Emotion
Relapse Prevention
Neurobiology
Consequences
Street smarts
100

Which of the following super hero actors, has been open about his journey through addiction and recovery?
A) Johnny Depp
B) Leonardo DiCaprio
C) Robert Downey Jr.
D) Chris Evans

C) Robert Downey Jr.

100

What does the acronym HALT stand for in relapse prevention?
A) Hope, Action, Love, Trust
B) Hungry, Angry, Lonely, Tired
C) Honesty, Acceptance, Learning, Therapy
D) Hurt, Afraid, Lost, Tense

B) Hungry, Angry, Lonely, Tired

100

What part of the brain is responsible for impulse control and decision-making, often impaired in addiction?
A) Hippocampus
B) Prefrontal cortex
C) Amygdala
D) Medulla

B) Prefrontal cortex

100

Which of the following substances is most strongly associated with drug-induced psychosis in high doses or chronic use? 

A) Nicotine
B) MDMA
C) Cannabis
D) Caffeine

C) Cannabis

100

Which of the following substances is classified as a depressant, even though it may initially feel stimulating?
A) Cocaine
B) Alcohol
C) Methamphetamine
D) Nicotine

B) Alcohol

200

3. Which practice can help someone in recovery become more aware and accepting of their emotions?

A) Mindfulness meditation
B) Cognitive distraction
C) Rationalizing feelings
D) Emotional suppression

A) Mindfulness meditation

200

 Which factor has been shown to most strongly predict long-term relapse risk?

A) Duration of abstinence before treatment
B) Level of social support and connection
C) Type of substance used
D) Age at first use

B) Level of social support and connection

200

Which brain chemical is most closely associated with the “reward” pathway involved in addiction?
A) Serotonin
B) Acetylcholine
C) Dopamine
D) Cortisol

C) Dopamine

200

Which of the following best describes the concept of "anhedonia," often experienced during early recovery?

A) Heightened sensitivity to stress
B) Inability to feel pleasure
C) Intense physical cravings
D) Hallucinations due to detox

B) Inability to feel pleasure

200

Which of the following is a standard drink in the United States?

A) 12 oz of regular beer
B) 10 oz of wine
C) 2 oz of vodka
D) 16 oz of hard seltzer

A) 12 oz of regular beer

300

Why is working through guilt considered critical in emotional recovery?

A) To transform guilt into productive self-reflection
B) To deny feelings of guilt
C) To reinforce responsibility through guilt
D) To avoid feelings of shame

A) To transform guilt into productive self-reflection

300

Research shows that the risk of relapse significantly decreases after how many months of continuous sobriety?

A) 3 month
B) 6 months
C) 12 months
D) 2 years

C) 12 months

300

Which term refers to the brain’s ability to change and adapt in response to experience, including addiction and recovery?
A) Homeostasis
B) Neuroplasticity
C) Equilibrium
D) Synaptogenesis

B) Neuroplasticity

300

 Chronic alcohol consumption can lead to Wernicke-Korsakoff syndrome, which is primarily caused by a deficiency in what nutrient?

A) Vitamin D
B) Thiamine
C) Folic acid
D) Magnesium

B) Thiamine 

300

8. Which of these is not a sign of drinking in a low-risk way?

A) Staying within daily and weekly limits
B) Drinking to "take the edge off" daily
C) Avoiding drinking when sad or stressed
D) Planning how much you'll drink ahead of time

B) Drinking to "take the edge off" daily

400

. In emotional recovery, what is emotional regulation?

A) Suppressing unwanted emotions to maintain control
B) Recognizing, understanding, and modulating emotional responses effectively
C) Avoiding situations that provoke emotions
D) Ignoring emotions to prevent overwhelm

Recognizing, understanding, and modulating emotional responses effectively

400

Which lifestyle factor has been linked with better long-term recovery outcomes?

A) Social isolation
B) Regular physical activity
C) Avoiding social situations
D) Consuming caffeine

B) Regular physical activity

400

Chronic substance use can lower the brain’s ability to naturally produce which of the following?
A) Insulin
B) Vitamin D
C) Neurotransmitters
D) Red blood cells

C) Neurotransmitters

400

What is the name of the cannabis-induced syndrome characterized by repeated vomiting and relief from hot showers? 

A) Cannabinoid use disorder
B) Cannabis withdrawal syndrome
C) Cannabinoid hyperemesis syndrome
D) Tetrahydrocannabinol syndrome

C) Cannabinoid hyperemesis syndrome

400

5. Which of the following is a respiratory risk of frequent cannabis smoking?

A) Lung cancer is guaranteed
B) Increased risk of chronic bronchitis
C) No effect — cannabis smoke is filtered by the body
D) Improved lung capacity

B) Increased risk of chronic bronchitis

500

Which therapeutic approach specifically emphasizes identifying and working through difficult emotions as a pathway to recovery?

A) Cognitive-behavioral therapy (CBT)
B) Dialectical behavior therapy (DBT)
C) Psychoanalysis
D) Motivational interviewing

B) Dialectical behavior therapy (DBT)

500

 In long-term recovery, what is “post-acute withdrawal syndrome” (PAWS)?

A) Intense physical withdrawal symptoms in the first 72 hours
B) A prolonged set of emotional and psychological symptoms that can last months or years
C) Complete absence of cravings after detox
D) A relapse prevention technique

B) A prolonged set of emotional and psychological symptoms that can last months or years

500

What effect does chronic substance use typically have on dopamine receptors in the brain?

A) Upregulation (increase in number)
B) Downregulation (decrease in number)
C) No effect
D) Temporary blockage

Downregulation (decrease in number)

500

What is one way alcohol can interfere with fitness and wellness goals?

A) It decreases cortisol in the body
B) It increases sleep quality
C) It dehydrates the body and disrupts sleep

C) It dehydrates the body and disrupts sleep

500

Which of these challenges is common even after years of sobriety?

A) Loss of physical tolerance
B) Complete absence of cravings
C) Managing triggers and stress effectively
D) Needing less social support

C) Managing triggers and stress effectively

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