LADC Exam Study Guide 2022 with complete solution
Step 1 - We admitted we were powerless over alcohol- that our lives had become unmanageable
Step 2 - Came to believe that a power greater than ourselves could restore us to sanity
Step 3 - Made a decision to turn our will and our lives over to the care of God as we understood
him
Step 4 - Made a searching and fearless moral inventory of ourselves
Step 5 - Admitted to God, to ourselves, and to another human being the exact nature of our
wrongs
Step 6 - Were entirely ready to have God remove all these defects of characters
Step 7 - Humbly ask Him to remove our shortcomings
Step 8 - Made a list of all the persons we had harmed, and became willing to make amends to
them all
Step 9 - Made a direct amends to such people wherever possible, except when to do so would
injure them or others
Step 10 - Continued to take personal inventory and when we were wrong, promptly admitted it
Step 11 - Sought through prayer and meditation to improve our conscious contact with God as
we understood Him, praying only for knowledge of His will for us and the power to carry that
out
Step 12 - Having had a spiritual awakening as the result of these steps, we tried to carry this
message to alcoholics and to practice these principles in all our affairs
Tradition 1 - Our common welfare should come first; personal recovery depends upon AA unity
Tradition 2 - For our group purpose there is but one ultimate authority- a loving God as He may
express Himself in our group conscience our leaders are but trusted servants, they do not govern
Tradition 3 - The only requirement for AA membership is a desire to stop drinking
Tradition 4 - Each group should be autonomous expect in matters affecting other groups or AA
as a whole
Tradition 5 - Each group has but one primary purpose, to carry its message to the alcoholic who
still suffers
,Tradition 6 - An AA group never endorse, finance or lend the AA name to any related facility or
outside enterprise, lest problems of money, property, and prestige divert us from our primary
purpose
Tradition 7 - Every AA group ought to be fully self supporting, declining outside contributions
Tradition 8 - AA should remain forever non professional, but our service centers may employ
special workers
Tradition 9 - AA as such ought never be organized but we may create service boards or
committees directly responsible to those they serve
Tradition 10 - AA has no opinion on outside issues, hence the AA name ought never be drawn
into public controversy
Tradition 11 - Our public relations policy is based on attraction rather than promotion, we need
always maintain personal anonymity at the level of press, radio, and films
Tradition 12 - Anonymity is the spiritual foundation of all our traditions ever reminding us to
place principles, before personalities
Definition of a Psychoactive Drug - Any substance that directly alters normal functioning of the
central nervous system
Uppers - Stimulants of the CNS
-cocaine, amphetamines, amphetamine cogeners (Ritalin), plan stimulants (khat, betel nuts,
ephedra, yohimbe), lookalike stimulants, caffeine, nicotine
Mental/Emotional Effects of Uppers - More confident, outgoing, eager to perform & excited
Rush, anxiety, rapid speech, aggressiveness
extreme anxiety, paranoia, anhedonia, mental confusion, mimic psychosis
Physical Effects of Uppers - Stimulation of the CNS
Energized muscles, increased heart rate, increased BP, insomnia, decreased appetite
Deplete body's energy chemicals and exhaust user- heart, blood vessels, and seizure problems
can occur
cancer, heart disease, emphysema
Downers - CNS Depressants
Opiates/Opioids: opium, morphine, codeine, heroin, oxycodone, hydrocodone, methadone,
hydromorphine
Sedative Hypnotics: Benzo's, alprazolam, diazepam, clonazepam, ambien, barbituates
Alcohol: beer, wine, liquor
Others: antihistamine, muscle relaxers, lookalike sedatives, bromides
Physical Effects of Downers - CNS Depressant
,Slows heart rate, respiration, relaxes muscles, decreases coordination, induces sleeps, dulls
senses, diminishes pain, constipation, nausea, pinpoint pupils, slurred speech, digestive
