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0003:Health Consequences of Alcohol, Tobacco, and Other Drug Use

Total questions: 100

Worksheet time: 50mins

Name
Class
Date
1.

Which of the following is a substance of concern related to alcohol, tobacco, and other drug use?

a)

Alcohol

b)

Sugar

c)

Caffeine

d)

Water

2.

Which of the following includes vapes, cigarettes, and smokeless tobacco?

a)

Alcohol

b)

Tobacco/nicotine

c)

Illicit drugs

d)

Prescription drug misuse

3.

Which of the following is an example of an illicit drug?

a)

Heroin

b)

Ibuprofen

c)

Vitamin C

d)

Caffeine

4.

Prescription drug misuse includes the misuse of which of the following?

a)

Opioids

b)

Alcohol

c)

Marijuana

d)

Nicotine

5.

Marijuana and cannabis products are considered substances of concern in the context of alcohol, tobacco, and other drug use.

a)

True

b)

False

6.

What mental health disorder can substance use trigger or worsen, including anxiety, depression, and psychosis?

a)

Mental health disorders

b)

Cardiovascular diseases

c)

Digestive disorders

d)

Skin conditions

7.

Substance use alters brain chemistry, leading to tolerance, withdrawal, and cravings. What is this effect called?

a)

Addiction and dependence

b)

Neuroplasticity

c)

Homeostasis

d)

Cognitive dissonance

8.

Impaired judgment/decision-making due to substance use can lead to which of the following?

a)

Risky behavior

b)

Academic issues

c)

Crime

d)

All of the above

9.

Mood swings, aggression, low self-esteem, and emotional numbness are symptoms of which effect of substance use?

a)

Emotional dysregulation

b)

Physical dependence

c)

Improved concentration

d)

Enhanced immunity

10.

Suicidal ideation or self-harm is especially likely when combined with what conditions?

a)

Depression or trauma

b)

Physical exercise

c)

Balanced diet

d)

Good sleep hygiene

11.

Teens with untreated mental health issues are at higher risk of turning to substances to self-medicate.

a)

True

b)

False

12.

Which substance is associated with cancer (lungs, mouth), emphysema, and heart disease?

a)

Tobacco

b)

Caffeine

c)

Sugar

d)

Salt

13.

Alcohol can cause which of the following physical impacts?

a)

Liver damage (cirrhosis)

b)

Brain damage

c)

Digestive issues

d)

Increased accident risk

e)

All of the above

14.

Vaping/Nicotine use can lead to lung damage (e.g., popcorn lung), heart strain, and addiction.

a)

True

b)

False

15.

Which substance can cause respiratory depression, overdose, and infectious diseases if injected?

a)

Opioids

b)

Stimulants

c)

Antibiotics

d)

Antacids

16.

Impaired memory, coordination issues, and lung problems (if smoked) are physical impacts of which substance?

a)

Marijuana

b)

Alcohol

c)

Caffeine

d)

Nicotine

17.

High blood pressure, heart attacks, malnutrition, and insomnia are physical impacts of which substances?

a)

Stimulants (e.g., cocaine, meth)

b)

Depressants (e.g., alcohol, benzodiazepines)

c)

Hallucinogens (e.g., LSD, psilocybin)

d)

Opioids (e.g., heroin, morphine)

18.

Adolescent use affects brain development, increasing long-term risk for cognitive, emotional, and behavioral issues.

a)

True

b)

False

19.

What is a possible explanation for relationship problems as a social health effect of substance use?

a)

Lies, trust issues, aggression, withdrawal from friends/family

b)

Improved communication and understanding

c)

Increased financial stability

d)

Enhanced physical fitness

20.

What is a possible explanation for academic/work performance issues as a social health effect of substance use?

a)

Missing school/work, poor grades, disciplinary action

b)

Increased physical fitness and energy

c)

Improved memory and concentration

d)

Enhanced social relationships

21.

