Patient Assessment & Clinical Evaluation Flashcards
7 cards from real ADM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Clinical Evaluation flashcards as text
Which validated risk assessment tool stratifies patients' risk for opioid misuse before initiating chronic opioid therapy?
Answer: Opioid Risk Tool (ORT)
The Opioid Risk Tool (ORT) uses family and personal history of substance use, age, sexual abuse history, and psychiatric diagnoses to stratify misuse risk.
A teenager is brought in by parents concerned about cannabis use. Which screening tool is validated for adolescent substance use assessment?
Answer: CRAFFT
The CRAFFT (Car, Relax, Alone, Forget, Friends, Trouble) is the standard validated screening tool for substance use problems in adolescents.
Which urine drug screen finding requires confirmation by GC-MS to avoid a false-positive result?
Answer: Positive immunoassay for amphetamines in a patient taking bupropion
Bupropion can cause false-positive amphetamine immunoassays; GC-MS confirmation is required to distinguish true amphetamine use from cross-reactivity.
A patient's assessment reveals housing instability and food insecurity. Under which assessment domain should these be documented?
Answer: Social determinants of health / social history
Housing instability and food insecurity are social determinants of health, documented in the social history and critical for treatment planning.
Which finding most strongly suggests the presence of alcohol-induced liver disease during a physical examination?
Answer: Hepatomegaly with spider angiomata and asterixis
Hepatomegaly, spider angiomata, and asterixis together strongly suggest advanced alcohol-induced liver disease with hepatic encephalopathy.
Which aspect of the patient's substance use history is MOST important for determining the appropriate level of care?
Answer: Severity of use, prior treatment history, and current stability of living situation
ASAM criteria use severity of use, treatment history, and living situation alongside five other dimensions to match patients to the appropriate level of care.
Which behavior during a clinical assessment MOST strongly suggests Wernicke's encephalopathy and requires immediate intervention?
Answer: Confusion, ophthalmoplegia, and ataxia in a patient with chronic alcohol use
The classic triad of confusion, ophthalmoplegia, and ataxia in a patient with alcohol use disorder indicates Wernicke's encephalopathy requiring immediate IV thiamine.