Page 1 of 156
AADC/ADC Complete 2026 New Update
Exam, Questions And Verified Answers,
100% Guaranteed Pass ||Complete A+
Guide
1. A 45-year-old male reports drinking 15 beers daily for 20
years. His CIWA-Ar score is 18. What is the MOST
appropriate setting for detoxification?
A. Outpatient detox
B. Intensive outpatient (IOP)
C. Medically managed inpatient
D. Peer support only
Answer: C – CIWA-Ar ≥15 indicates risk of severe
withdrawal, seizures, or delirium tremens (DT); requires 24/7
medical monitoring.
,Page 2 of 156
2. Which screening tool is BEST for identifying alcohol use
disorder in pregnant women?
A. CAGE
B. TWEAK
C. AUDIT
D. DAST-10
Answer: B – TWEAK has higher sensitivity for risky drinking
during pregnancy; CAGE misses lower-risk levels.
3. A client reports using cocaine intranasally 3x/week for 6
months. What is the MOST appropriate initial question?
A. “How much money do you spend on cocaine?”
B. “Have you ever felt you should cut down?”
C. “Do you also use alcohol?”
D. “When was your last use?”
Answer: D – Safety first: last use determines withdrawal risk,
toxicity, and urine drug screen interpretation.
,Page 3 of 156
4. (Scenario) A 22-year-old female presents with anxiety,
insomnia, and weight loss. She admits to using “Adderall
from a friend” to study. Which assessment tool is best?
A. ASSIST
B. COWS
C. SOGS
D. AUDIT
Answer: A – ASSIST screens for all substances, including
prescription stimulant misuse; COWS is for opioids, SOGS for
gambling, AUDIT for alcohol.
5. Which is a valid DSM-5-TR criterion for stimulant use
disorder?
A. Tolerance (need for increased dose)
B. Withdrawal syndrome
C. Craving
D. All of the above
, Page 4 of 156
Answer: D – DSM-5-TR includes craving as a criterion;
stimulant withdrawal (fatigue, depression, sleep disturbance) is
recognized.
6. A client’s urine drug screen is positive for
benzodiazepines. He denies use. What should you do
FIRST?
A. Confront him as a liar
B. Check for cross-reactivity with other meds
C. Discharge him from treatment
D. Ignore it
Answer: B – Some medications (e.g., sertraline, efavirenz)
cause false positives; rule out before confrontation.
7. Which blood test reflects chronic heavy alcohol use over
2-4 weeks?
A. GGT
B. CDT
AADC/ADC Complete 2026 New Update
Exam, Questions And Verified Answers,
100% Guaranteed Pass ||Complete A+
Guide
1. A 45-year-old male reports drinking 15 beers daily for 20
years. His CIWA-Ar score is 18. What is the MOST
appropriate setting for detoxification?
A. Outpatient detox
B. Intensive outpatient (IOP)
C. Medically managed inpatient
D. Peer support only
Answer: C – CIWA-Ar ≥15 indicates risk of severe
withdrawal, seizures, or delirium tremens (DT); requires 24/7
medical monitoring.
,Page 2 of 156
2. Which screening tool is BEST for identifying alcohol use
disorder in pregnant women?
A. CAGE
B. TWEAK
C. AUDIT
D. DAST-10
Answer: B – TWEAK has higher sensitivity for risky drinking
during pregnancy; CAGE misses lower-risk levels.
3. A client reports using cocaine intranasally 3x/week for 6
months. What is the MOST appropriate initial question?
A. “How much money do you spend on cocaine?”
B. “Have you ever felt you should cut down?”
C. “Do you also use alcohol?”
D. “When was your last use?”
Answer: D – Safety first: last use determines withdrawal risk,
toxicity, and urine drug screen interpretation.
,Page 3 of 156
4. (Scenario) A 22-year-old female presents with anxiety,
insomnia, and weight loss. She admits to using “Adderall
from a friend” to study. Which assessment tool is best?
A. ASSIST
B. COWS
C. SOGS
D. AUDIT
Answer: A – ASSIST screens for all substances, including
prescription stimulant misuse; COWS is for opioids, SOGS for
gambling, AUDIT for alcohol.
5. Which is a valid DSM-5-TR criterion for stimulant use
disorder?
A. Tolerance (need for increased dose)
B. Withdrawal syndrome
C. Craving
D. All of the above
, Page 4 of 156
Answer: D – DSM-5-TR includes craving as a criterion;
stimulant withdrawal (fatigue, depression, sleep disturbance) is
recognized.
6. A client’s urine drug screen is positive for
benzodiazepines. He denies use. What should you do
FIRST?
A. Confront him as a liar
B. Check for cross-reactivity with other meds
C. Discharge him from treatment
D. Ignore it
Answer: B – Some medications (e.g., sertraline, efavirenz)
cause false positives; rule out before confrontation.
7. Which blood test reflects chronic heavy alcohol use over
2-4 weeks?
A. GGT
B. CDT
