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Drugs and Society ch. 1-16
Drug, Society & Human Behavior Carl L. Hart 13th edition end of chapter questions and key points
136
Political Studies
Undergraduate 1
05/30/2010

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Term
Besides asking a person directly, what is one way that a psychologist can try to determine why a person is taking a drug?
Definition
Look for consistency in the situations in which the behavior occurs (when and where)
Term
What two characteristics of a drug's effect might change when the dose is increased?
Definition
Usually an increase of the same effects observed at a lower levels occurs and there is a change in the kind of effect.
Term
Explain acute toxicity versus chronic toxicity.
Definition
acute toxicity results from two much of a drug; chronic toxicity results from long term exposure (blacking out vs. cirrhosis of the liver)
Term
About what percentage of college students use marijuana?
Definition
less than twenty percent
Term
What do the results of the National Survey on Drug Use and Health tell us about the overall rates of marijuana and cocaine use among whites compared to African Americans in the United States?
Definition
The overall percentage of drug use was greater among white people than blacks.
Term
How does having a college degree influence rates of drinking alcohol? Using tobacco?
Definition
Adults with a college education are more likely to drink alcohol and less likely to smoke cigarettes.
Term
How does impulsivity relate to rates of drug use in the general population? How does impulsivity relate to substance dependence?
Definition
people with an impulsive personality have a higher rate of substance abuse and dependence.
Term
The French term 'laissez-faire' is used to describe what type of relationship between a government and its people?
Definition
Laissez-faire market in the United States during the 1800's meant there were virtually no laws governing the sale or use of drugs.
Term
What are three main concerns that aroused public interest in drugs?
Definition
1.) toxicity, 2.) dependence, 3.) crime
Term
Define acute and chronic effects.
Definition

Acute--> comes on suddenly; short term effects

Chronic--> comes on after long-term drug use; long term effects

Term
What two  kinds of data are recorded by the DAWN system?
Definition
1.) Emergency room visits that involve any type of drug (up to six are recorded) whether or not the drug actually caused the accident and 2.) Drug related deaths
Term
What other drug other than alcohol is mentioned most often in both parts of the DAWN system?
Definition
Cocaine and alcohol-in combination
Term
What drugs and methods of using them are considered to have a very high dependence potential?
Definition
Heroin injected intraveneously and smoked crack cocaine have a very high potential for tolerance and dependence.
Term
What is the apparent dependence potential of hallucinogenic drugs, such as mescaline and LSD?
Definition
Hallucinogenic drugs have a very low dependence potential.
Term
What are four ways in which drug use may theoretically cause crime?
Definition
1.) drug use may somehow permanently change a person's personality, 2.) being under the influence may cause the person to commit a crime, 3.) crimes carried out for obtaining money for drugs, 4.) illicit drug use is a crime in itself.
Term
At approximately what year did drug use reach its peak in the United States? What happened to the rate of drug use after that year?
Definition
Around 1980 drug use reached its peak and then decreased until the 1990's, when it began to slowly increase. Current rates are lower than at its peak.
Term
What does the size and type of effect observed by the user depend on?
Definition
It depends on the dose of the drug and the user's history and expectations.
Term
What four kinds of habit forming drug use at the start of t he 20th century caused social reactions leading to the passage of federal laws?
Definition
alcohol, opium, morphine, and cocaine
Term
What were the two fundamental pieces of federal drug legislation passed in 1906 and 1914?
Definition
The Pure Food and Drug Act of 1906 and the Harrison Act of 1914
Term
In about what year did it first become necessary for drug companies to demonstrate to the FDA that new drugs were effective for their intended use?
Definition
In 1962 th Kefauver-Harris Act made it neccesary for drug companies to demonstrate drug effectiveness to the FDA.
Term
What three phases of clinical drug testing are required before a new drug application can be approve?
Definition
Phase 1: relatively low doses on a limited number of volunteers (20 to 80 people; primary interest is drug absorption and secretion as well as side effects.
Phase 2: involves patients with conditions the drug is designed to treat; involves a few hundred patients.
Phase 3: administers the drug to larger number of patients with symptoms or disease the drug is designed to treat; FDA balances benefits with possible dangers before approving.
Term
What are drug paraphernalia laws, and why have they been subject to court challenges?
Definition
Drug parapharnalia laws limit the sales of parapharnalia, but are subject to challenges because it is impossible to make certain basic items, such as alligator clips, illegal.
