BEHS 364 SEC 6382 SEM 2152                                                      Final Examination

Alcohol in U. S. Society                                                                     UMUC 2015

Match Questions – 4 points each

1. The public response to excessive drinking has been a mix of two general approaches:
   1. Directly reduce drinking + restrict availability/raise prices
   2. Indirectly reduce drinking + increase availability
   3. Directly reduce drinking + lower price
   4. None of the above

1. The “neo-prohibitionists”:
   1. Are comprised of economists, epidemiologists, and other scientists doing research on the causal effects of alcohol-control measures on drinking, abuse, and consequences
   2. Present the case that the price and availability of alcohol affect the amount of alcohol-related harm to society
   3. Both a and b
   4. Neither a or b

1. Early in U.S. history, Alexander Hamilton proposed a ____________ to decrease heavy drinking
   1. Prohibition
   2. A whiskey tax
   3. Abstinence
   4. None of the above

1. During the 1930’s a new scientific understanding of alcoholism shifted the focus to:
   1. Alcohol itself
   2. Morality
   3. The small fraction of the population vulnerable to alcoholism
   4. None of the above

1. Dr. E. M. Jellinek was a researcher that:
   1. Is considered the godfather of the alcoholism movement
   2. Identified small portions of the population vulnerable to alcohol
   3. Suggested that someone with the innate propensity for alcoholism would actually develop the disease depends in part on living in an alcohol wet or dry environment
   4. All of the above

1. Just like tobacco:
   1. A small increase in tax would have a small effect on the public health
   2. A large increase in tax would have a large effect on the public health
   3. Both a and b
   4. Neither a or b

1.  Drinkers are:
   1. Better educated, richer, less ambivalent
   2. Poorly educated, poorer, ambivalent
   3. Exactly the same
   4. None of the above

1. Prohibition or the 18^th Amendment:
   1. Promoted a substantial reduction in drinking
   2. Was a political failure
   3. Was repealed by Constitutional Amendment
   4. All of the above

1. Federal funding for research and treatment of alcoholism expanded and became institutionalized with the creation of :
   1. Alcoholics Anonymous (AA)
   2. National Institute on Alcoholism and Alcohol Abuse (NIAAA)
   3. Narcotics Anonymous (NA)
   4. None of the above

1. Today, the American public is mostly drinking:
   1. Liquor
   2. Beer
   3. Wine
   4. All of the above equally

1. Today, the “neo-prohibitionist” label suggests people that:
   1. Are moralistic and naïve
   2. Seek to reduce alcohol abuse by advocating controls on supply and higher taxes
   3. Promote deregulation
   4. Both a and b

1. The first internal revenue measure instituted by the 1^st United States Congress was a tax on:
   1. Wages
   2. Liquor
   3. Land
   4. Tea

1. At the time of the Civil War liquor was used for:
   1. Drinking
   2. Fluid for lamps
   3. Industrial products
   4. All of the above

1. The most politically effective organization working for Prohibition was:
   1. Alcoholics Anonymous
   2. Anti-Saloon League
   3. League of Women Voters
   4. Al-Anon

1. The national prohibition was popularly known as the:
   1. Volstead Act
   2. Wilson Act
   3. Webb-Kenyon Act
   4. Reed Act

1. The Volstead Act banned the ________________ of alcohol.
   1. Purchase
   2. Possession
   3. Consumption
   4. Manufacture and sale

1. Enforcement of the Volstead Act was done by:
   1. Congress
   2. President
   3. Treasury Department
   4. Homeland Security

1. The economist Clark Warburton claimed that during Prohibition there was a reduction in he overall consumption of ethanol coupled with a substitution of liquor for beer based on :
   1. Agricultural sources
   2. Death rates from alcohol related causes of production
   3. Arrests for drunkenness
   4. All of the above

1. The class of people that maintained the same level of drinking throughout Prohibition was:
   1. Middle and Upper class
   2. Working class
   3. Poor
   4. None of the above

1. Under the 21^st amendment the states took the lead in regulating alcohol:
   1. Excise taxes
   2. Tax collection
   3. Distribution and sales
   4. Both a and b

1. The most successful self-help organization of our time is:
   1. Alcoholics Anonymous
   2. Narcotics Anonymous
   3. Al-Anon
   4. Marijuana Anonymous

1. The co-founders of Alcoholics Anonymous were:
   1. Bill Wilson and Dr. Bob Smith
   2. Carl Jung and William James
   3. John D. Rockefeller Jr. and Pierre S. DuPont
   4. None of the above

1. E. Morton Jellinek:
   1. Identified 5 varieties of alcoholism
   2. Wrote “The Disease Concept of alcoholism”
   3. Offered a science-based understanding of alcoholism
   4. All of the above

1. Jellinek reserved the disease label for those alcoholics:
   1. Who evidenced dependence by an inability to stop drinking once started
   2. Who had an inability to refrain from starting to drink
   3. Who practiced controlled drinking
   4. Both a and b