What is a possible explanation for peer pressure as a social health effect of substance use?

a)

Teens may start using to fit in or avoid rejection

b)

Teens use substances to improve their academic performance

c)

Peer pressure only affects adults, not teens

d)

Substance use is always a result of family influence

22.

What is a possible explanation for legal issues as a social health effect of substance use?

a)

Underage drinking, possession charges, DUIs, incarceration

b)

Improved academic performance, increased motivation, better sleep

c)

Enhanced immune system, reduced stress, healthier relationships

d)

Increased physical fitness, better nutrition, improved memory

23.

What is a possible explanation for stigma and social isolation as a social health effect of substance use?

a)

People with addiction may be judged or excluded

b)

Substance use always leads to improved relationships

c)

People with addiction are always supported by society

d)

Substance use eliminates all social barriers

24.

Substance use can suppress or exaggerate emotions.

a)

True

b)

False

25.

Substance use can increase which of the following?

a)

Irritability

b)

Guilt

c)

Shame

d)

Helplessness

26.

Substance use can create emotional dependency on a substance to cope with stress or trauma.

a)

True

b)

False

27.

Substance use can lead to which of the following scenarios that worsen emotional trauma?

a)

Family breakdown

b)

Divorce

c)

Abuse

d)

All of the above

28.

A health educator is planning a unit on substance abuse. Which of the following best describes the emotional health consequence of long-term drug use?

a)

Damage to the lungs

b)

Loss of trust in relationships

c)

Feelings of depression and emotional instability

d)

Increased risk of cancer

29.

Match the Health Domain with its corresponding ATOD Impact:

a)

Mental

1.

Addiction, mood disorders, poor judgment

b)

Physical

2.

Lung/liver/heart damage, overdose, developmental harm

c)

Social

3.

Damaged relationships, peer pressure, legal issues

d)

Emotional

4.

Depression, anger, emotional dependency, low self-worth

e)

Environmental

5.

Secondhand smoke, unsafe home/community environments

30.

The correct, legal, or medically supervised use of a drug as intended or prescribed is called ________.

a)

Drug Use

b)

Drug Abuse

c)

Drug Misuse

d)

Drug Addiction

31.

The incorrect or inappropriate use of a prescription or over-the-counter drug is called ________.

a)

Drug Misuse

b)

Drug Therapy

c)

Drug Absorption

d)

Drug Metabolism

32.

The intentional use of a drug for nonmedical purposes or to get high, often repeatedly and habitually, is called ________.

a)

Drug Abuse

b)

Drug Tolerance

c)

Drug Prescription

d)

Drug Metabolism

33.

Distinguish among drug use, misuse, and abuse by selecting the correct definitions for each term.

a)

Drug use is taking a drug as prescribed, misuse is using a drug incorrectly, and abuse is using a drug for non-medical reasons.

b)

Drug use is always illegal, misuse is always accidental, and abuse is always safe.

c)

Drug use and misuse mean the same thing, while abuse is different.

d)

Drug use is only for recreation, misuse is for medical purposes, and abuse is for addiction.

34.

Match the type of drug behavior to its example:

a)

Drug Use

1.

Taking prescribed antibiotics exactly as directed

b)

Drug Misuse

2.

Taking someone else’s prescription painkiller for a headache

c)

Drug Abuse

3.

Using Adderall without a prescription to stay up all night

35.

Which of the following is an example of drug misuse?

a)

Taking prescribed antibiotics exactly as directed

b)

Taking someone else’s prescription painkiller for a headache

c)

Using Adderall without a prescription to stay up all night

36.

Using Adderall without a prescription to stay up all night is an example of _________

a)

Drug Abuse

b)

Drug Allergy

c)

Drug Prescription

d)

Drug Metabolism

37.

Doubling a dose of cold medicine 'just in case' is considered drug misuse.

a)

True

b)

False

38.

According to the comparison table, what is the intent of drug use?

a)

To treat or manage a medical issue

b)

To enhance physical appearance

c)

To increase intelligence instantly

d)

To improve athletic performance without training

39.

