ASAM EXAM BANK LATEST 2025-
2026 COMPLETE AUTHENTIC AND
ACTUAL EXAM
A 30-year-old woman began taking alprazolam
0.25 mg four times daily two weeks ago for
generalized anxiety disorder (GAD). She now
has increased sedation as treatment continues.
For this patient, select the most appropriate
term: - answer-Sensitization
A 32-year-old woman is being evaluated for
alcoholism. This is her first time in treatment.
She has a 15-year history of alcohol
dependence. Which of the following is the most
appropriate medication? - answer-Naltrexone
A 14-year-old boy comes to the office for an
annual examination. During the interview, he
tells his physician that he has switched from
smoking cigarettes to using smokeless tobacco
,because he does not want to get lung cancer.
The physician should tell the patient that he is
now at increased risk for cancer of which of the
following? - answer-Esophageal
A 32-year-old woman comes to the office
seeking assistance with smoking cessation.
She has smoked two packs of cigarettes daily
for the past eight years. She has attempted to
quit twice before but was unable to overcome
the withdrawal symptoms. She is using a
nicotine transdermal system to assist her in
smoking cessation. Which of the following is a
side effect she should still expect to experience
during her withdrawal of nicotine? - answer-
Impaired reaction time
4. A 42-year-old physician who specializes in
ear, nose, and throat conditions is being
interviewed for a position by a hospital. She has
active licenses in Arizona, Idaho, and Missouri
(her last place of residence for seven years).
,The training listed on her CV received has been
verified by a primary source. The National Data
Bank contains no adverse records. Which of the
following is troublesome to require? - answer-
Polygraph test
5. A 45-year-old injection drug user was started
on methadone maintenance one month prior to
his current hospitalization for pneumonia. On a
routine inpatient electrocardiogram, he has a
prolonged QT interval. In addition to his
methadone dose, which of the following factors
increases his risk for developing an arrhythmia?
- answer-Hypokalemia
7. A 45-year-old woman who has been taking
alprazolam 0.5 mg four times daily for GAD
ruminates about the next dose beginning two
hours after the last dose. For this patient, select
the most appropriate term: - answer-
Pseudowithdrawal
, 8. A 45-year-old man took alprazolam for GAD
for one year. He was weaned off the medication
over a three-month period. Two weeks after
complete cessation, he notices increased
worry. For this patient, select the most
appropriate term: - answer-Symptom
recurrence (not true withdrawal)
9. A 45-year-old man was placed on alprazolam
0.25 mg three times daily for GAD and
treatment was successful. He was tapered off
of the medication over three months. One week
after complete cessation, he is tormented by
anxiety and is sleeping only two hours per
night. For this patient, select the most
appropriate term: - answer-Rebound (not true
withdrawal)
10. A 36-year-old man who has a 20-year
history of smoking cigarettes comes to the
office for counseling about smoking cessation.
He has heard that "light" cigarettes may be
2026 COMPLETE AUTHENTIC AND
ACTUAL EXAM
A 30-year-old woman began taking alprazolam
0.25 mg four times daily two weeks ago for
generalized anxiety disorder (GAD). She now
has increased sedation as treatment continues.
For this patient, select the most appropriate
term: - answer-Sensitization
A 32-year-old woman is being evaluated for
alcoholism. This is her first time in treatment.
She has a 15-year history of alcohol
dependence. Which of the following is the most
appropriate medication? - answer-Naltrexone
A 14-year-old boy comes to the office for an
annual examination. During the interview, he
tells his physician that he has switched from
smoking cigarettes to using smokeless tobacco
,because he does not want to get lung cancer.
The physician should tell the patient that he is
now at increased risk for cancer of which of the
following? - answer-Esophageal
A 32-year-old woman comes to the office
seeking assistance with smoking cessation.
She has smoked two packs of cigarettes daily
for the past eight years. She has attempted to
quit twice before but was unable to overcome
the withdrawal symptoms. She is using a
nicotine transdermal system to assist her in
smoking cessation. Which of the following is a
side effect she should still expect to experience
during her withdrawal of nicotine? - answer-
Impaired reaction time
4. A 42-year-old physician who specializes in
ear, nose, and throat conditions is being
interviewed for a position by a hospital. She has
active licenses in Arizona, Idaho, and Missouri
(her last place of residence for seven years).
,The training listed on her CV received has been
verified by a primary source. The National Data
Bank contains no adverse records. Which of the
following is troublesome to require? - answer-
Polygraph test
5. A 45-year-old injection drug user was started
on methadone maintenance one month prior to
his current hospitalization for pneumonia. On a
routine inpatient electrocardiogram, he has a
prolonged QT interval. In addition to his
methadone dose, which of the following factors
increases his risk for developing an arrhythmia?
- answer-Hypokalemia
7. A 45-year-old woman who has been taking
alprazolam 0.5 mg four times daily for GAD
ruminates about the next dose beginning two
hours after the last dose. For this patient, select
the most appropriate term: - answer-
Pseudowithdrawal
, 8. A 45-year-old man took alprazolam for GAD
for one year. He was weaned off the medication
over a three-month period. Two weeks after
complete cessation, he notices increased
worry. For this patient, select the most
appropriate term: - answer-Symptom
recurrence (not true withdrawal)
9. A 45-year-old man was placed on alprazolam
0.25 mg three times daily for GAD and
treatment was successful. He was tapered off
of the medication over three months. One week
after complete cessation, he is tormented by
anxiety and is sleeping only two hours per
night. For this patient, select the most
appropriate term: - answer-Rebound (not true
withdrawal)
10. A 36-year-old man who has a 20-year
history of smoking cigarettes comes to the
office for counseling about smoking cessation.
He has heard that "light" cigarettes may be
