) True
B) False
5.  Once the addictive process begins, neurobiological mechanisms make it increasingly difficult for the individual to abstain from the drug.
A) True
B) False
6.  The responsibility for creating or solving a problem hinges on the degree of control that one is able to exert over the situation or over future events.
A) True
B) False
7.  Factors that influence the degree of personal responsibility in addictive disorders may include
A) Awareness of the problem
B) Knowledge of a genetic predisposition
C) An adequate support network
D) all of the above
8.  If the disorder itself impairs one's capacity for making rational decisions then the capacity for adhering to treatment may also be diminished.
A) True
B) False
9.  Ethnic groups in the United States differ widely in their acculturation practices with respect to alcohol and drugs.
A) True
B) False
10.  AA has no opinions on outside matters, is not a religious or medical organization, is nonprofessional, and does not wish to engage in any controversies.
A) True
B) False
11.  AA does offer an opinions about the biology and genetics of alcoholism.
A) True
B) False
12.  AA is more interested in the alcoholic than in alcoholism.
A) True
B) False
13.  AA clearly embraces free will and personal responsibility and expects most to succeed if they are honest and rigorous in following the program.
A) True
B) False
14.  Diminished capacity is an affirmative defense that does not result in complete exculpation of a criminal charge but may lessen the charge or the degree of punishment.
A) True
B) False
15.  For many addicts, the only way they will receive treatment is to end up in the criminal justice system.
A) True
B) False
16.  Blood Alcohol Concentration is determined by how quickly alcohol is absorbed, distributed, metabolized, and excreted.
A) True
B) False
17.  Blood Alcohol Concentration is influenced by environmental factors such as the rate of alcohol drinking, the presence of food in the stomach and genetic factors.
A) True
B) False
18.  The kidneys are the main organ responsible for metabolizing ingested alcohol.
A) True
B) False
19.  Chronic alcohol consumption greatly enhances the risk of developing cancer of the esophagus and oral cavity.
A) True
B) False
20.  Animal studies have suggested that exposure to stress facilitates both the initiation and the reinstatement of alcohol use after periods of abstinence.
A) True
B) False