Substance use: Edwards and Gross dependence: practice question

A Psychiatry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Psychiatry · Substance use: Edwards and Gross dependence

Sample item

Which feature of the alcohol dependence syndrome describes drinking to avoid withdrawal symptoms, and drinking early in the morning?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Relief or avoidance drinking

Edwards and Gross described seven features: narrowing of drinking repertoire, salience of drinking, increased tolerance, repeated withdrawal symptoms, relief or avoidance of withdrawal by further drinking, subjective awareness of compulsion and reinstatement after abstinence. Morning drinking to relieve withdrawal is the relief feature.

Option by option

  • A. Salience of drinking

    Salience is giving drinking priority over other activities.

  • B. Relief or avoidance drinking (correct)

    Correct. Drinking to relieve or avoid withdrawal is relief drinking.

  • C. Reinstatement after abstinence

    Reinstatement is rapid return to dependent drinking after a period of abstinence.

  • D. Narrowing of drinking repertoire

    Narrowing is drinking in a stereotyped pattern regardless of circumstance.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Psychiatry questions

Questions about this Psychiatry question

What is the answer to this Psychiatry question?

The best answer is B, Relief or avoidance drinking. Edwards and Gross described seven features: narrowing of drinking repertoire, salience of drinking, increased tolerance, repeated withdrawal symptoms, relief or avoidance of withdrawal by further drinking, subjective awareness of compulsion and reinstatement after abstinence.

Why is "Salience of drinking" not the answer?

Salience is giving drinking priority over other activities.

Why is "Reinstatement after abstinence" not the answer?

Reinstatement is rapid return to dependent drinking after a period of abstinence.

Why is "Narrowing of drinking repertoire" not the answer?

Narrowing is drinking in a stereotyped pattern regardless of circumstance.

What concept does this question test?

It tests Substance use: Edwards and Gross dependence in Psychiatry. Morning drinking to relieve withdrawal is the relief feature.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Substance use: Edwards and Gross dependence?

Learn each diagnosis by its core features and its first-line treatment. Then use the flashcards and the other Psychiatry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.