Term
Who was Harry Anslinger and what was his role in marijuana regulation?
Definition
Harry Anslinger was the commmisioner of the Bureau of Narcotics from 1932 to 1963]2; he was in charge of drug education, prevention, and treatment; he focused arresting large dealers rather than users.
Term
What is the important difference between a Schedule I and Schedule II controlled substance?
Definition
Schedule I drugs have no accepted medical use in treatment in the United States.
Term
What are the limitaions of urine screening versus hair sample analysis?
Definition
Urine test are capable of detecting most drugs for up to only three days unless detection levels are changed, which may lead to false positive results. Hair tests are less invasaive than asking a person to pee in a cup while you watch.
Term
Approximately how much is the United States spending per year on federal drug control efforts?
Definition
About 12.7 billion.
Term
According to what variables are substances organized into different schedules?
Definition
Substances are organized into different Schedules according to their medical use and dependence potential.
Term
What is the 1906 Pure Food and Drug Act?
Definition
Regulated food and drug labels.
Term
What is the Harrison Act of 1914?
Definition
Provided for the regulation and taxation of opium and cocaine.
Term
What is a chemical name?
Definition
The chemical name gives a complete chemical description of a compound (NaCl)
Term
What is a generic name?
Definition
Official names listed in the United States Pharmacopoia (aspirin)
Term
What is a brand name?
Definition
Specifies a particular formulation and manufacturer. (Bayer aspirin)
Term
Into which major category does Heroin fall under?
Definition
Opioid
Term
Under which major category does cocaine fall?
Definition
stimulant
Term
Under which major category does alcohol fall?
Definition
Depressant
Term
Under which major category does Prozac fall?
Definition
Psycho therapeutic
Term
Why should LD50 always be greater than ED50?
Definition
Because the dose to kill fifty percent of the population should be higher than the dose needed to treat fifty percent of the population.
Term
Why do people say that LSD is one of the most potent psychoactive drugs?
Definition
LSD has the lowest ED50 of all the hallucinogenic drugs.
Term
Which route of administration gets a drug to the brain more quickly?
Definition
Inhalation, because the capillaries are very accessible in the lungs, and the drug enters the blood quickly. It is faster than IV injection because of the patterns of blood circulation in the body; the blood leaving the lungs moves directly to the breain, whereas the blood from the veins in the arm must return to the heart, then be pumped tot the lungs before moving on to the brain.
Term
How might two drug interact with each other through actions on the CYP450 enzyme system?
Definition
CYP450 are enzymes inside the liver that break down molecules. Drugs can have two effects on them: 1.) They can cause the liver to produce more CYP450 enzymes and break down other molecules faster, or 2.) they can occupy the enzyme so that they inhibit the ezymes effect on other molecules
Term
What type of tolerance is related to physical dependence and why?
Definition
Pharmacodynamic tolerance, because the sensitivity of the brains neurons decrease in order for the brain to reach homeostasis.
Term
At about what periods in history did cocaine reach its first and second peaks of popularity, and when was amphetamines popularity at its highest?
Definition
Cocaine- late 19th century to early 20th century and late 1960's. amphetamine- 1960's
Term
How does the chemical difference between methamphetamine and amphetamine relate to the behavioral effects of the two drugs?
Definition
Methamphetamine is similar to amphetamine except that a methyl group has been added to the basic amphetamine structure. This methyl group seems to make the molecule cross the blood-brain barrier more readily and thus increase the CNS potency.
Term
Compare the dependence potential of cocaine with that of amphetamine.
Definition
Both are potential reinforcers and are habit forming, creating a psychological dependence.
Term
What was the foul-smelling drug that was so widely used in mental hospitals before the 1950's?
Definition
paraldehyde
Term
A prescription of 30 mg. of phenobarbital would probably have been for which type of use?
Definition
To keep a person calm and relaxed.
Term
What is the relationship between psychological dependence and the time course of a drugs actions?
Definition
Psychological dependence develops more rapidly when the drug hits the brain more quickly.
Term
The barbituates and the benzodiazepines act at which neurotransmittor?
Definition
GABA
Term
Why should hypnotic drugs be prescribed only a few nights at a time?
Definition
Because of concerns of tolerance, rebound insomnia, dependence, and "hangover" effects.
Term
What is zolpidem (Ambien)?
Definition
a hypnotic
Term
What happens to a person who takes an overdose of a sedative-hypnotic?
Definition
Impaired judgement and incoordination, depressed respiration, and, with large enough doses, death.