What is the health risk level associated with drug abuse?

a)

Low (if supervised)

b)

Moderate to high

c)

High — leads to addiction, overdose

40.

Is drug misuse always legal/authorized?

a)

Sometimes

b)

Always

c)

Yes, in some countries

d)

Only with a prescription

41.

Misuse may be accidental or based on poor understanding; abuse is intentional and often repeated.

a)

True

b)

False

42.

What is the proper use of prescription painkillers according to the table?

a)

Taken post-surgery as prescribed

b)

Taken whenever you feel pain, without consulting a doctor

c)

Shared with friends or family who are in pain

d)

Used to help you sleep at night

43.

What is an example of misuse of cough syrup?

a)

Drinking more than recommended

b)

Taking it only when sick

c)

Following the doctor's instructions

d)

Reading the label before use

44.

What is an example of abuse of stimulants (e.g., Adderall)?

a)

Taking large doses for energy or high

b)

Taking as prescribed by a doctor

c)

Using for medical purposes only

d)

Following dosage instructions carefully

45.

What is the legal age for drinking alcohol according to the table?

a)

21

b)

16

c)

18

d)

25

46.

What is the risk of trying nicotine/vapes once out of curiosity?

a)

Regular use despite health risks

b)

Instant addiction after one use

c)

Permanent memory loss

d)

Immediate death

47.

Misuse and abuse both carry increased risk of dependency and harm.

a)

True

b)

False

48.

Misuse may unintentionally lead to abuse if not addressed early.

a)

True

b)

False

49.

Health educators help students understand the line between proper use and ________.

a)

dangerous use

b)

safe use

c)

regular use

d)

occasional use

50.

Health educators help students recognize ________ of misuse or abuse in themselves or others.

a)

warning signs

b)

benefits

c)

causes

d)

solutions

51.

Health educators help students understand the difference between ________ and harmful substances.

a)

medications

b)

vitamins

c)

snacks

d)

toys

52.

A student takes extra cold medicine because they think it will work faster. This is best classified as:

a)

Drug use

b)

Drug misuse

c)

Drug abuse

d)

Drug dependency

53.

The safe, legal, and proper use of medication is called _____. Example: Taking antibiotics as prescribed.

a)

Use

b)

Abuse

c)

Misuse

d)

Overdose

54.

The incorrect use (wrong dose, person, or purpose) of medication is called _____. Example: Using expired meds or taking someone else's painkillers.

a)

Misuse

b)

Prescription

c)

Dosage

d)

Therapy

55.

The intentional, unsafe use to feel high or escape reality is called _____. Example: Using marijuana regularly to cope with stress.

a)

Abuse

b)

Tolerance

c)

Prescription

d)

Withdrawal

56.

Classify drugs such as stimulants, depressants, narcotics, and hallucinogens, and summarize their short- and long-term effects on health status and body system functioning.

a)

Stimulants increase alertness, depressants slow body functions, narcotics relieve pain, and hallucinogens alter perception; all can have both short- and long-term health effects.

b)

Stimulants slow body functions, depressants increase alertness, narcotics cause hallucinations, and hallucinogens relieve pain; all have only short-term effects.

c)

Stimulants and depressants both increase alertness, narcotics and hallucinogens both relieve pain; none have long-term effects.

d)

All drug types only affect mental health and have no impact on body systems.

57.

Which of the following is an example of a stimulant?

a)

Alcohol

b)

Nicotine

c)

Barbiturates

d)

Tranquilizers

58.

What is a short-term effect of stimulants?

a)

Relaxation

b)

Increased energy

c)

Liver damage

d)

Memory problems

59.

Long-term use of stimulants can lead to ________, anxiety, insomnia, addiction, and paranoia.

a)

heart problems

b)

hair loss

c)

improved memory

d)

weight gain

60.

Which of the following is a depressant?

a)

Caffeine

b)

Cocaine

c)

Alcohol

d)

Methamphetamine

61.

