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Master Addiction Counselor Exam MCQ Flashcards

7 cards from real MAC practice questions. Tap to flip, then mark Knew It or Still Learning โ€” missed cards come back until you master them.

Read the first 7 Master Addiction Counselor Exam MCQ flashcards as text
  1. A client with alcohol use disorder is at highest medical risk of life-threatening withdrawal symptoms during which timeframe after last drink?

    Answer: 24-72 hours

    Delirium tremens, the most dangerous alcohol withdrawal complication, typically peaks 48-72 hours after the last drink.

  2. Which family therapy concept describes the process by which family members unconsciously enable a loved one's addiction to maintain family homeostasis?

    Answer: Enabling

    Enabling refers to behaviors by family members that inadvertently support or protect the addicted person from consequences, allowing use to continue.

  3. Buprenorphine is classified as a partial opioid agonist. The clinical significance of its 'ceiling effect' is that:

    Answer: It has lower abuse potential and a safer respiratory depression profile

    The ceiling effect means respiratory depression does not increase beyond a certain dose, making buprenorphine significantly safer in overdose than full opioid agonists.

  4. In group therapy for addiction, the term 'cohesion' refers to:

    Answer: The therapeutic bond among group members and with the leader

    Group cohesion is the sense of belonging, trust, and connection among group members and with the facilitator, and is a key therapeutic factor.

  5. A client taking disulfiram (Antabuse) consumes alcohol. The reaction that occurs is caused by the accumulation of:

    Answer: Acetaldehyde

    Disulfiram inhibits aldehyde dehydrogenase, causing toxic acetaldehyde to accumulate, which produces flushing, nausea, and cardiovascular symptoms.

  6. Which of the following is the most reliable indicator that a counselor is experiencing countertransference with an addicted client?

    Answer: Experiencing strong emotional reactions that reflect the counselor's own unresolved issues

    Countertransference is identified by disproportionate or personally rooted emotional reactions in the counselor that are more about the counselor's history than the client's behavior.

  7. The AUDIT-C is a brief screening tool for alcohol use that consists of questions about:

    Answer: Frequency, quantity, and binge drinking episodes

    The AUDIT-C is a 3-item abbreviated version of the AUDIT covering drinking frequency, typical quantity, and frequency of heavy drinking.