1. Regular use of stimulants results in __________ that necessitates __________ doses to achieve the desired effects.

a. boredom; multiple
b. feelings of inadequacy; increasingly smaller
c. tolerance; ever-larger
d. organ damage; more frequent
2. Regular use of cocaine can lead to nosebleeds, __________, and panic attacks.
a. paranoia
b. psychosis
c. memory loss
d. aggression
3. Drivers under the age of 21 who have a BAC of .02 or higher will immediately have their license taken away and driving privileges suspended for __________ months.
a. 12
b. 18
c. 9
d. 6
4. In very high doses, antihistamine medications can cause serious __________ damage.
a. neurological
b. liver
c. pancreatic
d. kidney
5. Psychoactive drugs that cause a person to experience hallucinations are called:
a. Hallucinogens
b. Antihistamines
c. Sedatives
d. Analgesics
6. How many of the required behind-the-wheel hours have to be at night in order to be eligible for a driver’s license?
a. 15 hours
b. 10 hours
c. 20 hours
d. 5 hours
7. Prescription and over-the-counter medications are always much safer than illegal drugs when operating a vehicle.
a. True/Yes
b. False/No
8. At an intersection, instead of dealing with conflicting traffic from just one direction, you will encounter conflicting traffic from at least __________ directions.
a. 2
b. 4
c. 3
9. If you drink large amounts of alcohol regularly, you are almost __________ as likely to develop oral cavity and throat cancers as are non-drinkers.
a. five times
b. four times
c. three times
d. twice
10. The short-term effects of alcohol on the central nervous system of a person include:
a. Reduced inhibitions
b. Inability to make accurate judgments regarding danger
c. Improved reaction time
d. Both (a) and (b)
11. No one should walk diagonally across an intersection unless they are in a group of people.
a. True/Yes
b. False/No
12. Most non-opioid analgesics must be prescribed by a doctor.
a. True/Yes
b. False/No
13. The Substance Abuse and Mental Health Services Administration (SAMSA) found that the siblings of an adolescent who abuses drugs or alcohol may often look after themselves in ways that are not age appropriate. This happens because:
a. Siblings of an adolescent who abuses drugs or alcohol are often more mature than other children of the same age.
b. Siblings of an adolescent who abuses drugs or alcohol typically become self-sufficient at an earlier age than other children.
c. The parents of an adolescent who abuses drugs or alcohol may spend most of their time dealing with crises that stem from the adolescent’s drug or alcohol abuse, and they may not have a lot of time to spare for the adolescent’s siblings.
d. The parents of an adolescent who abuses drugs or alcohol often leave all of their children to fend for themselves.
14. The Harvard Alcohol Project was launched in __________, effectively establishing the idea of a "designated driver" (DD) and spreading awareness throughout the United States.
a. 1968
b. 1978
c. 1988
d. 1998
15. A __________ is a proven measure to reduce serious collisions and injuries for pedestrians.
a. crosswalk
b. stop sign
c. LPI
d. LBI
16. Those not directly involved in alcohol-related crashes pay for over __________ of all crash costs, primarily through insurance premiums, taxes, and congestion-related costs.
a. one-quarter
b. three-quarters
c. one-half
d. two-thirds
17. First-generation antihistamine medications are those that __________
a. were developed in the early 20th century
b. are less likely to completely relieve symptoms of allergic reactions
c. are more likely to cross the blood-brain barrier and, therefore, more likely to cause side-effects like drowsiness
d. the government strictly controls, requiring a doctor’s prescription to obtain
18. Which of the following is not a strategy to prevent people from getting behind the wheel of a car while impaired?
a. Offering to be a designated driver.
b. Getting a ride to and from parties where there will be alcohol and/or drugs.
c. Limiting alcoholic drinks to 1 or 2 servings.
d. None of the above
19. The State has set minimum speed limits for interstate highways with 4 or more lanes: _________ mph if the highway’s posted speed limit is 70 mph, or 40 otherwise.
a. 55
b. 45
c. 50
d. 60
20. The State of Florida determined that the safest speed for motor vehicle traffic in school zones is between __________ mph.
a. 10 and 15
b. 5 and 10
c. 20 and 25
d. 15 and 20
21. According to data published by the NHTSA in 2015, a driver with a .02% BAC is __________ more likely to be involved in a collision than a sober driver.
a. 58%
b. 82%
c. 73%
d. 91%
22. A person who is __________ dependent on a drug may become seriously ill if a regular dose is missed.
a. psychologically
b. emotionally
c. physically
23. All of the following are factors that affect a person’s likelihood to become addicted to a drug, except:
a. Genetics
b. Socioeconomic status
c. Traumatic experiences
d. The legal status of the drug (i.e., legal or illegal)
24. The larger the person, the longer it will take a controlled dose of a drug to be entirely eliminated or excreted.
a. True/Yes
b. False/No
25. Vehicles must have _________ braking system(s).
a. 1
b. 2
c. 3
d. 4
26. Drugged driving can be completely unintentional.
a. True/Yes
b. False/No
27. Unmarked crosswalks only occur __________
a. on busy roads
b. at intersections
c. outside of businesses
d. on private roads
28. If you are stopped behind a truck on an upgrade, keep __________ so the driver can see that you’re stopped behind them.
a. 40 feet back
b. to the right
c. to the left
d. 20 feet back
29. Operators of motorcycles may not carry anything that prevents them from ________
a. using turn signals
b. braking efficiently
c. turning at the proper angle
d. keeping both hands on the handlebars
30. Failure to drive "in a careful, prudent manner, having regard for the width, grade, curves, corners, traffic, and all other attendant circumstances, so as not to endanger the life, limb, or property of any person" constitutes __________
a. reckless driving
b. aggressive careless driving
c. careless driving
d. None of the above
31. Adult bike riders are permitted to carry a child under four years of age or who weighs _________ pounds or less in a seat or carrier that is designed for that purpose.
a. 30
b. 50
c. 45
d. 40
32. The second stage of alcoholic liver disease is called:
a. Cirrhosis
b. Alcoholic hepatitis
c. Hepatic steatosis
d. None of the above
33. Which of the following cases would not be considered abuse of a drug?
a. Taking a prescription medication that was not prescribed for you.
b. Taking more of a medication than the maximum dose described by the medication’s label.
c. Taking medication with potent side-effects while at work on a construction site.
d. Taking heart medication to treat depression, as directed by your doctor.
34. Morphine, oxycodone, codeine, and hydrocodone are all examples of:
a. NSAIDs
b. Stimulants
c. Opioid-based medications
d. Antihistamines
35. A person struck by a vehicle moving at 30 mph is __________ more likely to be killed than a person struck by a vehicle moving at 25 mph.
a. 70%
b. 20%
c. 55%
d. 75%
36. The FHA reports that about __________ of the combined total of fatal and injury crashes that occur every year occur at intersections.
a. 70%
b. 40%
c. 50%
d. 25%
37. An overdose of opioid-based medication can result in death by asphyxiation because:
a. Opioids interfere with the normal function of a person’s nervous system, and an overdose can prevent a person’s nervous system from communicating with the lungs entirely.
b. Opioids harm lung tissue.
c. An overdose of opioid-based medication increases the likelihood of an allergic reaction that can result in a person’s throat closing up.
d. No reason, opioid overdose cannot result in death by asphyxiation.
38. Be cautious in ________ where there are lots of people walking near your vehicle.
a. parades
b. parking lots
c. driveways
d. private roads
39. Signals timed to a street's target speed can create __________ along a corridor.
a. higher speeds
b. lower speeds
c. higher traffic
d. less pedestrians
40. Dissociative drugs, like PCP and ketamine, can cause hallucinations; however, they more commonly result in:
a. Drowsiness and exhaustion
b. Sensations of detachment from self and reality
c. Aggression, psychosis, and blackouts
d. Feelings of euphoria

