1.30: Alcoholism

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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:
1. smelling the patient’s breath
2. elevated serum gammaglutamyl transferase levels
3. obtaining an alcohol level at the time of interview
4. history of drinking with spousal verification
Ethanol is metabolized by following pathway(s); the
1. alcohol dehydrogenase
2. microsomal ethanol oxidizing system
3. catalase
4. gamma glutamyl transferase
Nutritional alterations associated with alcoholism include:
1. protein calorie malnutrition
2. vitamin B1 (thiamin) deficiency
3. iron accumulation
4. magnesium deficiency
Which of the following organ system(s) is/are affected by alcoholism?
1. muscle
2. liver
3. spleen
4. pancreas
The usual cause of death by alcoholism is by:
1. splenomegaly
2. cardiomyopathy
3. cancer
4. cirrhosis
Which of the following analytes found in serum are increased in alcoholism?
1. albumin
2. serum globulins
3. hemoglobin
4. bilirubin
The laboratory tests that best correlate with the severity of alcoholic hepatitis are:
1. Alkaline phosphatase, total bilirubin
2. Albumin, aspartate aminotransferase (AST)
3. Total bilirubin, prothrombin time (PT)
4. Aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase
5. Globulins, prealbumin
A blood alcohol concentration (BAC) of >100 mg/dL is diagnostic for alcoholism?
1. True
2. False
There is no direct relationship between the blood alcohol concentration (BAC) and increased frequency of physical signs and symptoms of ethanol intoxication.
1. True
2. 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?
1. Alcohol is a social beverage that can be legally consumed.
2. Alcohol is a potent drug, similar to other narcotics.
3. Disease related to alcohol consumption is among the 10 leading causes of death in the United States.
4. 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?
1. Protein
2. Minerals
3. Vitamins
4. 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)