problems, respiratory depression and coma
Sexual dysfunction and tissues dependence
Mental/Emotional Effects of Downers - Lower inhibitions- induce free bx
relaxing/dulling the mind
diminish anxiety, controlling neurosis
induce euphoria- sense of well being
cause physical and psychic dependence
All Arounders (Psychedelics) - substances that distort perceptions and induce illusions, delusions
or hallucinations- 5 classifications
1. Ergots/Indoles: LSD, Psilocybin Mushrooms, Ayanausea, DMT
2. Phenylalkylamines: Peyote, MDM, MDA, 2CB, Ibogaine
3. Anticholinergics: belladonna, datura, jimson weed
4. Cannabinoids: marijuana, hashish
5. Others: Ketamine, PCP, nutmeg, amanita mushrooms
Physical Effects of All Arounders - nausea, dizziness,
Marijuana: increase appetite, bloodshot eyes
LSD: Raises BP, sweating
MDMA/LSD: act like stimulants
PCP/Ketamine: act as anesthetics- physical effects not as dominant as the mental effects
Mental/Emotional effects of all arounders - distort sensory msgs to and from the brain stem, the
sensory switchboard for the mind, so that many external stimuli, particularly visual, touch and
auditory ones: intensity or altered illusions
hallucinations, delusions
Inhalants - deliriants
gaseous or liquid substances that are inhaled and absorbed through the lungs
lungs: organic solvents (glue, gas metallic paint, gas additives, volatile nitrites, hexly nitrite,
anesthetics (laughing gas)
Physical effects of Inhalants - CNS depressant
dizziness, slurred speech, unsteady gait, drowsiness, lower BP, faint, lose balance, drowsiness,
stupor, coma, asphyxiation
organic solvents: toxic to cells in lungs, brain, liver, kidney tissues and blood
Mental/Emotional Effects of Inhalants - Impulsiveness, excitement, mental confusion, irritability
delirium and some hallucinations
Anabolic Steroids and other sports drugs - Anabolic-androgenic steroids are most common
performance enhancing drugs
, others include stimulants, HGH, HCG, herbal/nutritional supplements, and some therapeutic
drugs
Physical effects of anabolic steroids - increased muscle mass and strength
prolonged use can cause acne, high BP, shrunken testes and masculinization in women
mental emotional effects of anabolic steroids - cause stimulant like high, increased confidence,
and increased aggression
prolonged large dose use can be accompanied by outbursts of anger known as "roid rage"
Psychiatric Medications - used to rebalance irregular brain chemistry that caused mental
problems, drug addiction and other compulsive disorders
most common: antidepressants and antianxiety-including pain disorder drugs
physical effects of psychiatric medications - wide variety of effects- particularly one heart,
blood, skeletal muscle systems but mental/emotional effects are most important
side effects, adverse reactions and toxic effects are especially severe with antipsychotic drugs
called "neuroleptic drugs"
mental/emotional effects of psychiatric medications - manipulate brain chemicals (serotonin) that
elevate mood
manipulate dopamine to control schizophrenic mood swings and hallucinations
antianxiety drugs manipulate brain chemicals such as GABA to inhibit anxiety producing
thoughts
compulsive behaviors - eating disorders, compulsive gambling, sexual compulsion, internet
addiction, compulsive shopping, codependency
affect same areas of the brain impacted by compulsive use of psychoactive drugs
physical effects of compulsive behaviors - neurological and chemical changes in the brains
reward pathway
eating disorders: lead to cardiovascular problems, diabetes, nutritional diseases and obesity
mental/ emotional effects of compulsive behaviors - development of tolerance, psychological
dependence and even withdrawal symptoms exist with compulsive bx's as do abuse addiction
as strong as drug seeking bx's
Schedule 1 drugs - These drugs have high abuse potential and supposedly no accepted medical
use
-heroin, LSD, marijuana, peyote, psilocybin mushrooms, MDMA
Schedule 2 Drugs - high abuse potential with severe psychic or physical dependence liability
even through there are medical uses for the drugs
-cocaine, methamphetamines, hydromorphine, codeine, meperidine, oxycodone and
