Addiction Medicine Certification Addiction Medicine Recovery & Relapse Prevention 3

Question 1

Which neurotransmitter system's dysregulation is most responsible for the increased stress sensitivity and negative affect that drive relapse during early recovery?

Accepted Answer

Corticotropin-releasing factor (CRF)

Answer

CRF dysregulation in the extended amygdala underlies negative emotional states during withdrawal, driving stress-induced relapse in the dark side of addiction.

Question 2

A patient in recovery from alcohol use disorder identifies 'driving past a bar' as a trigger for cravings. The most appropriate coping strategy from CBT would be:

Accepted Answer

Urge surfing and route planning avoidance

Answer

Urge surfing teaches the patient to ride out the craving while route planning (stimulus control) reduces exposure to the conditioned cue.

Question 3

What is the primary mechanism by which contingency management improves abstinence rates in stimulant use disorder?

Accepted Answer

Operant conditioning through positive reinforcement of abstinence

Answer

Contingency management uses vouchers or prizes as positive reinforcers contingent on drug-negative urine screens, leveraging operant conditioning principles.

Question 4

Which of the following best describes 'recovery capital' in addiction medicine?

Accepted Answer

Internal and external resources that support sustained recovery

Answer

Recovery capital encompasses personal, social, community, and cultural resources that facilitate recovery and reduce relapse risk.

Question 5

A physician recommends 12-step facilitation therapy (TSF) for a patient with alcohol use disorder. TSF primarily works by:

Accepted Answer

Encouraging acceptance of powerlessness and participation in AA meetings

Answer

TSF is a structured approach that encourages patients to engage with 12-step programs by accepting powerlessness over alcohol and beginning AA participation.

Addiction Medicine Certification Practice Test

Addiction Medicine Certification Practice Test

Addiction Medicine Certification Addiction Medicine Recovery & Relapse Prevention 3