WITH CORRECT DETAILED ANSWERS LATEST UPDATE
THIS YEAR - JUST RELEASED 2026 -2027
What are common screening tools for alcohol use disorder?
AUDIT (Alcohol Use Disorders Identification Test) - Identifies
hazardous drinking CAGE questionnaire - 4-question screening for
alcohol dependence (Cut down, Annoyed, Guilty, Eye-opener)
CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol) -
Assesses alcohol withdrawal severity
What are common screening tools for opioid use disorder?
ORT (Opioid Risk Tool) - Assesses risk of opioid misuse
SOAPP (Screener and Opioid Assessment for Patients with Pain) -
Evaluates risk of opioid abuse in chronic pain patients
DAST (Drug Abuse Screening Test) - General screening for drug use
disorders
,What are the medication-assisted treatments (MAT) for opioid use
disorder?
Methadone - Full opioid agonist, reduces cravings and withdrawal
symptoms Buprenorphine/Naloxone (Suboxone) - Partial agonist,
reduces cravings and withdrawal, lower overdose risk
Naltrexone - Opioid antagonist, blocks euphoric effects, best for
highly motivated patients
Which medication is first-line for pregnant patients with opioid use
disorder?
Methadone or Buprenorphine (without naloxone)
What is precipitated withdrawal, and how does it occur?
A rapid and severe withdrawal reaction that happens when a patient on
opioids is given naltrexone or buprenorphine too soon.
What laboratory abnormalities are common in chronic alcohol use?
Elevated liver enzymes (AST > ALT)
Macrocytosis (MCV >100 fL) - Due to folate deficiency
Thiamine (Vitamin B1) deficiency - Risk of Wernicke-Korsakoff syndrome
Hypoglycemia - Due to impaired gluconeogenesis
, What laboratory findings are associated with opioid use disorder?
Hypoxia - Due to respiratory depression
Elevated creatine kinase (CK) - Due to rhabdomyolysis in overdose
cases Low testosterone levels - Common in chronic opioid use
DSM-5-TR Criteria for Substance Use Disorders (SUD)
What are the DSM-5-TR criteria for diagnosing a substance use disorder?
The 11 criteria are grouped into 4 categories:
Impaired control: Larger amounts/longer use, cravings, unsuccessful
attempts to cut down
Social impairment: Neglecting responsibilities, social/occupational
problems Risky use: Continued use despite dangers
Pharmacologic criteria: Tolerance and withdrawal
How is the severity of a substance use disorder classified in DSM-5-TR?
Mild: 2-3 symptoms
Moderate: 4-5 symptoms Severe: 6 or more symptoms