CASAC COMPREHENSIVE EXAMINATION
TEST 2026 FULL QUESTIONS AND
ANSWERS HIGH SCORE SET
◉ A. Answer: The diagnostic categories of "abuse" and "dependence"
are separated by the following:
(a) Tolerance and withdrawal
(b) Length of time used and context of use
(c) Length of time used and particular drug identified
(d) Withdrawal and recidivism
◉ Which law does not allow for a breach of confidentiality to warn a
third party in imminent danger?
(a) HIPAA
(b) CFR 42, Part 2
(c) State Law
(d) None of the above. Answer: B
◉ According to CFR 42, Part 2, confidential information may be
disclosed with client consent:
(a) For a third party payment
,(b) To medical professionals in an emergency situation
(c) To family members in an emergency situation
(d) None of the above. Answer: B
◉ According to CFR 42, Part 2, disclosure of confidential information
requires written consent with several elements; which of the
following is not one of the required elements?
(a) The name of the person or program permitted to make the
disclosure
(b) The name of the person or program receiving the disclosed
information
(c) The purpose of the disclosure
(d) A statement indicating that the client may revoke consent at any
time but only if he or she states that in writing. Answer: D
◉ According to HIPAA, client consent is not required for disclosure
of confidential information for all the following except:
(a) To the client's employer
(b) For the opportunity to agree or object
(c) For treatment, payment, and health care operations
(d) For public interest and benefit activities. Answer: A
,◉ Which of the following regulations restricts parental access of
their children's confidential information without the minor's
consent?
(a) FERPA
(b) IDEA
(c) CFR 42, Part 2
(d) PPRA. Answer: C
◉ Problems may arise if a substance abuse counselor and former
client attend the same AA meeting for all the following reasons
except:
(a) The former client will benefit more than the substance abuse
counselor
(b) It risks the substance abuse counselor anonymity
(c) It risks the former client's confidentiality
(d) The substance abuse counselor may need censor what they
share in the meeting. Answer: A
◉ Which of the following is not a characteristic of an ethical
dilemma?
(a) A choice between two courses of action must be made
(b) There are significant consequences for not selecting either of the
options
(c) Each decision is supported by ethical principles
, (d) One of the decisions is supported by state regulations. Answer:
D
◉ The __________ houses the mechanisms that most often interact
with substances that cross the blood-brain barrier.
(a) Cortex
(b) Forebrain
(c) Midbrain
(d) Right Hemisphere. Answer: B
◉ The limbic system is involved in _______________.
(a) Basic, autonomic functions such as hormonal activity, thirst,
hunger, temperature, sex drive and sleep
(b) Relaying information from the upper brain-stem
(c) Emotional behavior and long-term memory
(d) Thought, perception, motor function, sensory data processing
and vision. Answer: C
◉ The cortex is significant as related to drug use since it controls
(a) Basic, autonomic functions such as hormonal activity, thirst,
hunger, temperature, sex drive and sleep
(b) Thought, perception, motor function, sensory data processing
and vision
TEST 2026 FULL QUESTIONS AND
ANSWERS HIGH SCORE SET
◉ A. Answer: The diagnostic categories of "abuse" and "dependence"
are separated by the following:
(a) Tolerance and withdrawal
(b) Length of time used and context of use
(c) Length of time used and particular drug identified
(d) Withdrawal and recidivism
◉ Which law does not allow for a breach of confidentiality to warn a
third party in imminent danger?
(a) HIPAA
(b) CFR 42, Part 2
(c) State Law
(d) None of the above. Answer: B
◉ According to CFR 42, Part 2, confidential information may be
disclosed with client consent:
(a) For a third party payment
,(b) To medical professionals in an emergency situation
(c) To family members in an emergency situation
(d) None of the above. Answer: B
◉ According to CFR 42, Part 2, disclosure of confidential information
requires written consent with several elements; which of the
following is not one of the required elements?
(a) The name of the person or program permitted to make the
disclosure
(b) The name of the person or program receiving the disclosed
information
(c) The purpose of the disclosure
(d) A statement indicating that the client may revoke consent at any
time but only if he or she states that in writing. Answer: D
◉ According to HIPAA, client consent is not required for disclosure
of confidential information for all the following except:
(a) To the client's employer
(b) For the opportunity to agree or object
(c) For treatment, payment, and health care operations
(d) For public interest and benefit activities. Answer: A
,◉ Which of the following regulations restricts parental access of
their children's confidential information without the minor's
consent?
(a) FERPA
(b) IDEA
(c) CFR 42, Part 2
(d) PPRA. Answer: C
◉ Problems may arise if a substance abuse counselor and former
client attend the same AA meeting for all the following reasons
except:
(a) The former client will benefit more than the substance abuse
counselor
(b) It risks the substance abuse counselor anonymity
(c) It risks the former client's confidentiality
(d) The substance abuse counselor may need censor what they
share in the meeting. Answer: A
◉ Which of the following is not a characteristic of an ethical
dilemma?
(a) A choice between two courses of action must be made
(b) There are significant consequences for not selecting either of the
options
(c) Each decision is supported by ethical principles
, (d) One of the decisions is supported by state regulations. Answer:
D
◉ The __________ houses the mechanisms that most often interact
with substances that cross the blood-brain barrier.
(a) Cortex
(b) Forebrain
(c) Midbrain
(d) Right Hemisphere. Answer: B
◉ The limbic system is involved in _______________.
(a) Basic, autonomic functions such as hormonal activity, thirst,
hunger, temperature, sex drive and sleep
(b) Relaying information from the upper brain-stem
(c) Emotional behavior and long-term memory
(d) Thought, perception, motor function, sensory data processing
and vision. Answer: C
◉ The cortex is significant as related to drug use since it controls
(a) Basic, autonomic functions such as hormonal activity, thirst,
hunger, temperature, sex drive and sleep
(b) Thought, perception, motor function, sensory data processing
and vision
