ADM Patient Assessment & Clinical Evaluation 2

Question 1

Which validated tool is used to assess the severity of alcohol withdrawal and guide medical management?

Accepted Answer

CIWA-Ar

Answer

The Clinical Institute Withdrawal Assessment for Alcohol–Revised (CIWA-Ar) quantifies withdrawal severity across 10 symptoms to guide medication dosing.

Question 2

A patient reports using opioids daily for 18 months and is now seeking treatment. Which instrument best quantifies opioid withdrawal severity at intake?

Accepted Answer

COWS

Answer

The Clinical Opiate Withdrawal Scale (COWS) measures 11 objective and subjective signs to score opioid withdrawal severity.

Question 3

During assessment, a 45-year-old patient minimizes alcohol use. Which collateral information source is MOST appropriate to obtain with the patient's consent?

Accepted Answer

Family member or close contact

Answer

Collateral history from a family member or close contact, obtained with patient consent, helps corroborate and clarify the extent of substance use.

Question 4

Which lab finding is most specific for heavy chronic alcohol use when assessing a new patient?

Accepted Answer

Elevated phosphatidylethanol (PEth)

Answer

Phosphatidylethanol (PEth) is a direct ethanol metabolite with high specificity for chronic heavy alcohol consumption over the past 3–4 weeks.

Question 5

A clinician performs a functional assessment on a patient with severe alcohol use disorder. Which domain is MOST relevant to include?

Accepted Answer

Ability to maintain employment and manage daily activities

Answer

Functional assessment in addiction medicine evaluates the impact of substance use on occupational, social, and daily living activities.

(ADM) Board Certified Addiction Medicine Specialist Practice Test

(ADM) Board Certified Addiction Medicine Specialist Practice Test

ADM Patient Assessment & Clinical Evaluation 2