Alcohol Use Disorder: ABFM practice questions

29 board-style questions on alcohol use disorder in the PulseMD family medicine question bank — physician-reviewed, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 52-year-old man presents for a routine visit. He drinks 4-5 beers daily and has tried to cut back unsuccessfully. His AUDIT-C score is 9 (positive). He reports morning tremors and has had one alcohol withdrawal seizure in the past. Liver function tests show AST 118 U/L and ALT 52 U/L (AST:ALT >2:1). He expresses motivation to stop drinking. What is the most appropriate initial management?

  1. Prescribe gabapentin for withdrawal and follow up in 1 month
  2. Start disulfiram immediately and refer to outpatient addiction counseling
  3. Medically supervised detoxification with benzodiazepines followed by naltrexone maintenance
  4. Recommend AA meetings and outpatient counseling only

Sample question 2

A 50-year-old man presents for an annual physical examination. During the social history, he mentions having "a few drinks to unwind after work most days." He denies any legal, occupational, or relationship consequences from drinking. You want to screen for unhealthy alcohol use with a brief, validated instrument recommended for primary care. Which tool is most appropriate?

  1. AUDIT-C
  2. PHQ-9
  3. CAGE questionnaire
  4. DAST-10

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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