Complete Diagnostic Study Guide Actual Exam
2026/2027 | Complete Exam-Style Questions
with Detailed Rationales | Pass Guaranteed – A+
Graded
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## SECTION 1: PRIMARY DIAGNOSIS — ALCOHOL USE DISORDER (DSM-5-TR Criteria, Severity,
Specifiers)
**Q1:** According to the DSM-5-TR, what is the minimum number of diagnostic criteria an individual
must meet to receive a diagnosis of Alcohol Use Disorder?
A. 1 of 11 criteria
B. 2 of 11 criteria
C. 3 of 11 criteria
D. 4 of 11 criteria
**Correct Answer: B**
**Rationale:** Correct because the DSM-5-TR requires at least 2 of 11 criteria for AUD diagnosis.
This matches EDCO 740 curriculum on substance use disorder diagnostic thresholds.
**Q2:** Marci reports drinking four or more alcoholic beverages three to four times per week and
consuming two to three glasses of wine on weeknights. Which DSM-5-TR criterion for Alcohol Use
Disorder does this behavior best represent?
A. Tolerance
B. Withdrawal
C. Alcohol is often taken in larger amounts or over a longer period than was intended
D. Recurrent alcohol use in physically hazardous situations
**Correct Answer: C**
**Rationale:** Correct because Marci's pattern of consuming more alcohol than initially planned and
extending drinking across multiple days directly matches DSM-5-TR Criterion 1 for AUD regarding
larger amounts or longer periods of use than intended.
**Q3:** Marci has tried to cut back on her alcohol use but has been unsuccessful, and her weekday
consumption has actually increased. Which DSM-5-TR criterion does this demonstrate?
A. Craving
B. Persistent desire or unsuccessful efforts to cut down or control alcohol use
C. Tolerance
D. Withdrawal
**Correct Answer: B**
,**Rationale:** Correct because repeated unsuccessful attempts to reduce alcohol consumption,
accompanied by increased use, directly fulfill DSM-5-TR Criterion 2 for AUD regarding persistent
desire or unsuccessful efforts to cut down or control use.
**Q4:** Marci engages in weekend binge drinking starting Friday evenings and continuing until 2:00
a.m. Which DSM-5-TR criterion for AUD is demonstrated by this pattern?
A. A great deal of time is spent in activities necessary to obtain, use, or recover from alcohol
B. Continued use despite social problems
C. Failure to fulfill major role obligations
D. Recurrent use in hazardous situations
**Correct Answer: A**
**Rationale:** Correct because spending extensive weekend hours engaged in binge drinking and
recovering from its effects fulfills DSM-5-TR Criterion 3 for AUD regarding time spent in
alcohol-related activities.
**Q5:** Marci consumes energy drinks with alcohol to enhance her "high." Which DSM-5-TR criterion
does this behavior most clearly indicate?
A. Tolerance
B. Craving or strong desire to use alcohol
C. Withdrawal
D. Failure to fulfill obligations
**Correct Answer: B**
**Rationale:** Correct because the deliberate combination of energy drinks with alcohol to intensify
the desired effect demonstrates DSM-5-TR Criterion 4 for AUD regarding craving or strong
desire/urge to use alcohol.
**Q6:** Marci has been fired from multiple jobs, is experiencing failing grades, and has strained
family relationships due to her alcohol use. Which DSM-5-TR criterion is primarily demonstrated?
A. Recurrent alcohol use resulting in failure to fulfill major role obligations
B. Continued use despite social/interpersonal problems
C. Use in physically hazardous situations
D. Tolerance
**Correct Answer: A**
**Rationale:** Correct because termination from employment, academic decline, and damaged
family relationships represent failure to fulfill occupational, educational, and family role obligations,
fulfilling DSM-5-TR Criterion 5 for AUD.
**Q7:** Despite experiencing legal trouble, job loss, academic decline, and relationship conflict,
Marci continues to drink alcohol. Which DSM-5-TR criterion does this pattern best represent?
A. Recurrent alcohol use resulting in failure to fulfill major role obligations
B. Continued alcohol use despite having persistent or recurrent social or interpersonal problems
caused by alcohol
C. Tolerance
D. Withdrawal
, **Correct Answer: B**
**Rationale:** Correct because persistent drinking despite clear negative consequences in legal,
vocational, academic, and interpersonal domains fulfills DSM-5-TR Criterion 6 for AUD regarding
continued use despite persistent social or interpersonal problems.
**Q8:** Marci was arrested for DWI with a blood alcohol level of 0.13 and has had two accidents
while intoxicated. Which DSM-5-TR criterion for AUD is demonstrated?
A. Tolerance
B. Withdrawal
C. Recurrent alcohol use in situations in which it is physically hazardous
D. Craving
**Correct Answer: C**
**Rationale:** Correct because operating a vehicle while intoxicated (DWI with BAL 0.13) and
experiencing two intoxication-related accidents fulfill DSM-5-TR Criterion 7 for AUD regarding
recurrent use in physically hazardous situations.
**Q9:** Marci reports depression and anxiety that she acknowledges are related to her alcohol use,
yet she continues to drink. Which DSM-5-TR criterion does this demonstrate?
A. Tolerance
B. Withdrawal
C. Alcohol use is continued despite knowledge of having a persistent physical or psychological
problem likely caused by alcohol
D. Craving
**Correct Answer: C**
**Rationale:** Correct because continued alcohol consumption despite awareness of co-occurring
depression and anxiety that are likely substance-related fulfills DSM-5-TR Criterion 8 for AUD
regarding continued use despite knowledge of persistent physical or psychological problems.
**Q10:** How many of the 11 DSM-5-TR criteria for Alcohol Use Disorder does Marci meet based on
the case study information?
A. 5 criteria
B. 6 criteria
C. 7 criteria
D. 8 criteria
**Correct Answer: D**
**Rationale:** Correct because Marci meets 8 criteria: (1) larger amounts/longer period, (2)
unsuccessful efforts to cut down, (3) great deal of time spent, (4) craving, (5) failure to fulfill
obligations, (6) continued use despite social problems, (7) hazardous use, and (8) continued use
despite psychological problems. This matches EDCO 740 curriculum on comprehensive diagnostic
assessment.
**Q11:** Based on the number of criteria met, what is the appropriate severity specifier for Marci's
Alcohol Use Disorder diagnosis?
A. Mild (2-3 criteria)