Academic Pre-test

D13. Frontier FASD Online Academic Course Pre-test

Form Approved
OMB No. XXXX-XXXX
Exp. Date xx/xx/xxxx

_____________________________________________________________________________________________________________________________ 

The course you are taking will contain presentation materials developed by the Frontier Regional FASD Training Center (located at UNR) based on 
content developed by the Centers for Disease Control and Prevention (CDC).  

This survey does not ask you for any personal identifying information, and the results will only be used to assist us in determining the effectiveness 
of the materials. Your instructor will not be able to view your individual responses or know if you completed the measures. Likewise, you are not 
required to complete this survey and your participation in this class will not be affected regardless of your decision. 

Thank you for your time and enjoy the class.  

_____________________________________________________________________________________________________________________________ 

Please enter the personal ID code you created for the pre­test survey.
First letter of your mother's 
first name
First digit of your social 
security number
Last digit of your social 
security number
First letter of your mother's 
maiden name

_____________________________________________________________________________________________________________________________
The public reporting burden of this collection of information is estimated to average 15 minutes per response, including the time for reviewing 
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of 
information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a 
currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including 
suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D­74, Atlanta, Georgia 30333 ATTN: 
PRA (XXXX­XXXX).  

D13. Frontier FASD Online Academic Course Pre-test
The following items will be used only to describe the demographic makeup of the class. 

Are you Hispanic or Latino/a?
j No
k
l
m
n

j Yes
k
l
m
n

How do you describe your race? (select all that apply)
j American Indian/Alaska Native
k
l
m
n
j Asian
k
l
m
n

j Native Hawaiian/Pacific Islander
k
l
m
n
j White
k
l
m
n

j Black/African American
k
l
m
n

What is your current grade level?
j Freshman
k
l
m
n

j Senior
k
l
m
n

j Sophomore
k
l
m
n
j Junior
k
l
m
n

j Graduate student
k
l
m
n

What is your current area of study?
j Counseling
k
l
m
n
j Nursing
k
l
m
n

j Occupational therapy
k
l
m
n

j Physical therapy
k
l
m
n

j Social work
k
l
m
n
j Addictions
k
l
m
n

j Speech & language therapy
k
l
m
n

j Psychology
k
l
m
n

j Medicine
k
l
m
n

Other (please specify) 

If you are a medical student, please select your residency specialty.
j OB/GYN resident
k
l
m
n

j Pediatric resident
k
l
m
n

j Internal medicine resident
k
l
m
n

j Psychiatry resident
k
l
m
n

j Genetics resident
k
l
m
n

j Family medicine resident
k
l
m
n
Other (please specify) 

j Dentistry resident
k
l
m
n

D13. Frontier FASD Online Academic Course Pre-test
Below are 2 (two) scenarios that describe alcohol­related behaviors in women. Please read each scenario carefully and 
respond to the questions that follow regarding the described individual and behavior. 

Scenario 1
Over the past few months, Sally has started to drink more than her usual amount of
alcohol. In fact, she has noticed that she now needs to drink twice as much in order to get
the same effect. Several times she has tried to cut down or stop drinking. However, each
time she tried she became very agitated and couldn’t sleep, so would start drinking and
the symptoms would go away. Her family has complained that she is often hung over,
moody, and has become unreliable – making plans one day and cancelling them the next.
In fact, they report that she frequently calls them while intoxicated and has no memory of
the calls or what she promised the next day.
In your opinion, how likely is it that Sally’s situation might be caused by…
Not at all likely

Not very likely

her own bad character.

j
k
l
m
n

j
k
l
m
n

a chemical imbalance in 

j
k
l
m
n

the way she was raised.
stressful circumstances in 

Neither likely nor 

Somewhat likely

Very likely

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

unlikely

her brain.

her life.
a genetic or inherited 
problem.
God’s will.

D13. Frontier FASD Online Academic Course Pre-test
On a scale of 1 (Not at all) ­ 6 (Extremely), how likely would you be to…
Not at all likely

2

3

4

5

Extremely likely

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

be angry with Sally?

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

believe that Sally’s drinking 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

feel sorry for Sally?

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

think that Sally’s drinking is 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

feel irritated with Sally?

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

be likely to help Sally?

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

feel sympathy for Sally?

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

believe that Sally is 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

be concerned about Sally?

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

try to stay away from Sally?

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

feel ashamed if people 
knew someone like Sally 
was a member of your 
family?
be uncomfortable having a 
conversation with Sally?

is controllable?
talk with Sally about her 
drinking?

her own fault?
interview Sally for a job if 
you were an employer?

responsible for her drinking?
rent Sally an apartment if 
you were a landlord?

