Rosh Psychiatry Board Practice Exam

For a diagnosis of severe alcohol use disorder, what symptom would typically be present?

1. Infrequent social engagements

2. Consistent high energy levels

3. Cravings for alcohol

4. Recent job promotion

The correct answer is: Cravings for alcohol

A diagnosis of severe alcohol use disorder typically includes the presence of cravings for alcohol. Cravings are a hallmark symptom of addiction and indicate a strong desire or urge to consume alcohol, which can significantly impact an individual's ability to control their drinking behavior. In the context of severe alcohol use disorder, these cravings may be persistent and distressing, contributing to the cycle of dependency and leading to further substance use despite negative consequences. The other options do not align with the typical symptoms associated with severe alcohol use disorder. Infrequent social engagements may suggest avoidance behaviors that can occur in various conditions but are not definitive indicators of severe alcohol use disorder. Consistent high energy levels may also not correlate with the effects of alcohol use, which often depresses central nervous system activity. Receiving a recent job promotion suggests a stable and functional life situation, which is contrary to the impairments typically seen in severe alcohol use disorder.