A 51-year-old man drinks heavily despite marital conflict and elevated liver enzymes. He has tried to cut down, has cravings, and misses work. He

Question

A 51-year-old man drinks heavily despite marital conflict and elevated liver enzymes. He has tried to cut down, has cravings, and misses work. He takes no opioids and has no acute withdrawal. Which of the following is the most appropriate next step in management?

Accepted Answer

Offer medication treatment such as naltrexone plus counselling

Answer

Recommend switching from liquor to beer

Answer

Prescribe benzodiazepines indefinitely for craving

Answer

Provide reassurance because he is employed

Answer

Begin disulfiram without discussing adherence or risks

Alcohol use disorder — USMLE Step 3 MCQ

A 51-year-old man drinks heavily despite marital conflict and elevated liver enzymes. He has tried to cut down, has cravings, and misses work. He takes no opioids and has no acute withdrawal. Which of the following is the most appropriate next step in management?