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ASAM EXAM - Essentials of Addiction Medicine
Review Guide (VERSION A & B) || MOST RECENT
EXAM 2026|2027 ACTUAL COMPLETE REAL VERIFIED
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED SUCCESS!! NEWEST EXAM!!!
6. 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
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)
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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 safer and less addictive and asks
whether they could help him stop smoking. Which of the
following statements about light cigarettes is supported by
scientific evidence? A: Smokers adjust their current
nicotine level by adjusting puffing habits - Answer-
Smokers adjust their current nicotine level by adjusting
puffing habits
11. A 50-year-old man with alcohol dependency is
hospitalized with signs of acute withdrawal. Which of the
following drugs should be administered to prevent
Wernicke's encephalopathy in this patient? - Answer-
thiamine
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12. A 25-year-old man is brought to the emergency
department by his partner because of a two-day history of
agitation. The patient says he left his work early because
his boss was spying on him. His speech is pressured. He
says he has been taking medication for the past three
months. His partner reports that the patient had been
taking more than the prescribed dose because he was
preparing for a college examination. Which of the following
medications is the most likely cause of his symptoms? -
Answer-methylphenidate
13. A 45-year-old man has jaundice caused by chronic
alcohol abuse. His physician spends several minutes
asking him about his drinking habits and encourages him
to consider stopping drinking. The patient is not ready to
contemplate stopping at that visit, but the physician brings
up the topic in a nonthreatening manner at subsequent
visits until the patient decides to take some action to stop
drinking. The physician then offers the patient several
choices for accomplishing that goal. This framework of
brief interventions to promote healthful behavior is known
as which of the following? - Answer-motivational
interviewing
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14. A 17-year-old boy comes to the office for a sports
physical examination. When asked about his drug and
alcohol use, he discloses that he recently started smoking
marijuana. Which of the following is the most likely source
from which he obtained the marijuana? - Answer-Friends
15. A retired physician works eight hours per week at a
private general medicine clinic in a rural community. The
practice serves primarily economically stable, Medicare-
eligible patients. Recently, the physician learned and
implemented a new diagnostic test with a sensitivity of
91% and specificity of 94% to diagnose a disease.
However, one of the physician's patients believes he has
been incorrectly diagnosed as a result of this test and
retains a lawyer to file a suit against the physician. The
successful court argument against the use of the test by
the physician is most likely based on which of the
following? - Answer-Cases in the population per year
(prevalence)
1. 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
ASAM EXAM - Essentials of Addiction Medicine
Review Guide (VERSION A & B) || MOST RECENT
EXAM 2026|2027 ACTUAL COMPLETE REAL VERIFIED
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED SUCCESS!! NEWEST EXAM!!!
6. 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
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)
,2|Page
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 safer and less addictive and asks
whether they could help him stop smoking. Which of the
following statements about light cigarettes is supported by
scientific evidence? A: Smokers adjust their current
nicotine level by adjusting puffing habits - Answer-
Smokers adjust their current nicotine level by adjusting
puffing habits
11. A 50-year-old man with alcohol dependency is
hospitalized with signs of acute withdrawal. Which of the
following drugs should be administered to prevent
Wernicke's encephalopathy in this patient? - Answer-
thiamine
,3|Page
12. A 25-year-old man is brought to the emergency
department by his partner because of a two-day history of
agitation. The patient says he left his work early because
his boss was spying on him. His speech is pressured. He
says he has been taking medication for the past three
months. His partner reports that the patient had been
taking more than the prescribed dose because he was
preparing for a college examination. Which of the following
medications is the most likely cause of his symptoms? -
Answer-methylphenidate
13. A 45-year-old man has jaundice caused by chronic
alcohol abuse. His physician spends several minutes
asking him about his drinking habits and encourages him
to consider stopping drinking. The patient is not ready to
contemplate stopping at that visit, but the physician brings
up the topic in a nonthreatening manner at subsequent
visits until the patient decides to take some action to stop
drinking. The physician then offers the patient several
choices for accomplishing that goal. This framework of
brief interventions to promote healthful behavior is known
as which of the following? - Answer-motivational
interviewing
, 4|Page
14. A 17-year-old boy comes to the office for a sports
physical examination. When asked about his drug and
alcohol use, he discloses that he recently started smoking
marijuana. Which of the following is the most likely source
from which he obtained the marijuana? - Answer-Friends
15. A retired physician works eight hours per week at a
private general medicine clinic in a rural community. The
practice serves primarily economically stable, Medicare-
eligible patients. Recently, the physician learned and
implemented a new diagnostic test with a sensitivity of
91% and specificity of 94% to diagnose a disease.
However, one of the physician's patients believes he has
been incorrectly diagnosed as a result of this test and
retains a lawyer to file a suit against the physician. The
successful court argument against the use of the test by
the physician is most likely based on which of the
following? - Answer-Cases in the population per year
(prevalence)
1. 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
