Tuesday, May 21, 2019
Repeated USMLE Questions Step 2 CK- 269
Which one of these factors suggests patient’s alcohol dependence rather than abuse?
A - The patient was arrested 3 times for drinking under the influence (DUI)
B - The patient missed work for a few times
C - The patient broke up with his girlfriend due to his drinking problems
D - The patient experienced withdrawal symptoms
E - His family and friends are not happy with him because of drinking
The two main features of drug dependence are tolerance and/or withdrawal symptoms. In this patient, the withdrawal symptoms that he experienced every time he quit are the clues for alcohol dependency. Other choices are considered substance abuse rather than dependence.
The correct answer is D