Screening Tests

Question 1

AUDIT
test
use
score
sens/spec

Answer 1

test = 10 Q self-admin @ freq, binge, quant, depend, related problems
use = etoh risk, not just dependence
score = + is >8 males, >4 females
sens/spec = 0.8, 0.89 (go to diagnostic testing)

Question 2

CAGE / CAGE-AID
test
use
score
sens/spec

Answer 2

test = Cut down, Annoyed, Guilty, Eyeopener
use = EtOH dependence only
score = + 2 or more yes
sens/spec = 90% predictive of dependence

CAGE-AID - adapted to include drugs

Question 3

NIAAA
test
use
score
sens/spec

Answer 3

test = 1Q do you sometimes drink in a day >5 male, >4 female
use = screen EtOH
score = yes to only question is positive
sens/spec

Question 4

AUDIT-c
test
use
score
sens/spec

Answer 4

test = binge and frequency Qs
use = EtOH hazardous use
score = 0-12, positive >4 male, >3 female
sens/spec = more sensitive than AUDIT

Question 5

MAST / DAST
test
use
score
sens/spec

Answer 5

MAST = Michigan Alcohol screening test, or Drug Abuse screening test
use = M - EtOH, D - Drugs
score = both positive at 6
MAST 0-2 neg, 3-5 mild/early, 6 or up severe
sens/spec = highly sensitive
MAST G - more sensitive in geriatrics

Question 6

ASSIST / NIDA-mod ASSIST / computer ASSIST ACASI
test
use
score
sens/spec

Answer 6

test = 7Q / substance developed for SBIRT purpose
use = assess 10 substances and if IVDA present for SBIRT
score = per substance
sens/spec = screening

ACASI is computer assisted

Question 7

SBIRT

Answer 7

not a screening tool
Screen
Brief Intervention
Referral for Treatment

Question 8

TWEAK
test
use
score
sens/spec

Answer 8

test = 5Q
use = in PREGNANT females for harmful use of EtOH, determining tolerance/sensitivity
score = positive if >2
sens/spec = most sensitive in pregnant population

Question 9

TACE
test
use
score
sens/spec

Answer 9

test = 4Q, Tolerance, Annoyed, Cutdown, Eyeopener
use = detect heavy EtOH use in PREGNANT females
score = + is >2
sens/spec = more sensitive in pregnant female to get into services

Question 10

CRAFFT
test
use
score
sens/spec

Answer 10

test = 6Q
use = pediatric population
score = 0-1 counsel, >2 intervention
sens/spec = score 4-6 has 80% predictive value for future SUD

Question 11

4Ps
test
use
score
sens/spec

Answer 11

test = Parents/Partner/Past/Pregnancy
use = detect low use of EtOH in pregnant patients
score =
sens/spec = screening only to detect mild use, but increased concern secondary to pregnant state

Question 12

Withdrawal Scales per Substance
CIWA
CSSA
SOWS
OOWS
COWS

Answer 12

CIWA - EtOH
CSSA - Cocaine Selective Severity Assessment
SOWS - Opiates (subj) 16Q
OOWS - Opiates (obj) 10 signs
COWS - Opiates (subj & obj) 11 items

Question 13

Preferred Screening Per Population:
Geriatrics
Pregnancy
Pediatrics
Gambling

Answer 13

Geriatrics - MAST-G
Pregnancy - 4Ps, TWEAK, TACE
Pediatrics - CRAFFT
Gambling - SOGS

Question 14

Screens for Opiate RX Appropriateness

Answer 14

ORT = Opiate Risk Tool for Adults with PCP, 0-3 low risk, 4-7 mod risk, > 8 high risk for abuse of RX

SOAPP = Screener and Opioid Assessment for
Patients with Pain for those with pain to start opiates OR continue tx
<9 low, 10-21mod, >22 high OR >18 risk cutoff

DIRE = “candidacy” for long term opiate analgesia tx, low score 7-13 POOR candidate, higher score 14-21 good candidate, poor evidence for tool, but remains recommendation in pain medicine specialties

Question 15

COWS

Answer 15

11 subcategories
5-12 MILD WDWL
12-24 MOD WDWL
25-36 MOD SEVERE WDWL
>36 SEVERE WDWL

Question 16

DrInC

Answer 16

Drinker inventory of consequences

Measure the adverse impact of AUD in 5 domains: physical, social, impulsive, interpersonal, and intra-personal

Question 17

SOCRATES

Answer 17

Stages of change readiness and treatment eagerness scale do AUD with patient recognition of UD, ambivalence, and action

Question 18

RAATE

Answer 18

Recovery attitude and treatment evaluation

Used in specialized RX settings to focus on sources of RX resistance

Question 19

FRAMES

Answer 19

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