A 44-Year-Old Man Comes to the Office for an Annual

question 776

Multiple Choice

A 44-year-old man comes to the office for an annual physical examination.  He has no significant medical history and takes no medications.  The patient has a history of depression in his early 20s that responded well to sertraline.  He currently has no depressive symptoms.  He is married, has 2 school-age children, and works as a landscaping contractor.  The patient drinks socially and does not use recreational drugs.  He has a 25 pack-year smoking history.  He says that his mother and brother are recovering alcoholics.  Physical examination is unremarkable.  Routine laboratory blood tests are obtained.
Which of the following is the best next step in assessing this patient for unhealthy alcohol use?

• A)Administer the CAGE screening questionnaire
• B)Administer the single-item screening test or Alcohol Use Disorders Identification Test-C
• C)Check laboratory test results to detect abnormalities suggestive of alcohol abuse
• D)Obtain a comprehensive substance use history
• E)Obtain urine toxicology screen

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Definitions:

One-Input Data Table

A table in spreadsheet software used to explore the impact of changing one variable on one or more outcomes.

Single Input Value

A term that typically refers to a function or operation in various programming and software contexts, where only one input value is required or processed at a time.

Expense Values

The costs or charges associated with the operation of a business or the execution of a project.

Goal Seek

A function in spreadsheet applications that finds the input value needed to achieve a targeted outcome by altering one variable.