D13. Frontier FASD Online Academic Course Pre-test
Scenario 2
During the past year, Jessica has started to drink more than her usual amount of alcohol.
In fact, she has noticed that she now needs to drink twice as much in order to get the
same effect. Three months ago, Jessica found out that she is pregnant and her doctor told
her she should not drink alcohol during her pregnancy. Jessica has tried but so far has
not been able to stop drinking. Some of Jessica’s friends told her that when they were
pregnant the taste and/or smell of alcohol made them sick. Jessica was hoping that she
would have the same reaction, but that has not been the case. Out of concern for Jessica’s
health and the health of her baby, her family has tried several times to talk with her about it.
However, they are telling her that she is being selfish and not behaving in the best interest
of her child. This approach is only increasing how guilty and ashamed Jessica is feeling
about not being able to stop. As a result, Jessica has become very secretive about her
drinking, sneaking a drink whenever she has a chance.
In your opinion, how likely is it that Jessica ’s situation might be caused by…
Not at all likely

Not very likely

her own bad character.

j
k
l
m
n

j
k
l
m
n

a chemical imbalance in 

j
k
l
m
n

the way she was raised.
stressful circumstances in 

Neither likely nor 

Somewhat likely

Very likely

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

unlikely

her brain.

her life.
a genetic or inherited 
problem.
God’s will.

D13. Frontier FASD Online Academic Course Pre-test
On a scale of 1 (Not at all) ­ 6 (Extremely), how likely would you be to…
Not at all likely

2

3

4

5

Extremely likely

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

be angry with Jessica?

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

believe that Jessica’s 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

feel sorry for Jessica?

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

think that Jessica’s drinking 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

feel irritated with Jessica?

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

be likely to help Jessica?

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

feel sympathy for Jessica?

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

believe that Jessica is 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

feel ashamed if people 
knew someone like Jessica 
was a member of your 
family?
be uncomfortable having a 
conversation with Jessica?

drinking is controllable?
talk with Jessica about her 
drinking?

is her own fault?
interview Jessica for a job if 
you were an employer?

responsible for her drinking?
rent Jessica an apartment if 
you were a landlord?
be concerned about 
Jessica?
try to stay away from 
Jessica?

D13. Frontier FASD Online Academic Course Pre-test
The following items deal with factors related to fetal alcohol spectrum disorders. 

The best public health message related to alcohol consumption by women of childbearing
age is ....
j Women who know they are pregnant should not consume alcohol.
k
l
m
n

j Women who are pregnant or could become pregnant should not consume alcohol.
k
l
m
n
j All sexually active women should not consume alcohol.
k
l
m
n

j Women of childbearing age should not consume alcohol.
k
l
m
n
j Alcohol use, in moderation, is safe for all women.
k
l
m
n

An episode of “binge” drinking for women of childbearing age is defined as:
j 2 drinks or more per occasion
k
l
m
n
j 3 drinks or more per occasion
k
l
m
n
j 4 drinks or more per occasion
k
l
m
n
j 5 drinks or more per occasion
k
l
m
n
j 6 drinks or more per occasion
k
l
m
n

D13. Frontier FASD Online Academic Course Pre-test
Which one of these is NOT considered a standard drink:
j 12 ounces of beer
k
l
m
n

j 12 ounces of wine cooler
k
l
m
n
j 5 ounces of wine
k
l
m
n

j 3 ounces of vodka
k
l
m
n

j All of the above are standard drinks
k
l
m
n

Which of the following is NOT an essential element of all brief interventions?
j Empathy
k
l
m
n

j Responsibility
k
l
m
n
j Advice
k
l
m
n

j Confrontation
k
l
m
n
j Feedback
k
l
m
n

D13. Frontier FASD Online Academic Course Pre-test
Although specific deficits experienced by individuals with an FASD vary widely, behavioral
deficits are likely to include which of the following:
j memory problems, underactivity, and self­injurious behavior
k
l
m
n
j inattention, memory problems and hyperactivity
k
l
m
n

j particular mannerisms, hoarding, and memory problems
k
l
m
n
j emotion regulation, weight loss, fatigue, irritability
k
l
m
n

j auditory hallucinations, disorganized speech, and flat affect
k
l
m
n

Which of the following include all three facial abnormalities associated with fetal alcohol
syndrome?
j Low set ears, large eye openings, large forehead
k
l
m
n

j Small palpebral fissures, smooth philtrum, thin upper lip
k
l
m
n
j Large palpebral fissures, smooth philtrum, thin upper lip
k
l
m
n
j Large forehead, flattened cheeks, small eyes
k
l
m
n
j Thin upper lip, distinct philtrum, ectropion
k
l
m
n

D13. Frontier FASD Online Academic Course Pre-test
Which one of the following statements is NOT correct?
j Persons with FASDs may experience problems in school and in getting along with other children.
k
l
m
n

j Persons with FASDs generally do not need support and services to live and work independently as adults.
k
l
m
n
j Persons with FASDs can benefit from obtaining an early diagnosis.
k
l
m
n

j Persons with FASDs may need support and services throughout their lives.
k
l
m
n

j Persons with FASDs may be at an increased risk for victimization and high risk behaviors.
k
l
m
n

