Multiple Choice
Identify the choice that best completes the
statement or answers the question.
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1.
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Introduction
To differentiate the severity of problems between an
older drinker from a younger drinker the Panel recommends using which of the following terms:
A. | at-risk | C. | Both a and b | B. | problem drinkers | D. | Neither a or b |
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2.
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People between the age of 40 and 65 consume more prescribed and over-the-counter
medications than any other age group in the United States.
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3.
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The Consensus Panel recommends that older men consume no more than how many
drinks per day?
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4.
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As opposed to Disulfiram, which is not recommended by the Consensus Panel as an
effective pharmacotherapy for older patients, Naltrexone (ReVia) is preferred as it is better
tolerated and may reduce relapses in older adults.
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5.
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According to the Panel, after a prolonged drinking episode, how long should
signs of depression persist before antidepressant treatment is indicated?
A. | 1 week | C. | 1 month | B. | Several weeks | D. | 2 months |
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6.
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Chapter 1
Disorders among the older population that mimic
substance abuse and make diagnosis difficult could be:
A. | Diabetes | C. | Depression | B. | Dementia | D. | All of the
above |
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7.
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Several factors create barriers in the treatment of older substance abusing
adults. These include:
A. | Ageism | C. | Clinician behavior | B. | Lack of Awareness | D. | All of the
above |
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8.
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Most older adults will readily accept a mental or psychiatric diagnosis, but not
a medical diagnosis.
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9.
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Keeler and colleagues studied the effect of patient age and length of physician
encounter. They found that the amount of time physicians spend with a patient:
A. | Decreases as the age of the patient increases | B. | Increases as the age of the patient
decreases |
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10.
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It is a common myth that older substance abusers do not benefit from treatment
as much as younger patients.
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11.
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Women are prescribed and consume more psychoactive drugs than men, in
particular:
A. | Barbiturates | C. | Enactogens | B. | Benzodiazepines | D. | Opiates |
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12.
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This older minority population is considered at particularly high risk and more
vulnerable to late-life drinking than previously thought.
A. | African-American | C. | Asian | B. | Hispanic | D. | Native-American |
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13.
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Chapter 2
The primary substance of abuse among older adults is:
A. | Pain killers | C. | Alcohol | B. | Tobacco | D. | None of the
above |
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14.
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Which of the following age related changes significantly affect the way an older
person responds to alcohol?
A. | Decrease in body water | C. | Slowing of metabolism | B. | Decreased
tolerance | D. | All of the
above |
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15.
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This enzyme plays a key role in the metabolism of alcohol that occurs in the
gastric mucosa.
A. | Acidophilus | C. | Salivary Amylase | B. | Alcohol dehydrogenase | D. | None of the above
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16.
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Due to age related physiological changes, alcohol consumption can exacerbate
other serious problems among older adults.
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17.
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Alcohol use may have direct neurotoxic effects leading to a syndrome known as
ARD, which stands for:
A. | Alcohol related death | C. | Alcohol related dementia | B. | Alzheimer’s
related disease | D. | Anterograde
related deficit |
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18.
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In all cases studied, even small amounts of alcohol have been shown to be
harmful.
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19.
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Two classic models of understanding alcohol problems, 1) the medical diagnostic
model and
2) the at-risk, heavy, and problem drinking classification-include criteria adequate to
diagnose many older adults with alcohol problems.
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20.
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Most clinicians rely on the conventional medical model defined in the DSM-IV for
classifying the signs and symptoms of alcohol-related problems.
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21.
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To differentiate older drinkers, the Consensus Panel recommends using the terms
at-risk and problem drinkers only.
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22.
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The NIAAA (National Institute on Alcohol Abuse and Alcoholism) recommends this
guideline for low-risk drinking.
A. | No more than 2 drinks per week | C. | No more than 5 drinks per
week | B. | No more than 1 drink per day | D. | None of the
above |
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23.
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Studies suggest three ways of categorizing problem drinking among older adults.
The following is not one of those :
A. | early vs. late onset | C. | moderate drinking | B. | continuous versus
intermittent | D. | binge
drinking |
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24.
