ADM Addiction Treatment Modalities & Therapeutic Approaches 5

Question 1

Which behavioral intervention, often delivered in a single session, has demonstrated efficacy in reducing heavy drinking in primary care and emergency department settings?

Accepted Answer

Brief Motivational Intervention (Brief MI)

Answer

Brief Motivational Interventions (typically 1-4 sessions using MI principles) have robust evidence for reducing hazardous alcohol use when delivered in non-specialty medical settings.

Question 2

In therapeutic communities (TCs) for substance use disorders, which philosophical concept is central to the treatment model?

Accepted Answer

The community itself — peers and program structure — serves as the primary agent of change

Answer

In therapeutic communities, the peer community and structured social environment are considered the primary instruments of behavior change, using social learning and community norms.

Question 3

A patient with alcohol use disorder and a contraindication to benzodiazepines needs alcohol withdrawal management. Which agent is the best alternative for seizure prophylaxis?

Accepted Answer

Phenobarbital

Answer

Phenobarbital, a GABA-A agonist acting at a different receptor site than benzodiazepines, is a validated alternative for alcohol withdrawal management including seizure prophylaxis.

Question 4

Mindfulness-Based Relapse Prevention (MBRP) targets addiction relapse by teaching patients to do which of the following?

Accepted Answer

Observe cravings and emotions with non-judgmental awareness rather than automatically reacting to them

Answer

MBRP trains patients to use mindfulness meditation to observe urges, emotions, and thoughts without reacting, reducing automatic relapse behavior by creating space between trigger and response.

Question 5

Varenicline (Chantix/Champix) aids smoking cessation through which dual mechanism?

Accepted Answer

Partial agonism at α4β2 nicotinic receptors, reducing withdrawal and blocking nicotine reward simultaneously

Answer

Varenicline partially activates α4β2 nicotinic receptors to relieve withdrawal symptoms while simultaneously blocking nicotine from producing its full rewarding effect if the patient smokes.

(ADM) Board Certified Addiction Medicine Specialist Practice Test

(ADM) Board Certified Addiction Medicine Specialist Practice Test

ADM Addiction Treatment Modalities & Therapeutic Approaches 5