Massachusetts Medical Society: Question 2

Question 2

 

Question:

 

A 15-year-old patient presents to the pediatrician asking for a refill of hydrocodone 3 weeks after a broken collar bone following a soccer injury. Which of the following is a screening tool that could be best used to evaluate for the presence of a substance use disorder in adolescents?

 

 

 

Answers

Answer:

CAGE Questionnaire
 

 

Correct Answer? 

 

Explanation:

 

Answers

Answer:

Brief Addition Monitor (BAM)
 

 

Correct Answer? 

 

Explanation:

 

Answers

Answer:

Screening to Brief Intervention (S2BI)
 

 

Correct Answer? 

 

Explanation:

Rationale: The correct answer is the Screening to Brief Intervention (S2BI) tool, which has been validated for use in adolescents. It assesses the frequency of use of nicotine products, alcohol, and cannabis, and if an adolescent is using any of these substances, then probes use of other substances, including opioids. The S2BI is freely available at https://nida.nih.gov/s2bi/. The frequency of use reported by an adolescent strongly correlates with their risk of having a substance use disorder. The CAGE Questionnaire is used to identify problems with alcohol in adults (choice A). The BAM is a general questionnaire for patients enrolled in substance use programs (choice B). The COWS is a measure of acute opioid withdrawal (choice D).

 

Answers

Answer:

Clinical Opioid Withdrawal Scale (COWS)
 

 

Correct Answer? 

 

Explanation:

 

 

Format:

Radio buttons (single select)

 

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