Behavioral Medicine – Substance Use Disorders Practice Test

These questions are part of the practice quiz. Start practicing

• What is the primary purpose of the CAGE questionnaire?
• Which of the following is a red flag indicating inpatient detox is necessary for alcohol withdrawal?
• Which risky behavior is listed as associated with stimulant use?
• Neonatal abstinence syndrome most commonly follows prenatal exposure to which class of substances?
• Delirium tremens prevention includes which measures?
• Which medication reverses SHA intoxication?
• Which symptom is a hallmark of caffeine withdrawal?
• How does motivational interviewing facilitate patient engagement in substance use treatment?
• What is the primary focus of the CAGE questionnaire?
• Disulfiram is typically administered how often for alcohol use disorder treatment?
• In opioid confirmatory testing, the presence of 6-MAM is most specific for exposure to which drug?
• What is the typical prognosis for substance use disorders with appropriate treatment, and what factors influence relapse?
• What is a common reason many Americans with substance use disorders do not seek help?
• How is medication-assisted treatment adapted for pregnant patients with opioid use disorder?
• What is a key ethical component of treating substance use disorders?
• Is caffeine use disorder an official DSM-5 diagnosis?
• Which brain pathway is primarily involved in the rewarding effects of most addictive substances?
• Which statement accurately describes caffeine withdrawal in DSM-5 context?
• Alcohol withdrawal is defined as cessation of heavy use with how many symptoms developing within hours or days after cessation?
• Which of the following is a skin finding associated with stimulant use disorder?
• What does SAMHSA stand for?
• PCP intoxication is best described as which of the following?
• Disulfiram increases the concentration of which benzodiazepine when used concomitantly?
• What is contingency management, and what outcomes does it improve in substance use treatment?
• Which is a common relapse trigger paired with a corresponding evidence-based coping strategy?
• Which finding best indicates hepatocellular damage from alcohol?
• How should primary care clinicians implement SBIRT in routine practice?
• How does concurrent use of alcohol or nicotine affect cardiovascular risk and how should treatment address this?
• The CAGE questionnaire comprises which four items?
• Which statement describes a drawback of monthly injectable naltrexone?
• Which benefit is associated with digital health interventions in substance use disorder care?
• Tobacco withdrawal is best described as which of the following?
• In patients with chronic alcohol use, which deficiency is most common, and what prophylaxis is recommended before glucose administration to prevent a specific complication?
• Common barriers to initiating and continuing treatment for SUD, and how can clinicians minimize them?
• Which route is NOT a documented route of PCP administration?
• Is there an FDA-approved medication specifically for cannabis use disorder, and how is cannabis withdrawal best managed?
• Disulfiram-alcohol reaction duration can last up to how long?
• In SHA intoxication, which sign may be present?
• What is the main psychoactive ingredient in tobacco products?
• Effective addiction treatment requires which combination of approaches?
• Which emerging direction in substance use disorder research and practice involves tailoring treatment based on genetics and biomarkers?
• Which of the following is listed as a possible outcome or sign of inhalant intoxication?
• Which of the following is NOT a CIWA-Ar symptom?
• Which sign is commonly associated with PCP intoxication?
• Contingency management has demonstrated particularly strong effectiveness for which type of substance-use disorder?
• Naloxone is used to treat opioid overdose because it
• Which of the following describes typical effects of stimulants and MDMA (ecstasy)?
• Which approach represents the use of digital tools and technologies to support prevention, screening, and treatment in substance use disorders?
• What are key ethical considerations in providing treatment for patients with substance use disorders?
• Naltrexone for opioid use disorder should be started after withdrawal and is available in which formulations?
• Neonatal abstinence syndrome most commonly results from in utero exposure to which class of drugs?
• Which DSM criterion includes craving or a strong desire or urge to use?
• Which laboratory marker is most sensitive but nonspecific for chronic alcohol use?
• Which statement describes a common consequence of intense reward system activation in substance use disorders?
• How can you distinguish substance-induced psychotic disorder from a primary psychotic disorder?
