Alcohol Use Disorder: ABFM practice questions

21 board-style questions on alcohol use disorder in the PulseMD family medicine question bank, 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 44-year-old man presents for an annual wellness visit. As part of routine screening, you administer the AUDIT-C questionnaire. He reports drinking alcohol 2-3 times per week, typically 3-4 drinks per occasion, and about once a month he has 6 or more drinks at a time. His AUDIT-C score is 7. He has no legal problems, job difficulties, or relationship issues related to alcohol. What is the most appropriate next step?

  1. Conduct a brief intervention discussing his drinking pattern and health risks
  2. Order liver function tests before discussing his alcohol use
  3. No intervention needed since he has no alcohol-related consequences
  4. Refer immediately to an addiction specialist

Sample question 2

A 36-year-old woman presents for follow-up of hypertension. During the visit, she mentions she has been using her friend's oxycodone tablets 2-3 times per week for chronic back pain over the past 3 months. She denies using other substances and has no prior history of substance use disorder. She asks if you can prescribe something similar for her pain. Using the SBIRT framework, what is the most appropriate approach?

  1. Refer directly to an opioid treatment program for buprenorphine maintenance therapy
  2. Report her to law enforcement for using a controlled substance without a prescription
  3. Screen for opioid use disorder severity, provide brief intervention on risks of nonprescribed opioid use, and develop a safe pain management plan
  4. Prescribe a short course of oxycodone since she has legitimate pain and no substance use history

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

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