1. ______________ was another proponent of the disease model who suggested that uncontrolled, maladaptive ingestion of alcohol is not a disease in the sense of a biological disorder; rather alcoholism is a disorder of behavior:
   1. George Vaillant
   2. E.M. Jellinek
   3. Stanton Peele
   4. Herb Finagarette

1. A procedure reserved for those that require medical help to mitigate severe withdrawal symptoms is:
   1. Relapse prevention
   2. Detoxification
   3. Liver transplant
   4. None of the above

1. The case for a genetic basis to alcoholism is strengthened by the observation:
   1. Identical twins are more alike with respect to the presence or absence of alcoholism than are fraternal twins
   2. Fraternal twins are more alike with respect to the presence or absence of alcoholism than are identical twins
   3. Identical and fraternal twins are equally alike with respect to the presence of alcoholism
   4. Identical and fraternal twins are equally alike with respect to the absence of alcoholism

1. Inpatient rehabilitation programs
   1. Are the most costly and highly structured
   2. Traditionally last 28 days
   3. Include group therapy, individual therapy, and education
   4. All of the above

1. Project Match was an evaluation study that:
   1. Involved a 12 week period of individual outpatient sessions
   2. Randomly assigned patients to 1 of 3 approaches
   3. Evaluated cognitive-behavioral, motivational enhancement, and 12 step facilitation therapies
   4. All of the above

1. The alcoholism movement engendered a research program that:
   1. Seeks to identify individual characteristics that create susceptibility to alcohol problems
   2. Develop effective treatments
   3. Obtain federal funding
   4. Both a and b

1. An intrinsic limitation to the medical approach is that:
   1. It is not only alcoholics that cause and suffer abuse by their drinking
   2. No treatment requires voluntary compliance
   3. Prevention drugs are always effective
   4. All of the above

1. Quantification is essential to:
   1. Assessing the scope, pattern, and trends of drinking
   2. Evaluating particular interventions intended to reduce problematic drinking
   3. Both a and b
   4. Neither a or b

1. From a population-health perspective:
   1. Data on overall alcohol sales is irrelevant
   2. Data on the entire distribution of consumption is of interest
   3. Neither abstinence or heavy drinking have health implications
   4. All of the above

1. 80 proof whiskey is:
   1. 8% alcohol
   2. 80% alcohol
   3. 40% alcohol
   4. 100% alcohol

1. Generally, it is easier to estimate ____________ consumption with some degree of accuracy
   1. Individual
   2. The distribution of individual drinking
   3. Aggregate
   4. None of the above

1. Problems with using tax records as the basis for estimating alcohol consumption include:
   1. No account of wastage
   2. Illicit production for sale (moonshine)
   3. Tourists
   4. All of the above

1. The 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) provided an estimate of pro capita consumption that vis about __________ of recorded pro capita sales:
   1. Half
   2. Double
   3. Equal
   4. None of the above

1. Prudent users of survey data:
   1. Check data with other surveys, sales data, and other benchmarks
   2. Trust but verify
   3. Proceed with certainty in their data alone
   4. Both a and b

1. The prevalence of drinking peaks in the early ________ for both males and females:
   1. Teens
   2. 20’s
   3. 30’s
   4. 40’s
2. People in _______ health are more likely to drink:
   1. Poor
   2. Fair
   3. Good
   4. All of the above

1. In classical liberal thought, a choice is of greater public concern if the resulting harm is to:
   1. The person making the choice
   2. Bystanders
   3. Society overall
   4. Both a and b

1. The public health perspective attempts to:
   1. Distribute specific benefits to identified individuals
   2. Improve the level or rates of health among the entire population or specific groups
   3. Both a and b
   4. Neither a or b

1. Public health stands closer to a __________ ethic of social justice
   1. Communication
   2. Individualistic
   3. Liberal
   4. Conservative

1. The sale of cold beer to drivers generates a ________ externality to the extent that it increases the chance that people who share the road with the beer buyer ( and drinker while driving) will collide with the buyer:
   1. Neutral
   2. Positive
   3. Negative
   4. Zero

1. A wide array of experiments document that ____________ of consequence occurrence  seems to contradict the presumption of a rational choice
   1. Severity
   2. Timing
   3. Order
   4. Lack

1. Self control is a matter of:
   1. Willpower
   2. Experience
   3. Technique
   4. All of the above
2. The liberal tradition embodied in the harm principle claims to promote the greatest good by:
   1. Leaving the adult individual free to make his own choices as long as others are not harmed
   2. Promoting improvement of choices by government regulation
   3. Denies the intrinsic value of freedom
   4. None of the above

1. _____________ measures are aimed at reducing the harmful consequences of some unhealthy or unsafe activity
   1. Government regulation
   2. Harm reduction
   3. Public policy
   4. Abstinence

1. Information provision includes:
   1. Warning labels on alcoholic beverages
   2. Public service ads on television and radio
   3. Alcohol curriculums in school health classes
   4. All of the above

1. The Cost of Illness (COI) method:
   1. Is the norm in government reports
   2. Distinguishes between direct costs and indirect costs resulting from loss of productivity
   3. Is implicitly based on the maximization of society’s present and future production
   4. All of the above