methyphenidate (Ritalin)
Step 1 - We admitted we were powerless over alcohol- that our lives had become unmanageable
Step 2 - Came to believe that a power greater than ourselves could restore us to sanity
Step 3 - Made a decision to turn our will and our lives over to the care of God as we understood
him
Step 4 - Made a searching and fearless moral inventory of ourselves
Step 5 - Admitted to God, to ourselves, and to another human being the exact nature of our
wrongs
Step 6 - Were entirely ready to have God remove all these defects of characters
Step 7 - Humbly ask Him to remove our shortcomings
Step 8 - Made a list of all the persons we had harmed, and became willing to make amends to
them all
Step 9 - Made a direct amends to such people wherever possible, except when to do so would
injure them or others
Step 10 - Continued to take personal inventory and when we were wrong, promptly admitted it
Step 11 - Sought through prayer and meditation to improve our conscious contact with God as
we understood Him, praying only for knowledge of His will for us and the power to carry that
out
Step 12 - Having had a spiritual awakening as the result of these steps, we tried to carry this
message to alcoholics and to practice these principles in all our affairs
Tradition 1 - Our common welfare should come first; personal recovery depends upon AA unity
Tradition 2 - For our group purpose there is but one ultimate authority- a loving God as He may
express Himself in our group conscience our leaders are but trusted servants, they do not govern
Tradition 3 - The only requirement for AA membership is a desire to stop drinking
Tradition 4 - Each group should be autonomous expect in matters affecting other groups or AA
as a whole
Tradition 5 - Each group has but one primary purpose, to carry its message to the alcoholic who
still suffers
,Tradition 6 - An AA group never endorse, finance or lend the AA name to any related facility or
outside enterprise, lest problems of money, property, and prestige divert us from our primary
purpose
Tradition 7 - Every AA group ought to be fully self supporting, declining outside contributions
Tradition 8 - AA should remain forever non professional, but our service centers may employ
special workers
Tradition 9 - AA as such ought never be organized but we may create service boards or
committees directly responsible to those they serve
Tradition 10 - AA has no opinion on outside issues, hence the AA name ought never be drawn
into public controversy
Tradition 11 - Our public relations policy is based on attraction rather than promotion, we need
always maintain personal anonymity at the level of press, radio, and films
Tradition 12 - Anonymity is the spiritual foundation of all our traditions ever reminding us to
place principles, before personalities
Definition of a Psychoactive Drug - Any substance that directly alters normal functioning of the
central nervous system
Uppers - Stimulants of the CNS
-cocaine, amphetamines, amphetamine cogeners (Ritalin), plan stimulants (khat, betel nuts,
ephedra, yohimbe), lookalike stimulants, caffeine, nicotine
Mental/Emotional Effects of Uppers - More confident, outgoing, eager to perform & excited
Rush, anxiety, rapid speech, aggressiveness
extreme anxiety, paranoia, anhedonia, mental confusion, mimic psychosis
Physical Effects of Uppers - Stimulation of the CNS
Energized muscles, increased heart rate, increased BP, insomnia, decreased appetite
Deplete body's energy chemicals and exhaust user- heart, blood vessels, and seizure problems
can occur
cancer, heart disease, emphysema
Downers - CNS Depressants
Opiates/Opioids: opium, morphine, codeine, heroin, oxycodone, hydrocodone, methadone,
hydromorphine
Sedative Hypnotics: Benzo's, alprazolam, diazepam, clonazepam, ambien, barbituates
Alcohol: beer, wine, liquor
Others: antihistamine, muscle relaxers, lookalike sedatives, bromides
Physical Effects of Downers - CNS Depressant
,Slows heart rate, respiration, relaxes muscles, decreases coordination, induces sleeps, dulls
senses, diminishes pain, constipation, nausea, pinpoint pupils, slurred speech, digestive
problems, respiratory depression and coma