Term
What are the effects of combinig GHB and alcohol?
Definition
A combined depressant effect sometimes leading to death.
Term
What is the difference between an organic disorder and a function disorder?
Definition
An organic disorder has known physical causes such as a brain tumor or infection, while a functional disorder has no known or obvious physical causes.
Term
What is tardive dsykinesia and how does it respond to a reduction in the dose of an antipsychotic drug?
Definition
tardive dyskinesia occurs only after years of antipsychotic drug treatments; characterized by rhythmic and repetive motions.
Term
Which type of drug was discovered while testing an antituberculosis agent?
Definition
MAO inhibitor (monoamine oxidase inhibitor)
Term
How do SSRIs differ from the older tricylics in terms of their actions in the brain?
Definition
SSRIs are similar to trycylics except that SSRIs are more selective (have fewer actions) than trycylics.
Term
What are three reasons that it took so long for lithium to be available for use in the United States?
Definition
1.) lithium was originally used as a salt substitute and because it's use was not controlled there were several deaths. 2.) Mania was not seen as a major problem in the United States, 3.) Drug companies wishing to make a profit of this drug had trouble creating a patent on a drug that is one of the element on the periodic table.
Term
Why was prozac the most widely prescribed antidepressant drug ever marketed?
Definition
Prozac is safer than tricylics antidepressants in that it is less likely to lead to overdose deaths.
Term
True or False: socioeconomic status is a significant correlate to drug and alcohol use.
Definition
TRUE
Term
What year did marijuana use in the United States peak before beginning a steady decline?
Definition
1980
Term
One country in which our drug control efforts and our other foreign policy interests have been in conflict is:
Definition
Afghanistan
Term
The number of arrests per year for drug-law violations currently stands at:
Definition
1.5 million
Term
A recent survey of intravenous drug users in several U.S. cities found HIV infection at a rate:
Definition
as high as 30%, constituting a serious public health risk.
Term
What is the main difference between generic and brand name drugs?
Definition
Generic drugs are named after the chemical, not a brand name.
Term
A dose-response curve is:
Definition
a tool to compare the size of the response to the amount of the drug.
Term
The time course of a drug's effect is influenced by what three things?
Definition
1) the route of administration.
2) protein binding in the blood.
3) rate of elimination.
Term
The psychoactive chemical in the coca plant is:
Definition
Cocaine
Term
What is a valid medical use for cocaine?
Definition
local anesthesia
Term
How does cocaine's mechanism of action work?
Definition
It blocks the reuptake of neurotransmittors and dopamine.
Term
Since 1985 how has cocaine use changed in the general population?
Definition
It's decreased
Term
How has the use of amphetamine changed in the general population over the last couple of years?
Definition
It's increased
Term
What is the most widely used sedative-hypnotic?
Definition
alcohol
Term
Why is paraldehyde no longer used in hospitals?
Definition
It has a noxious taste and odor.
Term
What is a drug that is used to induce sleep called?
Definition
a hypnotic
Term
What is the most popular group of sedatives?
Definition
benzodiazepines
Term
Quualude and Sopor are brand names for what?
Definition
methaqualone
Term
What drug was listed as a Schedule I in 2000 after the death of Samantha Reid?
Definition
GHB
Term
What does general paresis refer to?
Definition
a syphilitic infection of the nervous system
Term
In an early form of shock therapy what was injected into patients?
Definition
insulin
Term
Electroconvulsive therapy was first introduced to treat what disorder?
Definition
schizophrenia
Term
Phenothiazines such as chlorpromazine were the first type of what?
Definition
antipsychotics
Term
individuals who use antipsychotics tend to develop what condition?
Definition
pseudoparkinsonism
Term
Lithium was demonstrated to be effective on what type of patients?
Definition
manic patients
Term
About what percentage of homeless people in the United States have some sort of mental disorder?
Definition
About one-third.
Term
What is the primary grain used to make beer?
Definition
barley
Term
The word "brandy" comes from the Dutch word meaning what?
Definition
burnt wine
Term
Between 1935 and 1980 what happened to the number of breweries.
Definition
They decreased.
Term
The 18th ammendment prohibiting the sale and use of alcohol was ratified in what year?
Definition
1919
Term
After prohibition first went into effect what happened to the number of alcohol related deaths?
Definition
They decreased
Term
What does Disulfiram(Antabuse) do?
Definition
It inhibits the production of the enzyme aldehyde dehydrogenase.
