Addiction Medicine Certification Addiction Medicine Screening & Evaluation 2 — Questions and Answers
Question 1: Which AUDIT-C score threshold is commonly used to indicate hazardous drinking in men?
- 3 or more
- 4 or more (Correct answer)
- 6 or more
- 8 or more
Correct answer: 4 or more
An AUDIT-C score of 4 or more in men (3 or more in women) indicates hazardous or harmful alcohol use.
Question 2: The DAST-10 is a validated screening tool used to detect problems related to which substance category?
- Alcohol only
- Tobacco only
- Drug use (non-alcohol) (Correct answer)
- Both alcohol and drugs equally
Correct answer: Drug use (non-alcohol)
The Drug Abuse Screening Test (DAST-10) is specifically designed to screen for problems related to non-alcohol drug use.
Question 3: When conducting a biopsychosocial assessment for substance use disorder, which domain specifically examines family history of addiction?
- Biological domain (Correct answer)
- Psychological domain
- Social domain
- Spiritual domain
Correct answer: Biological domain
The biological domain of a biopsychosocial assessment includes genetic predisposition and family history of substance use disorders.
Question 4: A patient scores 15 on the CIWA-Ar scale. Which clinical management is most appropriate?
- Outpatient monitoring only
- Reassure and discharge
- Inpatient medical detoxification (Correct answer)
- Naltrexone prescription
Correct answer: Inpatient medical detoxification
A CIWA-Ar score of 15 indicates moderate-to-severe alcohol withdrawal, requiring inpatient medical detoxification for safe management.
Question 5: Which screening tool uses a single question — 'How many times in the past year have you used an illegal drug or used a prescription medication for non-medical reasons?' — as its core item?
- CAGE
- DAST-10
- Single-Item Drug Screen (Correct answer)
- CRAFFT
Correct answer: Single-Item Drug Screen
The Single-Item Drug Screening Question (SISQ) is a validated one-question tool shown to be effective in primary care settings.
Question 6: In the FRAMES model used during brief interventions, what does the letter 'R' stand for?
- Referral
- Responsibility (Correct answer)
- Resistance
- Reassessment
Correct answer: Responsibility
In FRAMES, 'R' stands for Responsibility, emphasizing that the patient is responsible for their own behavior change.
Question 7: Which laboratory finding is most suggestive of chronic heavy alcohol use when liver enzymes are elevated?
- AST/ALT ratio greater than 2:1 (Correct answer)
- ALT significantly higher than AST
- Isolated elevation of ALP
- Normal GGT with elevated ALT
Correct answer: AST/ALT ratio greater than 2:1
An AST-to-ALT ratio greater than 2:1 is a classic marker of alcoholic liver disease, distinguishing it from other hepatic causes.
Addiction Medicine Certification Addiction Medicine Screening & Evaluation 2
Which AUDIT-C score threshold is commonly used to indicate hazardous drinking in men?