Question 37: In several recent studies, which of the following substances was associated with an increase in the long term risk of developing a psychotic disorder in susceptible individuals?

Question 42: A 29 year old married male presents to the intake department at a community mental health center, seeking treatment of a severe cannabis use disorder.  Aside from using ½ can of tobacco “dip” per day, he denies using other addictive substances.  His breathalyzer is negative and urine immunoassay is positive only for cannabinoids.  Medically, he has hyperlipidemia and mild obesity (BMI=31.2).  He has a history of childhood-onset ADHD, inattentive type, for which he stopped medication several years ago.  He periodically experiences “anxiety attacks” which reportedly trigger him use cannabis.  Otherwise he denies any psychiatric issues. He is employed at a small local insurance agency for the past 8 years.  He has never sought help for this problem before.  His wife, who does not use drugs, is very supportive of his efforts to get help and wants him to quit.  His brother-in-law, who also smokes cannabis, has been sleeping on the couch in the living room for the past 5 weeks but plans to move out “real soon.”  The patient verbalizes apprehension about treatment and has financial strain.  He has already used up most of his vacation/sick leave, and definitely does not want to do anything to jeopardize his job.  With respect to substance treatment, the most appropriate level of care is:

Question 31: A 30 year old male presented to the ER complaining of chills, severe nausea, vomiting, severe muscle pain, weight loss and chest pain. Physical examination revealed pupillary dilatation, dystonia and elevated blood pressure. He reported experiencing auditory, visual and tactile hallucinations. He was oriented to time, place and person. Intoxication with which of the following substances explains this presentation?

Question 48: Which of the following is/are screening tools for alcohol use disorder?

Question 21: Which symptoms occurring during your appropriate medical treatment of patient with prescribed medications are not counted when diagnosing a substance use disorder?

Question 11: Which of the following is correct about the patient in question 10’s withdrawal?

Question 12: A 50-year old man had been a heavy drinker since he was 18. He has had morning drinking, shaking tremors when he cannot have a drink, periods of amnesia for his behaviors while he was drinking, being fired for drinking at work, and three arrests for driving while intoxicated. He believes he has a drinking problem, but is unsure if he wants to stop. Asked if he wants admission to a substance treatment program, he says “No.” He is in which of the following stages of treatment readiness?

Question 28: A standard drink is defined as:

Question 10: A 38-year old man has goose-pimples on his skin, dilated pupils, watery eyes, runny nose, nausea, diarrhea and muscle and joint aches and pains. He is probably experiencing withdrawal from which of the following?

Question 4: A 15 year old boy is brought by the police to the emergency room. He had been arguing and fighting with one of his neighbors. He reports dizziness, trouble concentrating and visual hallucinations. His conjunctivae are red and there is a red rash around his mouth. His breath has an odd odor, and he has an upper extremity tremor. His Mini-mental State score is 20/30. Of the following, the most likely diagnosis is intoxication with: