Substance Use Disorders & Diagnostic Criteria 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 Substance Use Disorders & Diagnostic Criteria flashcards as text
According to DSM-5, how many criteria must be met within a 12-month period to diagnose a mild substance use disorder?
Answer: 1-2
DSM-5 requires 2-3 criteria for mild, 4-5 for moderate, and 6 or more for severe substance use disorder.
Which DSM-5 criterion for substance use disorder describes using the substance in situations where it is physically hazardous?
Answer: Recurrent use in situations where it is physically hazardous
The hazardous use criterion specifically refers to using a substance in physically dangerous situations such as driving while impaired.
A patient reports spending most of the day obtaining, using, and recovering from alcohol. Which DSM-5 criterion does this best exemplify?
Answer: A great deal of time spent
The criterion 'a great deal of time spent' covers excessive time devoted to obtaining, using, or recovering from the substance's effects.
Which of the following substances is MOST likely to produce a clinically significant withdrawal syndrome that meets DSM-5 criteria?
Answer: Alcohol
Alcohol withdrawal is one of the most clinically significant, potentially life-threatening withdrawal syndromes recognized in DSM-5.
Under DSM-5, the criterion of 'tolerance' in substance use disorder is defined as which of the following?
Answer: Need for increased amounts to achieve intoxication or diminished effect with same amount
Tolerance is defined as needing markedly increased amounts to achieve the desired effect, or experiencing diminished effect with the same amount.
A patient with opioid use disorder on prescribed methadone maintenance shows physiological dependence. Per DSM-5, how should tolerance and withdrawal be handled in this context?
Answer: They do not count toward the diagnosis when occurring solely from prescribed medications taken as directed
DSM-5 specifies that tolerance and withdrawal do not count toward the substance use disorder diagnosis when occurring solely from prescribed medications taken as directed.
Which specifier in DSM-5 applies to a patient with opioid use disorder who has been abstinent from all opioids for 14 months and is not in a controlled environment?
Answer: In sustained remission
Sustained remission requires that none of the SUD criteria (except craving) have been met for 12 months or longer.