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Early onset drinkers comprise the majority of older patients receiving treatment
for alcohol abuse.
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25.
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Late onset alcoholism is often milder and more amenable to treatment than early
onset drinking problems.
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26.
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In contrast to ongoing, continuous drinking, intermittent drinking refers to
regular, perhaps daily heavy drinking that has:
A. | resumed after a stable period of abstinence of 3 to 5 years or more. | C. | resumed after a
stable period of abstinence of 1 year or less | B. | resumed immediately following a treatment
program | D. | None of the
above |
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27.
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Binge drinking is generally defined as:
A. | short periods of loss of control that alternate with longer periods of loss of
control | C. | short periods of loss of control alternating with periods of abstinence and lighter
periods of drinking | B. | short periods of abstinence with longer periods
of loss of control | D. | None of
the above |
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28.
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A binge itself is defined as any drinking occasion in which an individual
consumes more than:
A. | 2 or more standard drinks | C. | 4 or more standard
drinks | B. | 3 or more standard drinks | D. | 5 or more standard drinks |
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29.
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Studies suggest that older men are much more likely than older women to have
alcohol-related problems.
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30.
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Smokers require lower doses of benzodiazepines to achieve efficacy than do
nonsmokers.
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31.
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Tobacco is the most common substance use disorder in the older adult.
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32.
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A recent study found that this combination of substances combine to create
adverse drug reactions and is most common among older adults:
A. | Alcohol and nicotine | C. | Alcohol and over-the-counter medications | B. | Nicotine and
psychoactive drugs | D. | Nicotine
and caffeine |
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33.
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Chapter 3
Adults can become physiologically dependent on psychoactive
medications without meeting dependence criteria.
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34.
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The most consistently documented correlates of psychoactive prescription drug
use are:
A. | Old age, home bound, and male gender | C. | Old age, poor physical health and
female gender | B. | Poor physical health, male gender and social isolation | D. | Poor physical health, isolation and female
gender |
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35.
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Older women are nearly twice as likely as older men to develop a diagnosable
anxiety disorder.
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36.
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Older patients with substance dependence disorders are less likely than younger
drug addicts to have a dual diagnosis.
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37.
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Benzodiazepines have variable rates of absorption, with metabolism occurring
primarily in the:
A. | Kidneys | C. | Stomach | B. | Liver | D. | Colon |
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38.
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Most patients who withdraw from benzodiazepine use/abuse can maintain
abstinence.
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39.
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Instead of relying on drugs as a first line approach, treatment should initially
be directed toward any underlying disorder.
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40.
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Opioid withdrawal is considered life-threatening.
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41.
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Chapter 4
It is the recommendation of this Panel that every adult over the age of 60 be
screened for alcohol and prescription drug abuse during his/her regular physical examination.
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42.
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Studies have shown the most common health problem among alcohol-dependent older
adults is:
A. | Diabetes | C. | Alcoholic liver disease | B. | Cancer | D. | Sleep disorder |
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43.
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The most common causes of dementia in older adults is:
A. | Alzheimer’s Disease | C. | Both a and b | B. | Vascular
Dementia | D. | None of the
above |
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44.
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Delirium is an alteration of mental status that can be reversed with medical
treatment.
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45.
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The Panel recommends this screening tool for use in general outpatient settings
as a screen for depression among older patients.
A. | Geriatric Depression Scale | C. | Confusion Assessment
Method | B. | Center for Epidemiological Studies Depression Scale | D. | Neurobehavioral Cognitive Status
Examination |
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46.
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Chapter 5
The Consensus Panel recommends the least intensive treatment
options be explored first for the older adult patient.
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47.
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As a group, older adults tend to have a greater disdain for ‘drug
addicts’ than the general population.
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48.
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Triage refers to:
A. | Organizing and prioritizing treatment service | C. | Patient
matching | B. | Recommending placement for treatment | D. | All of the
above |
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49.
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The most commonly used patient placement criteria are found in the:
A. | DSM-IV | C. | CSAT | B. | ASAM-PPC-2 | D. | CAM |
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