A 45-year-old man drinks 8 to 10 beers nightly and wants to reduce drinking. He has no opioid use, acute hepatitis, liver failure, or severe renal

Question

A 45-year-old man drinks 8 to 10 beers nightly and wants to reduce drinking. He has no opioid use, acute hepatitis, liver failure, or severe renal disease. He is not in withdrawal. Which of the following is the most appropriate next step in management?

Accepted Answer

Offer naltrexone with counseling

Answer

Treat with antipsychotic monotherapy

Answer

Prescribe alprazolam for long-term use

Answer

Advise abrupt cessation without follow-up

Answer

Start disulfiram without discussing adherence or risks

Alcohol use disorder — USMLE Step 3 MCQ

A 45-year-old man drinks 8 to 10 beers nightly and wants to reduce drinking. He has no opioid use, acute hepatitis, liver failure, or severe renal disease. He is not in withdrawal. Which of the following is the most appropriate next step in management?