Alcohol Problem Drinking/ Screening

Question 1

Describe AUDIT-C and how it is different from AUDIT?

Answer 1

• AUDIT-C is an abbreviated form of AUDIT consisting of only 3 questions.

Question 2

What are the questions for AUDIT-C?

Answer 2

1. How often do you have a drink containing alcohol?
2. How many units of alcohol do you drink on a typical day when you are drinking?
3. How often have you had 6 or more units if female or 8 or more if male in a single occasion in the last year?

Question 3

With AUDIT-C, if the answer to the first question (How often do you drink alcohol) is never, what can you do?

Answer 3

Stop the questionnaire.

Question 4

What is superior for predicting alcohol problems, CAGE or AUDIT?

Answer 4

AUDIT

Question 5

Describes the scores in AUDIT?

Answer 5

• A score of 8 or more in men and 7 or more in women indicate harmful alcohol consumption
• A score of 15 or more in men and 13 or more in women indicates alcohol dependence.

Question 6

What are the questions in the FAST questionnaire?

Answer 6

1. MEN: How often do you have 8 or more drinks on one occasion?
   
   • WOMEN: How often do you have 6 or more drinks on one occasion?
2. How often during the last year have you been unable to remember what happened the night before because you had been drinking?
3. How often during the last year have you failed to do what was normally expected of you because of drinking?
4. In the last year has a relative or friend, or a doctor or other health worker been concerned about your drinking or suggested you cut down?

Question 7

Why is the first question important in FAST?

Answer 7

• If it is never, then the person doesn’t have a drinking problem.
• If it is weekly, daily or almost daily then 50% will be hazardous, harmful or dependent drinkers.

Question 8

Describe CAGE

Answer 8

C - cut down

A- annoyed

G - Guilty

E - Eye opener.

• 2 or more positives indicate a positive result
• Research questions its value as a screening test.

Question 9

How does the ICD-10 define problem alcohol drinking?

Answer 9

3 or more of the following:

1. Compulsion to drink
2. Difficulties controlling alcohol consumption
3. Physiological withdrawal
4. Tolerance to alcohol
5. Neglect of alternative activities to drinking
6. Persistent use of alcohol despite evidence of harm

Question 10

What is SAD-Q?

Answer 10

• To measure the severity of dependence (NOTE Audit is to identify hazardous drinking)
• 20 questions - Self administered
• Developed by WHO.

Question 11

In the SAD-Q, above what level does the score need to be to consider inpatient detoxification?

Answer 11

>=30

Question 12

What is the APQ?

Answer 12

• Questionnaire that helps to screen for alcohol related problems. (neuropathy, depression, dementia etc)

Question 13

What does AUDIT stand for and who was it developed by?

Answer 13

• Alcohol Use Disorders Identification Test
• Developed by WHO.

Question 14

Why is AUDIT better than CAGE?

Answer 14

• AUDIT picks up harmful drinking behaviours.
• CAGE picks up dependet behaviours.

Question 15

With AUDIT, what is your opening statement?

Answer 15

“Now I am going to ask you some questions about your use of alcoholic drinks during the past year.”