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Quiz about Everythings Under Control
Quiz about Everythings Under Control

Everything's Under Control Trivia Quiz


The intent of the USA's Controlled Substances Act of 1970 was to decrease the abuse and recreational use of drugs. So how much do you know about these controlled substances?

A multiple-choice quiz by celicadriver. Estimated time: 5 mins.
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Author
celicadriver
Time
5 mins
Type
Multiple Choice
Quiz #
323,291
Updated
Jul 23 22
# Qns
10
Difficulty
Tough
Avg Score
5 / 10
Plays
842
Awards
Top 20% Quiz
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Question 1 of 10
1. The Controlled Substances Act organizes drugs into five schedules of "abuse potential." Schedule I drugs are considered to have no legitimate medical use and are therefore technically legal only in authorized medical or scientific research settings. Schedule II drugs have been shown to have a high potential for abuse, and the schedule V drugs at the bottom of the list have a low potential for abuse. Given this information, is cocaine hydrochloride 4 percent topical solution considered a schedule I drug?


Question 2 of 10
2. The Drug Enforcement Administration (DEA) enforces the Controlled Substances Act. What form does the DEA require when authorized parties transfer schedule II controlled substances to and from one another? Hint


Question 3 of 10
3. Which of these is a controlled substance?



Hint


Question 4 of 10
4. Which of the following therapeutic classes BEST describes the schedule IV controlled substances zaleplon (Sonata), zolpidem (Ambien), and eszopiclone (Lunesta)? Hint


Question 5 of 10
5. Avinza, Kadian, and MS Contin are all extended-release forms of which schedule II drug? Hint


Question 6 of 10
6. Chlordiazepoxide is a schedule IV benzodiazepine marketed under the trade name Librium, while Librax is a combination of chlordiazepoxide and clidinium bromide. Given this information, can you guess what schedule Librax belongs in? Hint


Question 7 of 10
7. Which of these controlled substances does not belong? (Its effect is opposite to those of the other three.) Hint


Question 8 of 10
8. Which of these paralyzing agents is a controlled substance? Hint


Question 9 of 10
9. Methohexital, pentobarbital, and sodium thiopental all belong to the same therapeutic class. Are they all in the same control schedule?


Question 10 of 10
10. Which of these drugs is a controlled substance in 2016 (as defined by the U.S. Controlled Substances Act)? Hint



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Quiz Answer Key and Fun Facts
1. The Controlled Substances Act organizes drugs into five schedules of "abuse potential." Schedule I drugs are considered to have no legitimate medical use and are therefore technically legal only in authorized medical or scientific research settings. Schedule II drugs have been shown to have a high potential for abuse, and the schedule V drugs at the bottom of the list have a low potential for abuse. Given this information, is cocaine hydrochloride 4 percent topical solution considered a schedule I drug?

Answer: No

Cocaine is an amazing dual-action drug. Not only is it a central nervous system stimulant (which is why people often abuse it), but it is also a powerful anesthetic. In fact, it is the only naturally occurring anesthetic. Medical professionals sometimes use cocaine for its anesthetic properties in procedures involving the eyes, nose, or throat, but its use is becoming more rare: due to its cost and toxic effects, and since the red tape surrounding its production and use can complicate matters (it is actually a schedule II controlled substance), many practitioners try to use alternatives whenever possible.
2. The Drug Enforcement Administration (DEA) enforces the Controlled Substances Act. What form does the DEA require when authorized parties transfer schedule II controlled substances to and from one another?

Answer: Form 222

Schedule II drugs ... Form 222 ... coincidence?

DEA Form 41 is used when destroying expired or unneeded drugs from schedules III, IV, and V. DEA Form 106 should be filled out when controlled substances have been lost or stolen. And of course, IRS form 1040 is a tax form.
3. Which of these is a controlled substance?

