Addiction Medicine Certification Addiction Medicine Recovery & Relapse Prevention

Question 1

Which cognitive-behavioral therapy technique is specifically designed to help patients identify high-risk situations for relapse?

Accepted Answer

Functional analysis

Answer

Functional analysis identifies the antecedents, behaviors, and consequences that precede substance use, helping patients recognize high-risk situations.

Question 2

A patient in recovery reports experiencing anhedonia, fatigue, and strong cravings six weeks after stopping cocaine use. This presentation is most consistent with:

Accepted Answer

Post-acute withdrawal syndrome (PAWS)

Answer

PAWS is characterized by prolonged symptoms including anhedonia, fatigue, and cravings lasting weeks to months after acute withdrawal resolves.

Question 3

According to Marlatt's relapse prevention model, which factor is considered the most proximal trigger for relapse?

Accepted Answer

Abstinence violation effect

Answer

The abstinence violation effect — guilt and cognitive dissonance after a lapse — is the most proximal factor leading from a lapse to full relapse in Marlatt's model.

Question 4

Which pharmacological agent is FDA-approved for preventing relapse specifically in alcohol use disorder by reducing craving through glutamate modulation?

Accepted Answer

Acamprosate

Answer

Acamprosate reduces glutamate hyperactivity during protracted abstinence, decreasing craving and supporting relapse prevention in alcohol use disorder.

Question 5

In the Transtheoretical Model, a patient who acknowledges a substance use problem and intends to change within the next 6 months is in which stage?

Accepted Answer

Contemplation

Answer

Contemplation is defined by awareness of a problem and intention to change within 6 months but without commitment to immediate action.

Addiction Medicine Certification Practice Test

Addiction Medicine Certification Practice Test

Addiction Medicine Certification Addiction Medicine Recovery & Relapse Prevention