PSYCHOSOCIAL DISORDERS PRACTICE QUESTIONS AND
CORRECT VERIFIED ANSWERS GRADED A+ 100%
GUARANTEED PASS
A 44 yo man who admits to drinking a few beers now and then presents for exam.
After obtaining a history and performing a physical, you suspect he is a heavy
alcohol user. Your next best action is to:
A. obtain liver enzymes
B. administer the CAGE questionnaire
C. confront him with your observations
D. advise him about the hazards of excessive alcohol use
B
Which of the following is not a component of the CAGE questionnaire?
A. Have you ever felt you should cut down on your drinking?
B. Have you ever been annoyed by people criticizing your drinking?
C. Have you ever felt guilty about your drinking?
D. Have you ever engaged in a violent act while drinking?
D
Which contains the greatest amount of alcohol?
A. 12 oz of beer 9 proof
B. 4 oz of wine 22 proof
C. 3.5 oz of a mixed drink 30 proof
D. 3 oz of liquor 80 proof
D
,DSM-5 criteria for a substance use disorder include all of the following except:
A. substance use in larger amounts or over longer periods than intended
B. substance overuse resulting in hospitalization
C. craving or strong desire to use
D. substance abuse in potentially hazardous situations
B
The DSM-5 criteria for substance use tolerance includes:
A. diminished effect with the same amount of substance used
B. desiring to get an amplified effect with higher doses
C. ability to decrease the frequency of substance use
D. absence of withdrawal symptoms when substance is not used for a prolonged
period
A
During an office visit, a 38 yo woman says "I drink way too much but do not know
what to do to stop". According to Prochaska's change framework, her statement
is most consistent with a person at the stage of:
A. precontemplation
B. contemplation
C. preparation
D. action
B
The NP considers presenting treatment options and support for change after the
patient has moved into which stage?
A. precontemplation
B. contemplation
C. preparation
D. action
,B
Lorazepam or oxazepam is the preferred benzodiazepine for treating alcohol
withdrawal symptoms when there is a concomitant history of:
A. seizure disorder
B. folate deficiency anemia
C. multiple substance abuse
D. hepatic dysfunction
D
Peak symptoms of alcohol withdrawal are usually observed how long after intake
is stopped?
A. less than 12 hours
B. 12 to 24 hours
C. 24 to 36 hours
D. more than 36 hours
B
Which is most helpful in the care of a patient with alcoholism?
A. advise to stop drinking in a straightforward manner
B. counsel that alcohol abuse is a treatable condition
C. inform the patient long term health consequences of alcohol abuse
D. refer to AA
B
A 42 yo man who has a long standing history of alcohol abuse presents for
primary care. He admits to drinking 12 to 16 beers daily for 10 years. He states, "I
really do not feel like the booze is the problem, I get to work every day". Your
most appropriate response is:
A. Work is usually the last thing to go in alcohol abuse
B. Your family has suffered by your drinking
, C. I am concerned about your health and safety
D. Participating in a support group can help you understand why you drink
C
Which agent offers an intervention for the control of tremor and tachycardia
associated with alcohol withdrawal?
A. phenobarbital
B. clonidine
C. verapamil
D. naltrexone
B
Which of the following is most likely to be noted in a 45-year-old woman with
laboratory evidence of chronic excessive alcohol ingestion?
A. alanine aminotransferase (ALT) 202 U/L (0 to 31 U/L), mean corpuscular
volume (MCV) 70 fL (80 to 96 fL)
B. aspartate transaminase (AST) 149 U/L (0 to 31 U/L), MCV 81 fL (80 to 96 fL)
C. ALT 88 U/L (0 to 31 U/L), MCV 140 fL (80 to 96 fL)
D
Which of the following is the anticipated clinical effect of acamprosate
(Campral®) in the treatment of alcohol dependence?
A. modifies intoxicating effects of alcohol
CORRECT VERIFIED ANSWERS GRADED A+ 100%
GUARANTEED PASS
A 44 yo man who admits to drinking a few beers now and then presents for exam.
After obtaining a history and performing a physical, you suspect he is a heavy
alcohol user. Your next best action is to:
A. obtain liver enzymes
B. administer the CAGE questionnaire
C. confront him with your observations
D. advise him about the hazards of excessive alcohol use
B
Which of the following is not a component of the CAGE questionnaire?
A. Have you ever felt you should cut down on your drinking?
B. Have you ever been annoyed by people criticizing your drinking?
C. Have you ever felt guilty about your drinking?
D. Have you ever engaged in a violent act while drinking?
D
Which contains the greatest amount of alcohol?
A. 12 oz of beer 9 proof
B. 4 oz of wine 22 proof
C. 3.5 oz of a mixed drink 30 proof
D. 3 oz of liquor 80 proof
D
,DSM-5 criteria for a substance use disorder include all of the following except:
A. substance use in larger amounts or over longer periods than intended
B. substance overuse resulting in hospitalization
C. craving or strong desire to use
D. substance abuse in potentially hazardous situations
B
The DSM-5 criteria for substance use tolerance includes:
A. diminished effect with the same amount of substance used
B. desiring to get an amplified effect with higher doses
C. ability to decrease the frequency of substance use
D. absence of withdrawal symptoms when substance is not used for a prolonged
period
A
During an office visit, a 38 yo woman says "I drink way too much but do not know
what to do to stop". According to Prochaska's change framework, her statement
is most consistent with a person at the stage of:
A. precontemplation
B. contemplation
C. preparation
D. action
B
The NP considers presenting treatment options and support for change after the
patient has moved into which stage?
A. precontemplation
B. contemplation
C. preparation
D. action
,B
Lorazepam or oxazepam is the preferred benzodiazepine for treating alcohol
withdrawal symptoms when there is a concomitant history of:
A. seizure disorder
B. folate deficiency anemia
C. multiple substance abuse
D. hepatic dysfunction
D
Peak symptoms of alcohol withdrawal are usually observed how long after intake
is stopped?
A. less than 12 hours
B. 12 to 24 hours
C. 24 to 36 hours
D. more than 36 hours
B
Which is most helpful in the care of a patient with alcoholism?
A. advise to stop drinking in a straightforward manner
B. counsel that alcohol abuse is a treatable condition
C. inform the patient long term health consequences of alcohol abuse
D. refer to AA
B
A 42 yo man who has a long standing history of alcohol abuse presents for
primary care. He admits to drinking 12 to 16 beers daily for 10 years. He states, "I
really do not feel like the booze is the problem, I get to work every day". Your
most appropriate response is:
A. Work is usually the last thing to go in alcohol abuse
B. Your family has suffered by your drinking
, C. I am concerned about your health and safety
D. Participating in a support group can help you understand why you drink
C
Which agent offers an intervention for the control of tremor and tachycardia
associated with alcohol withdrawal?
A. phenobarbital
B. clonidine
C. verapamil
D. naltrexone
B
Which of the following is most likely to be noted in a 45-year-old woman with
laboratory evidence of chronic excessive alcohol ingestion?
A. alanine aminotransferase (ALT) 202 U/L (0 to 31 U/L), mean corpuscular
volume (MCV) 70 fL (80 to 96 fL)
B. aspartate transaminase (AST) 149 U/L (0 to 31 U/L), MCV 81 fL (80 to 96 fL)
C. ALT 88 U/L (0 to 31 U/L), MCV 140 fL (80 to 96 fL)
D
Which of the following is the anticipated clinical effect of acamprosate
(Campral®) in the treatment of alcohol dependence?
A. modifies intoxicating effects of alcohol
