"I don't do hard drugs."
"It wasn't my fault, though."
"That's not my responsibility."
"But if you didn't do that, I wouldn't have said that."
"It's not that big of a deal."
100

Which of the following is a common trait associated with an addictive personality?


A) Patience
B) Impulsivity
C) Shyness
D) Confidence

B) Impulsivity

100

What is the main reason people develop an addiction?
A) Genetics
B) Peer pressure
C) A combination of biological, psychological, and environmental factors
D) Lack of willpower

C) A combination of biological, psychological, and environmental factors

100

What is the active ingredient in marijuana that produces a “high”?
A) CBD
B) THC
C) Nicotine
D) Psilocybin

B) THC

100

Which of the following substances is considered a depressant?
A) Methamphetamine
B) Alcohol
C) Ecstasy (MDMA)
D) Cocaine

B) Alcohol

100

Which of these is a healthy coping mechanism in recovery?
A) Suppressing emotions
B) Journaling and reflecting on feelings
C) Avoiding difficult conversations
D) Spending time with people who still use substances

B) Journaling and reflecting on feelings

200

What is it called when a person needs more of a substance to feel the same effects?
A) Dependence
B) Craving
C) Withdrawal
D) Tolerance

D) Tolerance

200

What is the primary health risk of vaping nicotine?
A) Heart disease
B) Severe lung damage
C) Skin disorders
D) High blood pressure

B) Severe lung damage

200

Which mental health condition is most often linked to addictive behaviors?
A) Anxiety
B) Depression
C) Obsessive-Compulsive Disorder
D) Eating Disorders

B) Depression

200

What does the term “relapse” mean in the context of recovery?
A) Trying a new treatment approach
B) Returning to substance use after a period of abstinence
C) Switching from one addiction to another
D) Experiencing cravings without using substances

B) Returning to substance use after a period of abstinence

200

What is the term for learning to replace negative habits with healthier ones during recovery?
A) Habit substitution
B) Cognitive dissonance
C) Behavioral modification
D) Relapse prevention

C) Behavioral modification

300

Which substance is both legal and highly addictive?
A) Marijuana
B) Alcohol
C) Nicotine
D) Caffeine

C) Nicotine

300

What does "self-medicating" refer to?
A) Using substances to avoid emotional pain or trauma
B) Taking prescribed medication on your own
C) Recovering from addiction without professional help
D) Quitting substances without support

A) Using substances to avoid emotional pain or trauma

300

Which of the following substances is most commonly associated with overdose deaths in recent years?
A) Cocaine
B) Methamphetamine
C) Fentanyl
D) Marijuana

C) Fentanyl

300

Which of the following is a core principle of most recovery programs?
A) Isolation to avoid triggers
B) Taking full personal responsibility for addiction
C) Peer support and connection
D) Using willpower to overcome addiction

C) Peer support and connection

300

Which of these emotions is often challenging during recovery but important to address?
A) Gratitude
B) Anger
C) Contentment
D) Optimism

B) Anger

400

What is one of the most dangerous effects of mixing alcohol with prescription medications?
A) Reduced effectiveness of the prescription
B) Increased likelihood of dehydration
C) Slowed breathing or respiratory failure
D) Increased appetite

C) Slowed breathing or respiratory failure

400

Which of the following is classified as an opioid?
A) Cocaine
B) Heroin
C) LSD
D) Methamphetamine

B) Heroin

400

What organ is most affected by long-term substance abuse, particularly in decision-making and impulse control?
A) The heart
B) The liver
C) The brain
D) The kidneys

C) The brain

400

What is a “trigger” in recovery?
A) A stressful situation that leads to emotional growth
B) A person, place, or thing that increases the risk of relapse
C) A motivational moment that reinforces sobriety
D) A recovery milestone

B) A person, place, or thing that increases the risk of relapse

400

What should you do first if you suspect someone is overdosing?
A) Leave them alone until help arrives
B) Try to make them vomit
C) Call 911 and stay with them
D) Give them water

C) Call 911 and stay with them

500

What does the term "cross-addiction" mean?


A) Experiencing withdrawal symptoms from two substances at once
B) Being addicted to substances in social settings
C) Replacing one addiction with another
D) Being unable to quit any addiction at all

C) Replacing one addiction with another

500

Which neurotransmitter is most commonly associated with the reward system affected by addictive substances?
A) Serotonin
B) Dopamine
C) Endorphins
D) Norepinephrine

B) Dopamine

500

Which of the following is NOT a sign of substance use disorder?
A) Difficulty controlling the use of the substance
B) Continued use despite negative consequences
C) Needing less of the substance to feel its effects
D) Withdrawal symptoms when not using

C) Needing less of the substance to feel its effects

500

What does the term “co-occurring disorder” refer to?
A) Experiencing cravings and withdrawal symptoms simultaneously
B) Having a mental health disorder alongside a substance use disorder
C) Recovering from multiple addictions at the same time
D) Experiencing a relapse during treatment

B) Having a mental health disorder alongside a substance use disorder

500

Which organ is primarily damaged by long-term alcohol abuse?
A) Heart
B) Kidneys
C) Liver
D) Lungs

C) Liver