1.30: Alcoholism
- Page ID
- 38610
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\(\newcommand{\avec}{\mathbf a}\) \(\newcommand{\bvec}{\mathbf b}\) \(\newcommand{\cvec}{\mathbf c}\) \(\newcommand{\dvec}{\mathbf d}\) \(\newcommand{\dtil}{\widetilde{\mathbf d}}\) \(\newcommand{\evec}{\mathbf e}\) \(\newcommand{\fvec}{\mathbf f}\) \(\newcommand{\nvec}{\mathbf n}\) \(\newcommand{\pvec}{\mathbf p}\) \(\newcommand{\qvec}{\mathbf q}\) \(\newcommand{\svec}{\mathbf s}\) \(\newcommand{\tvec}{\mathbf t}\) \(\newcommand{\uvec}{\mathbf u}\) \(\newcommand{\vvec}{\mathbf v}\) \(\newcommand{\wvec}{\mathbf w}\) \(\newcommand{\xvec}{\mathbf x}\) \(\newcommand{\yvec}{\mathbf y}\) \(\newcommand{\zvec}{\mathbf z}\) \(\newcommand{\rvec}{\mathbf r}\) \(\newcommand{\mvec}{\mathbf m}\) \(\newcommand{\zerovec}{\mathbf 0}\) \(\newcommand{\onevec}{\mathbf 1}\) \(\newcommand{\real}{\mathbb R}\) \(\newcommand{\twovec}[2]{\left[\begin{array}{r}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\ctwovec}[2]{\left[\begin{array}{c}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\threevec}[3]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\cthreevec}[3]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\fourvec}[4]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\cfourvec}[4]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\fivevec}[5]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\cfivevec}[5]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\mattwo}[4]{\left[\begin{array}{rr}#1 \amp #2 \\ #3 \amp #4 \\ \end{array}\right]}\) \(\newcommand{\laspan}[1]{\text{Span}\{#1\}}\) \(\newcommand{\bcal}{\cal B}\) \(\newcommand{\ccal}{\cal C}\) \(\newcommand{\scal}{\cal S}\) \(\newcommand{\wcal}{\cal W}\) \(\newcommand{\ecal}{\cal E}\) \(\newcommand{\coords}[2]{\left\{#1\right\}_{#2}}\) \(\newcommand{\gray}[1]{\color{gray}{#1}}\) \(\newcommand{\lgray}[1]{\color{lightgray}{#1}}\) \(\newcommand{\rank}{\operatorname{rank}}\) \(\newcommand{\row}{\text{Row}}\) \(\newcommand{\col}{\text{Col}}\) \(\renewcommand{\row}{\text{Row}}\) \(\newcommand{\nul}{\text{Nul}}\) \(\newcommand{\var}{\text{Var}}\) \(\newcommand{\corr}{\text{corr}}\) \(\newcommand{\len}[1]{\left|#1\right|}\) \(\newcommand{\bbar}{\overline{\bvec}}\) \(\newcommand{\bhat}{\widehat{\bvec}}\) \(\newcommand{\bperp}{\bvec^\perp}\) \(\newcommand{\xhat}{\widehat{\xvec}}\) \(\newcommand{\vhat}{\widehat{\vvec}}\) \(\newcommand{\uhat}{\widehat{\uvec}}\) \(\newcommand{\what}{\widehat{\wvec}}\) \(\newcommand{\Sighat}{\widehat{\Sigma}}\) \(\newcommand{\lt}{<}\) \(\newcommand{\gt}{>}\) \(\newcommand{\amp}{&}\) \(\definecolor{fillinmathshade}{gray}{0.9}\)Use the following Key to answer Questions 1-6:
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- only 4 is correct
- all are correct
- Diagnosis of alcoholism can best be achieved by:
- smelling the patient’s breath
- elevated serum gammaglutamyl transferase levels
- obtaining an alcohol level at the time of interview
- history of drinking with spousal verification
- Ethanol is metabolized by following pathway(s); the
- alcohol dehydrogenase
- microsomal ethanol oxidizing system
- catalase
- gamma glutamyl transferase
- Nutritional alterations associated with alcoholism include:
- protein calorie malnutrition
- vitamin B1 (thiamin) deficiency
- iron accumulation
- magnesium deficiency
- Which of the following organ system(s) is/are affected by alcoholism?
- muscle
- liver
- spleen
- pancreas
- The usual cause of death by alcoholism is by:
- splenomegaly
- cardiomyopathy
- cancer
- cirrhosis
- Which of the following analytes found in serum are increased in alcoholism?
- albumin
- serum globulins
- hemoglobin
- bilirubin
- The laboratory tests that best correlate with the severity of alcoholic hepatitis are:
- Alkaline phosphatase, total bilirubin
- Albumin, aspartate aminotransferase (AST)
- Total bilirubin, prothrombin time (PT)
- Aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase
- Globulins, prealbumin
- A blood alcohol concentration (BAC) of >100 mg/dL is diagnostic for alcoholism?
- True
- False
- There is no direct relationship between the blood alcohol concentration (BAC) and increased frequency of physical signs and symptoms of ethanol intoxication.
- True
- False
Use the following Key to answer Questions 10-11:
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- only 4 is correct
- all are correct
- Which of the following statements are true?
- Alcohol is a social beverage that can be legally consumed.
- Alcohol is a potent drug, similar to other narcotics.
- Disease related to alcohol consumption is among the 10 leading causes of death in the United States.
- The usual legal limit for a blood alcohol concentration (BAC) is 80 to 100 mg/dL
- Which of the following nutrient classes are often deficient in alcoholics?
- Protein
- Minerals
- Vitamins
- Phospholipids
- Answer
-
- d (p. 641)
- a (p. 642, 644)
- e (p. 644-645)
- c (p. 645-649)
- d (p. 647)
- c (p. 649-651)
- b (p. 651)
- b (p. 641-642)
- b (p. 642)
- e (p. 640-641)
- e (p. 644-646)