ADM Substance Use Disorders & Diagnostic Criteria 3 — Questions and Answers
Question 1: Which substance use disorder is associated with the specifier 'with perceptual disturbances' in DSM-5?
- Cannabis use disorder
- Alcohol use disorder (Correct answer)
- Stimulant use disorder
- Sedative use disorder
Correct answer: Alcohol use disorder
Alcohol withdrawal with perceptual disturbances is a DSM-5 specifier used when hallucinations or illusions occur in the context of intact reality testing.
Question 2: A 32-year-old repeatedly tries to cut back on cocaine use but cannot sustain abstinence. Which DSM-5 criterion does this represent?
- Craving
- Persistent desire or unsuccessful efforts to cut down or control use (Correct answer)
- Withdrawal
- Tolerance
Correct answer: Persistent desire or unsuccessful efforts to cut down or control use
Unsuccessful efforts to cut down or control substance use is a distinct DSM-5 criterion reflecting impaired control over use.
Question 3: According to DSM-5, which of the following is classified as a Non-Substance-Related Disorder in the Substance-Related and Addictive Disorders chapter?
- Internet gaming disorder
- Gambling disorder (Correct answer)
- Compulsive buying disorder
- Food addiction
Correct answer: Gambling disorder
Gambling disorder is the only non-substance behavioral addiction included in DSM-5's Substance-Related and Addictive Disorders chapter.
Question 4: Which ICD-10-CM code category is used for alcohol use disorder?
- F10 (Correct answer)
- F11
- F12
- F13
Correct answer: F10
ICD-10-CM category F10 covers alcohol-related disorders, with F10.10 for mild and F10.20 for moderate-to-severe AUD.
Question 5: A patient experiences intense urges to drink alcohol whenever they pass a bar. Which DSM-5 SUD criterion is most directly illustrated?
- Hazardous use
- Craving or a strong desire to use (Correct answer)
- Social impairment
- Tolerance
Correct answer: Craving or a strong desire to use
Craving or a strong desire or urge to use the substance is a distinct DSM-5 criterion that was added in DSM-5 (absent from DSM-IV).
Question 6: Which of the following correctly describes how DSM-5 changed the diagnostic structure of substance use disorders compared to DSM-IV-TR?
- DSM-5 separated abuse and dependence into distinct disorders
- DSM-5 combined abuse and dependence into a single disorder with severity specifiers (Correct answer)
- DSM-5 added a new category for behavioral addictions only
- DSM-5 eliminated all withdrawal criteria
Correct answer: DSM-5 combined abuse and dependence into a single disorder with severity specifiers
DSM-5 merged the previously separate DSM-IV diagnoses of substance abuse and substance dependence into a single substance use disorder rated by severity.
Question 7: Which criterion was removed from DSM-IV substance dependence when creating DSM-5 substance use disorder?
- Tolerance
- Withdrawal
- Legal problems (Correct answer)
- Craving
Correct answer: Legal problems
The recurrent legal problems criterion from DSM-IV was dropped in DSM-5, while craving was added as a new criterion.
ADM Substance Use Disorders & Diagnostic Criteria 3
Which substance use disorder is associated with the specifier 'with perceptual disturbances' in DSM-5?