Which of the following is a safe amount of alcohol for a pregnant woman to consume?
j A standard drink twice a week
k
l
m
n

j A drink that is less than a standard amount twice a week
k
l
m
n

j After the first trimester, it is safe to have an occasional standard drink
k
l
m
n
j It is safe to drink alcohol during the third trimester
k
l
m
n

j No known amount of alcohol is safe during pregnancy
k
l
m
n

D13. Frontier FASD Online Academic Course Pre-test
Which of the following are considered protective factors against secondary disabilities
associated with FASDs?
j Living in stable and nurturing home environments
k
l
m
n
j Early diagnosis (before 6 years of age)
k
l
m
n
j Absence of exposure to violence
k
l
m
n
j Consistency in caregivers
k
l
m
n

j Eligibility for social and educational services
k
l
m
n
j All of the above
k
l
m
n

If there is time to ask non­pregnant women only one alcohol­use screening question,
which of the following can be used?
j Do you get annoyed with people when you drink?
k
l
m
n

j On any single occasion during the past 3 months, have you had more than 4 drinks containing alcohol?
k
l
m
n
j What time of the day do you typically start drinking?
k
l
m
n
j Are you pregnant?
k
l
m
n

j None of the above can be used
k
l
m
n

D13. Frontier FASD Online Academic Course Pre-test
To what extent to you agree with the following statements?

Lifestyle changes don’t 

Strongly disagree

Disagree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Neither agree nor 

Agree

Strongly agree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

disagree

occur automatically.
FASD is an umbrella term 
that covers multiple 
problems related to 
prenatal exposure to 
alcohol
There are no societal costs 
related to FASDs
Alcohol affects multiple 
organ systems throughout 
pregnancy… particularly 
the central nervous system
Only pregnant women need 
to be screened for alcohol 
use
There is no safe time, no 
safe type, and no known 
safe amount of alcohol that 
can be consumed during 
pregnancy
Brief interventions promote 
reductions in alcohol use 
among non­dependent 
individuals
Supportive, non­
judgmental counseling can 
lead to decreased alcohol 
use during pregnancy

D13. Frontier FASD Online Academic Course Pre-test
Which of the following is NOT reported as an outcome of research­based interventions for
children with FASDs?
j improved social functioning
k
l
m
n
j improved child behavior
k
l
m
n

j development of executive functioning and self­regulation
k
l
m
n
j increased parental distress
k
l
m
n

j improved parenting attitudes
k
l
m
n

Positive responses given to items on the TWEAK or the T­ACE screening instruments
indicate
j a diagnosis of alcoholism.
k
l
m
n

j the likelihood that the woman will seek treatment for alcohol abuse.
k
l
m
n

j the need for the health care provider to discuss the risks associated with drinking alcohol, especially when the woman is pregnant.
k
l
m
n
j the difference between binge drinking and problem drinking.
k
l
m
n

j the need for immediate admission to a treatment facility for further evaluation.
k
l
m
n

D13. Frontier FASD Online Academic Course Pre-test
Alcohol use during pregnancy
j interferes with the normal proliferation of nerve cells.
k
l
m
n

j alters the brain’s ability to produce or regulate cell growth, division, and survival.
k
l
m
n
j alters the expression of certain genes.
k
l
m
n

j alters the pathways of biochemical or electrical signals within cells.
k
l
m
n
j All of the above
k
l
m
n

Which one of the following statements is NOT correct?
j Some women expose their fetus to alcohol because of alcohol dependence or addiction.
k
l
m
n

j Health providers seek the best outcomes for women and fetuses by efforts to increase foreseeable benefits and minimize foreseeable 
k
l
m
n
harms. 

j Most medical societies advocate coercive methods as a first intervention for women who expose a fetus to alcohol.
k
l
m
n
j Health providers have an ethical duty to respect their patients.
k
l
m
n

j The legal status of fetuses is addressed by federal and state laws.
k
l
m
n

D13. Frontier FASD Online Academic Course Pre-test
Which of these is NOT part of the addictive disease process?
j Craving and compulsion
k
l
m
n
j Violent behavior
k
l
m
n
j Loss of control
k
l
m
n

j Continued use despite adverse consequences
k
l
m
n

j All of the above are part of the addictive disease process
k
l
m
n

Scientific studies of the effects of alcohol on the fetus have shown that:
j Alcohol has no effect on the development of the fetus in the third trimester.
k
l
m
n
j Alcohol can only affect fetal development in the first trimester.
k
l
m
n

j A small to moderate amount of alcohol is safest during the second trimester.
k
l
m
n

j Of all the different types of alcohol, wine is the safest for a pregnant woman to consume.
k
l
m
n
j None of the above is correct.
k
l
m
n

Which of the following is NOT required to confirm a diagnosis of fetal alcohol syndrome
(FAS)?
j Facial dysmorphia
k
l
m
n

j Growth retardation
k
l
m
n

j Central nervous system (CNS) abnormalities
k
l
m
n

j Documentation of prenatal alcohol exposure
k
l
m
n

j All of the above are required for a diagnosis of FAS
k
l
m
n

D13. Frontier FASD Online Academic Course Pre-test
Thank you for your time...