Multiple Choice Question (Forensic Medicine & Toxicology)

1.) With Barbiturate and Benzodiazepine Abuse and Dependency, sedative intoxication is generally associated with:

a) Slurred speech

b) Uncoordinated motor movements

c) Impairment in attention and memory

d) All of the above

2.) Which of the following is derived from the hemp plant “cannabis sativa”?

a) Opium

b) Marijuana

c) MDMA

d) Crack

3.) A synthetic form of opium was developed by Germany during WWII. This is known as.

a) Prednisalone

b) Cortisone

c) Methadone

d) Polyheroin

4.) A long-term user of cocaine may well develop symptoms of other psychological disorders, such as:

a) Major depression

b) Social phobia

c) Eating disorders

d) All of the above

5.) Amotivational syndrome in cannabis users suggests that those who use cannabis regularly are more likely to:

a) Exhibit apathy

b) Exhibit loss of ambition

c) Have difficulty concentrating

d) All of the above

6.) Lysergic Acid Diethylamide (LSD) starts to take effect around 30 to 90 minutes after taking it and physical effects include:

a) Raised body temperature

b) Increased heart rate and blood pressure

c) Sleeplessness

d) All of the above

7.) Individuals with Hallucinogen Dependency can spend many hours and even days recovering from the effects of the drug some hallucinogens – such as MDMA – are often associated with physical ‘hangover’ symptoms. Which of the following are MDMA hangovers?

a) Insomnia

b) Fatigue

c) Drowsiness

d) All of the above

8.) The alcohol intoxicated individual has less cognitive capacity available to process all on-going information, and so alcohol acts to narrow attention and means that the drinker processes fewer cues less well. This is known as:

a) Alcohol myopia

b) Alcohol dependency

c) Alcohol abuse

d) Alcohol amnesia

9.) In cognitive behavioural therapy for substance abuse individuals may hold dysfunctional beliefs such as “If I lapse then my treatment will have failed” or “I have had one drink so I may as well get drunk”. These are known as:

a) Abstinence violation beliefs

b) Controlled drinking

c) Amotivational syndrome

d) Impulsive drinking

10.) In biological treatments of substance abuse an example of a user being weaned onto a weaker substance would be which of the following?

a) Methadone maintenance programmes

b) Controlled drinking

c) Barbiturate ban

d)Amphetamine amnesty

11.) Which of the following drugs are used to treat substance use disorders by attaching to endorphin receptor sites in the brain?

a) Naltrexone

b) Naxolone

c) Buprenorfine

d) All of the above

12.) Growing evidence to suggest that nicotine has its effects by:

a) Releasing serotonin into the cerebellum

b) Releasing dopamine in the mesolimbic system of the brain

c) Releasing GABA into the hypothalamus

d) Releasing acetylcholine into the diencephalons

13.) The term psychological dependence is used when:

a) It is clear that the individual has changed their life to ensure continued use of the drug

b) Their activities are centred on the drug and its use

c) Leads to neglect of other important activities such as work, social and family commitments

d) All of the above

14.) Which of the following is an example of a substance use disorder (SUD)?

a) Alcohol related disorders

b) Caffeine related disorders

c) Inhalant related disorders

d) All of the above

15.) Which of the following is not a hallucinogenic?

a) Cannabis

b) MDMA

c) LSD

d) Antibiotics

16.) Following withdrawal after extended heavy drinking over a number of years, the drinker may experience:

a) Delirium tremens (DTs)

b) Saccadian Dysrhythmia

c) Homeostasis

d) Leptocurtic reaction

17.) Which of the following are the consequences of vitamin and mineral deficiencies which can lead to dementia and memory disorders in alcohol abuse?

a) Smirnoff’s syndrome

b) Korsakoff’s syndrome

c) Helmert syndrome

d) Huynh-Feldt syndrome

18. Methadone is Used for:

a) Chronic Pain

b.) Opioid Dependence

c) Detoxification

d) All of the Above

19. The narcotics that are derived from opium are

a) Codeine and Morphine

b) Morphine and Endorphin

c) Tetracycline and Morphine

d) Panadol and Codeine

20. Opium, morphine, pethidine and methadone are collectively called as

a) Tranquillisers

b) Stimulants

c) Hallucinogens

d) Opiate narcotics

Answers

1.) d.2.) b.3.) c.4.) d.
5.) d.6.) d.7.) d.8.) a.
9.) a.10.) a.11.) b.12.) b.
13.) d.14.) d.15.) d.16.) a.
17.) b.18.) d.19.) a.20.) d.