What is a short-term effect of depressants?

a)

Increased alertness

b)

Impaired coordination and judgment

c)

Elevated heart rate

d)

Nervous system overdrive

62.

Long-term use of depressants can cause liver damage, dependence, memory problems, and ________.

a)

depression

b)

increased energy

c)

improved memory

d)

heightened alertness

63.

Which system impact is associated with stimulants?

a)

Respiratory suppression

b)

Cardiovascular strain

c)

Brain and liver damage

d)

Impaired drowsiness

64.

What are some examples of narcotics (opioids)?

a)

Heroin, morphine, oxycodone, fentanyl, hydrocodone

b)

Aspirin, ibuprofen, acetaminophen, naproxen

c)

Penicillin, amoxicillin, ciprofloxacin, doxycycline

d)

Caffeine, nicotine, alcohol, taurine

65.

Which of the following is a short-term effect of narcotics (opioids)?

a)

Persistent psychosis

b)

Pain relief

c)

Flashbacks

d)

Mood disorders

66.

What is a long-term effect of narcotics (opioids)?

a)

Addiction, tolerance, withdrawal, overdose, respiratory failure

b)

Increased energy and alertness

c)

Improved memory and concentration

d)

Permanent immunity to infections

67.

Narcotics (opioids) impact the system by causing CNS depression, slowed breathing, GI tract suppression, and brain changes.

a)

True

b)

False

68.

What are some examples of hallucinogens?

a)

LSD, psilocybin (magic mushrooms), PCP, ketamine, MDMA (Ecstasy)

b)

Aspirin, ibuprofen, acetaminophen, naproxen

c)

Caffeine, nicotine, alcohol, taurine

d)

Penicillin, amoxicillin, erythromycin, doxycycline

69.

Which of the following is a short-term effect of hallucinogens?

a)

Drowsiness

b)

Visual/auditory distortions

c)

Constipation

d)

Euphoria

70.

What is a long-term effect of hallucinogens?

a)

Persistent psychosis, flashbacks, mood disorders

b)

Increased muscle strength and endurance

c)

Improved memory and concentration

d)

Rapid weight gain and hair growth

71.

Which of the following is an example of an inhalant?

a)

Heroin

b)

LSD

c)

Paint

d)

Morphine

72.

What are the primary effects of inhalants?

a)

Euphoria, dizziness, brain/liver/kidney damage

b)

Increased muscle mass and strength

c)

Improved vision and hearing

d)

Rapid weight loss and hair growth

73.

Cannabis includes which of the following products?

a)

Marijuana, THC products

b)

Synthetic drugs (e.g., spice, bath salts)

c)

Alcohol

d)

Opioids

74.

Designer Drugs are best described as:

a)

Natural drugs

b)

Synthetic drugs (e.g., spice, bath salts)

c)

Prescription drugs

d)

Over-the-counter drugs

75.

The effect of cannabis use includes altered perception, memory loss, and ________.

a)

lung damage

b)

improved vision

c)

increased intelligence

d)

faster reflexes

76.

Designer drugs are known for being unpredictable and often ________ effects.

a)

dangerous

b)

pleasant

c)

temporary

d)

beneficial

77.

Which body system is affected by drugs causing altered brain chemistry, addiction, cognitive impairment, and seizures?

a)

Nervous System

b)

Cardiovascular System

c)

Digestive System

d)

Immune System

78.

High or low blood pressure, arrhythmias, heart attack, and stroke are effects of substance use on which body system?

a)

Cardiovascular System

b)

Digestive System

c)

Respiratory System

d)

Skeletal System

79.

Slowed breathing and lung damage are effects of substance use on the ________ system.

a)

Respiratory

b)

Digestive

c)

Circulatory

d)

Nervous

80.

As a health educator, you should teach how different drugs work and how to ________ them.

a)

identify

b)

consume

c)

ignore

d)

manufacture

81.