Sexual dysfunction and tissues dependence
Mental/Emotional Effects of Downers - Lower inhibitions- induce free bx
relaxing/dulling the mind
diminish anxiety, controlling neurosis
induce euphoria- sense of well being
cause physical and psychic dependence
All Arounders (Psychedelics) - substances that distort perceptions and induce illusions, delusions
or hallucinations- 5 classifications
1. Ergots/Indoles: LSD, Psilocybin Mushrooms, Ayanausea, DMT
2. Phenylalkylamines: Peyote, MDM, MDA, 2CB, Ibogaine
3. Anticholinergics: belladonna, datura, jimson weed
4. Cannabinoids: marijuana, hashish
5. Others: Ketamine, PCP, nutmeg, amanita mushrooms
Physical Effects of All Arounders - nausea, dizziness,
Marijuana: increase appetite, bloodshot eyes
LSD: Raises BP, sweating
MDMA/LSD: act like stimulants
PCP/Ketamine: act as anesthetics- physical effects not as dominant as the mental effects
Mental/Emotional effects of all arounders - distort sensory msgs to and from the brain stem, the
sensory switchboard for the mind, so that many external stimuli, particularly visual, touch and
auditory ones: intensity or altered illusions
hallucinations, delusions
Inhalants - deliriants
gaseous or liquid substances that are inhaled and absorbed through the lungs
lungs: organic solvents (glue, gas metallic paint, gas additives, volatile nitrites, hexly nitrite,
anesthetics (laughing gas)
Physical effects of Inhalants - CNS depressant
dizziness, slurred speech, unsteady gait, drowsiness, lower BP, faint, lose balance, drowsiness,
stupor, coma, asphyxiation
organic solvents: toxic to cells in lungs, brain, liver, kidney tissues and blood
Mental/Emotional Effects of Inhalants - Impulsiveness, excitement, mental confusion, irritability
delirium and some hallucinations
Anabolic Steroids and other sports drugs - Anabolic-androgenic steroids are most common
performance enhancing drugs
, others include stimulants, HGH, HCG, herbal/nutritional supplements, and some therapeutic
drugs
Physical effects of anabolic steroids - increased muscle mass and strength
prolonged use can cause acne, high BP, shrunken testes and masculinization in women
mental emotional effects of anabolic steroids - cause stimulant like high, increased confidence,
and increased aggression
prolonged large dose use can be accompanied by outbursts of anger known as "roid rage"
Psychiatric Medications - used to rebalance irregular brain chemistry that caused mental
problems, drug addiction and other compulsive disorders
most common: antidepressants and antianxiety-including pain disorder drugs
physical effects of psychiatric medications - wide variety of effects- particularly one heart,
blood, skeletal muscle systems but mental/emotional effects are most important
side effects, adverse reactions and toxic effects are especially severe with antipsychotic drugs
called "neuroleptic drugs"
mental/emotional effects of psychiatric medications - manipulate brain chemicals (serotonin) that
elevate mood
manipulate dopamine to control schizophrenic mood swings and hallucinations
antianxiety drugs manipulate brain chemicals such as GABA to inhibit anxiety producing
thoughts
compulsive behaviors - eating disorders, compulsive gambling, sexual compulsion, internet
addiction, compulsive shopping, codependency
affect same areas of the brain impacted by compulsive use of psychoactive drugs
physical effects of compulsive behaviors - neurological and chemical changes in the brains
reward pathway
eating disorders: lead to cardiovascular problems, diabetes, nutritional diseases and obesity
mental/ emotional effects of compulsive behaviors - development of tolerance, psychological
dependence and even withdrawal symptoms exist with compulsive bx's as do abuse addiction
as strong as drug seeking bx's
Schedule 1 drugs - These drugs have high abuse potential and supposedly no accepted medical
use
-heroin, LSD, marijuana, peyote, psilocybin mushrooms, MDMA
Schedule 2 Drugs - high abuse potential with severe psychic or physical dependence liability
even through there are medical uses for the drugs
-cocaine, methamphetamines, hydromorphine, codeine, meperidine, oxycodone and
methyphenidate (Ritalin)