1. c. tolerance; ever-larger

2. a. paranoia
3. d. 6
4. b. liver
5. a. Hallucinogens
6. a. 15 hours
7. b. False/No
8. b. 4
9. a. five times
10. d. Both (a) and (b)
11. b. False/No
12. a. True/Yes
13. c. The parents of an adolescent who abuses drugs or alcohol may spend most of their time dealing with crises that stem from the adolescent’s drug or alcohol abuse, and they may not have a lot of time to spare for the adolescent’s siblings.
14. c. 1988
15. c. LPI
16. b. three-quarters
17. c. are more likely to cross the blood-brain barrier and, therefore, more likely to cause side-effects like drowsiness
18. c. Limiting alcoholic drinks to 1 or 2 servings.
19. a. 55
20. d. 15 and 20
21. b. 82%
22. c. physically
23. d. The legal status of the drug (i.e., legal or illegal)
24. a. True/Yes
25. b. 2
26. b. False/No
27. b. at intersections
28. d. 20 feet back
29. d. keeping both hands on the handlebars
30. a. reckless driving
31. a. 30
32. b. Alcoholic hepatitis
33. d. Taking heart medication to treat depression, as directed by your doctor.
34. c. Opioid-based medications
35. a. 70%
36. c. 50%
37. a. Opioids interfere with the normal function of a person’s nervous system, and an overdose can prevent a person’s nervous system from communicating with the lungs entirely.
38. b. parking lots
39. b. lower speeds
40. b. Sensations of detachment from self and reality