Answer: Both

Both drugs are on schedule V. Lyrica is frequently prescribed for nerve pain. Patients with certain types of seizures may benefit from Vimpat. The last time I handled Vimpat oral solution (drawing it into oral syringes and disposing of the excess with a witness present), the solution's scent was tantalizing - sweet, creamy fruit candy with smooth, mild vanilla.

Not exactly a deterrent for a controlled substance. Liquid and chewable drugs should be palatable, but not delicious!
4. Which of the following therapeutic classes BEST describes the schedule IV controlled substances zaleplon (Sonata), zolpidem (Ambien), and eszopiclone (Lunesta)?

Answer: Hypnotics-sedatives

Their sole purpose is to induce sleep. They are not in the same chemical families as opioids, barbiturates, or benzodiazepines, so they are usually classified as sedatives or hypnotics.
5. Avinza, Kadian, and MS Contin are all extended-release forms of which schedule II drug?

Answer: Morphine

The MS in MS Contin stands for morphine sulfate. Its extended-release oxycodone counterpart is the well-known OxyContin. Random tidbit: Kadian 30 mg capsules are bright purple.
6. Chlordiazepoxide is a schedule IV benzodiazepine marketed under the trade name Librium, while Librax is a combination of chlordiazepoxide and clidinium bromide. Given this information, can you guess what schedule Librax belongs in?

Answer: No schedule - it is not a controlled substance

Librax is an interesting example of a combination drug being unscheduled, while one of its components is on schedule IV. Compare and contrast the control schedules of other combinations such as Talwin-NX, Suboxone, Tylenol #3, Donnatal, Fioricet, Lomotil, Hydromet, and cough syrups containing varying concentrations of codeine. Some of these combinations contain a "deterrent" ingredient to reduce or prevent abuse of the controlled ingredient.

Librax is sometimes given to patients with irritable bowel syndrome. The Librium component helps reduce stress and anxiety, while the clidinium controls gastrointestinal spasms.
7. Which of these controlled substances does not belong? (Its effect is opposite to those of the other three.)

Answer: Fentanyl

Fentanyl is a powerful narcotic analgesic and anesthetic, often used in surgery.

The other three are stimulants, prescribed for (among other things) narcolepsy. Methylphenidate is also known as Ritalin, Adderall is a brand name for mixed amphetamine salts, and modafinil (the only schedule IV among the answer choices) is marketed as Provigil. I have heard that Provigil is the most commonly abused drug among medical students. That shouldn't be a surprise, considering the hectic schedules and tremendous pressure that these students face.
8. Which of these paralyzing agents is a controlled substance?

Answer: None of them

Why would you ever want to 'paralyze' someone? Technically, these drugs are classified as skeletal muscle relaxants, and are used when a patient requires endotracheal intubation and/or mechanical ventilation, as in surgery. The paralyzing effect is temporary - it lasts only as long as the drug is in the patient's system.

These drugs can be dangerous in the wrong hands, but it is unlikely that anyone would try to "get high" from them, so they are not controlled substances.
9. Methohexital, pentobarbital, and sodium thiopental all belong to the same therapeutic class. Are they all in the same control schedule?

Answer: No

All three are barbiturate sedatives. Methohexital is a schedule IV drug with a short duration of action (hence its brand name, Brevital). Sodium thiopental (also known as 'truth serum') is on schedule III, and is used in the induction of general anesthesia. Pentobarbital is a schedule II drug used for (among other things) the maintenance of deep sedation (induced coma) of certain patients on intensive care units.
10. Which of these drugs is a controlled substance in 2016 (as defined by the U.S. Controlled Substances Act)?

Answer: All of them

Carisoprodol (brand name Soma) is a skeletal muscle relaxant, tramadol is a narcotic analgesic (in the same family as morphine), and testosterone cypionate is a long-acting anabolic steroid. Tramadol also comes as a combination with acetaminophen, marketed under the trade name Ultracet.
Source: Author celicadriver

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