Addiction Medicine Certification Patient Assessment & Evaluation 3

Question 1

When assessing an adolescent for substance use, the CRAFFT tool's 'Car' item specifically screens for:

Accepted Answer

Driving while under the influence or riding with an impaired driver

Answer

The 'Car' item asks if the patient has ever ridden in a car driven by someone (including themselves) who was high or had been using alcohol or drugs.

Question 2

A patient presents with opioid use disorder and a comorbid generalized anxiety disorder. Per ASAM criteria, which dimension captures psychiatric comorbidity?

Accepted Answer

Dimension 3: Emotional/Behavioral/Cognitive Conditions

Answer

ASAM Dimension 3 encompasses emotional, behavioral, and cognitive conditions including co-occurring psychiatric diagnoses such as anxiety disorders.

Question 3

Which validated instrument specifically assesses opioid withdrawal severity for clinical monitoring and research?

Accepted Answer

COWS

Answer

The Clinical Opiate Withdrawal Scale (COWS) is a validated clinician-rated tool measuring 11 signs and symptoms of opioid withdrawal.

Question 4

During a comprehensive substance use history, a patient reports 'chipping' heroin. This term refers to:

Accepted Answer

Occasional or intermittent heroin use without daily dependence

Answer

Chipping describes sporadic, non-dependent heroin use and is clinically important because it may precede development of opioid use disorder.

Question 5

A patient's AUDIT score is 12. According to WHO AUDIT risk zone classification, this score places the patient in:

Accepted Answer

Zone III: Harmful use

Answer

AUDIT scores of 8–15 indicate Zone II (hazardous) and 16–19 indicate Zone III (harmful); a score of 12 falls within Zone II hazardous drinking.

Addiction Medicine Certification Practice Test

Addiction Medicine Certification Practice Test

Addiction Medicine Certification Patient Assessment & Evaluation 3