• Which statement accurately describes fetal alcohol spectrum disorders?
• In CIWA-Ar, mild withdrawal is defined as a score of:
• What is a core goal of personalized medicine in substance use disorders?
• In neonatal abstinence syndrome, onset of symptoms most commonly occurs
• How should long-term benzodiazepine withdrawal be managed in a patient with potential co-occurring alcohol use?
• Which sign is commonly associated with advanced liver disease from chronic alcohol use?
• What neurobiological feature contributes to substance use disorders as described in the material?
• What are best practices for urine drug testing in substance use programs?
• MDMA (ecstasy) use is associated with which adverse effects?
• Which statement best describes the withdrawal symptom profiles for cocaine versus methamphetamine, and their relapse risk?
• Which of the following is part of the diagnostic criteria for opioid intoxication?
• Which of the following is a possible symptom of a disulfiram-alcohol reaction?
• Which option is NOT listed as a core value in SAMHSA's framework?
• In infants exposed to opioid use disorder treatment during pregnancy, what neonatal outcome is monitored after birth?
• Cannabis intoxication requires 2 or more of the following within 2 hours of cannabis use.
• Which statement reflects expanded harm-reduction approaches in substance use practice?
• What is SBIRT and how is it implemented in primary care?
• Which direction emphasizes coordination of services across medical, behavioral health, and social sectors?
• What is the purpose of the DAST-10, and how is a positive screen interpreted?
• What are the characteristic effects of opioids such as oxycodone or heroin?
• Which component is NOT typically considered a core element of cognitive-behavioral therapy for substance use disorders?
• Which opioid analgesic is commonly used to pharmacologically treat neonatal abstinence syndrome?
• Which emerging direction emphasizes care that coordinates medical, behavioral health, and social services?
• Which statement best defines Alcohol Use Disorder (AUD)?
• Which statement about adolescent SUD treatment is true?
• Which symptom is associated with stimulant intoxication and can indicate arrhythmia risk?
• What is the recommended approach to pharmacotherapy for NAS when severe symptoms are present?
• The management of fetal alcohol syndrome is primarily:
• Which emerging direction focuses on addressing polysubstance use and improving access to care?
• Which of the following is a criterion for stimulant intoxication?
• Which of the following describes the clinical effects commonly associated with NMDA antagonists such as PCP and ketamine?
• What are fetal alcohol spectrum disorders, and what is the key preventive message?
• Describe the typical timeline and major features of alcohol withdrawal and the core management approach.
• In fetal alcohol syndrome, alcohol crosses the placenta and fetal blood alcohol levels are equal to maternal levels.
• What is the CRAFFT screen, and for whom is it designed?
• Which brain region drives teen decision making, particularly emotions?
• Which direction aims to reduce negative consequences of substance use by expanding safer, evidence-based options for people who use substances?
• Which emerging direction involves expanding strategies to reduce harm and minimize negative outcomes associated with substance use?
• Which feature is NOT part of the CLASIC triad for fetal alcohol syndrome?
• Which signs are typical of opioid intoxication?
• What is the relevance of the OPRM1 A118G polymorphism to naltrexone for alcohol use disorder?
• Addiction is influenced by which factors?
• Which statement describes the withdrawal criterion in DSM-5 SUD?
• Inhalant intoxication requires two or more symptoms developing during or shortly after exposure. Which of the following is one of those symptoms?
• Distinguish methadone maintenance from buprenorphine in terms of access, pharmacology, and safety.
• Naloxone distribution in harm-reduction strategies primarily serves what purpose?
• What characterizes dependence?
• What is acamprosate’s mechanism and when is it most useful in AUD treatment?
• Which of the following is NOT listed as a pharmacologic option for stimulant use disorder treatment?
• Which is the single-question screen for drug use as described?
• What are hallmark symptoms of opioid withdrawal and when does it typically begin after last use?
• What is sensitization in the context of substance use?
• Which benzodiazepine is preferred for alcohol withdrawal in patients with elevated liver enzymes due to glucuronidation?
