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Psychiatry · Rating scales: CIWA-Ar
Sample itemThe Clinical Institute Withdrawal Assessment for Alcohol, revised (CIWA-Ar), guides:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Symptom-triggered benzodiazepine dosing in alcohol withdrawal
CIWA-Ar is a 10-item clinician-rated scale of withdrawal severity, with scores guiding when to give benzodiazepines in symptom-triggered regimens. Scores above about 15 indicate severe withdrawal.
Option by option
A. Titration of lithium
Lithium titration relies on serum levels.
B. Symptom-triggered benzodiazepine dosing in alcohol withdrawal (correct)
Correct. CIWA-Ar guides withdrawal treatment.
C. Decision for ECT
ECT decisions are clinical.
D. Choice of antidepressant
Antidepressant choice is clinical.
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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