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IC&RC Exam Practice Questions & Answers (2026/2027 A+ Grade)

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The material is structured in an exam-style study guide format to help candidates prepare for IC&RC certification exams and strengthen knowledge of substance use disorder counseling and recovery support practices.

Institution
IC&RC
Course
IC&RC

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IC&RC study guide questions and answers 2026\2027
A+ Grade


CAGE
- correct answer • The briefest and most widely used.

• Only four questions asked directly to the person.

• If someone answers yes to one of the questions then there is an indicator that their might be a
problem that needs to be further investigated.

• If they answer yes to two or more they are sent for further testing.

• Advantages-yes or no questions

• Disadvantages-not asking about time frame, self report, not in depth about environment, not in depth



MAST
- correct answer • Widely used

• Good reliability and validity

• Original had 25 self administered questions the one now has only 22.

• Advantages-it could be a reality check to someone taking it, not very time consuming, simple yes and
no

• Disadvantage-it doesn't ask you to explain, doesn't ask time frame



AUDIT
- correct answer • Ten items 1-3 frequency and quantity 4-6 alcohol dependence 7-10 how harmful
alcohol use.

• Advantages-you can use it in an interview, it's not that long, it's more specific

• Disadvantage-not specific enough, doesn't add in the times when drinking is more acceptable like
vacation etc., not valid

• Can be self report questionnaire or an interview

,DAST
- correct answer Screen drugs other than alcohol



POSIT
- correct answer 139 items on it

Used for substance use problems and social, behavioral, and learning problems

Disadvantages-too long, repetitious, lack of consistency

Advantages-more detailed



SASSI
- correct answer • Doesn't directly question about alcohol/drug use (not like the previous ones)

• Around 50 questions

• Asks questions about alcohol/drug use on one side and don't on the other

• Looking for defensiveness, looking at others, personal affect

• Disadvantages-could be hard to profile



DSM Axises
- correct answer o Axis I-Clinical syndromes

• Alcohol abuse, cannabis dependency

o Axis II-Personality disorders/mental retardation

• Not used very often in alcohol or chemical use

o Axis III-Medical Conditions

• Psuerosis of the liver

o Axis IV-Psychosocial/environmental stressors

• Losing kids because of substance abuse, lacks good social support system

o Axis V-Global assessment of functioning

• 0-100 how the person is functioning overall



Narcotics possible effects
- correct answer Euphoria, drowsiness, respiratory depression, constricted pupils, nausea

,Narcotics effects of OD
- correct answer Slow/shallow breathing, clammy skin, convulsions, coma, and possible death



Narcotics withdrawal syndrome
- correct answer Water eyes, runny nose, yawning, loss of appetite, irritability, tremors, panic, cramps,
nausea, chills, sweating.



Narcotics
- correct answer Heroin, Morphine, Hydrocodone, Hydro-morphone, Oxycodone, Codeine



Depressants
- correct answer Hydroxybutyric Acid, gamma, Benzodiazepines etc.



Depressant effects
- correct answer slurred speech, disorientation, drunken behavior without odor of alc., imparired
membory of events, interacts with alc.



Depressant overdose
- correct answer shallow respiration, clammy skin, dilated pupils, weak and rapid pulse, coma, and
possible death.



Depressant withdrawal
- correct answer Anxiety, insomnia, tremors, delirium, convulsions, possible death.



Stimulants
- correct answer Cocaine half life=one hour, Amphetamine=6-12 hours, Methylphenidate=2 hours



Stimulant effects
- correct answer Increased alertness, excitation, euphoria, increased pulse rate, increased blood
pressure, insomnia, and loss of appetite, dialated pupils.



Stimulant OD
- correct answer Agitation, increased body temperature, hallucinations, convulsions, and possible death

, Stimulant withdrawal
- correct answer Apathy, long periods of sleep, irritability, depression (possible with suicidal potential),
and disorientation, increased appetite, anhedonia (absence of pleasure) and craving.



Hallucinogens
- correct answer MDMA and Analogs, LSD, Phencyclidine,



Hallucinogen signs and symptoms
- correct answer Increased reflexes, tremors, weakness, flushing and chills, seizures, inappropriate
mood, elation, hallucinations, bizarre behafvior, diorientation, confusion, delusions, and impaired
judgement.



Hallucinogen OD
- correct answer Increased body temp, electorlyte imbalance, cardiac arrest, unable to direct movement,
feel pain, or remember.



Hallucinogen withdrawal
- correct answer Muscle aches, drowsiness, depression, acne, and drug seeking behavior.



Cannabis effects
- correct answer Euphoria, relaxed inhibitions, increased appetitie, disorientation,



Cannabis problems
- correct answer impairment of ability to learn. Medical effects wth prolonged use include respiratory
problems, possible impaired immune function and possible reproductive problems includinglow birth
weight infants.



Cannabis withdrawal
- correct answer Rare. Appear limited to some heavy users. Possible irritability, restlessness, craving, loss
of appetite, nausea, diarrhea, muscle twitching, overt aggression and depression.



Anabolic Steroids effects
- correct answer Virilization, edema, testicular atrophy, gyneco-mastia, acne aggressive behavior

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Uploaded on
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2025/2026
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