One of the roles of a health educator is to help students resist peer pressure and identify safe coping strategies.

a)

True

b)

False

82.

Which of the following drug types slows the central nervous system and can cause respiratory depression in large doses?

a)

Stimulants

b)

Depressants

c)

Hallucinogens

d)

Inhalants

83.

The short-term effects of Stimulants include energy, focus, and _________?

a)

high heart rate

b)

low blood pressure

c)

drowsiness

d)

slow reflexes

84.

The long-term effects of Depressants include dependence, liver damage, and _________.

a)

memory loss

b)

increased appetite

c)

improved vision

d)

faster reflexes

85.

The system affected by Narcotics/Opioids includes the brain, lungs, and ________ system.

a)

digestive

b)

circulatory

c)

immune

d)

skeletal

86.

Hallucinogens can cause ________ and confusion as short-term effects.

a)

hallucinations

b)

drowsiness

c)

nausea

d)

headaches

87.

Inhalants can cause brain and ________ damage as long-term effects.

a)

organ

b)

muscle

c)

skin

d)

bone

88.

The system affected by Cannabis includes the brain and ________.

a)

lungs

b)

heart

c)

kidneys

d)

stomach

89.

Internal and external factors influence decisions related to alcohol, tobacco, and other drug use in which of the following ways?

a)

Internal factors like depression and self-esteem, and external factors like media and peers, can affect choices about substance use.

b)

Only external factors such as media and family influence substance use decisions.

c)

Personal values have no impact on decisions about alcohol, tobacco, or drug use.

d)

Decisions about substance use are not influenced by any internal or external factors.

90.

What internal factor increases the risk of self-medicating with drugs or alcohol to escape emotional pain?

a)

Depression

b)

High intelligence

c)

Physical strength

d)

Good nutrition

91.

Which internal factor leads to increased susceptibility to peer pressure, risk-taking, or need for social approval?

a)

Low self-esteem

b)

High intelligence

c)

Physical strength

d)

Good time management

92.

Strong anti-drug values often reduce use; unclear or ambivalent values may lead to experimentation. Which internal factor does this describe?

a)

Personal values and beliefs

b)

Peer pressure

c)

Media influence

d)

Family history

93.

Which internal factor is associated with early experimentation and continued use?

a)

Impulsivity or risk-taking personality

b)

High academic achievement

c)

Strong family support

d)

Low peer influence

94.

Poor coping increases the likelihood of turning to substances under stress or conflict. Which internal factor does this describe?

a)

Coping skills

b)

Peer pressure

c)

Genetic predisposition

d)

Socioeconomic status

95.

Which internal factor increases the chance of underestimating risk or accepting myths about drug safety?

a)

Lack of knowledge

b)

High intelligence

c)

Strong memory

d)

Excellent communication skills

96.

Match the external factor with how it influences ATOD use:

a)

Family

1.

Parental modeling (e.g., smoking, drinking), permissiveness, neglect, or family substance use

b)

Peers

2.

Peer pressure, peer modeling, desire to fit in, social norms within friend groups

c)

Media and pop culture

3.

Glamorization of drug use in music, movies, influencers, or advertising (especially for vaping)

d)

Cultural norms

4.

Some communities may normalize alcohol or marijuana use; others may stigmatize it

e)

Community environment

5.

Access to substances, local drug trends, poverty, violence, school policies

97.

A student with ______ (internal) may be more vulnerable to peer pressure (external).

a)

low self-esteem

b)

high intelligence

c)

strong willpower

d)

excellent memory

98.

A teen with strong family support (external) and ______ (internal) is less likely to use substances.

a)

high personal values

b)

low self-esteem

c)

poor study habits

d)

limited interests

99.

A person with ______ (internal) exposed to music or social media promoting substance use (external) may turn to drugs or alcohol.

a)

depression

b)

happiness

c)

curiosity

d)

strength

100.

Adolescents are especially influenced by peer approval and media messages, making these external factors critical targets for prevention.

a)

True

b)

False