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Alcohol use disorder — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

ModerateAmbulatory Medicine / Primary CareAlcohol use disorderUSMLE Step 3

A 39-year-old man drinks 6 beers nightly and wants to reduce drinking. He has normal liver function tests, no opioid use, and no history of withdrawal seizures. He is willing to attend counselling. Which of the following would you recommend at the follow-up visit?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Offer naltrexone with behavioural treatment

Naltrexone is an evidence-based medication for alcohol use disorder when opioids are not being used and liver disease is not severe.

Reference: APA Alcohol Use Disorder Guideline; USPSTF Alcohol Screening Recommendation