• In stimulant acute intoxication, which finding can occur as part of a sympathomimetic crisis?
• In confirmatory testing for urine drug screening, which method is commonly used?
• Which of the following is NOT typically associated with stimulant use disorder?
• Which symptom is not typically listed as part of cannabis withdrawal within one week of cessation?
• Which set of findings corresponds to benzylpiperazine (BZP) exposure?
• How do CAGE and AUDIT differ in scope and application?
• Which of the following are listed as treatments for cannabis use disorder?
• Which is a component of the Brief Negotiated Interview?
• What is the evidence base for smoking-cessation pharmacotherapy in people with mental illness, and what safety considerations apply?
• Disulfiram is contraindicated in patients with which condition?
• Benzylpiperazine (BZP) exposure is associated with which of the following effects?
• What considerations guide pharmacotherapy for alcohol use disorder in patients with hepatic disease?
• Which medication is not approved for alcohol use disorder treatment?
• What is naloxone's primary clinical effect in opioid overdose?
• Which statement best describes the manifestations of addiction?
• A urine drug screen for cannabis tests for which of the following?
• Which approach is recommended when prescribing benzodiazepines for chronic anxiety disorders in patients with risk of substance use disorder?
• A key factor that affects the level of risky behavior in stimulant users is the route of administration. Which option reflects this?
• Which approach focuses on reducing harm and meeting individuals where they are in their substance use journey?
• Methadone for opioid use disorder can be prescribed by which type of clinician?
• What is the maximum total CIWA-Ar score?
• Which statement about point-of-care urine drug screening is true?
• In primary care, which factor is commonly assessed to determine withdrawal risk?
• How should clinicians assess craving and relapse risk in practice?
• What describes the philosophy behind new pharmacotherapies targeting craving?
• Which of the following is a skin finding commonly seen in stimulant users?
• Which of the following is a criterion for alcohol intoxication?
• A standard drink is defined as which of the following?
• What is a key clinical significance of delirium tremens in alcohol withdrawal, and how is it prevented and treated?
• Which of the following best captures the range of factors contributing to risk for substance use disorders?
• Stimulant use during pregnancy is associated with which complications?
• What is neonatal abstinence syndrome, which exposures cause it, and the general treatment approach?
• How should clinicians approach polysubstance use during detox?
• Which of the following is a common symptom of stimulant acute intoxication?
• What are the first-line pharmacologic treatments for Opioid Use Disorder and their mechanisms?
• Which clinical feature indicates the need for inpatient detox in alcohol withdrawal?
• Which of the following signs is commonly associated with acute opioid intoxication?
• Which of the following is a physical finding associated with chronic opioid use?
• How is tolerance defined in substance use?
• Which of the following is NOT a caffeine intoxication symptom?
• Which statement correctly describes the effects of cannabis on driving?
• Which statement accurately describes common signs of stimulant intoxication, withdrawal symptoms, and the typical management approach?
• Which distribution strategies are commonly used for naloxone in community settings?
• Which of the following is a common effect of cannabis use?
• Why is integrated treatment important for patients with both substance use disorder and major mood or anxiety disorders?
• Which emerging direction includes developing new pharmacotherapies that specifically target craving?
• In which emerging direction do genetics and biomarkers guide individual treatment choices?
• Which statement best defines caffeine withdrawal?
• Which beta-blocker is commonly used for alcohol withdrawal management?
• What course best describes addiction over time?
• Which statement is true regarding acamprosate and renal impairment?
• Which option best describes the essential elements of a comprehensive substance use assessment in primary care?
• Which pharmacotherapy has the strongest evidence for helping adults quit smoking?
• Which statement best lists the effects associated with cannabinoids (THC, marijuana)?
• Which medications are used for pharmacologic management of neonatal abstinence syndrome?
• Administration of thiamine in alcohol withdrawal is intended to prevent which complication?
• CNS involvement in fetal alcohol syndrome can include which of the following?
• Which of the following is NOT part of the criteria for opioid withdrawal?
• Which of the following is a CNS symptom of neonatal abstinence syndrome?
