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Psychiatry · Substance use: alcoholic blackout
Sample itemA 28-year-old man drank heavily at a wedding, danced, talked sensibly with relatives and drove home. The next morning he cannot recall anything from after 9 pm. Witnesses noted no confusion or stupor at the time. Which term applies?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Alcoholic blackout
A blackout is a period of anterograde amnesia for events during intoxication, in which the person remained behaviourally coherent. It reflects failure of memory consolidation at high blood alcohol levels, is frequent in heavy drinkers and is regarded as an early warning of problem drinking.
Option by option
A. Dissociative amnesia
Dissociative amnesia follows psychological stress and is not tied to a bout of heavy drinking.
B. Delirium tremens
Delirium tremens occurs during withdrawal with disorientation and hallucinations, not during a drinking bout.
C. Alcoholic blackout (correct)
Correct. Memory for events during intoxication is lost although the person appeared coherent.
D. Korsakoff syndrome
Korsakoff syndrome is a persistent inability to form new memories with confabulation, not a one-night gap.
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.
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