Psychoactive Substance Use Disorders and other addiction disorders
Psychiatry · Topic 3
Source: NMC CBME Curriculum 2024 · Volume II · Psychiatry · Topic 3 · combined PDF page 352
Practice questions
- A qualitative study examined patients in recovery during the initial COVID-19 social-isolation period in Cuba. Which approach best describes its design?
- During COVID-related isolation, a patient in addiction treatment reports that keeping up with studies, personal projects, and therapist contact helped maintain abstinence goals. Which interpretation best matches the qualitative findings from a Cuban treatment cohort?
- Which set of difficulties was specifically identified by patients undergoing treatment during COVID-19 social isolation in the Cuban qualitative study?
- In the pandemic-era qualitative study, which beliefs were described as potentially undermining recovery?
- Face-to-face encounters were suspended during the isolation period in the Cuban study. How did the research team maintain contact with participants?
- Which conclusion is most defensible from the finding that most participants in a small qualitative cohort avoided setbacks during the initial period of COVID-19 isolation?
- A clinician planning for possible future interruptions in usual addiction care asks a patient about worsening worry, sadness, anger, and self-imposed demands. Why is this line of assessment relevant to the cited COVID-era study?
- A 16-year-old receiving outpatient treatment for SUD has current PTSD and reports MDMA use. In the cited adolescent study, which group had the highest past-year MDMA-use frequency?
- In the adolescent outpatient SUD study, which statement best distinguishes the MDMA finding from the results for other substances?
- Which sequence correctly describes the three trauma-related groups used in the adolescent SUD study?
- A researcher proposes that some adolescents with PTSD may use MDMA to cope with mental-health symptoms. How should this proposal be interpreted in light of the study?
- Which participant profile best matches the population in the study of PTSD, coping motives, and MDMA use?
- The adolescent study reported that coping scores showed a pattern similar to MDMA frequency across the trauma-related groups. Which interpretation is most appropriate?
- A patient describes drinking alcohol specifically to suppress distressing thoughts and feelings. Which psychological process most directly corresponds to the review's definition of experiential avoidance?
- A systematic review found higher experiential avoidance consistently associated with greater use of which broad set of substances?
- A patient with SUD reports using substances to escape distress and has poor treatment adherence. Which statement best reflects the systematic review's account of experiential avoidance?
- Which intervention approach did the systematic review identify as promising for directly targeting experiential avoidance and psychological inflexibility?
- The review discusses experiential avoidance as a possible mediator between trauma exposure or emotional dysregulation and addictive behaviour. What does this proposed role mean?
- Which conclusion best captures the transdiagnostic significance of experiential avoidance in the review?
- According to the review of binge-type eating disorders and ultra-processed food addiction, which feature is common across the binge-type eating disorders discussed?
- Which statement best reflects the relationship between binge-type eating disorders and the emerging concept of ultra-processed food addiction in the cited review?
- Which neurobiological domains did the review describe as altered in LCBE and as resembling disturbances found in addictive disorders?
- A clinician argues that because LCBE can resemble addictive behaviour, all patients with binge-type eating disorders should immediately be prescribed abstinence from ultra-processed foods. Which response best reflects the cited review?
- A patient with LCBE is being considered for an addiction-recovery framework. Which diagnostic reasoning principle is most important based on the review?
- Which statement about the clinical status of ultra-processed food addiction is most consistent with the cited review?
- A clinician is considering reduced-harm rather than absolute abstinence goals for a patient with problematic ultra-processed food use and LCBE. What does the cited review support?
- A clinician sees an adolescent with SUD, a history of trauma, and escalating MDMA use. Which additional assessment focus is most directly suggested by the cited adolescent study?