ADC EXAM COMPREHENSIVE EXAMINATION
TEST 2026 QUESTIONS WITH CORRECT
ANSWERS
● cocaine neurotransmitters. Answer: primary buildup of dopamine (also
serotonin and norepinephrine); people deficient in serotonin are at risk
● nootropics. Answer: drugs designed to boost cognitive performance
ex: Adderall, Provigil (sleep disorders), amphetamine
● cocaine abuse. Answer: 1. experimental use
2. compulsive use
3. dysfunctional use
-arterial constriction & hardening leads to cardiac arrest/stroke
● anabolic steroids. Answer: -engage both opioid and dopamine
neurotransmission systems
-just as addictive as caffeine, nicotine, and benzos
-withdrawal appears like cocaine (insomnia, headaches, restlessness,
poor libido, dysphoria)
,● screening & assessment. Answer: screening: looking to determine if a
problem exists
assessment: more thorough for targeted matters of concern
● suicide rates. Answer: IV users: 14x higher
general population: 10x higher
lowest for African American women & highest for American Indian and
Alaskan Native males
● Substance Abuse Subtle Screening Inventory (SASSI). Answer: 67
clinical obvious & subtle items to detect truth when individuals are
unwilling or unable to acknowledge problem; <15 mins to complete
● Michigan Alcohol Screening Test (MAST). Answer: alcohol screening
tests available but no tools for truth
● Screening, Brief Intervention, and Referral to Treatment (SBIRT).
Answer: quick & simple tool to ID substances for at-risk levels for those
already experiencing substance use issues; no tools for truth
● Addiction Severity Index (ASI). Answer: tool for assessment & tx
planning (NOT screening)
, ● readiness to change. Answer: -clients who perceive the need for help
w/ the process of change & when other options are perceived as
comparatively less attractive
-NOT always rock bottom; can also be motivated by external pressures
-client and family's level of emotional pain
● Chemical Use, Abuse And Dependence (CUAD) Scale. Answer: used
in ax; derives a DSM dx of substance disorder; brief 5-30 min interview
and requires little training. known for mentally ill pop'ns
● Symptom Checklist-90-R (SCL-90-R). Answer: ax broad range of
psychological problems and pathology as well as client
progress/treatment outcomes. 90 items on a 5-point scale to be
completed in 12-15 minutes and produces an overview of symptoms
● Community Oriented Programs Environment Scale (COPES). Answer:
measure actual, preferred, and expected treatment environment or social
climate of community treatment programs by drawing on opinions of
clients & staff
● Treatment Services Review (TSR). Answer: used in conjunction with
ASI; ten-minute structured interview to ax nature and frequency of tx
services
● CHEAP progress notes. Answer: Chief complaint
TEST 2026 QUESTIONS WITH CORRECT
ANSWERS
● cocaine neurotransmitters. Answer: primary buildup of dopamine (also
serotonin and norepinephrine); people deficient in serotonin are at risk
● nootropics. Answer: drugs designed to boost cognitive performance
ex: Adderall, Provigil (sleep disorders), amphetamine
● cocaine abuse. Answer: 1. experimental use
2. compulsive use
3. dysfunctional use
-arterial constriction & hardening leads to cardiac arrest/stroke
● anabolic steroids. Answer: -engage both opioid and dopamine
neurotransmission systems
-just as addictive as caffeine, nicotine, and benzos
-withdrawal appears like cocaine (insomnia, headaches, restlessness,
poor libido, dysphoria)
,● screening & assessment. Answer: screening: looking to determine if a
problem exists
assessment: more thorough for targeted matters of concern
● suicide rates. Answer: IV users: 14x higher
general population: 10x higher
lowest for African American women & highest for American Indian and
Alaskan Native males
● Substance Abuse Subtle Screening Inventory (SASSI). Answer: 67
clinical obvious & subtle items to detect truth when individuals are
unwilling or unable to acknowledge problem; <15 mins to complete
● Michigan Alcohol Screening Test (MAST). Answer: alcohol screening
tests available but no tools for truth
● Screening, Brief Intervention, and Referral to Treatment (SBIRT).
Answer: quick & simple tool to ID substances for at-risk levels for those
already experiencing substance use issues; no tools for truth
● Addiction Severity Index (ASI). Answer: tool for assessment & tx
planning (NOT screening)
, ● readiness to change. Answer: -clients who perceive the need for help
w/ the process of change & when other options are perceived as
comparatively less attractive
-NOT always rock bottom; can also be motivated by external pressures
-client and family's level of emotional pain
● Chemical Use, Abuse And Dependence (CUAD) Scale. Answer: used
in ax; derives a DSM dx of substance disorder; brief 5-30 min interview
and requires little training. known for mentally ill pop'ns
● Symptom Checklist-90-R (SCL-90-R). Answer: ax broad range of
psychological problems and pathology as well as client
progress/treatment outcomes. 90 items on a 5-point scale to be
completed in 12-15 minutes and produces an overview of symptoms
● Community Oriented Programs Environment Scale (COPES). Answer:
measure actual, preferred, and expected treatment environment or social
climate of community treatment programs by drawing on opinions of
clients & staff
● Treatment Services Review (TSR). Answer: used in conjunction with
ASI; ten-minute structured interview to ax nature and frequency of tx
services
● CHEAP progress notes. Answer: Chief complaint
