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Typical Questions

Substance Abuse & Addiction

Practise multiple-choice questions on substance use disorders, alcohol dependence, withdrawal syndromes, and addiction management. Questions are completely free to view and attempt.

10 MCQs
Questions

Multiple Choice Questions

Showing questions 1-10 of 10.

Question 01

Konmong is a 30-year-old man who resides in Accra, Ghana. He reports that over the past 12 months, he has repeatedly used cocaine in larger amounts than intended, has strong cravings, and continues using despite recurrent conflicts with his partner. He does not report tolerance or withdrawal. Using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), which is the most accurate severity classification?

  1. Mild substance use disorder
  2. Moderate substance use disorder
  3. No substance use disorder
  4. Severe substance use disorder
Question 02

Laar is a 46-year-old man with alcohol use disorder who develops tremor, diaphoresis, tachycardia, and anxiety 10 hours after his last drink. Which neurotransmitter adaptation most directly underlies these symptoms?

  1. Downregulation of NMDA-mediated excitatory signaling during chronic alcohol exposure
  2. Increased dopamine synthesis in the mesolimbic pathway
  3. Increased serotonin reuptake in the raphe nuclei
  4. Upregulation of GABA-A receptors during chronic alcohol exposure
Question 03

Diagnosis of alcohol dependence can be made if any 3 of the following are present, except:

  1. Loss of control
  2. Neglect of alternative pleasures
  3. Neglect of family members
  4. Strong desire to drink
Question 04

Mr. Danso, is a 40 year old man with alcohol use disorder, who presented to the emergency department due to a distressing sensation of animals crawling over his body. What is this phenomenon?

  1. Delirium tremens
  2. Delusion of infestation
  3. Kinaesthetic hallucination
  4. Tactile hallucination
Question 05

Seizures can occur because of withdrawal from which of the following psychoactive substances:

  1. Alcohol
  2. Cannabis
  3. Cocaine
  4. Heroin
Question 06

A 45-year-old man, Mr. Adjah, with an alcohol use disorder, saw his wife talking to her boss at work. Since then, he believes that she was having an affair with her boss that involved a sexual relationship, despite a lack of evidence. Which of the following is most likely to describe his belief?

  1. Capgras' delusion
  2. Couvade's syndrome
  3. Erotomania (De Clerambault’s delusion)
  4. Morbid jealousy (Othello's syndrome)
Question 07

Wernicke-Korsakoff syndrome is due to a deficiency of:

  1. B1
  2. B2
  3. B3
  4. B12
Question 08

A male client, Alex, is admitted to the substance abuse unit for alcohol detoxification. Which of the following medications is most likely to be administered to reduce the symptoms of alcohol withdrawal?

  1. Benzodiazepine
  2. Haloperidol
  3. Magnesium sulfate
  4. Naloxone
Question 09

A patient, Konlaan, hospitalized for alcohol withdrawal, becomes disoriented, febrile, hypertensive, markedly agitated, and reports visual hallucinations 72 hours after cessation of alcohol. Which is the most appropriate first-line pharmacologic treatment?

  1. Diazepam or lorazepam
  2. Fluoxetine
  3. Haloperidol monotherapy
  4. Naloxone
Question 10

Yennusom is a 39-year-old man with chronic heavy alcohol use who is confused, ataxic, and has ophthalmoplegia. Which intervention should be administered promptly to reduce neurologic injury?

  1. Disulfiram
  2. Flumazenil
  3. Intravenous glucose before vitamins
  4. Intravenous thiamine