QUESTIONS AND 100% CORRECT WELL
DETAILED ANSWERS|LATEST
A 44 y/o man admits to drinking "a few beers now and then" presents for exam.
After obtaining a health hx and performing a pe, you suspect he is a heavy alcohol
user. Your next best action is to:
A. Obtain liver enzymes
B. Administer the cage questionnaire
C. Confront the pt with your observations
D. Advise him abut the hazards of excessive alcohol use - answer b. Administer
the cage questionnaire
Which of the following is not a component of the cage questionnaire:
A. Have you every felt you should cut down on your drinking?
B. Have you been annoyed by people criticizing your drinking?
C. Have you every felt guilty about your drinking?
D. Have you ever engaged in a violent act while drinking? - answer d. Have you
ever engaged in a violent act while drinking?
Which of the following contains the greatest amt of alcohol?
A. 12 oz (360ml) beer (9 proof)
B. 4 oz (120ml wine (22 proof)
C. 3.5 oz (105ml) mixed drink (30 proof)
D. 3 oz (90ml) liquor ( 80 proof) - answer d. 3 oz (90ml) liquor ( 80 proof)
Dsm-5 criteria for a substance use d/o include all of the following except:
1
,A. Substance use in larger amts or over longer period than intended
B. Substance overuse resulting in hospitalization
C. Craving or strong desire to use
D. Substance use in potentially hazardous positions - answer b. Substance
overuse resulting in hospitalization
The dsm5 criteria for substance use tolerance includes:
A. Diminished effect with the same amt of substance used
B. Desiring to get an amplified effect with higher doses
C. Ability to decrease the frequency of substance use
D. Absence of withdrawal sxs when substance is not used for a prolonged period -
answer a. Diminished effect with the same amt of substance used
During an official visit, a 38 y/o woman states "i drink way too much but do not
know what to do to stop". According to prochaska's change framework, her statement
is most consistent with a person at the stage of:
A. Precontemplation
B. Contemplation
C. Preparation
D. Action - answer b. Contemplation
The np can consider presenting txment options and support for change after the pt
has moved into which of prochaska's stages?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action - answer b. Contemplation
2
, Lorazepam or oxazepam is the preferred benzodiazepine for txing alcohol withdrawal
sxs when there is a concomitant hx of:
A. Seizure d/o
B. Folate deficiency anemia
C. Multiple substance abuse
D. Hepatic dysfunction - answer d. Hepatic dysfunction
Peak sxs of alcohol withdrawal are usually observed how long after alcohol intake is
dc?
A. Less than 12 hrs
B. 12 to 24 hrs
C. 24 to 36 hrs
D. More than 36 hrs - answer b. 12 to 24 hrs
Which of the following is the most helpful approach in the care of pt with
alcoholism?
A. Advise the pt to stop drinking in a straight forward manner
B. Counsel the pt that alcohol abuse is a treatable disease
C. Inform the pt of the long-term health consequences of alcohol abuse
D. Refer the pt to alcoholics anonymous - answer b. Counsel the pt that alcohol
abuse is a treatable disease
A 42 y/o man who has a long-standing hx of alcohol abuse presents for primary
care. He admits to drinking 12 to 16 beers daily for 10 yrs. He states "i really do not
feel like the booze is a problem. I get to work every day. Your most appropriate
response is:
A. Work is usually the last thing to go in alcohol abuse
B. Your family has suffered by your drinking
C. I am concerned about your health and safety
3
DETAILED ANSWERS|LATEST
A 44 y/o man admits to drinking "a few beers now and then" presents for exam.
After obtaining a health hx and performing a pe, you suspect he is a heavy alcohol
user. Your next best action is to:
A. Obtain liver enzymes
B. Administer the cage questionnaire
C. Confront the pt with your observations
D. Advise him abut the hazards of excessive alcohol use - answer b. Administer
the cage questionnaire
Which of the following is not a component of the cage questionnaire:
A. Have you every felt you should cut down on your drinking?
B. Have you been annoyed by people criticizing your drinking?
C. Have you every felt guilty about your drinking?
D. Have you ever engaged in a violent act while drinking? - answer d. Have you
ever engaged in a violent act while drinking?
Which of the following contains the greatest amt of alcohol?
A. 12 oz (360ml) beer (9 proof)
B. 4 oz (120ml wine (22 proof)
C. 3.5 oz (105ml) mixed drink (30 proof)
D. 3 oz (90ml) liquor ( 80 proof) - answer d. 3 oz (90ml) liquor ( 80 proof)
Dsm-5 criteria for a substance use d/o include all of the following except:
1
,A. Substance use in larger amts or over longer period than intended
B. Substance overuse resulting in hospitalization
C. Craving or strong desire to use
D. Substance use in potentially hazardous positions - answer b. Substance
overuse resulting in hospitalization
The dsm5 criteria for substance use tolerance includes:
A. Diminished effect with the same amt of substance used
B. Desiring to get an amplified effect with higher doses
C. Ability to decrease the frequency of substance use
D. Absence of withdrawal sxs when substance is not used for a prolonged period -
answer a. Diminished effect with the same amt of substance used
During an official visit, a 38 y/o woman states "i drink way too much but do not
know what to do to stop". According to prochaska's change framework, her statement
is most consistent with a person at the stage of:
A. Precontemplation
B. Contemplation
C. Preparation
D. Action - answer b. Contemplation
The np can consider presenting txment options and support for change after the pt
has moved into which of prochaska's stages?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action - answer b. Contemplation
2
, Lorazepam or oxazepam is the preferred benzodiazepine for txing alcohol withdrawal
sxs when there is a concomitant hx of:
A. Seizure d/o
B. Folate deficiency anemia
C. Multiple substance abuse
D. Hepatic dysfunction - answer d. Hepatic dysfunction
Peak sxs of alcohol withdrawal are usually observed how long after alcohol intake is
dc?
A. Less than 12 hrs
B. 12 to 24 hrs
C. 24 to 36 hrs
D. More than 36 hrs - answer b. 12 to 24 hrs
Which of the following is the most helpful approach in the care of pt with
alcoholism?
A. Advise the pt to stop drinking in a straight forward manner
B. Counsel the pt that alcohol abuse is a treatable disease
C. Inform the pt of the long-term health consequences of alcohol abuse
D. Refer the pt to alcoholics anonymous - answer b. Counsel the pt that alcohol
abuse is a treatable disease
A 42 y/o man who has a long-standing hx of alcohol abuse presents for primary
care. He admits to drinking 12 to 16 beers daily for 10 yrs. He states "i really do not
feel like the booze is a problem. I get to work every day. Your most appropriate
response is:
A. Work is usually the last thing to go in alcohol abuse
B. Your family has suffered by your drinking
C. I am concerned about your health and safety
3