Term
What is it called when corn constitutes more than 51% of the grain in a mash?
Definition
bourbon
Term
For what reason was there an interest in tobacco in Europe in the 1500's?
Definition
possible medical benefits of tobacco
Term
Before the 1900's was the most popular form of tobacco?
Definition
chewing tobacco
Term
What was the most popular brand of cigarettes before WWII?
Definition
Camel
Term
What is a cigarette compound closed linked with lung cancer?
Definition
tar
Term
What are tobacco specific nitrosamines?
Definition
carcinogen compounds found in tobacco.
Term
What country had an early monopoly on Tobacco?
Definition
Spain
Term
In what year did the U.S. Coffee consumption reached an all-time high of 20 pounds per capita?
Definition
1946 after the completion of WWII
Term
Other than Latin America, name three countries from which a large amount of caffeine is imported to the United States.
Definition
Thailand, Indonesia, and Vietnam
Term
The majority of the caffeine removed from coffee goes into what product?
Definition
Soft drinks
Term
What is oxidized tea called?
Definition
black tea
Term
In what country did Europeans first discover chocolate?
Definition
Mexico
Term
A fairly large amount of caffeine is contained in what type of over-the-counter drugs?
Definition
analgesics
Term
What did the Dietary Supplement Health and Education Act redefine the definition of supplement to include?
Definition
substances such as herbs and amino acids and concentrates from herbs and amino acids.
Term
As of 2006, what must a label for a dietary supplement include?
Definition
An address to report in adverse side effects from the use of the supplement.
Term
Children give aspirin have an increased risk for what health issue?
Definition
Reye's syndrome
Term
As of 2006, over-the-counter drugs containing what substance must be signed by the consumer?
Definition
pseudoephedrine
Term
Another name for Acetylsalicylic acid is:
Definition
Aspirin
Term
from which species of poppy plant is opium derived?
Definition
Papaver somniferum
Term
What is the country responsible for having the most opium smuggled into China?
Definition
Britain
Term
In what year was morphine isolated from opium?
Definition
1806
Term
Under what brand name was diacetyl morphine originally sold?
Definition
heroin
Term
Out of these three drugs which is the most potent: morphine, heroine, or fentanyl?
Definition
fentanyl
Term
Medically, opiods have saved the most lives from their use as what?
Definition
antidiarrheal
Term
Opioids act on the brain via which receptors?
Definition
endorphins
Term
What is the most common treatment for heroin dependence?
Definition
methadone maintenance
Term
What does the administration of Naloxone do?
Definition
It block the actions of opioids
Term
In what year was LSD synthesized?
Definition
1938
Term
TRUE or FALSE studies of LSD have shown that tolerance develops rapdily.
Definition
TRUE
Term
Which hallucinogen, if taken orally, is ineffective?
Definition
DMT
Term
Harmaline, found in ayahuasca, accentuated the effect of what hallucinogen?
Definition
DMT
Term
What hallucinogen has a cross tolerance with mescaline?
Definition
LSD
Term
What plant is associated with flying witches and black mass?
Definition
Belladonna
Term
How much time may complete elimination of one dose of THC and its metabolites take?
Definition
2-3 weeks
Term
What is the endogenous substance in the brain with marijuana-like effects called?
Definition
Anandamide
Term
For what medical usage has Dronabiniol been approved?
Definition
As an antiemetic in conjunction with chemotherapy and as a treatment for glaucoma.
Term
The peak years for the percentage of high school seniors who reported smoking marijuana occurred around when?
Definition
1978-79
Term
What happened after the California state government changed marijuan possesion from a felony to a misdemeanor?
Definition
cost for courts, juries, and jails decreased.
Term
What will happen if a person consumes too much strychnine?
Definition
convulsions
Term
In what form was cocaine available to athletes's in the early 1800's?
Definition
Coca wine
Term
What was given to racing horses and dogs in order to slow them down?
Definition
brandy
Term
What was the first country to provide the males sex hormone testosterone n a wide-scale basis?
Definition
the Soviet Union
Term
Athletes who take methamphetamine may show an improvment in endurance. What, according to the book, may this be a result of?
Definition
methamphetamines ability to mask fatigue
Term
What drugs are used to increase the height and weight of adolescent athletes?
Definition
Human growth hormonesagent
Term
What is Clenbuterol?
Definition
a nonsteroidal anabolic agent
Term
What is the blood-brain barriers main effect?
Definition
To prevent many drugs from reaching effective concentrations in the brain.
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