• Long-term stimulant use is associated with which of the following?
• Fetal alcohol syndrome is the leading preventable cause of intellectual disability.
• What is disulfiram’s mechanism and what are key safety considerations?
• Long-term stimulant use is associated with cognitive impairment. Which option correctly identifies this outcome?
• Caffeine intoxication diagnostic criterion?
• In buprenorphine-naloxone formulations, what is the purpose of including naloxone?
• Which substance is most likely to be abused by veterans?
• Which of the following is a GI symptom seen with neonatal abstinence syndrome?
• Which treatment approaches are particularly effective for adolescent substance use?
• Which of the following is NOT considered a harm-reduction strategy in substance use care?
• Which of the following is listed as a sign of inhalant intoxication?
• What does CRAFFT stand for in the adolescent screening tool?
• Which component is NOT a core CBT element for substance use disorders?
• In the single-question screen for alcohol, how many times in the past year have you had 5 or more drinks in a day for men or 4 or more for women?
• In treating opioid use disorder, which statement about buprenorphine is true?
• Severe substance use disorder corresponds to meeting how many DSM criteria?
• Which factors increase the risk of delirium tremens during alcohol withdrawal?
• Which drugs produce the highest dopamine response to exposure?
• What factors influence relapse after SUD treatment?
• Which of the following is listed as a symptom of acute cannabis intoxication?
• Which type of hallucinations may occur during stimulant acute intoxication?
• SBIRT stands for which sequence used in substance use intervention?
• Which characteristic is associated with 6-Monoacetylmorphine (6-MAM) in heroin testing?
• What is the primary purpose of the CIWA-Ar scale in alcohol withdrawal management?
• Within what time frame must the 2+ DSM-5 criteria occur to diagnose substance use disorder?
• Which emerging direction focuses on coordinating care across settings such as medical, behavioral health, and social services?
• Varenicline (Chantix) acts by
• Which sign is commonly associated with alcohol-related liver disease?
• CIWA-Ar assessment includes which of the following symptoms?
• Which statement defines binge drinking?
• Which sign can occur during stimulant acute intoxication as part of a crisis?
• Which psychiatric condition is commonly associated with alcohol use disorder?
• In DSM-5, tolerance is defined as which of the following?
• Which urogenital finding can be associated with chronic alcohol use?
• Compare integrated and sequential treatment approaches for dual diagnosis. What is a key advantage of integrated treatment?
• What is the current status of pharmacotherapy for cannabis use disorder and what are common withdrawal symptoms?
• Mild substance use disorder corresponds to meeting how many DSM criteria?
• Which statement best describes addiction?
• Among alcohol-use interventions, which statement correctly describes the mechanisms of naltrexone, acamprosate, and disulfiram?
• PDMP is used to monitor patient prescription data to prevent misuse. What is the primary purpose of PDMPs?
• Cannabis withdrawal typically develops within what time frame after cessation of heavy, prolonged use?
• Which statement best describes stimulant withdrawal management?
• Moderate substance use disorder corresponds to meeting how many DSM criteria?
• Regarding oral naltrexone use in pregnancy, which statement is correct?
• Which element is essential to SBIRT documentation?
• Which screening tool is best validated for detecting risky alcohol use in primary care and what is a common interpretive threshold?
• What is a primary aim of rehab in substance use disorder treatment?
• Which of the following describes heavy alcohol use?
• What does the acronym COWS stand for in opioid withdrawal assessment?
• Which is a pro of oral naltrexone for AUD?
• Disulfiram should not be used in patients with which liver condition?
• The prefrontal cortex is not fully developed until about age what?
• Which statement best describes the organizational role in AHRQ's trauma-informed care?
• Suboxone is the combination of which medications?
• PDMP is an abbreviation for which program?
• According to DSM-5 criteria, how many criteria within a 12-month period are required for Substance Use Disorder, and how is severity categorized?
• Which medication acts as an alpha-adrenergic agonist used in alcohol withdrawal management?
• Which public health considerations arise regarding cannabis impairment?